3 - T0725 Updated Attach 1 - 110317.pdf

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Attached to
T1057 - WIC Infant Formula Rebate:DOH
Solicitation number
18DPP00157
Issued by
New Jersey

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Written by GovTribe AI ·

The document provided appears to be a series of Monthly Infant Formula Rebate Invoices from the State of New Jersey - Department of Health for the WIC (Women, Infants, and Children) Program. These invoices detail the redemption of infant formula rebates by product and month for the state of New Jersey, including Mercer County. The invoices cover the time period from March 2017 through September 2017 and provide information on the number of cans redeemed, number of participants, and total rebate amounts for various Enfamil infant formula products such as Prosobee, Infant, Gentlease, and AR.

The key details in these invoices include the monthly redemption totals, average number of cans per participant, and the total rebate amounts paid out to the state. The invoices indicate this is an ongoing program with monthly processing of formula rebates, rather than a one-time contract opportunity. No other details are provided about the overall contract, procurement process, or future solicitations.

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Other files

File Type Posted
6 - T1057 Offer and Acceptance Page 092017.pdf PDF
1 - T1057 WIC Rebate RFP 092017.pdf PDF
8 - T1057 Vendor Checklist w source 092017.pdf PDF
3 - Attach 1 - Sample Infant Formula Rebate Invoice 092017~2.pdf PDF
4 - Attach 4_Sample Checks 110317~2.pdf PDF
5 - Attach 3_WIC Services Policy and Procedure Manual 092017~2.pdf PDF
5 - Attach 5_ Updated WIC Nutritionals 110317a.pdf PDF
2 - T1057 Revised Price Sheet 110317.xlsx XLSX spreadsheet
0 - T1057 BA_1 QA 110317.pdf PDF
6 - Attach 6_ Infant Participation by Product 110317.xlsx XLSX spreadsheet
7 - T1057 Vendor Bidder Data Sheet 092017~1.docx DOCX document
1 - T1057 REVISED WIC Rebate RFP 110317.pdf PDF
4 - Attach 2_State WIC Retailer List 092017~2.pdf PDF
2 - T1057 Price Schedule_Infant Formula Rebate Tab Sheet 092017~1.xlsx XLSX spreadsheet
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REPORT: NJFM100I-R01 STATE OF NEW JERSEY - DEPARTMENT OF HEALTH RUN DATE: 4/05/2017

INVOICE # 201703 RUN TIME: 0:45:05FORMULA REBATES

CHECKS CASHED IN MARCH 2017 PAGE: 1

STATE

PARTICIPATION # OF CANS # OF FI # OF REBATE AVG # REDEEMED CANS

DESCRIPTION_________________________ MONTH_____________ REDEEMED_____________ REDEEMED_____________ PARTICIPANTS____________ AMOUNT_________________ PER PARTICIPANT_______________ Enfamil Prosobee 13 oz Concentrate Rebate amount per can 4.0345

ISSUE MONTH MARCH 1,039 85 50 4,191.8455 21

30-DAY MONTH FEBRUARY 892 72 43 3,598.7740 21____________________ _____________ _____________ ____________ _________________ T O T A L 1,931 157 93 7,790.6195

Enfamil Prosobee 12.9 oz Powder Rebate amount per can 15.8490

ISSUE MONTH MARCH 8,385 2,118 1,282 132,893.8650 7

30-DAY MONTH FEBRUARY 5,851 1,474 964 92,732.4990 6

CLOSEOUT MONTH JANUARY 255 63 49 4,041.4950 5____________________ _____________ _____________ ____________ _________________ T O T A L 14,491 3,655 2,295 229,667.8590

Enfamil Infant 13 oz Concentrate Rebate amount per can 4.1012

ISSUE MONTH MARCH 7,673 596 329 31,468.5076 23

30-DAY MONTH FEBRUARY 5,055 398 215 20,731.5660 24

CLOSEOUT MONTH JANUARY 256 19 13 1,049.9072 20____________________ _____________ _____________ ____________ _________________ T O T A L 12,984 1,013 557 53,249.9808

Enfamil Infant 12.5 oz Powder Rebate amount per can 14.4742

MAY 1 1 1 14.4742 1

APRIL 5 2 1 72.3710 5

ISSUE MONTH MARCH 81,329 20,353 11,747 1,177,172.2118 7

30-DAY MONTH FEBRUARY 51,850 12,884 7,778 750,487.2700 7

CLOSEOUT MONTH JANUARY 2,058 509 347 29,787.9036 6____________________ _____________ _____________ ____________ _________________ T O T A L 135,243 33,749 19,874 1,957,534.2306

Enfamil Infant 32 oz Ready to Use Rebate amount per can 3.5550

ISSUE MONTH MARCH 537 46 29 1,909.0350 19

30-DAY MONTH FEBRUARY 349 29 18 1,240.6950 19____________________ _____________ _____________ ____________ _________________ T O T A L 886 75 47 3,149.7300

Enfamil Gentlease 12.4 oz Powder Rebate amount per can 15.0008

ISSUE MONTH MARCH 31,822 7,883 4,469 477,355.4576 7

30-DAY MONTH FEBRUARY 20,032 4,901 2,911 300,496.0256 7

CLOSEOUT MONTH JANUARY 642 156 112 9,630.5136 6____________________ _____________ _____________ ____________ _________________ T O T A L 52,496 12,940 7,492 787,481.9968

Updated Attachment #1 – Revised Sample Infant Formula Rebate Invoice (As of 11/03/17)

