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WIC-26 OCT 17 Page 1 of 26 Pages.
New Jersey Department of Health WIC SERVICES
P.O. Box 364 Trenton, NJ 08625-0364
COMMODITY PRICE LIST SURVEY
Store Name*
Date*
Street Address*
Vendor Code(s)
City, State, Zip Code*
Telephone Number*
Label
Vendor Stamp
Email Address*
* Required fields.
Identify price zone if designated: Check one: 1. I hereby certify that the prices on this survey reflect the regular shelf prices available today, and the minimum stock
requirements are available.
2. I hereby certify the minimum stock requirements were reviewed and not available. Name (Print)*
Title*
Signature* Date*
INSTRUCTIONS: Do NOT complete shaded areas. Do NOT change pre-printed wording. Enter prices and brands (if requested) using regular prices (not sale prices) for WIC items that you sell. Mail completed form to the above address.
Minimum Stock for New Jersey WIC Services: To meet the needs of all types of WIC participants, WIC retail stores are required to maintain minimum stock standards of all available WIC foods and have them available at all times. For consideration as a new WIC retail store the minimum stock inventory must be at the prospective store at the time of submission of the application packet and hereafter. All WIC retail stores must submit lowest [L] and highest [H] prices, brands and sizes for mandatory minimum stock.
USDA Nondiscrimination Statement
In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.
Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.
To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form , (AD-3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:
(1) mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: [email protected].
This institution is an equal opportunity provider.
WIC SERVICES COMMODITY PRICE LIST SURVEY, Continued
For all categories as allowed on the Authorized Food List, write BOTH your store brand and all national brand names, sizes and prices that you have in your store.
WIC-26 OCT 17 Page 2 of 26 Pages.
Store Name
Vendor Code (s)
Date
FOOD ITEM STATE USE ONLY Minimum
Stock Requirement
BRAND SIZE PRICE FIDC Items In Stock
MILK
Dry/Powdered Milk, 8 Quart (Any Brand) 228
8 Quart
[L]:
[H]:
Dry/Powdered Milk, 10 Quart (Any Brand) 226
10 Quart
[L]:
[H]:
Evaporated Milk (Any Brand)
176 16
12-Ounce Cans
12 Ounces
[L]:
[H]:
176
12 Ounces [L]:
[H]:
Fluid: Whole (Store Brand Only) 190 4 Half Gallons
Store: Half Gallon
Fluid: Whole (Store Brand Only) 184 5 Gallons
Store: Gallon
Fluid: Low Fat/Skim (Store Brand Only) 185 8 Half Gallons
Store: Half Gallon
Fluid: Low Fat/Skim (Store Brand Only) 182 10 Gallons
Store: Gallon
UHT (Shelf Milk), 2%, 1% or Skim/Fat Free (Any Brand)
191
Quart [L]:
[H]:
UHT (Shelf Milk) Whole Milk (Any Brand) 192
Quart
[L]:
[H]:
Lactose Reduced/ 100% Lactose Free 1% or Skim/Fat Free (Any Brand)
188
Half Gallon [L]:
[H]:
Lactose Reduced/ 100% Lactose Free 2% (Any Brand)
275
Half Gallon [L]:
[H]:
Lactose Reduced/ 100% Lactose Free Whole Milk (Any Brand)
189
Half Gallon [L]:
[H]:
Kosher Milk, Whole (Any Brand) 187
Half Gallon
[L]:
[H]:
Kosher Milk, Fat Free (Any Brand) 186
Half Gallon
[L]:
[H]:
WIC SERVICES COMMODITY PRICE LIST SURVEY, Continued
For all categories as allowed on the Authorized Food List, write BOTH your store brand and all national brand names, sizes and prices that you have in your store.
WIC-26 OCT 17 Page 3 of 26 Pages.
Store Name
Vendor Code (s)
Date
FOOD ITEM STATE USE ONLY Minimum
Stock Requirement
BRAND SIZE PRICE FIDC Items In Stock
SOY MILK (HALF GALLON) 8th Continent Soy Milk (Original) 218 8th Continent Half Gallon
8th Continent Soy Milk (Vanilla) 218 8th Continent Half Gallon
Silk Original Soy Milk 218 Silk Half Gallon
TOFU (16 OUNCE PACKAGE ONLY)
Azumaya Tofu Silken 181 Azumaya 16 Ounces
House Foods America Firm Tofu 181 House Foods
America 16 Ounces
House Foods America Medium Firm Tofu 181 House Foods
America 16 Ounces
House Foods America Extra Firm Tofu 181 House Foods
America 16 Ounces
EGGS [ANY BRAND, ONE DOZEN (12) CARTON] NOT ALLOWED – 1/2 dozen cartons (6 eggs); cooked eggs; jumbo eggs; extra large eggs; medium eggs; brown eggs; specialty eggs; low cholesterol eggs; organic eggs; Eggland’s Best; cage-free/free range eggs; eggs with Omega-3.
Grade A Large, White Only 198 16 1-Dozen
Containers
1 Dozen
[L]:
[H]:
WIC SERVICES COMMODITY PRICE LIST SURVEY, Continued
For all categories as allowed on the Authorized Food List, write BOTH your store brand and all national brand names, sizes and prices that you have in your store.
WIC-26 OCT 17 Page 4 of 26 Pages.
