attachment-33-rfb-2027-dph-01-formu-nh-aug.pdf
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- 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 a Product Rebates Invoice from the New Hampshire Department of Health and Human Services (DHHS) WIC Program documenting infant formula rebates for Abbott Similac products during August 2025. The invoice covers Contract Number 123 for the period of August 1–31, 2025, with a payment due date of October 5, 2025. The document details rebate calculations for multiple Similac product lines, including powder formulations (Soy Isomil, Sensitive, Advance, and Total Comfort), ready-to-feed (RTF) products in 8-ounce 6-packs and 32-ounce sizes, and specialty variants such as the Similac 360 Total Care line. The rebate summary reflects units issued and units redeemed across product categories, with individual rebate rates applied per unit.
The total remittance due for August 2025 redemptions is $204,398.13, derived from rebate-per-unit calculations applied to redeemed quantities. The invoice also includes comparative data from July 2025, which showed a total of $63,841.25 in rebates. Remittance is payable to the Treasurer, State of New Hampshire, with checks directed to Abbott Nutrition at their Columbus, Ohio facility. The document reflects an active WIC program rebate arrangement wherein Abbott Nutrition provides volume-based rebates to the state based on actual product redemptions by program participants. This invoice represents standard ongoing operations under the established contract framework between the state and the vendor.
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Text version
New Hampshire DHHS WIC Program Product Rebates Invoice
Sep 5, 2025
Contract Number:
Period Covered:
08/01/2025 - 08/31/2025
Payment Due: 10/05/2025
Please review the following calculations used to determine your rebate.
REMITTANCE SHOULD BE SENT TO:
REBATE SUMMARY
MONTH OF REDEMPTION August 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 $204,398.1250
Total Remittance Due $204,398.1250
Report Date: 9/5/2025 8:50:28 AM Page 1 of 3
Similac Month of Service / Issuance Aug-2025
Size / Type Units Issued Units Redeemed Rebate / Unit Amount
Abbott Similac Soy Isomil Pwdr 12.4 oz 415 281 $23.4610 $6,592.5410
Abbott Similac Soy Isomil Conc. 13 oz 34 14 $6.6710 $93.3940
Abbott Similac Sensitive Pwd 12.5 oz 2,734 1,711 $22.3170 $38,184.3870
Abbott Similac Advance Pwd 12.4 oz 4,921 3,050 $20.5100 $62,555.5000
Abbott Similac Total Comfort Pwd12.6 oz 2,391 1,456 $22.0770 $32,144.1120
Similac 360 Total Care RTF 8oz 6pk 100 60 $4.8210 $289.2600
Similac 360 Total Care Sensitive RTF 8oz 6pk 91 35 $4.8210 $168.7350
21-706 Subcategory - Abbott Similac 360 Total Care 32 oz RTF
285 0 $0.0000 $0.0000
21-706 Abbott Similac 360 Total Care 32 oz RTF 0 129 $3.5500 $457.9500
21-706 Abbott Similac 360 Total Care 32oz RTF 0 20 $3.5500 $71.0000
August Total $140,556.8790
Month of Service / Issuance Jul-2025
Size / Type Units Issued Units Redeemed Rebate / Unit Amount
Abbott Similac Soy Isomil Pwdr 12.4 oz 407 84 $23.4610 $1,970.7240
Abbott Similac Sensitive Pwd 12.5 oz 2,813 729 $22.3170 $16,269.0930
Abbott Similac Advance Pwd 12.4 oz 5,028 1,448 $20.5100 $29,698.4800
Abbott Similac Total Comfort Pwd12.6 oz 2,443 682 $22.0770 $15,056.5140
Similac 360 Total Care RTF 8oz 6pk 122 46 $4.8210 $221.7660
Similac 360 Total Care Sensitive RTF 8oz 6pk 121 39 $4.8210 $188.0190
21-706 Subcategory - Abbott Similac 360 Total Care 32 oz RTF
270 0 $0.0000 $0.0000
21-706 Abbott Similac 360 Total Care 32 oz RTF 0 122 $3.5500 $433.1000
21-706 Abbott Similac 360 Total Care 32oz RTF 0 1 $3.5500 $3.5500
July Total $63,841.2460
INFANT FORMULA REBATES
REBATE DETAIL
Contract No. 123
Similac
INFANT FORMULA REBATES
REBATE DETAIL - Total Paid By Month
Contract No. 123
Report Date: 9/5/2025 8:50:28 AM Page 2 of 3
Product Rebates 09/05/2025
Month of Service / Issuance Aug-2025
Size / Type Units Issued Units Redeemed Rebate / Unit Amount
Abbott Similac Soy Isomil Pwdr 12.4 oz 822 365 $23.4610 $8,563.2650
Abbott Similac Soy Isomil Conc. 13 oz 34 14 $6.6710 $93.3940
Abbott Similac Sensitive Pwd 12.5 oz 5,547 2,440 $22.3170 $54,453.4800
Abbott Similac Advance Pwd 12.4 oz 9,949 4,498 $20.5100 $92,253.9800
Abbott Similac Total Comfort Pwd12.6 oz 4,834 2,138 $22.0770 $47,200.6260
Similac 360 Total Care RTF 8oz 6pk 222 106 $4.8210 $511.0260
Similac 360 Total Care Sensitive RTF 8oz 6pk 212 74 $4.8210 $356.7540
21-706 Abbott Similac 360 Total Care 32 oz RTF 0 251 $3.5500 $891.0500
21-706 Abbott Similac 360 Total Care 32oz RTF 0 21 $3.5500 $74.5500
21-706 Subcategory - Abbott Similac 360 Total Care 32 oz RTF
555 0 $0.0000 $0.0000
August Total $204,398.1250
Report Date: 9/5/2025 8:50:28 AM Page 3 of 3
Product Rebates 09/05/2025
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