CHECKS CASHED IN MARCH 2017 PAGE: 2

STATE

PARTICIPATION # OF CANS # OF FI # OF REBATE AVG # REDEEMED CANS

DESCRIPTION_________________________ MONTH_____________ REDEEMED_____________ REDEEMED_____________ PARTICIPANTS____________ AMOUNT_________________ PER PARTICIPANT_______________ Enfamil Gentlease 32-oz Ready-to-Use Rebate amount per can 3.4050

ISSUE MONTH MARCH 821 77 53 2,795.5050 15

30-DAY MONTH FEBRUARY 707 67 43 2,407.3350 16

CLOSEOUT MONTH JANUARY 13 1 1 44.2650 13____________________ _____________ _____________ ____________ _________________ T O T A L 1,541 145 97 5,247.1050

8oz (6 packs) Prosobee Ready to Use Rebate amount per can 6.7330

ISSUE MONTH MARCH 7 1 1 47.1310 7

30-DAY MONTH FEBRUARY 20 3 2 134.6600 10____________________ _____________ _____________ ____________ _________________ T O T A L 27 4 3 181.7910

8oz (6 packs) Enfamil AR Ready to Use Rebate amount per can 6.7330

ISSUE MONTH MARCH 25 9 5 168.3250 5

30-DAY MONTH FEBRUARY 16 8 4 107.7280 4____________________ _____________ _____________ ____________ _________________ T O T A L 41 17 9 276.0530

Enfamil AR 12.9 oz Powder Rebate amount per can 15.3455

ISSUE MONTH MARCH 1,926 484 283 29,555.4330 7

30-DAY MONTH FEBRUARY 1,275 318 191 19,565.5125 7

CLOSEOUT MONTH JANUARY 67 16 12 1,028.1485 6____________________ _____________ _____________ ____________ _________________ T O T A L 3,268 818 486 50,149.0940

CHECKS CASHED IN MARCH 2017 PAGE: 3

STATE TOTALS

PARTICIPATION # OF CANS # OF FI # OF REBATE AVG # REDEEMED CANS

DESCRIPTION_________________________ MONTH_____________ REDEEMED_____________ REDEEMED_____________ PARTICIPANTS____________ AMOUNT_________________ PER PARTICIPANT_______________

OTHER MONTH MAY 1 1 1 14.4742 1

OTHER MONTH APRIL 5 2 1 72.3710 5____________________ _____________ _____________ ____________ _________________

T O T A L OTHER MONTHS 6 3 2 86.8452

ISSUE MONTH MARCH 133,564 31,652 18,248 1,857,557.3165 7

30-DAY MONTH FEBRUARY 86,047 20,154 12,169 1,191,502.0651 7

CLOSEOUT MONTH JANUARY 3,291 764 534 45,582.2329 6____________________ _____________ _____________ ____________ _________________

T O T A L EXCLUDING OTHER MONTHS 222,902 52,570 30,951 3,094,641.6145

T O T A L INCLUDING OTHER MONTHS 222,908 52,573 30,953 3,094,728.4597

*** END OF LISTING ***

REPORT: NJFM100I-R01 STATE OF NEW JERSEY - DEPARTMENT OF HEALTH RUN DATE: 5/10/2017

INVOICE # 201704 RUN TIME: 1:34:01FORMULA REBATES

CHECKS CASHED IN APRIL 2017 PAGE: 1

STATE

PARTICIPATION # OF CANS # OF FI # OF REBATE AVG # REDEEMED CANS

DESCRIPTION_________________________ MONTH_____________ REDEEMED_____________ REDEEMED_____________ PARTICIPANTS____________ AMOUNT_________________ PER PARTICIPANT_______________ Enfamil Prosobee 13 oz Concentrate Rebate amount per can 4.0345

ISSUE MONTH APRIL 1,028 82 46 4,147.4660 22

30-DAY MONTH MARCH 855 66 43 3,449.4975 20____________________ _____________ _____________ ____________ _________________ T O T A L 1,883 148 89 7,596.9635

Enfamil Prosobee 12.9 oz Powder Rebate amount per can 15.8490

ISSUE MONTH APRIL 6,791 1,692 1,005 107,630.5590 7

30-DAY MONTH MARCH 3,802 960 657 60,257.8980 6

CLOSEOUT MONTH FEBRUARY 151 36 30 2,393.1990 5____________________ _____________ _____________ ____________ _________________ T O T A L 10,744 2,688 1,692 170,281.6560

Enfamil Infant 13 oz Concentrate Rebate amount per can 4.1012

ISSUE MONTH APRIL 6,333 493 267 25,972.8996 24

30-DAY MONTH MARCH 3,904 306 193 16,011.0848 20

CLOSEOUT MONTH FEBRUARY 88 7 5 360.9056 18____________________ _____________ _____________ ____________ _________________ T O T A L 10,325 806 465 42,344.8900

Enfamil Infant 12.5 oz Powder Rebate amount per can 14.4742

ISSUE MONTH APRIL 67,945 17,004 9,905 983,449.5190 7

30-DAY MONTH MARCH 38,833 9,682 6,082 562,076.6086 6

CLOSEOUT MONTH FEBRUARY 1,032 256 172 14,937.3744 6____________________ _____________ _____________ ____________ _________________ T O T A L 107,810 26,942 16,159 1,560,463.5020

Enfamil Infant 32 oz Ready to Use Rebate amount per can 3.5550

ISSUE MONTH APRIL 235 20 15 835.4250 16

30-DAY MONTH MARCH 265 23 16 942.0750 17____________________ _____________ _____________ ____________ _________________ T O T A L 500 43 31 1,777.5000