[32 OUNCE (OZ) CONTAINER ONLY] ALLOWED: Plain, Vanilla, And Strawberry. NOT ALLOWED – Yogurts sold with accompanying mix-in ingredients such as granola, candy pieces, honey, nuts, and similar ingredients as well as drinkable yogurts. (Minimum Stock Required: 1 Brand, 1 Variety, to total 10 containers.) WHOLE FAT YOGURT
Plain Yogurt 10 Containers
Lucerne
32 ounces [L]:
Dannon Shop Rite
[H]: Foodtown
Vanilla Yogurt 10 Containers Dannon 32 ounces
LOW FAT
Plain Yogurt 10 Containers
Best Yet
32 ounces
[L]: Foodtown Dannon
Shop Rite Stop & Shop
[H]: Weis White Rose
Vanilla Yogurt 10 Containers
Lucerne
32 ounces
[L]: Best Yet Dannon
Foodtown Shop Rite
Weis
[H]: White Rose
Yoplait
Great Value
Strawberry Yogurt 10 Containers
Lucerne
32 ounces [L]: Dannon
Foodtown Yoplait
[H]: Great Value
NON FAT
Plain Yogurt 10 Containers
Shop Rite
32 ounces
[L]: Stop & Shop
Weis Lucerne Best Yet
[H]: Dannon
Foodtown Great Value
Vanilla Yogurt 10 Containers
Best Yet
32 ounces [L]:
Great Value Shop Rite
[H]: Stop & Shop
WIC SERVICES COMMODITY PRICE LIST SURVEY, Continued
For all categories as allowed on the Authorized Food List, write BOTH your store brand and all national brand names, sizes and prices that you have in your store.
WIC-26 OCT 17 Page 5 of 26 Pages.
FOOD ITEM STATE USE ONLY
BRAND SIZE PRICE FIDC Items In Stock
CHEESE, 16 OUNCE PACKAGE ONLY, ANY DOMESTIC BRAND (MADE IN USA) ALLOWED – Cheese made in the USA from 100% pasteurized cow’s milk only. Cheese labeled low/reduced cholesterol, low/reduced fat, or low/light in sodium, individual slices (unwrapped), block, or shredded. NOT ALLOWED – Individually wrapped slices, deli cheese; imported cheese, cheese food, cheese spread; cheese product; flavored cheese; string cheese; organic cheese. (Minimum Stock Required: 1 Brand, 2 Varieties, to Total 10 Packages)
American (Pasteurized Processed) 178
16 Ounces
[L]:
[H]:
Cheddar 178
16 Ounces [L]:
[H]:
Colby 178
16 Ounces [L]:
[H]:
Monterey Jack 178
16 Ounces [L]:
[H]:
Mozzarella (Part Skim or Whole) 178
16 Ounces
[L]:
[H]:
Muenster 178
16 Ounces [L]:
[H]:
Provolone 178
16 Ounces [L]:
[H]:
Swiss 178
16 Ounces [L]:
[H]:
WIC SERVICES COMMODITY PRICE LIST SURVEY, Continued
For all categories as allowed on the Authorized Food List, write BOTH your store brand and all national brand names, sizes and prices that you have in your store.
WIC-26 OCT 17 Page 6 of 26 Pages.
FOOD ITEM STATE USE ONLY
BRAND SIZE PRICE FIDC Items In Stock
CHEESE, 16 OUNCE PACKAGE ONLY, ANY DOMESTIC BRAND (MADE IN USA), CONTINUED
KOSHER CHEESE (No Minimum Stock Required)
American (Pasteurized Processed)
16 Ounces
[L]:
[H]:
Cheddar
16 Ounces [L]:
[H]:
Colby
16 Ounces [L]:
[H]:
Monterey Jack
16 Ounces [L]:
[H]:
Mozzarella (Part Skim or Whole)
16 Ounces
[L]:
[H]:
Muenster
16 Ounces [L]:
[H]:
Provolone
16 Ounces [L]:
[H]:
Swiss
16 Ounces [L]:
[H]:
WIC SERVICES COMMODITY PRICE LIST SURVEY, Continued
For all categories as allowed on the Authorized Food List, write BOTH your store brand and all national brand names, sizes and prices that you have in your store.
WIC-26 OCT 17 Page 7 of 26 Pages.
FOOD ITEM STATE USE ONLY Minimum
Stock Requirement
BRAND SIZE PRICE FIDC Items In Stock
MATURE BEANS, PEAS AND LENTILS (ANY BRAND) NOT ALLOWED – Green beans; green peas; snap beans; orange beans; wax beans; baked beans; pork and beans; beans with meat (such as franks and beans); canned beans with added sugars, fats, meat or oils; organic beans; soups.
DRY (VARIETIES OF MATURE BEANS, PEAS AND LENTILS) (16 OUNCE ONLY)
Dry, All Varieties 197 8 1-Lb. Bags
1 Lb.
[L]:
[H]:
CANNED (VARIETIES OF MATURE BEANS, PEAS AND LENTILS (15.5 – 16 OUNCE ONLY)
Canned, All Varieties 197 8
15.5-16 Oz. Cans
15.5-16 Oz. Cans
[L]:
[H]:
FOOD ITEM STATE USE ONLY Minimum
Stock Requirement
BRAND SIZE PRICE FIDC Items In Stock
PEANUT BUTTER, CREAMY OR CRUNCHY ALLOWED – Any store brand and select National brands Skippy and Jif NOT ALLOWED – Organic peanut butter; peanut spread; freshly ground or whipped peanut butter; peanut butter mixed with jelly, marshmallow, chocolate or honey; peanut butter with added vitamins and minerals.
Peanut Butter, Creamy or Crunchy
193 8
16-18 Ounce Jars
16-18 Ounces
[L]:
[H]:
193 Jif 16-18 Ounces
193 Skippy 16-18 Ounces
WIC SERVICES COMMODITY PRICE LIST SURVEY, Continued
For all categories as allowed on the Authorized Food List, write BOTH your store brand and all national brand names, sizes and prices that you have in your store.
WIC-26 OCT 17 Page 8 of 26 Pages.
FOOD ITEM STATE USE ONLY
BRAND SIZE PRICE FIDC Items In Stock
CANNED FISH (ANY COMBINATION) (Minimum Stock Required: Any Brand, 1 Variety, to Total 12 Cans) NOT ALLOWED – Albacore tuna, blueback salmon, red salmon; flavored fish; fish with added ingredients; organic fish; fish in pouches; fish in individual serving size containers.
