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Ohio WIC Formula UPC List* Edited 12/2020 Effective 1/11/2021 *This List Has the Potential to Change Without Notice And

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Ohio WIC Formula UPC List* Edited 12/2020 Effective 1/11/2021 *This List Has the Potential to Change Without Notice And Ohio WIC Formula UPC List* Edited 12/2020 Effective 1/11/2021 Food Report Description Formula Name Type UPC Cat/Subcat AlfaminoInfant14.1Pwd Alfamino Infant 14.1 oz. Pwd 7613034788214 31/093 AlfaminoJunior14.1Pwd Alfamino Junior 14.1 oz. Pwd 7613034787958 41/329 BOOST 8OZ RTF Boost Original 8 oz. RTF 041679675007 Chocolate 41/173 041679676004 Strawberry 041679674000 Vanilla 041679675663 Chocolate 6 Pack 041679676660 Strawberry 6 Pack 041679674666 Vanilla 6 Pack 041679802182 Chocolate 12 Pack 041679280195 Vanilla 12 Pack 041679675366 Chocolate Case 4x6 (24) 041679676363 Strawberry Case 4x6 (24) 041679674369 Vanilla Case 4x6 (24) 041679481202 Chocolate Case 2x12 (24) 041679028025 Vanilla Case 2x12 (24) BOOST BREEZE 8OZRTF Boost Breeze All Flavors 8 oz. RTF 043900186665 Berry 41/171 043900186290 Orange 043900186498 Peach 10043900186600 Berry Case (27) 10043900186204 Orange Case (27) 10043900186402 Peach Case (27) 10043900186006 Variety Case (27) BOOSTKIDESSENT1.5CAL8OZ Boost Kid Essentials 1.5 Cal All 8 oz. RTF 043900335889 Chocolate 41/277 Flavors 043900335902 Strawberry 043900335407 Vanilla 10043900335886 Chocolate Case (27) 10043900335992 Strawberry Case (27) 10043900335442 Vanilla Case (27) BOOSTKIDESSENT1.5FBR8OZ Boost Kid Essentials with Fiber 8 oz. RTF 043900335001 Very Vanilla 41/287 1.5 Cal All Flavors 10043900335008 Very Vanilla Case (27) BoostKidEssent4Pk8oz Boost Kid Essentials 1.0 Retail 8 oz. RTF 041679332610 Chocolate 41/229 041679332511 Vanilla 041679950975 Chocolate 4 Pack 041679950968 Vanilla 4 Pack 041679339787 Chocolate Case (16) 041679339688 Vanilla Case (16) BrightBeginSoy8ozRTF Bright Beginnings Soy 8oz. 8 oz. RTF 683744350091 6 Pack 41/092 *This list has the potential to change without notice and should only be used as a reference. This institution is an equal opportunity provider. 1 Ohio WIC Formula UPC List* Edited 12/2020 Effective 1/11/2021 Food Report Description Formula Name Type UPC Cat/Subcat CarBrkfstEssen8ozRTF Carnation Breakfast Essentials 8 oz. RTF 050000415168 Chocolate 41/313 050000415786 Strawberry 050000415687 Vanilla 050000415175 Chocolate 6 Pack 050000415793 Strawberry 6 Pack 050000415694 Vanilla 6 Pack 050000914753 Chocolate 12 Pack 050000915101 Vanilla 12 Pack 050000415182 Chocolate Case 4x6 (24) 050000415809 Strawberry Case 4x6 (24) 050000415700 Vanilla Case 4x6 (24) 050000914760 Chocolate Case 2x12 (24) 050000915118 Vanilla Case 2x12 (24) COMPLEATPEDIATRIC8.45OZ Compleat Pediatric 8.45 oz. RTF 043900142401 41/181 10043900142408 Case (24) COMPLEATPEDRDCCAL8.45OZ Compleat Pediatric Reduced 8.45 oz. RTF 043900380742 41/290 Calorie 10043900380749 Case (24) ELECARE INF 14.1OZ PWD EleCare for Infants 14.1 oz. Pwd 070074535111 31/042 070074552514 Case (6) ELECARE JR 14.1 OZ PWD EleCare Jr. All Flavors 14.1 oz. Pwd 070074662763 Banana 31/073 070074662718 Chocolate 070074552545 Regular 070074565866 Vanilla 070074662756 Banana Case (6) 070074662732 Chocolate Case (6) 070074552538 Regular Case (6) 