Enfamil Gentlease 12.4 oz Powder Rebate amount per can 15.0008

ISSUE MONTH APRIL 27,189 6,705 3,800 407,856.7512 7

30-DAY MONTH MARCH 14,614 3,614 2,256 219,221.6912 6

CLOSEOUT MONTH FEBRUARY 399 98 67 5,985.3192 6____________________ _____________ _____________ ____________ _________________ T O T A L 42,202 10,417 6,123 633,063.7616

REPORT: NJFM100I-R01 STATE OF NEW JERSEY - DEPARTMENT OF HEALTH RUN DATE: 5/10/2017

CHECKS CASHED IN APRIL 2017 PAGE: 2

STATE

PARTICIPATION # OF CANS # OF FI # OF REBATE AVG # REDEEMED CANS

DESCRIPTION_________________________ MONTH_____________ REDEEMED_____________ REDEEMED_____________ PARTICIPANTS____________ AMOUNT_________________ PER PARTICIPANT_______________ Enfamil Gentlease 32-oz Ready-to-Use Rebate amount per can 3.4050

ISSUE MONTH APRIL 415 38 22 1,413.0750 19

30-DAY MONTH MARCH 537 49 38 1,828.4850 14____________________ _____________ _____________ ____________ _________________ T O T A L 952 87 60 3,241.5600

8oz (6 packs) Prosobee Ready to Use Rebate amount per can 6.7330

ISSUE MONTH APRIL 14 3 2 94.2620 7

30-DAY MONTH MARCH 13 2 2 87.5290 6

CLOSEOUT MONTH FEBRUARY 13 2 1 87.5290 13____________________ _____________ _____________ ____________ _________________ T O T A L 40 7 5 269.3200

8oz (6 packs) Enfamil AR Ready to Use Rebate amount per can 6.7330

ISSUE MONTH APRIL 28 12 6 188.5240 5

30-DAY MONTH MARCH 11 3 2 74.0630 6____________________ _____________ _____________ ____________ _________________ T O T A L 39 15 8 262.5870

Enfamil AR 12.9 oz Powder Rebate amount per can 15.3455

ISSUE MONTH APRIL 1,611 409 240 24,721.6005 7

30-DAY MONTH MARCH 1,015 259 166 15,575.6825 6

CLOSEOUT MONTH FEBRUARY 11 3 2 168.8005 6____________________ _____________ _____________ ____________ _________________ T O T A L 2,637 671 408 40,466.0835

REPORT: NJFM100I-R01 STATE OF NEW JERSEY - DEPARTMENT OF HEALTH RUN DATE: 5/10/2017

CHECKS CASHED IN APRIL 2017 PAGE: 3

STATE TOTALS

PARTICIPATION # OF CANS # OF FI # OF REBATE AVG # REDEEMED CANS

DESCRIPTION_________________________ MONTH_____________ REDEEMED_____________ REDEEMED_____________ PARTICIPANTS____________ AMOUNT_________________ PER PARTICIPANT_______________

ISSUE MONTH APRIL 111,589 26,458 15,308 1,556,310.0813 7

30-DAY MONTH MARCH 63,849 14,964 9,455 879,524.6146 7

CLOSEOUT MONTH FEBRUARY 1,694 402 277 23,933.1277 6____________________ _____________ _____________ ____________ _________________

T O T A L EXCLUDING OTHER MONTHS 177,132 41,824 25,040 2,459,767.8236

T O T A L INCLUDING OTHER MONTHS 177,132 41,824 25,040 2,459,767.8236

REPORT: NJFM100I-R01 STATE OF NEW JERSEY - DEPARTMENT OF HEALTH RUN DATE: 6/07/2017

INVOICE # 201705 RUN TIME: 1:58:49FORMULA REBATES

CHECKS CASHED IN MAY 2017 PAGE: 1

STATE

PARTICIPATION # OF CANS # OF FI # OF REBATE AVG # REDEEMED CANS

DESCRIPTION_________________________ MONTH_____________ REDEEMED_____________ REDEEMED_____________ PARTICIPANTS____________ AMOUNT_________________ PER PARTICIPANT_______________ Enfamil Prosobee 13 oz Concentrate Rebate amount per can 4.0345

ISSUE MONTH MAY 917 73 42 3,699.6365 22

30-DAY MONTH APRIL 833 64 41 3,360.7385 20

CLOSEOUT MONTH MARCH 73 5 4 294.5185 18____________________ _____________ _____________ ____________ _________________ T O T A L 1,823 142 87 7,354.8935

Enfamil Prosobee 12.9 oz Powder Rebate amount per can 15.8490

ISSUE MONTH MAY 7,867 1,964 1,190 124,684.0830 7

30-DAY MONTH APRIL 5,718 1,436 936 90,624.5820 6

CLOSEOUT MONTH MARCH 560 145 109 8,875.4400 5____________________ _____________ _____________ ____________ _________________ T O T A L 14,145 3,545 2,235 224,184.1050

Enfamil Infant 13 oz Concentrate Rebate amount per can 4.1012

ISSUE MONTH MAY 7,243 570 307 29,704.9916 24

30-DAY MONTH APRIL 4,917 381 225 20,165.6004 22

CLOSEOUT MONTH MARCH 133 10 7 545.4596 19____________________ _____________ _____________ ____________ _________________ T O T A L 12,293 961 539 50,416.0516

Enfamil Infant 12.5 oz Powder Rebate amount per can 14.4742

ISSUE MONTH MAY 77,278 19,366 11,224 1,118,537.2276 7

30-DAY MONTH APRIL 50,380 12,597 7,672 729,210.1960 7

CLOSEOUT MONTH MARCH 2,068 516 354 29,932.6456 6____________________ _____________ _____________ ____________ _________________ T O T A L 129,726 32,479 19,250 1,877,680.0692