JACK MACKERAL
Jack Mackeral (15-Ounce Size) 207 Iberia 15 Ounces
PINK SALMON, PACKED IN WATER/OIL, ANY BRAND (PLAIN VARIETIES); MAY CONTAIN BONES AND SKIN
Pink Salmon
207
7.5 Ounces [L]:
[H]:
207
14.75 Ounces [L]:
[H]:
SARDINES, PACKED IN WATER/OIL, ANY BRAND (PLAIN VARIETIES)
Sardines 207
3.75 Ounces [L]:
[H]:
TUNA, PACKED IN WATER, ANY BRAND (PLAIN VARIETIES)
Tuna, Light 5-Ounce Minimum Size 207
Ounces [L]:
Ounces [H]:
WIC SERVICES COMMODITY PRICE LIST SURVEY, Continued
For all categories as allowed on the Authorized Food List, write BOTH your store brand and all national brand names, sizes and prices that you have in your store.
WIC-26 OCT 17 Page 9 of 26 Pages.
FOOD ITEM STATE USE ONLY
SIZE PRICE FIDC Items In Stock
100% WHOLE WHEAT BREAD PRODUCTS (1 POUND / 16 OUNCES) (Minimum Stock Required: One Brand, One Variety, to Total 9 Packages of Loaves or Rolls)
ACME
100% Whole Wheat Bread 204 16 Ounces
AMERICA CHOICE
100% Whole Wheat Bread 204 16 Ounces
ARNOLD
Stone Ground 100% Whole Wheat Bread 204 16 Ounces
BEST YET
100% Whole Wheat Bread 204 16 Ounces
BIMBO
100% Whole Wheat Bread 204 16 Ounces
ESSENTIAL EVERYDAY
100% Whole Wheat Bread 204 16 Ounces
FRANCZOZ
100% Whole Wheat Bread 204 16 Ounces
GOLD MEDAL
100% Whole Wheat Bread 204 16 Ounces
HANAFORD
100% Whole Wheat Bread 204 16 Ounces
KEY FOOD
100% Whole Wheat Bread 204 16 Ounces
KRASDALE
100% Whole Wheat Bread 204 16 Ounces
PAS
100% Whole Wheat Bread 204 16 Ounces
PEPPERIDGE FARM
Light Style 100% Whole Wheat Bread 204 16 Ounces
Stone Ground 100% Whole Wheat Bread 204 16 Ounces
WIC SERVICES COMMODITY PRICE LIST SURVEY, Continued
For all categories as allowed on the Authorized Food List, write BOTH your store brand and all national brand names, sizes and prices that you have in your store.
WIC-26 OCT 17 Page 10 of 26 Pages.
FOOD ITEM STATE USE ONLY
SIZE PRICE FIDC Items In Stock
100% WHOLE WHEAT BREAD PRODUCTS (1 POUND / 16 OUNCES) (Minimum Stock Required: One Brand, One Variety, to Total 9 Packages of Loaves or Rolls)
SARA LEE
100% Whole Wheat Bread 204 16 Ounces
SHOPRITE
100% Whole Wheat Bread 204 16 Ounces
SIGNATURE KITCHENS
100% Whole Wheat Bread 204 16 Ounces
STERN’S
100% Whole Wheat Bread 204 16 Ounces
100% Whole Wheat Rolls (8 count) 204 16 Ounces
STOP & SHOP
100% Whole Wheat Bread 204 16 Ounces
SUNGRAIN
100% Whole Wheat Bread 204 16 Ounces
WINDMILL FARMS
100% Stone Ground Whole Wheat Bread w/Gluten, Hamatzle 204 16 Ounces
100% Stone Ground Whole Wheat Bread w/Gluten, Mezonos 204 16 Ounces
WONDER
100% Whole Wheat Bread 204 16 Ounces
FOOD ITEM STATE USE ONLY Minimum
Stock Requirement
BRAND SIZE PRICE FIDC Items In Stock
OTHER 100% WHOLE GRAIN PRODUCTS
BROWN RICE (16 OZ. PACKAGE) (ANY BRAND) NOT ALLOWED – Brown rice with added sugars, fats or salt; brown rice with other added ingredients; organic brown rice. (Minimum Stock Required: Any Brand, One Variety, to Total 6 Boxes or Bags)
Plain Brown Rice (Any Brand) 223 6 Boxes or
Bags
16 Ounces
[L]:
[H]:
WIC SERVICES COMMODITY PRICE LIST SURVEY, Continued
For all categories as allowed on the Authorized Food List, write BOTH your store brand and all national brand names, sizes and prices that you have in your store.
WIC-26 OCT 17 Page 11 of 26 Pages.
FOOD ITEM STATE USE ONLY Minimum Stock
Requirement SIZE PRICE FIDC Items In Stock
OTHER 100% WHOLE GRAIN PRODUCTS, CONTINUED
PASTA PRODUCTS (16 OUNCES ONLY)
ALLEGRA
Whole Wheat Spaghetti 283 16 Ounces
BARILLA
Whole Grain Angel Hair 283 16 Ounces
Whole Grain Elbows 283 16 Ounces
Whole Grain Linguine 283 16 Ounces
Whole Grain Medium Shells 283 16 Ounces
Whole Grain Penne 283 16 Ounces
Whole Grain Rotini 283 16 Ounces
Whole Grain Spaghetti 283 16 Ounces
Whole Grain Thin Spaghetti 283 16 Ounces
BIONATURAE ORGANIC
100% Whole Wheat Fettuccine 283 16 Ounces
100% Whole Wheat Fusili 283 16 Ounces
100% Whole Wheat Penne Rigate 283 16 Ounces
100% Whole Wheat Rigatoni 283 16 Ounces
100% Whole Wheat Spaghetti 283 16 Ounces
ESSENTIAL EVERYDAY
Whole Wheat Penne Rigate 283 16 Ounces
Whole Wheat Rotini 283 16 Ounces
Whole Wheat Spaghetti 283 16 Ounces
Whole Wheat Thin Spaghetti 283 16 Ounces
GIA RUSSA
100% Whole Wheat Angel Hair 283 16 Ounces
100% Whole Wheat Linguine 283 16 Ounces
100% Whole Wheat Penne Rigate 283 16 Ounces
100% Whole Wheat Rotini 283 16 Ounces
100% Whole Wheat Spaghetti 283 16 Ounces
GREAT VALUE
Whole Wheat Thin Spaghetti 283 16 Ounces
HEARTLAND
Whole Wheat Elbow 283 16 Ounces
Whole Wheat Rotini 283 16 Ounces
OTHER 100% WHOLE GRAIN PRODUCTS, CONTINUED
WIC SERVICES COMMODITY PRICE LIST SURVEY, Continued
For all categories as allowed on the Authorized Food List, write BOTH your store brand and all national brand names, sizes and prices that you have in your store.
