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Health FairApplying to be a vendor

UPC Update Request Forms

Please submit a spreadsheet if submitting multiple UPC's for inclusion on the IN WIC Approved Products List (APL).


(Please email the completed complaint form to the WIC Vendor Mail inbox at or mail complaint forms to the following address: Indiana WIC Program, Indiana Department of Health, 2 North Meridian Street, 5th Floor, Indianapolis, IN 46204)

Vendor Applications

  • Vendor Application (SF 48064) and   Food Price List (required with application)
  • Pharmacy Formula Price List  (required with application for pharmacy)
  • Vendor Manual