Enfamil Infant 32 oz Ready to Use Rebate amount per can 3.5550

ISSUE MONTH MAY 135 12 7 479.9250 19

30-DAY MONTH APRIL 215 17 13 764.3250 17____________________ _____________ _____________ ____________ _________________ T O T A L 350 29 20 1,244.2500

Enfamil Gentlease 12.4 oz Powder Rebate amount per can 15.0008

ISSUE MONTH MAY 30,914 7,648 4,333 463,734.7312 7

30-DAY MONTH APRIL 19,668 4,839 2,892 295,035.7344 7

CLOSEOUT MONTH MARCH 785 193 137 11,775.6280 6____________________ _____________ _____________ ____________ _________________ T O T A L 51,367 12,680 7,362 770,546.0936

REPORT: NJFM100I-R01 STATE OF NEW JERSEY - DEPARTMENT OF HEALTH RUN DATE: 6/07/2017

CHECKS CASHED IN MAY 2017 PAGE: 2

STATE

PARTICIPATION # OF CANS # OF FI # OF REBATE AVG # REDEEMED CANS

DESCRIPTION_________________________ MONTH_____________ REDEEMED_____________ REDEEMED_____________ PARTICIPANTS____________ AMOUNT_________________ PER PARTICIPANT_______________ Enfamil Gentlease 32-oz Ready-to-Use Rebate amount per can 3.4050

ISSUE MONTH MAY 286 26 16 973.8300 18

30-DAY MONTH APRIL 342 29 18 1,164.5100 19

CLOSEOUT MONTH MARCH 25 2 2 85.1250 12____________________ _____________ _____________ ____________ _________________ T O T A L 653 57 36 2,223.4650

8oz (6 packs) Prosobee Ready to Use Rebate amount per can 6.7330

30-DAY MONTH APRIL 10 3 2 67.3300 5____________________ _____________ _____________ ____________ _________________ T O T A L 10 3 2 67.3300

8oz (6 packs) Enfamil AR Ready to Use Rebate amount per can 6.7330

ISSUE MONTH MAY 24 11 5 161.5920 5

30-DAY MONTH APRIL 11 4 3 74.0630 4____________________ _____________ _____________ ____________ _________________ T O T A L 35 15 8 235.6550

Enfamil AR 12.9 oz Powder Rebate amount per can 15.3455

ISSUE MONTH MAY 1,939 485 283 29,754.9245 7

30-DAY MONTH APRIL 1,398 353 222 21,453.0090 6

CLOSEOUT MONTH MARCH 7 2 2 107.4185 4____________________ _____________ _____________ ____________ _________________ T O T A L 3,344 840 507 51,315.3520

REPORT: NJFM100I-R01 STATE OF NEW JERSEY - DEPARTMENT OF HEALTH RUN DATE: 6/07/2017

CHECKS CASHED IN MAY 2017 PAGE: 3

STATE TOTALS

PARTICIPATION # OF CANS # OF FI # OF REBATE AVG # REDEEMED CANS

DESCRIPTION_________________________ MONTH_____________ REDEEMED_____________ REDEEMED_____________ PARTICIPANTS____________ AMOUNT_________________ PER PARTICIPANT_______________

ISSUE MONTH MAY 126,603 30,155 17,407 1,771,730.9414 7

30-DAY MONTH APRIL 83,492 19,723 12,024 1,161,920.0883 7

CLOSEOUT MONTH MARCH 3,651 873 615 51,616.2352 6____________________ _____________ _____________ ____________ _________________

T O T A L EXCLUDING OTHER MONTHS 213,746 50,751 30,046 2,985,267.2649

T O T A L INCLUDING OTHER MONTHS 213,746 50,751 30,046 2,985,267.2649

REPORT: NJFM100I-R01 STATE OF NEW JERSEY - DEPARTMENT OF HEALTH RUN DATE: 8/03/2017

INVOICE # 201707 RUN TIME: 4:23:18FORMULA REBATES

CHECKS CASHED IN JULY 2017 PAGE: 1

STATE

PARTICIPATION # OF CANS # OF FI # OF REBATE AVG # REDEEMED CANS

DESCRIPTION_________________________ MONTH_____________ REDEEMED_____________ REDEEMED_____________ PARTICIPANTS____________ AMOUNT_________________ PER PARTICIPANT_______________ Enfamil Prosobee 13 oz Concentrate Rebate amount per can 4.0345

ISSUE MONTH JULY 739 60 37 2,981.4955 20

30-DAY MONTH JUNE 814 64 35 3,284.0830 23

CLOSEOUT MONTH MAY 54 4 2 217.8630 27____________________ _____________ _____________ ____________ _________________ T O T A L 1,607 128 74 6,483.4415

Enfamil Prosobee 12.9 oz Powder Rebate amount per can 15.8490

ISSUE MONTH JULY 7,431 1,870 1,127 117,773.9190 7

30-DAY MONTH JUNE 4,585 1,161 785 72,667.6650 6

CLOSEOUT MONTH MAY 121 29 23 1,917.7290 5____________________ _____________ _____________ ____________ _________________ T O T A L 12,137 3,060 1,935 192,359.3130

Enfamil Infant 13 oz Concentrate Rebate amount per can 4.1012

ISSUE MONTH JULY 5,884 462 257 24,131.4608 23

30-DAY MONTH JUNE 3,897 307 177 15,982.3764 22

CLOSEOUT MONTH MAY 71 6 4 291.1852 18____________________ _____________ _____________ ____________ _________________ T O T A L 9,852 775 438 40,405.0224