WIC-26 OCT 17 Page 12 of 26 Pages.
PASTA PRODUCTS (16 OUNCES ONLY), CONTINUED
HODGSON MILL
Whole Wheat Whole Grain Angel Hair 283 16 Ounces
Whole Wheat Whole Grain Elbows 283 16 Ounces
Whole Wheat Whole Grain Spirals 283 16 Ounces
Whole Wheat Whole Grain Thin Spaghetti 283 16 Ounces
RONZONI
100% Whole Wheat Linguine 283 16 Ounces
100% Whole Wheat Penne Rigate 283 16 Ounces
100% Whole Wheat Rotini 283 16 Ounces
100% Whole Wheat Spaghetti 283 16 Ounces
100% Whole Wheat Thin Spaghetti 283 16 Ounces
SHOP RITE
100% Whole Wheat Penne Rigate 283 16 Ounces
100% Whole Wheat Rotini 283 16 Ounces
100% Whole Wheat Spaghetti 283 16 Ounces
VIA-ROMA
Wheat Penne Rigatoni 283 16 Ounces
Wheat Spaghetti 283 16 Ounces
WEIS
100% Whole Wheat Angel Hair 283 16 Ounces
100% Whole Wheat Penne Rigate 283 16 Ounces
100% Whole Wheat Rotini 283 16 Ounces
100% Whole Wheat Spaghetti 283 16 Ounces
WIC SERVICES COMMODITY PRICE LIST SURVEY, Continued
For all categories as allowed on the Authorized Food List, write BOTH your store brand and all national brand names, sizes and prices that you have in your store.
WIC-26 OCT 17 Page 13 of 26 Pages.
FOOD ITEM STATE USE ONLY Minimum Stock
Requirement SIZE PRICE FIDC Items In Stock
OTHER 100% WHOLE GRAIN PRODUCTS, CONTINUED
TORTILLA (16 OUNCE PACKAGES ONLY) (Minimum Stock Required: One Brand, One Plain Variety, to Total 6 Bags
America’s Choice Whole Wheat 224
6 Bags
16 Ounces
Carlita Soft White Corn 224 16 Ounces
Carlita Whole Wheat 224 16 Ounces
Celia’s Whole Wheat 224 16 Ounces
Celia’s Yellow Corn 224 16 Ounces
Chi Chi’s White Corn 224 16 Ounces
Chi Chi’s Whole Wheat 224 16 Ounces
Don Pancho White Corn 224 16 Ounces
Don Pancho Whole Wheat 224 16 Ounces
Herdez Corn 224 16 Ounces
Herdez Whole Wheat 224 16 Ounces
Key Food White Corn 224 16 Ounces
Key Food Whole Wheat 224 16 Ounces
La Banderita Corn 224 16 Ounces
La Burrita Corn 224 16 Ounces
Mayan Farm Whole Wheat 224 16 Ounces
Mex-America Whole Wheat with Honey 224 16 Ounces
Mission Whole Wheat 224 16 Ounces
Mission Yellow Corn 224 16 Ounces
My Essentials Whole Wheat 224 16 Ounces
Ortega Whole Wheat 224 16 Ounces
ShopRite Whole Wheat Flour 224 16 Ounces
Stop & Shop White Corn 224 16 Ounces
Stop & Shop Whole Wheat Flour 224 16 Ounces
Weis Whole Wheat 224 16 Ounces
Wegmans Whole Wheat 224 16 Ounces
WIC SERVICES COMMODITY PRICE LIST SURVEY, Continued
For all categories as allowed on the Authorized Food List, write BOTH your store brand and all national brand names, sizes and prices that you have in your store.
WIC-26 OCT 17 Page 14 of 26 Pages.
FOOD ITEM STATE USE ONLY
SIZE PRICE SIZE PRICE FIDC Items In Stock
BREAKFAST CEREALS (ANY COMBINATION OF COLD/HOT BREAKFAST CEREALS) (Minimum Stock Required: Six (6) Allowable Varieties from Store and/or National Brands; eight (8) boxes of each Allowable Variety, for a Total of 48 Boxes.)
STORE BRAND COLD CEREALS (MINIMUM SIZE OF 18 OUNCES UP TO 36 OUNCES ALLOWED) NOT ALLOWED – Cereals not listed; organic cereals; sizes not listed. CORN FLAKES
Foodtown 202
Great Value 202
IGA 202
Hy-Top 202
Kemach 202
Key Food 202
Kiggins 202
Krasdale 202
My Essentials 202
Parade 202
Ralston 202
Red & White 202
ShopRite 202
Shurfine 202
Stop & Shop 202
Wegmans 202
Weis 202
White Rose 202 RICE CEREALS
Great Value Crisp Rice 202
Kemach Crisp Rice 202 OAT CEREALS
Great Value Tasteeos 202
OTHER CEREALS
Kemach Bran Flakes 202 Kemach Whole Wheat Flakes (multi-vitamin) 202
ShopRite (Oats and More with Honey) 202
Wegmans (Multi-Grain Toasted) 202
Weis (Multi-Grain Tasteeos) 202
Weis (Oats & More with Honey) 202
WIC SERVICES COMMODITY PRICE LIST SURVEY, Continued
For all categories as allowed on the Authorized Food List, write BOTH your store brand and all national brand names, sizes and prices that you have in your store.
