Attachment E-2 Non-rebate Formula Redemptions Aug 2024 - Mar 2025.pdf

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Attached to
IFB Infant Formula Rebate Program
Solicitation number
25-444DHS-FAMCO-B-47390
Issued by
Illinois

About this file

The document is an eWIC (electronic Women, Infants, and Children) Rebate Analysis Summary for the Illinois Department of Human Services WIC program, covering multiple monthly periods from August 2024 to March 2025. The report details infant formula redemptions across various product categories, including Nutramigen, PediaSure, Similac, Elecare, and Neocate brands, tracking quantities redeemed, applied benefit units, and settled amounts for different product variations such as ready-to-feed, powder, and specialized formulas with specific nutritional profiles like fiber-enhanced or probiotic-enriched.

The rebate analysis provides a comprehensive breakdown of formula redemptions by sub-category, with monthly totals ranging from approximately $119,000 to $142,000 in settled amounts. Each monthly report categorizes products by specific attributes like vanilla flavor, strawberry flavor, with or without prebiotics, and different package sizes (6-pack, 8oz bottles, 14.1oz containers). The data suggests a consistent usage pattern across multiple product lines, with Pediasure 6-pack and Similac Neosure Powder consistently showing high redemption volumes. The reports are generated for the Illinois WIC agency's H-Household account type and provide granular insights into nutritional supplement distribution and spending across different formula categories.

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Category: 31 Exempt Infant Formula (EXF)

SubCategory Code SubCategory Description UPC/PLU UPC/PLU Description UOM Rebate Indicator

Redeemed Quantity

Applied Benefit Units

Settled Amount

003 Nutramigen RTF 300875115640 Nutramigen RTU CTR No 335.00 335.00 $5,207.55

SubCategory Total : 003 Nutramigen RTF 335.00 335.00 $5,207.55

004 Nutramigen with Probiotic LGG 300871239418 Enfamil Nutramigen with Enflora LGG Powder 12.6oz

CTR No 9,661.00 9,631.00 $342,347.57

SubCategory Total : 004 Nutramigen with Probiotic

LGG

9,661.00 9,631.00 $342,347.57

011 Enfamil NeuroPro EnfaCare Powder 13.6 oz

300875122082 Enfamil NeuroPro EnfaCare 13.6oz Container

CTR No 2,671.00 2,645.00 $62,699.81

SubCategory Total : 011 Enfamil NeuroPro EnfaCare Powder 13.6 oz

2,671.00 2,645.00 $62,699.81

030 Similac Neosure Powder 070074574318 Similac Expert Care NeoSure Powder 13.1oz

CTR No 9,324.00 9,176.00 $208,592.72

SubCategory Total : 030 Similac Neosure Powder 9,324.00 9,176.00 $208,592.72

031 Similac NeoSure RTF 070074574561 Similac Expert Care NeoSure RTU 32oz

CTR No 1,734.00 1,728.00 $16,288.41

SubCategory Total : 031 Similac NeoSure RTF 1,734.00 1,728.00 $16,288.41

032 Similac Alimentum RTF 070074575131 Similac Expert Care Alimentum RTU 32oz Container

CTR No 690.00 690.00 $9,875.19

SubCategory Total : 032 Similac Alimentum RTF 690.00 690.00 $9,875.19

036 Similac PM 60/40 Powder 070074608501 Similac PM 60/40Similac PM 60/40 Powder 14.1oz

CTR No 37.00 37.00 $304.83

SubCategory Total : 036 Similac PM 60/40 Powder 37.00 37.00 $304.83

042 Elecare 070074535111 EleCare Infant DHA/ARA Powder 14.1oz

CTR No 671.00 671.00 $31,321.39

SubCategory Total : 042 Elecare 671.00 671.00 $31,321.39

069 PurAmino DHA/ARA Powder 300875104804 PurAminoPurAmino DHA/ARA Powder 14.1oz

CTR No 391.00 391.00 $23,325.04 eWIC Rebate Analysis Summary WIC Agency: Illinois WIC Date Range: 02/01/2025 02/28/2025 Account Type: HHousehold Report Date/Time: 03/03/2025 01:27:33 PM