070074565859 Vanilla Case (6) Enf EnfaCare 12.8oz Pwd Enfamil NeuroPro EnfaCare 12.8 oz. Pwd 300870019448 31/011 EnfamilAR12.9ozPwd Enfamil AR 12.9 oz. Pwd 300870201423 21/013 EnfamilNutramigen13ozCn Nutramigen 13 oz. Conc 300870498014 31/002 EnfamilNutramigen1QtRTF Nutramigen 1 Qt RTF (32 oz.) 300875115640 (6) 31/003 EnfamlGentlease32ozRTF Enfamil NeuroPro Gentlease 32 oz. RTF 300875115626 21/999 EnfamlGentlease8ozRTF Enfamil NeuroPro Gentlease 8 oz. RTF 300875103418 (6) 21/087 EnfamilHumnMlkFrtifier Enfamil Human Milk Fortifier .71 g Pwd 300872014489 1 carton 31/087 300872014182 Case (2 cartons) EnfamilPremature24 Enfamil Premature 24 Calorie 2 oz. RTF 300875115688 (6) 31/080 300875115695 (48) EnfPregestimil 16ozPwd Pregestimil 16 oz. Pwd 300870367013 31/007 *This list has the potential to change without notice and should only be used as a reference. This institution is an equal opportunity provider. 2 Ohio WIC Formula UPC List* Edited 12/2020 Effective 1/11/2021 Food Report Description Formula Name Type UPC Cat/Subcat Ensure 8 oz RTF Ensure 8 oz. RTF 070074517858 Butter Pecan 6 Pack 41/005 070074560168 Coffee Latte 6 Pack 070074407012 Chocolate 6 Pack 070074538075 Dark Chocolate 6 Pack 070074407050 Strawberry 6 Pack 070074407111 Vanilla 6 Pack 070074572406 Butter Pecan Case (24) 070074572376 Coffee Latte Case (24) 070074572314 Chocolate Case (24) 070074538068 Dark Chocolate Case (24) 070074572345 Strawberry Case (24) 070074572437 Vanilla Case (24) Gerber Extensive HA Gerber Extensive 14.1 oz. Pwd 050000598526 31/091 Hypoallergenic 050000485192 (6) GerberGSGentle8.45RTF Gerber Good Start GentlePro 8.45 oz. RTF 050000568710 (4) 21/059 GerberGSGentle8.1Con Gerber Good Start GentlePro 8.1 oz. Conc 050000829897 21/107 GerberGSGentle12.7Pwd Gerber Good Start Gentle 12.7 oz. Pwd 050000216673 21/057 GerberGSSoothe12.4Pwd Gerber Good Start SoothePro 12.4 oz. Pwd 050000624003 21/095 GerberGSSoy8.45ozRTF Gerber Good Start Soy 8.45 oz. RTF 050000353552 (4) 21/062 GerberGSSoy8.1ozConc Gerber Good Start Soy 8.1 oz. Conc 050000338689 21/108 GerberGSSoy12.9ozPwd Gerber Good Start Soy 12.9 oz. Pwd 050000035304 21/060 Neocate Splash 8oz Neocate Splash 8 oz. RTF 749735024355 – Grape (new) 41/066 749735024362 - Orange-Pineapple (new) 749735024379 – Tropical Fruit (new) 749735124352 – Grape Case (27) (new) 749735126707 Grape Case (27) 749735124369 Orange-Pineapple Case (27) (new) 749735110508 Orange-Pineapple Case (27) 749735124376 - Tropical Fruit Case (27) (new) 749735126660 Tropical Fruit Case (27) 749735044513 Unflavored 749735144510 Unflavored Case (27) NEOCATEINFNTDHAAR14.1OZ Neocate Infant with DHA & ARA 14.1 oz. Pwd 749735025956 31/072 749735125953 Case (4) NEOCATEJR14.1OZPWD Neocate Jr. 14.1 oz. Pwd 749735017906 Unflavored 41/063 749735117903 Unflavored Case (4) NEOCATENUTRA 14.1OZ PWD Neocate Nutra 14.1 oz. Pwd 749735067390 41/252 749735167397 Case (4) *This list has the potential to change without notice and should only be used as a reference. This institution is an equal opportunity provider. 