WIC-26 OCT 17 Page 15 of 26 Pages.
FOOD ITEM STATE USE ONLY
SIZE PRICE SIZE PRICE FIDC Items In Stock
BREAKFAST CEREALS (ANY COMBINATION OF COLD/HOT BREAKFAST CEREALS), CONTINUED (Minimum Stock Required: Six (6) Allowable Varieties from Store and/or National Brands; eight (8) boxes of each Allowable Variety, for a Total of 48 Boxes.)
NATIONAL BRAND COLD CEREALS (MINIMUM SIZE OF 18 OUNCES UP TO 36 OUNCES ALLOWED) NOT ALLOWED – Cereals not listed; organic cereals; sizes not listed.
GENERAL MILLS
Cheerios (Plain only) 202
Dora the Explorer 202
Go Diego Go 202
Kix (Plain only) 202
KELLOGG'S
All Bran Complete Wheat Flakes 202
Corn Flakes 202
Rice Krispies 202
Special K Original 202
MOMS BRAND
Crisp Rice 202
Oat Blenders with Honey 202
POST
Grape Nut Flakes 202
Honey Bunches of Oats (Honey Roasted) 202
Honey Bunches of Oats (With Almonds) 202
Honey Bunches of Oats (With Cinnamon Bunches) 202
WIC SERVICES COMMODITY PRICE LIST SURVEY, Continued
For all categories as allowed on the Authorized Food List, write BOTH your store brand and all national brand names, sizes and prices that you have in your store.
WIC-26 OCT 17 Page 16 of 26 Pages.
FOOD ITEM STATE USE ONLY
SIZE PRICE FIDC Items In Stock
BREAKFAST CEREALS (ANY COMBINATION OF COLD/HOT BREAKFAST CEREALS) (Minimum Stock Required: Six (6) Allowable Varieties from Store and/or National Brands; eight (8) boxes of each Allowable Variety, for a Total of 48 Boxes.)
HOT CEREALS (UP TO 36 OUNCES ALLOWED) NOT ALLOWED – Cereals not listed; organic cereals; sizes not listed.
B & G FOODS
Cream of Wheat (1 Minute) 202 28 Ounces
Cream of Wheat (2.5 Minutes) 202 28 Ounces
Cream of Wheat Whole Grain (2.5 Minutes) 202 18 Ounces
Cream of Wheat Enriched Farina (10 Minutes) 202 28 Ounces
BEST YET
Instant Oatmeal Original 202 11.8 Ounces
ESSENTIAL EVERYDAY
Instant Oatmeal Original 202 11.8 Ounces
FARINA MILLS
Farina Creamy Hot Wheat Cereal (Original) 202 28 Ounces
HY-TOP
Instant Oatmeal Original 202 11.8 Ounces
IGA
Instant Oatmeal Original 202 11.8 Ounces
KEY FOOD
Instant Oatmeal Original 202 11.8 Ounces
MALT-O-MEAL
Malt-O-Meal Original 202 36 Ounces
PARADE
Instant Oatmeal Original 202 11.8 Ounces
QUAKER
Instant Grits Original 202 12 Ounces
SHOPRITE
Instant Oatmeal Original 202 11.8 Ounces
STOP & SHOP
Instant Oatmeal Original 202 11.8 Ounces
WEIS
Instant Oatmeal Original 202 11.8 Ounces
WIC SERVICES COMMODITY PRICE LIST SURVEY, Continued
For all categories as allowed on the Authorized Food List, write BOTH your store brand and all national brand names, sizes and prices that you have in your store.
WIC-26 OCT 17 Page 17 of 26 Pages.
FOOD ITEM STATE USE ONLY
BRAND SIZE PRICE FIDC Items In Stock
100% JUICE ONLY NOT ALLOWED FOR ALL SIZE JUICES – Juices not listed below; products that are not 100% juice (drinks, ades, nectars, coolers, beverages, Hi-C, cocktails, twisters, splashes, punches, juices with added sugar, sugar substitute or DHA/ARA, baby juices); sizes not listed above; organic juices.
JUICE (100% JUICE ONLY), 64-OUNCE CONTAINERS (REFRIGERATED) (Minimum Stock Required: Four 64-Ounce Containers of 1 Allowable Variety)
Grapefruit Juice (Any Brand) 201
64 Ounces
[L]:
[H]:
Orange Juice (Any Brand) 201
64 Ounces
[L]:
[H]:
FOOD ITEM STATE USE ONLY
BRAND SIZE PRICE FIDC Items In Stock
JUICE (100% JUICE ONLY), 64-OUNCE CONTAINERS (NON-REFRIGERATED) (Minimum Stock Required: Six 64-Ounce Containers Each of 2 Allowable Varieties, to Total 12 Containers)
Grapefruit Juice (Any Brand) 201
64 Ounces
[L]:
[H]:
Orange Juice (Any Brand) 201
64 Ounces
[L]:
[H]:
WIC SERVICES COMMODITY PRICE LIST SURVEY, Continued
For all categories as allowed on the Authorized Food List, write BOTH your store brand and all national brand names, sizes and prices that you have in your store.
WIC-26 OCT 17 Page 18 of 26 Pages.