Enfamil Infant 12.5 oz Powder Rebate amount per can 14.4742

ISSUE MONTH JULY 74,031 18,572 10,796 1,071,539.5002 7

30-DAY MONTH JUNE 42,487 10,693 6,679 614,965.3354 6

CLOSEOUT MONTH MAY 1,136 281 202 16,442.6912 6____________________ _____________ _____________ ____________ _________________ T O T A L 117,654 29,546 17,677 1,702,947.5268

Enfamil Infant 32 oz Ready to Use Rebate amount per can 3.5550

ISSUE MONTH JULY 40 4 2 142.2000 20

30-DAY MONTH JUNE 30 3 2 106.6500 15____________________ _____________ _____________ ____________ _________________ T O T A L 70 7 4 248.8500

Enfamil Gentlease 12.4 oz Powder Rebate amount per can 15.0008

ISSUE MONTH JULY 30,304 7,536 4,285 454,584.2432 7

30-DAY MONTH JUNE 16,445 4,074 2,476 246,688.1560 7

CLOSEOUT MONTH MAY 383 98 65 5,745.3064 6____________________ _____________ _____________ ____________ _________________ T O T A L 47,132 11,708 6,826 707,017.7056

REPORT: NJFM100I-R01 STATE OF NEW JERSEY - DEPARTMENT OF HEALTH RUN DATE: 8/03/2017

CHECKS CASHED IN JULY 2017 PAGE: 2

STATE

PARTICIPATION # OF CANS # OF FI # OF REBATE AVG # REDEEMED CANS

DESCRIPTION_________________________ MONTH_____________ REDEEMED_____________ REDEEMED_____________ PARTICIPANTS____________ AMOUNT_________________ PER PARTICIPANT_______________ Enfamil Gentlease 32-oz Ready-to-Use Rebate amount per can 3.4050

CLOSEOUT MONTH MAY 12 1 1 40.8600 12____________________ _____________ _____________ ____________ _________________ T O T A L 12 1 1 40.8600

8oz (6 packs) Prosobee Ready to Use Rebate amount per can 6.7330

ISSUE MONTH JULY 15 2 2 100.9950 8

30-DAY MONTH JUNE 4 1 1 26.9320 4____________________ _____________ _____________ ____________ _________________ T O T A L 19 3 3 127.9270

8oz (6 packs) Enfamil AR Ready to Use Rebate amount per can 6.7330

ISSUE MONTH JULY 18 7 4 121.1940 4

30-DAY MONTH JUNE 15 7 4 100.9950 4____________________ _____________ _____________ ____________ _________________ T O T A L 33 14 8 222.1890

Enfamil AR 12.9 oz Powder Rebate amount per can 15.3455

ISSUE MONTH JULY 2,121 533 306 32,547.8055 7

30-DAY MONTH JUNE 1,170 297 192 17,954.2350 6

CLOSEOUT MONTH MAY 38 9 5 583.1290 8____________________ _____________ _____________ ____________ _________________ T O T A L 3,329 839 503 51,085.1695

REPORT: NJFM100I-R01 STATE OF NEW JERSEY - DEPARTMENT OF HEALTH RUN DATE: 8/03/2017

CHECKS CASHED IN JULY 2017 PAGE: 3

STATE TOTALS

PARTICIPATION # OF CANS # OF FI # OF REBATE AVG # REDEEMED CANS

DESCRIPTION_________________________ MONTH_____________ REDEEMED_____________ REDEEMED_____________ PARTICIPANTS____________ AMOUNT_________________ PER PARTICIPANT_______________

ISSUE MONTH JULY 120,583 29,046 16,816 1,703,922.8132 7

30-DAY MONTH JUNE 69,447 16,607 10,351 971,776.4278 7

CLOSEOUT MONTH MAY 1,815 428 302 25,238.7638 6____________________ _____________ _____________ ____________ _________________

T O T A L EXCLUDING OTHER MONTHS 191,845 46,081 27,469 2,700,938.0048

T O T A L INCLUDING OTHER MONTHS 191,845 46,081 27,469 2,700,938.0048

REPORT: NJFM100I-R01 STATE OF NEW JERSEY - DEPARTMENT OF HEALTH RUN DATE: 7/13/2017

INVOICE # 201706 FORMULA REBATES RUN TIME: 2:43:39

CHECKS CASHED IN JUNE 2017 PAGE: 1

STATE

PARTICIPATION # OF CANS # OF FI # OF REBATE AVG # REDEEMED CANS

DESCRIPTION MONTH REDEEMED REDEEMED PARTICIPANTS AMOUNT PER PARTICIPANT_________________________ _____________ _____________ _____________ ____________ _________________ _______________ Enfamil Prosobee 13 oz Concentrate Rebate amount per can 4.0345

ISSUE MONTH JUNE 869 69 40 3,505.9805 22

30-DAY MONTH MAY 750 58 34 3,025.8750 22

CLOSEOUT MONTH APRIL 43 3 2 173.4835 22 ____________________ _____________ _____________ ____________ _________________ T O T A L 1,662 130 76 6,705.3390

Enfamil Prosobee 12.9 oz Powder Rebate amount per can 15.8490

ISSUE MONTH JUNE 7,879 1,979 1,182 124,874.2710 7

30-DAY MONTH MAY 4,743 1,187 799 75,171.8070 6

CLOSEOUT MONTH APRIL 185 45 36 2,932.0650 5 ____________________ _____________ _____________ ____________ _________________ T O T A L 12,807 3,211 2,017 202,978.1430