3 Ohio WIC Formula UPC List* Edited 12/2020 Effective 1/11/2021 Food Report Description Formula Name Type UPC Cat/Subcat NEOCATJRPREBIOTIC14.1OZ Neocate Jr. with Prebiotics All 14.1 oz. Pwd 749735026908 Chocolate 41/288 Flavors 749735021248 Tropical 749735064566 Strawberry 749735029121 Unflavored 749735006276 Vanilla 749735126905 Chocolate Case (4) 749735121245 Tropical Case (4) 749735164563 Strawberry Case (4) 749735129128 Unflavored Case (4) 749735106273 Vanilla Case (4) Neocate Syneo Infant Neocate Syneo Infant 14.1 oz. Pwd 749735014363 31/102 749735114360 Case (4) NutramigEnflraLGG12.6oz Nuramigen with Enflora LGG 12.6 oz. Pwd 300871239418 31/070 NUTREN JR 8.45OZRTF Nutren Jr. 8.45 oz. RTF 798716060622 Vanilla 41/142 798716160629 Vanilla Case (24) NUTRENJRFIBER8.45OZRTF Nutren Jr. with Fiber 8.45 oz. RTF 798716060639 Vanilla 41/143 798716160636 Vanilla Case (24) PEDIASURE 1.5CALS 8OZ PediaSure 1.5 Cal 8 oz. RTF 070074673868 41/256 070074673783 Case (24) PediaSure 8oz RTF PediaSure 8 oz. RTF 070074518855 Banana Institutional 41/036 070074518831 Chocolate Institutional 070074558981 Vanilla Institutional 070074580531 Banana Cream 6 Pack 070074538198 Berry 6 Pack 070074580593 Chocolate 6 Pack 070074669205 Smores 6 Pack 070074580562 Strawberry 6 Pack 070074580500 Vanilla 6 Pack 070074580524 Banana Cream Case (24) 070074538181 Berry Case (24) 070074580586 Chocolate Case (24) 070074669182 Smores Case (24) 070074580555 Strawberry Case (24) 070074580494 Vanilla Case (24) PediaSure Fiber 8oz RTF PediaSure with Fiber 8 oz. RTF 070074563695 Strawberry 6 Pack 41/038 070074580623 Vanilla 6 Pack 070074563688 Strawberry Case (24) 070074580616 Vanilla Case (24) *This list has the potential to change without notice and should only be used as a reference. This institution is an equal opportunity provider. 4 Ohio WIC Formula UPC List* Edited 12/2020 Effective 1/11/2021 Food Report Description Formula Name Type UPC Cat/Subcat PEDIASURE PEPTIDE8OZRTF PediaSure Peptide All Flavors 8 oz. RTF 070074674124 Strawberry 41/228 070074674148 Unflavored 070074674100 Vanilla 070074674117 Strawberry Case (24) 070074674131 Unflavored Case (24) 070074674070 Vanilla Case (24) PEDIASUREENTERAL8OZRTF PediaSure Enteral 8 oz. RTF 070074674025 41/037 070074674018 Case (24) PEDIASUREFIBRENTERAL8OZ PediaSure Enteral with Fiber 8 oz. RTF 070074674049 41/039 070074674032 Case (24) PEDIASURE1.5CLSFIBER8OZ PediaSure 1.5 Cal with Fiber 8 oz. RTF 070074673752 41/257 070074673745 Case (24) PEDISURPEPTID1.5CAL8OZ PediaSure Peptide 1.5 Cal 8 oz. RTF 070074674186 Vanilla 41/258 070074674179 Vanilla Case (24) PEPTAMEN JR 8.45OZRTF Peptamen Jr. All Flavors 8.45 oz. RTF 798716601405 Strawberry 41/153 798716062534 Unflavored 798716062527 Vanilla 798716601306 Strawberry Case (24) 798716162531 Unflavored Case (24) 798716162524 Vanilla Case (24) PEPTAMEN JR FIBER8.45OZ Peptamen Jr. with Fiber All 8.45 oz. RTF 798716602006 41/271 Flavors 798716602105 Case (24) PEPTAMENJR1.5CALS8.45OZ Peptamen Jr. 1.5 Cal 8.45 oz. RTF 098716704824 Vanilla 41/234 798716073639 Unflavored 098716855359 Vanilla Case (24) 798716173636 Unflavored Case (24) PEPTAMENJRPREBIO8.45OZ Peptamen Jr. with Prebio All 8.45 oz. RTF 798716364157 Chocolate 41/154 Flavors 798716162616 Vanilla 798716364164 Chocolate Case (24) 10798716162613 Vanilla Case (24) PURAMINO 14.1 OZ PWD PurAmino DHA/ARA 14.1 oz. Pwd 300875104781 31/069 300875104804 PurAmino Jr. 14.1 oz. Pwd PurAmino Jr. 14.1 oz. Pwd 300875122440 Vanilla 300875122457 Vanilla Case (4) 300875122464 Unflavored 300875122471 Unflavored Case (4) *This list
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