FOOD ITEM STATE USE ONLY
BRAND SIZE PRICE FIDC Items In Stock
100% JUICE ONLY, CONTINUED
JUICE (100% JUICE ONLY), 64-OUNCE CONTAINERS (NON-REFRIGERATED) (Minimum Stock Required: Six 64-Ounce Containers Each of 2 Allowable Varieties, to Total 12 Containers)
BEST YET (FOODT0WN)
Apple Juice 201 Best Yet 64 Ounces
Grape (Purple) Juice 201 Best Yet 64 Ounces
Pineapple Juice 201 Best Yet 64 Ounces
Vegetable Juice 201 Best Yet 64 Ounces
DIANE’S GARDEN Vegetable Juice (from concentrate) 201 Diane’s Garden 64 Ounces
ESSENTIAL EVERYDAY Apple Juice 201 Essential Everyday 64 Ounces
Apple Juice (with calcium and vitamin D) 201 Essential Everyday 64 Ounces
Cranberry Juice 201 Essential Everyday 64 Ounces
Grape Juice 201 Essential Everyday 64 Ounces
Pineapple Juice 201 Essential Everyday 64 Ounces
Tomato Juice 201 Essential Everyday 64 Ounces
Tomato Juice (low sodium) 201 Essential Everyday 64 Ounces
Vegetable Juice 201 Essential Everyday 64 Ounces
Vegetable Juice (low sodium) 201 Essential Everyday 64 Ounces
GREAT VALUE (WALMART) Apple Juice 201 Great Value 64 Ounces
Grape Juice 201 Great Value 64 Ounces
Tomato Juice 201 Great Value 64 Ounces
Vegetable Juice 201 Great Value 64 Ounces
White Grape Juice 201 Great Value 64 Ounces
HANNAFORD BROTHERS CO. Apple Juice 201 Hannaford Brothers Co. 64 Ounces
Grape Juice 201 Hannaford Brothers Co. 64 Ounces
WIC SERVICES COMMODITY PRICE LIST SURVEY, Continued
For all categories as allowed on the Authorized Food List, write BOTH your store brand and all national brand names, sizes and prices that you have in your store.
WIC-26 OCT 17 Page 19 of 26 Pages.
FOOD ITEM STATE USE ONLY
BRAND SIZE PRICE FIDC Items In Stock
100% JUICE ONLY, CONTINUED
JUICE (100% JUICE ONLY), 64-OUNCE CONTAINERS (NON-REFRIGERATED) (Minimum Stock Required: Six 64-Ounce Containers Each of 2 Allowable Varieties, to Total 12 Containers)
HARVEST HILL
Apple 201 Juicy Juice 64 Ounces
Apple Raspberry 201 Juicy Juice 64 Ounces
Berry 201 Juicy Juice 64 Ounces
Cherry 201 Juicy Juice 64 Ounces
Cranberry Apple 201 Juicy Juice 64 Ounces
Fruit Punch 201 Juicy Juice 64 Ounces
Grape 201 Juicy Juice 64 Ounces
Kiwi Strawberry 201 Juicy Juice 64 Ounces
Mango 201 Juicy Juice 64 Ounces
Orange Tangerine 201 Juicy Juice 64 Ounces
Passion Dragonfruit 201 Juicy Juice 64 Ounces
Peach Apple 201 Juicy Juice 64 Ounces
Strawberry Banana 201 Juicy Juice 64 Ounces
Strawberry Watermelon 201 Juicy Juice 64 Ounces
Tropical 201 Juicy Juice 64 Ounces
White Grape 201 Juicy Juice 64 Ounces
HY-TOP Apple Juice 201 Hy-Top 64 Ounces
Grape Juice 201 Hy-Top 64 Ounces
Tomato Juice 201 Hy-Top 64 Ounces
Vegetable Juice 201 Hy-Top 64 Ounces
IGA
Apple Juice 201 IGA 64 Ounces
Grape Juice 201 IGA 64 Ounces
KEY FOOD
Apple Juice 201 Key Food 64 Ounces
Cranberry Apple Juice 201 Key Food 64 Ounces
Cranberry Grape Juice 201 Key Food 64 Ounces
Cranberry Juice 201 Key Food 64 Ounces
Pineapple Juice 201 Key Food 64 Ounces
White Grape Juice 201 Key Food 64 Ounces
WIC SERVICES COMMODITY PRICE LIST SURVEY, Continued
For all categories as allowed on the Authorized Food List, write BOTH your store brand and all national brand names, sizes and prices that you have in your store.
WIC-26 OCT 17 Page 20 of 26 Pages.
FOOD ITEM STATE USE ONLY
BRAND SIZE PRICE FIDC Items In Stock
100% JUICE ONLY, CONTINUED
JUICE (100% JUICE ONLY), 64-OUNCE CONTAINERS (NON-REFRIGERATED) (Minimum Stock Required: Six 64-Ounce Containers Each of 2 Allowable Varieties, to Total 12 Containers)
KRASDALE
Apple Juice 201 Krasdale 64 Ounces
Grape Juice 201 Krasdale 64 Ounces
MARKET PANTRY (TARGET)
Apple Juice 201 Market Pantry 64 Ounces
Grape Juice 201 Market Pantry 64 Ounces
Tomato Juice 201 Market Pantry 64 Ounces
MY ESSENTIALS
Grape Juice 201 My Essentials 64 Ounces
NATURE’S OWN
Apple Juice 201 Nature’s Own 64 Ounces
Grape Juice 201 Nature’s Own 64 Ounces
PARADE
Apple Juice 201 Parade 64 Ounces
Grape Juice 201 Parade 64 Ounces
RED & WHITE
Apple Juice 201 Red & White 64 Ounces
Cranberry Juice 201 Red & White 64 Ounces
Cranberry-Apple Juice 201 Red & White 64 Ounces
Cranberry-Grape Juice 201 Red & White 64 Ounces
Grape Juice 201 Red & White 64 Ounces
SHOPRITE
Apple Juice 201 ShopRite 64 Ounces
Cranberry Juice 201 ShopRite 64 Ounces
Vegetable Juice (low sodium) 201 ShopRite 64 Ounces
White Grape Juice 201 ShopRite 64 Ounces
WIC SERVICES COMMODITY PRICE LIST SURVEY, Continued
For all categories as allowed on the Authorized Food List, write BOTH your store brand and all national brand names, sizes and prices that you have in your store.
