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United States Department of Agriculture / Nutrition / Human development / WIC / Breast milk / Infant formula / Enfamil / Breastfeeding / Medicaid / Federal assistance in the United States / Food and drink / Infant feeding


Alaska WIC Nutrition Program Enteral Nutrition Prescription Request Form State of Alaska Department of Health & Social Services/Public Assistance Please Fax to _________________ Prescription must be completed by Health C
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Document Date: 2014-03-06 22:04:37

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File Size: 379,17 KB

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City

Provider Medicaid / /

Company

XEROX / WIC / /

Currency

USD / /

Event

Product Issues / /

IndustryTerm

ounce containers baby food / supplemental food / /

MedicalCondition

Genetic-congenital disorders / Food allergies / Malabsorption syndromes / constipation / Anemia / disorders / /

MedicalTreatment

Vegan diet / Enteral Nutrition / /

Organization

Department of Health / Local Agency / /

Person

Neocate Infant Neocate Jr. / Denali Kid / /

Position

Registered Dietitian / CPA / Pharmacist / REGISTERED DIETITIAN/LICENSED DIETITIAN / /

Product

Thrive / growth / /

ProvinceOrState

Alaska / Alaska Medicaid / /

SocialTag