Rebate Indicator

Redeemed Quantity

Applied Benefit Units

Settled Amount

SubCategory Total : 069 PurAmino DHA/ARA Powder

391.00 391.00 $23,325.04

072 Neocate Infant DHA/ARA Powder 749735025956 Neocate Infant DHA/ARA Powder 14.1oz

CTR No 150.00 148.00 $5,933.65

SubCategory Total : 072 Neocate Infant DHA/ARA Powder

150.00 148.00 $5,933.65

073 Elecare Jr. Unflavored 070074552545 EleCare JREleCare JR Unflavored Powder 14.1oz

CTR No 259.00 259.00 $9,730.67

SubCategory Total : 073 Elecare Jr. Unflavored 259.00 259.00 $9,730.67

074 Elecare Junior 070074565866 EleCare JREleCare JR Vanilla Powder 14.1oz

CTR No 188.00 188.00 $7,905.53

SubCategory Total : 074 Elecare Junior 188.00 188.00 $7,905.53

081 Alimentum Powder 070074647128 Similac AlimentumSimilac Alimentum Powder 12.1oz

CTR No 3,443.00 3,421.00 $119,516.70

SubCategory Total : 081 Alimentum Powder 3,443.00 3,421.00 $119,516.70

102 Neocate Syneo Infant Powder 749735014363 Neocate SyneoNeocate Syneo Infant Powder 14.1oz

CTR No 61.00 61.00 $2,449.51

SubCategory Total : 102 Neocate Syneo Infant Powder

61.00 61.00 $2,449.51

Category Total : 31 29,615.00 29,381.00 $845,498.57 eWIC Rebate Analysis Summary

Account Type: HHousehold Report Date/Time: 03/03/2025 01:27:33 PM

Rebate Indicator

Redeemed Quantity

Applied Benefit Units

Settled Amount

003 Nutramigen RTF 300875115640 Nutramigen RTU CTR No 385.00 385.00 $6,427.55

SubCategory Total : 003 Nutramigen RTF 385.00 385.00 $6,427.55

004 Nutramigen with Probiotic LGG 300871239418 Enfamil Nutramigen with Enflora LGG Powder 12.6oz

CTR No 9,533.00 9,533.00 $353,795.11

SubCategory Total : 004 Nutramigen with Probiotic

LGG

9,533.00 9,533.00 $353,795.11

011 Enfamil NeuroPro EnfaCare Powder 13.6 oz

300875122082 Enfamil NeuroPro EnfaCare 13.6oz Container

CTR No 3,199.00 3,161.00 $75,590.34

SubCategory Total : 011 Enfamil NeuroPro EnfaCare Powder 13.6 oz

3,199.00 3,161.00 $75,590.34

030 Similac Neosure Powder 070074574318 Similac Expert Care NeoSure Powder 13.1oz

CTR No 9,982.00 9,892.00 $227,119.10

SubCategory Total : 030 Similac Neosure Powder 9,982.00 9,892.00 $227,119.10

031 Similac NeoSure RTF 070074574561 Similac Expert Care NeoSure RTU 32oz

CTR No 1,977.00 1,977.00 $20,698.17

SubCategory Total : 031 Similac NeoSure RTF 1,977.00 1,977.00 $20,698.17

032 Similac Alimentum RTF 070074575131 Similac Expert Care Alimentum RTU 32oz Container

CTR No 843.00 843.00 $12,596.28

SubCategory Total : 032 Similac Alimentum RTF 843.00 843.00 $12,596.28

036 Similac PM 60/40 Powder 070074608501 Similac PM 60/40Similac PM 60/40 Powder 14.1oz

CTR No 18.00 18.00 $304.83

SubCategory Total : 036 Similac PM 60/40 Powder 18.00 18.00 $304.83

042 Elecare 070074535111 EleCare Infant DHA/ARA Powder 14.1oz

CTR No 754.00 754.00 $35,822.03

SubCategory Total : 042 Elecare 754.00 754.00 $35,822.03

069 PurAmino DHA/ARA Powder 300875104804 PurAminoPurAmino DHA/ARA Powder 14.1oz

CTR No 636.00 636.00 $37,580.82 eWIC Rebate Analysis Summary WIC Agency: Illinois WIC Date Range: 03/01/2025 03/31/2025 Account Type: HHousehold Report Date/Time: 04/03/2025 11:20:11 AM