WIC-26 OCT 17 Page 21 of 26 Pages.
FOOD ITEM STATE USE ONLY
BRAND SIZE PRICE FIDC Items In Stock
100% JUICE ONLY, CONTINUED
JUICE (100% JUICE ONLY), 64-OUNCE CONTAINERS (NON-REFRIGERATED) (Minimum Stock Required: Six 64-Ounce Containers Each of 2 Allowable Varieties, to Total 12 Containers)
SIGNATURE KITCHENS (ACME)
Apple Juice 201 Signature Kitchens 64 Ounces
Cranberry Juice 201 Signature Kitchens 64 Ounces
Cranberry Plus Juice 201 Signature Kitchens 64 Ounces
Grape Juice 201 Signature Kitchens 64 Ounces
Pineapple Juice 201 Signature Kitchens 64 Ounces
Tomato Juice 201 Signature Kitchens 64 Ounces
Vegetable Juice 201 Signature Kitchens 64 Ounces
White Grape Juice 201 Signature Kitchens 64 Ounces
STOP AND SHOP
Apple Juice 201 Stop and Shop 64 Ounces
Apple Juice (with 20% calcium) 201 Stop and Shop 64 Ounces
Cranberry Juice (3 juice blend) 201 Stop and Shop 64 Ounces
Grape Juice 201 Stop and Shop 64 Ounces
Tomato Juice 201 Stop and Shop 64 Ounces
Vegetable Juice 201 Stop and Shop 64 Ounces
TIPTON GROVE
Apple Juice (from concentrate) 201 Tipton Grove 64 Ounces
Grape Juice (from concentrate) 201 Tipton Grove 64 Ounces
WEGMANS
Apple Juice 201 Wegmans 64 Ounces
Apple Juice (from concentrate with 20% calcium) 201 Wegmans 64 Ounces
Cranberry Juice (from concentrate; 3 juice blend) 201 Wegmans 64 Ounces
Cranberry-Apple Juice (from concentrate with juice blend) 201 Wegmans 64 Ounces
Cranberry-Concord Grape (from concentrate with juice blend) 201 Wegmans 64 Ounces
Cranberry-Raspberry Juice (from concentrate; 4 juice blend) 201 Wegmans 64 Ounces
Grape Juice (from concentrate with 10% calcium & 10% fiber) 201 Wegmans 64 Ounces
Grape Juice (from concentrate) 201 Wegmans 64 Ounces
WIC SERVICES COMMODITY PRICE LIST SURVEY, Continued
For all categories as allowed on the Authorized Food List, write BOTH your store brand and all national brand names, sizes and prices that you have in your store.
WIC-26 OCT 17 Page 22 of 26 Pages.
FOOD ITEM STATE USE ONLY
BRAND SIZE PRICE FIDC Items In Stock
100% JUICE ONLY, CONTINUED
JUICE (100% JUICE ONLY), 64-OUNCE CONTAINERS (NON-REFRIGERATED) (Minimum Stock Required: Six 64-Ounce Containers Each of 2 Allowable Varieties, to Total 12 Containers)
WEIS
Apple Juice (calcium fortified) 201 Weis 64 Ounces
Cranberry Juice Blend 201 Weis 64 Ounces
Cranberry-Apple Juice Blend 201 Weis 64 Ounces
Cranberry-Grape Juice Blend 201 Weis 64 Ounces
Cranberry-Raspberry Juice Blend 201 Weis 64 Ounces
Grape Juice 201 Weis 64 Ounces
Lotsa Juice Grape Juice Blend 201 Weis 64 Ounces
Vegetable Juice 201 Weis 64 Ounces
WIC SERVICES COMMODITY PRICE LIST SURVEY, Continued
For all categories as allowed on the Authorized Food List, write BOTH your store brand and all national brand names, sizes and prices that you have in your store.
WIC-26 OCT 17 Page 23 of 26 Pages.
FOOD ITEM STATE USE ONLY
BRAND SIZE PRICE FIDC Items In Stock
100% JUICE ONLY, CONTINUED
100% JUICE CONCENTRATE (ANY COMBINATION OF SHELF-STABLE OR FROZEN) (Minimum Stock Required: Six 11.5 or 12-Ounce Cans Each of 2 Allowable Varieties, to Total 12 Cans)
SHELF-STABLE, 11.5 OUNCE CAN ONLY
Apple Juice (100% Juice Pourable Concentrate) 201 Welch’s 11.5 Ounces
Grape Juice (100% Juice Pourable Concentrate) 201 Welch’s 11.5 Ounces
FROZEN, 11.5 – 12 OUNCE CONTAINER ONLY
Grapefruit Juice (Any Brand) 201
11.5-12 Ounces
[L]:
[H]:
Orange Juice (Any Brand) 201
11.5-12 Ounces
[L]:
[H]:
BEST YET (FOODTOWN)
Apple Juice 201 Best Yet 11.5-12 Ounces
ESSENTIAL EVERYDAY
Apple Juice 201 Essential Everyday 11.5-12 Ounces
Grape Juice 201 Essential Everyday 11.5-12 Ounces
GREAT VALUE (WALMART)
Apple Juice 201 Great Value 11.5-12 Ounces
Grape Juice 201 Great Value 11.5-12 Ounces
HANNAFORD BROTHERS CO.
Apple Juice (from concentrate) 201 Hannaford Brothers Co. 11.5-12 Ounces
MARKET PANTRY (TARGET)
Apple Juice 201 Market Pantry 11.5-12 Ounces
Grape Juice 201 Market Pantry 11.5-12 Ounces
MY ESSENTIALS
Apple Juice (from concentrate) 201 My Essentials 11.5-12 Ounces
PARADE
Apple Juice 201 Parade 11.5-12 Ounces
WIC SERVICES COMMODITY PRICE LIST SURVEY, Continued
For all categories as allowed on the Authorized Food List, write BOTH your store brand and all national brand names, sizes and prices that you have in your store.