Enfamil Infant 13 oz Concentrate Rebate amount per can 4.1012

ISSUE MONTH JUNE 6,084 481 262 24,951.7008 23

30-DAY MONTH MAY 3,971 312 187 16,285.8652 21

CLOSEOUT MONTH APRIL 117 9 9 479.8404 13 ____________________ _____________ _____________ ____________ _________________ T O T A L 10,172 802 458 41,717.4064

Enfamil Infant 12.5 oz Powder Rebate amount per can 14.4742

JULY 9 2 1 130.2678 9

ISSUE MONTH JUNE 76,098 19,079 11,109 1,101,457.6716 7

30-DAY MONTH MAY 41,878 10,495 6,498 606,150.5476 6

CLOSEOUT MONTH APRIL 1,346 343 236 19,482.2732 6 ____________________ _____________ _____________ ____________ _________________ T O T A L 119,331 29,919 17,844 1,727,220.7602

Enfamil Infant 32 oz Ready to Use Rebate amount per can 3.5550

ISSUE MONTH JUNE 30 3 2 106.6500 15

30-DAY MONTH MAY 73 6 4 259.5150 18 ____________________ _____________ _____________ ____________ _________________ T O T A L 103 9 6 366.1650

Enfamil Gentlease 12.4 oz Powder Rebate amount per can 15.0008

AUGUST 1 1 1 15.0008 1

ISSUE MONTH JUNE 31,370 7,767 4,423 470,575.0960 7

30-DAY MONTH MAY 16,526 4,095 2,495 247,903.2208 7

CLOSEOUT MONTH APRIL 527 128 87 7,905.4216 6 ____________________ _____________ _____________ ____________ _________________ T O T A L 48,424 11,991 7,006 726,398.7392

REPORT: NJFM100I-R01 STATE OF NEW JERSEY - DEPARTMENT OF HEALTH RUN DATE: 7/13/2017

INVOICE # 201706 FORMULA REBATES RUN TIME: 2:43:39

CHECKS CASHED IN JUNE 2017 PAGE: 2

STATE

PARTICIPATION # OF CANS # OF FI # OF REBATE AVG # REDEEMED CANS

DESCRIPTION MONTH REDEEMED REDEEMED PARTICIPANTS AMOUNT PER PARTICIPANT_________________________ _____________ _____________ _____________ ____________ _________________ _______________ Enfamil Gentlease 32-oz Ready-to-Use Rebate amount per can 3.4050

ISSUE MONTH JUNE 81 8 5 275.8050 16

30-DAY MONTH MAY 212 20 12 721.8600 18 ____________________ _____________ _____________ ____________ _________________ T O T A L 293 28 17 997.6650

8oz (6 packs) Prosobee Ready to Use Rebate amount per can 6.7330

ISSUE MONTH JUNE 27 4 2 181.7910 14

30-DAY MONTH MAY 28 4 2 188.5240 14 ____________________ _____________ _____________ ____________ _________________ T O T A L 55 8 4 370.3150

8oz (6 packs) Enfamil AR Ready to Use Rebate amount per can 6.7330

ISSUE MONTH JUNE 29 12 6 195.2570 5

30-DAY MONTH MAY 22 9 6 148.1260 4 ____________________ _____________ _____________ ____________ _________________ T O T A L 51 21 12 343.3830

Enfamil AR 12.9 oz Powder Rebate amount per can 15.3455

ISSUE MONTH JUNE 2,106 527 307 32,317.6230 7

30-DAY MONTH MAY 1,267 324 199 19,442.7485 6

CLOSEOUT MONTH APRIL 21 6 3 322.2555 7 ____________________ _____________ _____________ ____________ _________________ T O T A L 3,394 857 509 52,082.6270

REPORT: NJFM100I-R01 STATE OF NEW JERSEY - DEPARTMENT OF HEALTH RUN DATE: 7/13/2017

INVOICE # 201706 FORMULA REBATES RUN TIME: 2:43:39

CHECKS CASHED IN JUNE 2017 PAGE: 3

STATE TOTALS

PARTICIPATION # OF CANS # OF FI # OF REBATE AVG # REDEEMED CANS

DESCRIPTION MONTH REDEEMED REDEEMED PARTICIPANTS AMOUNT PER PARTICIPANT_________________________ _____________ _____________ _____________ ____________ _________________ _______________

OTHER MONTH AUGUST 1 1 1 15.0008 1

OTHER MONTH JULY 9 2 1 130.2678 9 ____________________ _____________ _____________ ____________ _________________

T O T A L OTHER MONTHS 10 3 2 145.2686

ISSUE MONTH JUNE 124,573 29,929 17,338 1,758,441.8459 7

30-DAY MONTH MAY 69,470 16,510 10,236 969,298.0891 7

CLOSEOUT MONTH APRIL 2,239 534 373 31,295.3392 6 ____________________ _____________ _____________ ____________ _________________

T O T A L EXCLUDING OTHER MONTHS 196,282 46,973 27,947 2,759,035.2742

T O T A L INCLUDING OTHER MONTHS 196,292 46,976 27,949 2,759,180.5428

REPORT: NJFM100I-R01 STATE OF NEW JERSEY - DEPARTMENT OF HEALTH RUN DATE: 9/07/2017

INVOICE # 201708 RUN TIME: 2:05:37FORMULA REBATES

CHECKS CASHED IN AUGUST 2017 PAGE: 1

STATE

PARTICIPATION # OF CANS # OF FI # OF REBATE AVG # REDEEMED CANS

DESCRIPTION_________________________ MONTH_____________ REDEEMED_____________ REDEEMED_____________ PARTICIPANTS____________ AMOUNT_________________ PER PARTICIPANT_______________ Enfamil Prosobee 13 oz Concentrate Rebate amount per can 4.0345