Rebate Indicator

Redeemed Quantity

Applied Benefit Units

Settled Amount

SubCategory Total : 069 PurAmino DHA/ARA Powder

636.00 636.00 $37,580.82

072 Neocate Infant DHA/ARA Powder 749735025956 Neocate Infant DHA/ARA Powder 14.1oz

CTR No 262.00 262.00 $9,170.24

SubCategory Total : 072 Neocate Infant DHA/ARA Powder

262.00 262.00 $9,170.24

073 Elecare Jr. Unflavored 070074552545 EleCare JREleCare JR Unflavored Powder 14.1oz

CTR No 229.00 229.00 $8,316.60

SubCategory Total : 073 Elecare Jr. Unflavored 229.00 229.00 $8,316.60

074 Elecare Junior 070074565866 EleCare JREleCare JR Vanilla Powder 14.1oz

CTR No 142.00 142.00 $5,504.14

SubCategory Total : 074 Elecare Junior 142.00 142.00 $5,504.14

081 Alimentum Powder 070074647128 Similac AlimentumSimilac Alimentum Powder 12.1oz

CTR No 3,841.00 3,820.00 $135,022.56

SubCategory Total : 081 Alimentum Powder 3,841.00 3,820.00 $135,022.56

102 Neocate Syneo Infant Powder 749735014363 Neocate SyneoNeocate Syneo Infant Powder 14.1oz

CTR No 35.00 35.00 $849.83

SubCategory Total : 102 Neocate Syneo Infant Powder

35.00 35.00 $849.83

Category Total : 31 31,836.00 31,687.00 $928,797.60 eWIC Rebate Analysis Summary

Account Type: HHousehold Report Date/Time: 04/03/2025 11:20:11 AM

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Category: 41 WIC Eligible Nutritional

Rebate Indicator

Redeemed Quantity

Applied Benefit Units

Settled Amount

036 Pediasure 6pk (any flavor) 070074580500 ABBOTT NUTRITION Pediasure Van 6pk PKG No 3,547.00 3,534.00 $36,643.60

036 Pediasure 6pk (any flavor) 070074580531 ABBOTT NUTRITION Pediasure Ban 6pk PKG No 527.00 527.00 $7,119.79

036 Pediasure 6pk (any flavor) 070074580562 ABBOTT NUTRITION Pediasure Str 6pk PKG No 1,373.00 1,373.00 $18,519.02

036 Pediasure 6pk (any flavor) 070074580593 ABBOTT NUTRITION Pediasure Cho 6pk PKG No 1,476.00 1,476.00 $20,575.98

036 Pediasure 6pk (any flavor) 070074669205 ABBOTT NUTRITION Pediasure Smores 6pk

PKG No 324.00 316.00 $4,421.18

SubCategory Total : 036 Pediasure 6pk (any flavor) 7,247.00 7,226.00 $87,279.57

038 Pediasure with Fiber 6pk (any flavor)

070074580623 Pediasure Vanilla Fiber 8oz 6pk PKG No 2,282.00 2,282.00 $24,221.43

SubCategory Total : 038 Pediasure with Fiber 6pk (any flavor)