WIC-26 OCT 17 Page 24 of 26 Pages.
FOOD ITEM STATE USE ONLY
BRAND SIZE PRICE FIDC Items In Stock
100% JUICE ONLY, CONTINUED
100% JUICE CONCENTRATE (ANY COMBINATION OF SHELF-STABLE OR FROZEN), CONTINUED (Minimum Stock Required: Six 11.5 or 12-Ounce Cans Each of 2 Allowable Varieties, to Total 12 Cans)
FROZEN, 11.5 – 12 OUNCE CONTAINER ONLY, CONTINUED
SHOPRITE
Apple Juice 201 ShopRite 11.5-12 Ounces
SIGNATURE KITCHENS (ACME)
Apple Juice 201 Signature Kitchens 11.5-12 Ounces
STOP &SHOP
Apple Juice 201 Stop & Shop 11.5-12 Ounces
Grape Juice 201 Stop & Shop 11.5-12 Ounces
TIPTON GROVE
Apple Juice 201 Tipton Grove 11.5-12 Ounces
WEGMANS
Apple Juice 201 Wegmans 11.5-12 Ounces
Apple Juice (with Calcium) 201 Wegmans 11.5-12 Ounces
WEIS
Apple Juice 201 Weis 11.5-12 Ounces
WIC SERVICES COMMODITY PRICE LIST SURVEY, Continued
For all categories as allowed on the Authorized Food List, write BOTH your store brand and all national brand names, sizes and prices that you have in your store.
WIC-26 OCT 17 Page 25 of 26 Pages.
FOOD ITEM STATE USE ONLY Minimum
Stock Requirement
BRAND SIZE PRICE FIDC Items In Stock
BABY FOODS BABY FOOD MEAT, ANY BRAND (PLAIN SINGLE MEAT OR POULTRY VARIETIES WITH BROTH OR GRAVY) NOT ALLOWED – Infant food combinations (such as meat and vegetables); infant dinners (such as spaghetti and meatballs); baby foods with added sugars or salt; organic baby meats.
214 Total of 32 Jars,
Any Brand, 2 Varieties
2.5 Ounces
[L]:
[H]:
214
2.5 Ounces [L]:
[H]:
BABY FOODS FRUITS AND VEGETABLES (ANY BRAND) NOT ALLOWED – Baby foods with added sugars, starches, or salt; baby food mixtures with cereal or infant food dessert (such as peach cobbler); organic baby food; any variety of baby foods that contain DHA or yogurt.
FRUITS, PLAIN SINGLE FRUITS OR COMBINATIONS OF TWO OR MORE PLAIN FRUITS
212
Total of 32 4-ounce
Individual Containers, Any Brand, 2 Varieties
4 Oz. Jar
[L]:
[H]:
212
4 Oz. Jar [L]:
[H]:
212 2 Pack
(4 Oz. Containers) [L]:
[H]:
212 2 Pack
(4 Oz. Containers) [L]:
[H]:
VEGETABLES, PLAIN SINGLE VEGETABLES OR COMBINATIONS OF TWO OR MORE PLAIN VEGETABLES
212
Total of 32 4-ounce
Individual Containers, Any Brand, 2 Varieties
4 Oz. Jar
[L]:
[H]:
212
4 Oz. Jar [L]:
[H]:
212 2 Pack
(4 Oz. Containers) [L]:
[H]:
212 2 Pack
(4 Oz. Containers) [L]:
[H]:
INFANT CEREAL (ANY BRAND) NOT ALLOWED - Organic infant cereal; infant cereal with extra ingredients such as DHA, formula, fruit, yogurt or added protein.
Plain Varieties Only: Rice, Oatmeal, Mixed Grains, Whole Wheat
256 Total of 12 8-Ounce
Containers, 2 Varieties
8 Ounces
[L]:
[H]:
WIC SERVICES COMMODITY PRICE LIST SURVEY, Continued
For all categories as allowed on the Authorized Food List, write BOTH your store brand and all national brand names, sizes and prices that you have in your store.
WIC-26 OCT 17 Page 26 of 26 Pages.
FOOD ITEM STATE USE ONLY Minimum
Stock Requirement
TYPE SIZE PRICE FIDC Items In Stock
INFANT FORMULA MEAD JOHNSON Enfamil Premium Infant 265 32 Each Concentrate 13 Ounces
Enfamil Prosobee 262 12 Each Concentrate 13 Ounces
Enfamil Premium Infant 266 24 Each Powder 12.5 Ounces
Enfamil Prosobee 263 12 Each Powder 12.9 Ounces
Enfamil Gentlease 268 18 Each Powder 12.4 Ounces
Enfamil AR 291 Powder 12.9 Ounces
Enfamil Premium Infant 267 Ready To Use 8 Ounces, 6-Pack
Enfamil Prosobee 289 Ready To Use 8 Ounces, 6-Pack
Enfamil Gentlease 269 Ready To Use 8 Ounces, 6-Pack
Enfamil AR 290 Ready To Use 8 Ounces, 6-Pack
FOOD ITEM Minimum Stock Requirement
STATE USE ONLY Items In Stock
FRUITS AND VEGETABLES (Minimum Stock Required: 2 Varieties Each of Fresh Fruits, Canned Fruits, Fresh Vegetables and Canned Vegetables) (Refer to the current New Jersey WIC Program Cash-Value Voucher brochure, effective July 1, 2015, for allowable and non-allowable Fruits and Vegetables.) FRUITS, FRESH
2 Varieties
Yes No
Yes No
VEGETABLES, FRESH
2 Varieties
Yes No
Yes No
FRUITS, CANNED
2 Varieties
Yes No
Yes No
VEGETABLES, CANNED
2 Varieties
Yes No
Yes No
FRUITS, FROZEN
Yes No
Yes No
VEGETABLES, FROZEN
Yes No
Yes No