ISSUE MONTH AUGUST 659 54 30 2,658.7355 22

30-DAY MONTH JULY 739 60 36 2,981.4955 21

CLOSEOUT MONTH JUNE 49 4 2 197.6905 24____________________ _____________ _____________ ____________ _________________ T O T A L 1,447 118 68 5,837.9215

Enfamil Prosobee 12.9 oz Powder Rebate amount per can 15.8490

ISSUE MONTH AUGUST 7,651 1,927 1,153 121,260.6990 7

30-DAY MONTH JULY 4,666 1,185 779 73,951.4340 6

CLOSEOUT MONTH JUNE 150 37 29 2,377.3500 5____________________ _____________ _____________ ____________ _________________ T O T A L 12,467 3,149 1,961 197,589.4830

Enfamil Infant 13 oz Concentrate Rebate amount per can 4.1012

ISSUE MONTH AUGUST 6,414 502 277 26,305.0968 23

30-DAY MONTH JULY 3,739 294 173 15,334.3868 22

CLOSEOUT MONTH JUNE 74 6 6 303.4888 12____________________ _____________ _____________ ____________ _________________ T O T A L 10,227 802 456 41,942.9724

Enfamil Infant 12.5 oz Powder Rebate amount per can 14.4742

OCTOBER 7 2 1 101.3194 7

ISSUE MONTH AUGUST 79,084 19,864 11,531 1,144,677.6328 7

30-DAY MONTH JULY 43,816 10,983 6,788 634,201.5472 6

CLOSEOUT MONTH JUNE 1,187 300 208 17,180.8754 6____________________ _____________ _____________ ____________ _________________ T O T A L 124,094 31,149 18,528 1,796,161.3748

Enfamil Gentlease 12.4 oz Powder Rebate amount per can 15.0008

SEPTEMBER 7 3 2 105.0056 4

ISSUE MONTH AUGUST 32,182 8,008 4,545 482,755.7456 7

30-DAY MONTH JULY 17,484 4,307 2,616 262,273.9872 7

CLOSEOUT MONTH JUNE 380 91 66 5,700.3040 6____________________ _____________ _____________ ____________ _________________ T O T A L 50,053 12,409 7,229 750,835.0424

8oz (6 packs) Prosobee Ready to Use Rebate amount per can 6.7330

ISSUE MONTH AUGUST 16 2 1 107.7280 16

30-DAY MONTH JULY 30 5 2 201.9900 15

CLOSEOUT MONTH JUNE 13 2 1 87.5290 13____________________ _____________ _____________ ____________ _________________ T O T A L 59 9 4 397.2470

REPORT: NJFM100I-R01 STATE OF NEW JERSEY - DEPARTMENT OF HEALTH RUN DATE: 9/07/2017

CHECKS CASHED IN AUGUST 2017 PAGE: 2

STATE

PARTICIPATION # OF CANS # OF FI # OF REBATE AVG # REDEEMED CANS

DESCRIPTION_________________________ MONTH_____________ REDEEMED_____________ REDEEMED_____________ PARTICIPANTS____________ AMOUNT_________________ PER PARTICIPANT_______________ 8oz (6 packs) Enfamil AR Ready to Use Rebate amount per can 6.7330

ISSUE MONTH AUGUST 33 13 8 222.1890 4

30-DAY MONTH JULY 4 2 2 26.9320 2____________________ _____________ _____________ ____________ _________________ T O T A L 37 15 10 249.1210

Enfamil AR 12.9 oz Powder Rebate amount per can 15.3455

ISSUE MONTH AUGUST 2,439 613 354 37,427.6745 7

30-DAY MONTH JULY 1,417 350 214 21,744.5735 7

CLOSEOUT MONTH JUNE 36 10 7 552.4380 5____________________ _____________ _____________ ____________ _________________ T O T A L 3,892 973 575 59,724.6860

REPORT: NJFM100I-R01 STATE OF NEW JERSEY - DEPARTMENT OF HEALTH RUN DATE: 9/07/2017

CHECKS CASHED IN AUGUST 2017 PAGE: 3

STATE TOTALS

PARTICIPATION # OF CANS # OF FI # OF REBATE AVG # REDEEMED CANS

DESCRIPTION_________________________ MONTH_____________ REDEEMED_____________ REDEEMED_____________ PARTICIPANTS____________ AMOUNT_________________ PER PARTICIPANT_______________

OTHER MONTH OCTOBER 7 2 1 101.3194 7

OTHER MONTH SEPTEMBER 7 3 2 105.0056 4____________________ _____________ _____________ ____________ _________________

T O T A L OTHER MONTHS 14 5 3 206.3250

ISSUE MONTH AUGUST 128,478 30,983 17,899 1,815,415.5012 7

30-DAY MONTH JULY 71,895 17,186 10,610 1,010,716.3462 7

CLOSEOUT MONTH JUNE 1,889 450 319 26,399.6757 6____________________ _____________ _____________ ____________ _________________

T O T A L EXCLUDING OTHER MONTHS 202,262 48,619 28,828 2,852,531.5231

T O T A L INCLUDING OTHER MONTHS 202,276 48,624 28,831 2,852,737.8481

REPORT: NJFM100I-R01 STATE OF NEW JERSEY - DEPARTMENT OF HEALTH RUN DATE: 10/05/2017

INVOICE # 201709 RUN TIME: 5:53:04FORMULA REBATES

CHECKS CASHED IN SEPTEMBER 2017 PAGE: 1

STATE

PARTICIPATION # OF CANS # OF FI # OF REBATE AVG # REDEEMED CANS

DESCRIPTION_________________________ MONTH_____________ REDEEMED_____________ REDEEMED_____________ PARTICIPANTS____________ AMOUNT_________________ PER PARTICIPANT_______________ Enfamil Prosobee 13 oz Concentrate Rebate amount per can 4.0345

