attachment-31-rfb-2027-dph-01-formu-nh-june.pdf
PDF 558 KB Posted
- Attached to
- NEATO/WIC Retail Infant Formula Rebate Agreement
- Solicitation number
- RFB -2028-DPH-01-FORMU
- Issued by
- New Hampshire
About this file
This is an Infant Formula Rebates Invoice from the New Hampshire Department of Health and Human Services (DHHS) Nutrition & Health Promotion Section documenting product rebates for the WIC Program under Contract Number 123. The invoice covers the period of June 1-30, 2025, with a report date of July 8, 2025, and a payment due date of August 8, 2025. The document details rebates for Abbott Similac infant formula products across multiple product lines, including powder and ready-to-feed formulations in various sizes. Units issued and redeemed during June 2025 are itemized by product type, with corresponding rebate amounts calculated per unit.
The total remittance due from Abbott Nutrition for the June 2025 redemption period is $196,559.41, with an additional $57,702.49 in rebates from May 2025 activities included in the detailed breakdown. Rebate rates per unit vary by product type, ranging from $3.15 to $23.46 per unit based on product specifications. The invoice specifies that remittance should be sent to the Treasurer of the State of New Hampshire at the DHHS address in Concord, with checks made payable to the Treasurer. The document also includes a comprehensive rebate detail section combining May and June service periods to provide cumulative rebate information for the reporting cycle.
View the file
Other files
Show all 47
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
New Hampshire DHHS WIC Program Product Rebates Invoice
Jul 8, 2025
Contract Number:
Period Covered:
06/01/2025 - 06/30/2025
Payment Due: 08/08/2025
Please review the following calculations used to determine your rebate.
REMITTANCE SHOULD BE SENT TO:
REBATE SUMMARY
MONTH OF REDEMPTION June 2025
Department of Health & Human Services Nutrition & Health Promotion Section 29 Hazen Drive Concord, NH 03301 Checks payable to: Treasurer State of New Hampshire
Abbott Nutrition Attn: Danielle Jonda 3300 Stelzer Rd., Dept. 106711, RP2-2 Columbus, OH 43219-3219
Similac $196,559.4100
Total Remittance Due $196,559.4100
Report Date: 7/8/2025 10:38:16 AM Page 1 of 3
Similac Month of Service / Issuance June-2025
Size / Type Units Issued Units Redeemed Rebate / Unit Amount
Abbott Similac Soy Isomil Pwdr 12.4 oz 385 258 $23.4610 $6,052.9380
Abbott Similac Soy Isomil Conc. 13 oz 31 24 $6.6710 $160.1040
Abbott Similac Sensitive Pwd 12.5 oz 2,901 1,849 $22.3170 $41,264.1330
Abbott Similac Advance Pwd 12.4 oz 4,974 2,964 $20.5100 $60,791.6400
Abbott Similac Advance RTF 32 oz 26 6 $3.1200 $18.7200
Abbott Similac Total Comfort Pwd12.6 oz 2,401 1,347 $22.0770 $29,737.7190
Similac 360 Total Care RTF 8oz 6pk 97 37 $4.8210 $178.3770
Similac 360 Total Care Sensitive RTF 8oz 6pk 111 28 $4.8210 $134.9880
21-706 Subcategory - Abbott Similac 360 Total Care 32 oz RTF
286 0 $0.0000 $0.0000
21-706 Abbott Similac 360 Total Care 32 oz RTF 0 114 $3.5500 $404.7000
21-706 Abbott Similac 360 Total Care 32oz RTF 0 32 $3.5500 $113.6000
June Total $138,856.9190
Month of Service / Issuance May-2025
Size / Type Units Issued Units Redeemed Rebate / Unit Amount
Abbott Similac Soy Isomil Pwdr 12.4 oz 382 82 $21.5810 $1,769.6420
Abbott Similac Sensitive Pwd 12.5 oz 3,039 722 $20.6670 $14,921.5740
Abbott Similac Advance Pwd 12.4 oz 5,128 1,438 $19.4900 $28,026.6200
Abbott Similac Total Comfort Pwd12.6 oz 2,511 581 $20.6670 $12,007.5270
Similac 360 Total Care RTF 8oz 6pk 110 52 $4.8210 $250.6920
Similac 360 Total Care Sensitive RTF 8oz 6pk 152 66 $4.8210 $318.1860
21-706 Subcategory - Abbott Similac 360 Total Care 32 oz RTF
335 0 $0.0000 $0.0000
21-706 Abbott Similac 360 Total Care 32 oz RTF 0 97 $3.5500 $344.3500
21-706 Abbott Similac 360 Total Care 32oz RTF 0 18 $3.5500 $63.9000
May Total $57,702.4910
INFANT FORMULA REBATES
REBATE DETAIL
Contract No. 123
INFANT FORMULA REBATES
REBATE DETAIL - Total Paid By Month
Contract No. 123
Report Date: 7/8/2025 10:38:16 AM Page 2 of 3
Product Rebates 07/08/2025
Similac Month of Service / Issuance June-2025
Size / Type Units Issued Units Redeemed Rebate / Unit Amount
Abbott Similac Soy Isomil Pwdr 12.4 oz 382 82 $21.5810 $1,769.6420
Abbott Similac Soy Isomil Pwdr 12.4 oz 385 258 $23.4610 $6,052.9380
Abbott Similac Soy Isomil Conc. 13 oz 31 24 $6.6710 $160.1040
Abbott Similac Sensitive Pwd 12.5 oz 3,039 722 $20.6670 $14,921.5740
Abbott Similac Sensitive Pwd 12.5 oz 2,901 1,849 $22.3170 $41,264.1330
Abbott Similac Advance Pwd 12.4 oz 5,128 1,438 $19.4900 $28,026.6200
Abbott Similac Advance Pwd 12.4 oz 4,974 2,964 $20.5100 $60,791.6400
Abbott Similac Advance RTF 32 oz 26 6 $3.1200 $18.7200
Abbott Similac Total Comfort Pwd12.6 oz 2,511 581 $20.6670 $12,007.5270
Abbott Similac Total Comfort Pwd12.6 oz 2,401 1,347 $22.0770 $29,737.7190
Similac 360 Total Care RTF 8oz 6pk 207 89 $4.8210 $429.0690
Similac 360 Total Care Sensitive RTF 8oz 6pk 263 94 $4.8210 $453.1740
21-706 Abbott Similac 360 Total Care 32 oz RTF 0 211 $3.5500 $749.0500
21-706 Abbott Similac 360 Total Care 32oz RTF 0 50 $3.5500 $177.5000
21-706 Subcategory - Abbott Similac 360 Total Care 32 oz RTF
621 0 $0.0000 $0.0000
June Total $196,559.4100
Report Date: 7/8/2025 10:38:16 AM Page 3 of 3
Product Rebates 07/08/2025
File details come from the government source that posted it. Updated .