NOTICES
Special Supplemental Nutrition Program for Women, Infants and Children (WIC Program); Maximum Allowable Prices
[34 Pa.B. 6717] Maximum Allowable Prices
Under 28 Pa. Code § 1103.4(5) (relating to selection criteria for authorization and reauthorization), the WIC Program publishes notice of the maximum allowable prices. Effective January 1, 2005, through March 31, 2005, the maximum allowable prices the Department of Health will pay for a WIC allowable food are as follows:
Description Maximum Allowable Price 1/2 gal. of Milk: Whole, Reduced Fat, Low
Fat or Skim$2.20 12 oz. Evaporated Milk $1.13 16 oz. Dry Milk $5.22 1 qt. Lactose Reduced Milk $2.02 1/2 gal. Kosher Milk $2.86 4 oz. Kosher Infant Juice $0.69 8 oz. Kosher Infant Cereal $1.92 1 doz. Grade A Eggs $1.87 1 lb. Fresh Carrots $1.10 14 to 16 oz. Canned Carrots $1.10 1 lb. Cheese $6.12 1 lb. Kosher Cheese $8.32 1 lb. Dry Beans or Peas $1.55 1 oz. Adult WIC Cereal $0.39 8 oz. Gerber Infant Cereal $1.92 15 to 18 oz. Peanut Butter $2.43 46 oz. Single Strength Juice or 11.5 or 12 oz.
Juice Concentrate$2.41 6 oz. Cans Juice $1.56 6 to 6.5 oz. Chunk Light Tuna Packed in Water $1.02 4 oz. Gerber Infant Juice $0.69 32 oz. Alimentum Advance Ready-to-Feed
Formula$9.32 16 oz. Alimentum Advance Powder Formula $26.82 12.8 oz. EnfaCare LIPIL w/Iron Powder
Formula$15.00 13 oz. Isomil Advance Concentrate Formula $4.70 32 oz. Isomil Advance Ready-to-Feed Formula $5.80 12.9 oz. Isomil Advance Powder Formula $14.42 12.9 oz. Isomil 2 Advance Powder Formula $14.42 13 oz. Isomil with Iron Concentrate Formula $4.36 12.9 oz. Isomil with Iron Powder Formula $13.29 32 oz. Isomil DF Ready-to-Feed Formula $6.07 13 oz. Nutramigen Lipil Concentrate Formula $7.04 32 oz. Nutramigen Lipil Ready-to-Feed
Formula$8.87 16 oz. Nutramigen Lipil Powder Formula $24.42 8 oz. Pediasure Ready-to-Feed Formula $2.24 8 oz. Pediasure with Fiber Ready-to-Feed
Formula$2.34 13 oz. Similac Advance Concentrate Formula $4.38 32 oz. Similac Advance Ready-to-Feed Formula $6.20 12.9 oz. Similac Advance Powder Formula $13.66 12.9 oz. Similac 2 Advance Powder Formula $13.66 13 oz. Similac with Iron Concentrate Formula $4.07 32 oz. Similac with Iron Ready-to-Feed
Formula$5.39 12.9 oz. Similac with Iron Powder Formula $12.95 13 oz. Similac Lactose Free Advance
Concentrate Formula$4.81 32 oz. Similac Lactose Free Advance
Ready-to-Feed Formula$5.92 12.9 oz. Similac Lactose Free Advance Powder
Formula$14.74 12.8 oz. Similac Neosure Advance Powder
Formula$15.65 A store must permit purchase of WIC allowable foods that exceed the maximum allowable price to WIC participants using a WIC check. However, the amounts that exceed the maximum allowable price of any WIC allowable foods sold to WIC participants will be billed to the store on a quarterly basis in accordance with 28 Pa. Code § 1105.2 (relating to price adjustment).
Persons with a disability who require an alternative format of this listing of maximum allowable prices (for example, large print, audiotape, Braille) should contact Chris Harr, Department of Health, Division of WIC, Room 604, Health and Welfare Building, Harrisburg, PA 17120, (717) 783-1289, or for speech and/or hearing impaired persons, V/TT (717) 783-6514 or the Pennsylvania AT&T Relay Services at (800) 654-5984.
CALVIN B. JOHNSON, M.D., M.P.H.,
Secretary
[Pa.B. Doc. No. 04-2250. Filed for public inspection December 17, 2004, 9:00 a.m.]
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