Food List (FPL) Updated 10/01/2017 Name Phone Number Email County Store Address City State Zip Code WIC Vendor Number (if known) Name of Person Completing this FPL Instructions: Complete all sections of the Food List (FPL) for all relevant WIC authorized foods in the following pages. If you have questions, explanations, or comments, please provide these in the space on the last page. If you are an existing vendor, save this document to your computer using the file name “County#####FPL.” For example, a store in Marion County with WIC vendor number 01234 would save the file as Marion01234FPL. the completed FPL document and Vendor Application to . Minimum Inventory of WIC Approved Foods (Refer to the Vendor Food Card for more information.): Milk: 12 gallons total: 3-whole, 2-2%, 1-1% or skim Infant Formula: Cheese: 2 kinds, 3 lbs. in 8 or 16 oz. sizes 6-12.1 oz. Gerber Good Start Gentle concentrate Eggs: 3 large or extra large white eggs, one-dozen 20-12.7 oz. Gerber Good Gentle powder Dry 2 kinds of dry beans for a total of 3 lbs. in 1 lb. bags 10-12.4 oz. Gerber Good Start Soothe powder 5-12.9 oz. Gerber Good Start Soy powder Canned Beans: 128 oz. of canned beans in 15-64 oz. size Infant Cereal: 2 kinds for a total of 64 oz. in 8 or 16 oz. containers Cereal: 6 kinds of dry and 1 kind of cooked, 20 boxes total, at least 1 whole grain cereal Fruits and Vegetables Infant Food: 192 oz. in 4 oz. jars or 8 oz. 2-packs 15 containers of 64 oz., 3 kinds with 100% juice and 120% Vitamin C or more Meat Baby Food: 16 containers of 2.5 oz. glass jars Concentrate: 5 cans of 11.5 or 12 oz. concentrate or 46-48 oz. juice, 2 kinds Bread: 5 loaves of WIC approved whole grain bread in 16 oz. packages Peanut Butter: 5 jars, 16-18 oz. Fruits and Vegetables: $30 with 2 different fruits and 2 different vegetables Does your store have all of the required WIC food listed above in stock? ☐ Yes ☐ No A. MILK: Least expensive brand only. No organic. Price
Whole gallon 2% gallon 1% gallon Skim gallon Whole ½ gallon 2% ½ gallon 1% ½ gallon Skim ½ gallon Lactose-Free ½ gallon Lactose-Free quart Silk Original Soy Milk ½ gallon 8th Continent Soy Milk ½ gallon Evaporated 12 oz. Powdered Dry 9.6 oz. Powdered Dry 25.6 oz. UHT quart B. CHEESE: Highest price. No organic. 8 oz. 16 oz. American Cheddar Colby Colby-Jack Monterey-Jack Mozzarella Provolone C. YOGURT: Highest price. 32 oz. plain or flavored. Container can be quart or multipacks. No Greek or light yogurt. No organic. Price Brand Container Type Nonfat or Low Fat Whole Fat D. EGGS: expensive brand only. Cage- free allowed. No organic. Price Extra Large White Large White E. CANNED Highest price. No organic. Price 15-16 oz. Garbanzo 15-16 oz. Great Northern 15-16 oz. Kidney 15-16 oz. Navy 15-16 oz. Pinto 15-16 oz. Lima 15-16 oz. Fat Free Refried 15-16 oz. Black-Eye Peas 15-16 oz. F. DRY BEANS: Highest price. No organic. Type 1 lb. (16 oz.) 1 lb. (16 oz.) 1 lb. (16 oz.)
G. FISH: Highest Packed in water, oil, or vegetable broth. No premium or organic. Chunk Light Tuna Pink Salmon 5 oz. 5 oz. 12 oz. 6 oz. 7.5 oz. 14.75 oz. H. PEANUT BUTTER: 16-18 oz. jars only. Creamy or crunchy. No spreads or organic. Price Store Brand Other Highest Price I. GRAINS: Highest price. No organic. 16 oz. Whole Wheat Bread Price Aunt Millie’s Best Choice Bimbo Bunny Butternut Family Choice Holsum IGA Kroger Meijer Nature’s Own Pepperidge Farms Stone Ground Pepperidge Farms Cinnamon and Raisin Swirl 16 oz. Whole Wheat Bread Price Sara Lee Schnucks Schwebel Sunbeam Village Hearth Wonder 16 oz. Whole Wheat or Corn Tortilla Best Choice Chi-Chi’s Don Pancho Essential Everyday Food Club Great Value IGA Kroger La Banderita Meijer Mi Casa Mission Ortega Schnucks Spartan Tio Santi Brown Rice: 14-16 oz. Whole Wheat Pasta: 16 oz.
Malt-O-Meal Price Size Price Size Price Size *Frosted Mini Spooners 18 oz. 36 oz. *Strawberry Cream Mini Spooners 18 oz. 36 oz. *Blueberry Mini Spooners 18 oz. 36 oz. Crispy Rice 12 oz. 18 oz. 36 oz. Quaker Price Size *Life Original 18 oz. Hot Cereals Price Size Size Price Size Malt-O-Meal Original 18 oz. 36 oz. Malt-O-Meal Chocolate 36 oz. Cream of Rice 12 oz. *Cream of Wheat Whole Grain 18 oz. *Quaker Instant Oatmeal Original 11.8 oz. 23.7 oz. K. 64 OZ Highest price. Can be shelf stable or refrigerated. Must be 100% juice and a minimum of 120% Vitamin C. No organic. Brand Price Orange 64 oz. Apple 64 oz. Grape 64 oz. Grapefruit 64 oz. Pineapple 64 oz. Tomato 64 oz. Vegetable 64 oz. Blends Juicy Juice 64 oz. Old Orchard 64 oz. L. 46-48 OZ JUICE: Highest price. Can be shelf stable or refrigerated. Must be 100% juice and a minimum of 120% Vitamin C. No organic. Brand Price Orange 46-48 oz. 46-48 oz. Grape 46-48 oz. Grapefruit 46-48 oz. Pineapple 46-48 oz. Tomato 46-48 oz. Vegetable 46-48 oz. Blends Juicy Juice 46-48 oz.
Powder Ready to Feed (RTF) Price Liquid Concentrate Price Gerber Good Start Gentle *12.7 oz. 8.45 oz. 4-Pack *12.1 oz. Gerber Good Start Soothe *12.4 oz. Gerber Good Start Soy *12.9 oz. 8.45 oz. 4-Pack 12.1 oz. Q. SPECIAL FORMULA Reminder: Stores with pharmacies must list prices for ALL FORMULAS ON THIS PAGE. Powder Ready to Feed (RTF) Liquid Concentrate Case Size (UPC) Price Size (UPC) Price Size (UPC) Size (UPC) Boost (any flavor) 8 oz. 6-Pack (041679674000) Boost Kid Essentials 1.0 Cal (any flavor) 8.25 oz. 4-Pack (041679950968) EleCare for Infants w/ DHA & ARA 14.1 oz. (070074535111) Enfamil Nutramigen w/ Enflora 12.6 oz. (300871239418) Enfamil Nutramigen Quart (300870499011) 13 oz. (300870498014) Enfamil EnfaCare 12.8 oz. (300870019448) 8 oz. 6-Pack (300875102985) 2 oz./48/case (300871390010) Ensure (any flavor) 8 oz. 6-Pack (070074407111) Neocate Infant w/DHA & ARA 14.1 oz. (749735025956) Neocate Jr (any flavor) 14.1 oz. (749735017906) Pediasure Grow & Gain (any flavor) 8 oz. 6-Pack (070074620503)