ISSUE MONTH SEPTEMBER 510 40 25 2,057.5950 20

30-DAY MONTH AUGUST 632 52 29 2,549.8040 22

CLOSEOUT MONTH JULY 61 5 3 246.1045 20____________________ _____________ _____________ ____________ _________________ T O T A L 1,203 97 57 4,853.5035

Enfamil Prosobee 12.9 oz Powder Rebate amount per can 15.8490

ISSUE MONTH SEPTEMBER 6,662 1,682 1,020 105,586.0380 7

30-DAY MONTH AUGUST 4,229 1,057 716 67,025.4210 6

CLOSEOUT MONTH JULY 98 27 21 1,553.2020 5____________________ _____________ _____________ ____________ _________________ T O T A L 10,989 2,766 1,757 174,164.6610

Enfamil Infant 13 oz Concentrate Rebate amount per can 4.1012

ISSUE MONTH SEPTEMBER 5,626 431 248 23,073.3512 23

30-DAY MONTH AUGUST 3,155 247 149 12,939.2860 21

CLOSEOUT MONTH JULY 35 3 2 143.5420 18____________________ _____________ _____________ ____________ _________________ T O T A L 8,816 681 399 36,156.1792

Enfamil Infant 12.5 oz Powder Rebate amount per can 14.4742

OCTOBER 2 2 2 28.9484 1

ISSUE MONTH SEPTEMBER 72,860 18,239 10,602 1,054,590.2120 7

30-DAY MONTH AUGUST 39,212 9,868 6,219 567,562.3304 6

CLOSEOUT MONTH JULY 983 246 168 14,228.1386 6____________________ _____________ _____________ ____________ _________________ T O T A L 113,057 28,355 16,991 1,636,409.6294

Enfamil Gentlease 12.4 oz Powder Rebate amount per can 15.0008

OCTOBER 4 2 2 60.0032 2

ISSUE MONTH SEPTEMBER 29,285 7,228 4,127 439,298.4280 7

30-DAY MONTH AUGUST 16,076 3,956 2,433 241,152.8608 7

CLOSEOUT MONTH JULY 383 94 63 5,745.3064 6____________________ _____________ _____________ ____________ _________________ T O T A L 45,748 11,280 6,625 686,256.5984

8oz (6 packs) Prosobee Ready to Use Rebate amount per can 6.7330

ISSUE MONTH SEPTEMBER 47 6 4 316.4510 12

30-DAY MONTH AUGUST 8 1 1 53.8640 8____________________ _____________ _____________ ____________ _________________ T O T A L 55 7 5 370.3150

REPORT: NJFM100I-R01 STATE OF NEW JERSEY - DEPARTMENT OF HEALTH RUN DATE: 10/05/2017

CHECKS CASHED IN SEPTEMBER 2017 PAGE: 2

STATE

PARTICIPATION # OF CANS # OF FI # OF REBATE AVG # REDEEMED CANS

DESCRIPTION_________________________ MONTH_____________ REDEEMED_____________ REDEEMED_____________ PARTICIPANTS____________ AMOUNT_________________ PER PARTICIPANT_______________ 8oz (6 packs) Enfamil AR Ready to Use Rebate amount per can 6.7330

ISSUE MONTH SEPTEMBER 33 12 6 222.1890 6

30-DAY MONTH AUGUST 7 3 3 47.1310 2____________________ _____________ _____________ ____________ _________________ T O T A L 40 15 9 269.3200

Enfamil AR 12.9 oz Powder Rebate amount per can 15.3455

ISSUE MONTH SEPTEMBER 2,362 588 336 36,246.0710 7

30-DAY MONTH AUGUST 1,321 320 212 20,271.4055 6

CLOSEOUT MONTH JULY 29 7 5 445.0195 6____________________ _____________ _____________ ____________ _________________ T O T A L 3,712 915 553 56,962.4960

REPORT: NJFM100I-R01 STATE OF NEW JERSEY - DEPARTMENT OF HEALTH RUN DATE: 10/05/2017

CHECKS CASHED IN SEPTEMBER 2017 PAGE: 3

STATE TOTALS

PARTICIPATION # OF CANS # OF FI # OF REBATE AVG # REDEEMED CANS

DESCRIPTION_________________________ MONTH_____________ REDEEMED_____________ REDEEMED_____________ PARTICIPANTS____________ AMOUNT_________________ PER PARTICIPANT_______________

OTHER MONTH OCTOBER 6 4 4 88.9516 2____________________ _____________ _____________ ____________ _________________

T O T A L OTHER MONTHS 6 4 4 88.9516

ISSUE MONTH SEPTEMBER 117,385 28,226 16,368 1,661,390.3352 7

30-DAY MONTH AUGUST 64,640 15,504 9,762 911,602.1027 7

CLOSEOUT MONTH JULY 1,589 382 262 22,361.3130 6____________________ _____________ _____________ ____________ _________________

T O T A L EXCLUDING OTHER MONTHS 183,614 44,112 26,392 2,595,353.7509

T O T A L INCLUDING OTHER MONTHS 183,620 44,116 26,396 2,595,442.7025

March 2017
NJ WIC Formula Rebate Invoice for April 2017
NJ's May 2017 Infant Formula Rebate Invoice
NJ WIC Formula Rebate Invoice for July 2017
NJ WIC Formula Rebate Invoice for June 2017
NJ WIC Formula Rebate Invoice for August 2017
Mead Johnson Rebate September 2017

File details come from the government source that posted it. Updated .