2,282.00 2,282.00 $24,221.43

063 Neocate Junior Any Flavor 749735006276 Neocate Junior Vanilla CTR No 54.00 54.00 $1,377.74

063 Neocate Junior Any Flavor 749735017906 Neocate Junior without Prebiotics Unflavor 14.1OZ

CTR No 395.00 395.00 $15,377.34

063 Neocate Junior Any Flavor 749735026908 Neocate Junior Chocolate 14.1OZ CTR No 17.00 17.00 $818.52

063 Neocate Junior Any Flavor 749735064566 Neocate Junior Strawberry 14.1OZ CTR No 35.00 35.00 $1,636.76

063 Neocate Junior Any Flavor 749735117903 Neocate Jr without Prebiotics Unflav Case 4 Pac

CTR No 6.00 12.00 $167.52

SubCategory Total : 063 Neocate Junior Any Flavor

507.00 513.00 $19,377.88

228 Pediasure Peptide 1.0 CAL Any Flavor

070074674100 PEDIASURE PEPTIDE 1 CAL VAN 8 OZ

BOTTLE

CTR No 2,095.00 2,095.00 $2,484.25

228 Pediasure Peptide 1.0 CAL Any Flavor

070074674124 PEDIASURE PEPTIDE 1 CAL STRAWB

8oz BOTTLE

CTR No 186.00 186.00 $1,496.46

SubCategory Total : 228 Pediasure Peptide 1.0 CAL Any Flavor

2,281.00 2,281.00 $3,980.71 eWIC Rebate Analysis Summary WIC Agency: Illinois WIC Date Range: 01/01/2025 01/31/2025 Account Type: HHousehold Report Date/Time: 02/03/2025 08:25:20 AM

Rebate Indicator

Redeemed Quantity

Applied Benefit Units

Settled Amount

256 PediaSure 1.5 Cal RTF 070074673868 PEDIASURE 1.5 CAL VANILLA 8OZ CTR No 1,157.00 1,157.00 $967.05

SubCategory Total : 256 PediaSure 1.5 Cal RTF 1,157.00 1,157.00 $967.05

257 PediaSure 1.5 Cal with Fiber RTF 8 oz

070074673752 PEDIASURE 1.5 CAL FIBER VANILLA

8OZ

CTR No 2,184.00 2,184.00 $1,138.50

SubCategory Total : 257 PediaSure 1.5 Cal with Fiber RTF 8 oz

2,184.00 2,184.00 $1,138.50

271 Peptamen Junior Fiber 798716602006 PEPTAMEN JUNIOR® FIBER Van

8.45OZ

CTR No 106.00 106.00 $1,164.94

SubCategory Total : 271 Peptamen Junior Fiber 106.00 106.00 $1,164.94

336 Neocate Splash Any Flavor 749735024355 Neocate Splash Grape 8OZ CTR No 54.00 54.00 $391.50

336 Neocate Splash Any Flavor 749735024362 Neocate Splash OrangePineapple 8OZ CTR No 110.00 110.00 $392.04

336 Neocate Splash Any Flavor 749735044513 Neocate Splash Unflavored 8OZ CTR No 622.00 622.00 $0.00

336 Neocate Splash Any Flavor 749735124352 Neocate Splash Grape Case CTR No 1.00 27.00 $202.99

336 Neocate Splash Any Flavor 749735124369 Neocate Splash Orange Pineapple Case CTR No 4.00 108.00 $754.08

336 Neocate Splash Any Flavor 749735124376 Neocate Splash Tropical Fruit Case CTR No 2.00 54.00 $397.98

SubCategory Total : 336 Neocate Splash Any Flavor

793.00 975.00 $2,138.59

Category Total : 41 16,557.00 16,724.00 $140,268.67 eWIC Rebate Analysis Summary WIC Agency: Illinois WIC Date Range: 01/01/2025 01/31/2025 Account Type: HHousehold Report Date/Time: 02/03/2025 08:25:20 AM

Rebate Indicator

Redeemed Quantity

Applied Benefit Units

Settled Amount

036 Pediasure 6pk (any flavor) 070074580500 ABBOTT NUTRITION Pediasure Van 6pk PKG No 3,098.00 3,095.00 $30,715.99

036 Pediasure 6pk (any flavor) 070074580531 ABBOTT NUTRITION Pediasure Ban 6pk PKG No 489.00 489.00 $6,593.94

036 Pediasure 6pk (any flavor) 070074580562 ABBOTT NUTRITION Pediasure Str 6pk PKG No 1,304.00 1,304.00 $17,598.03

036 Pediasure 6pk (any flavor) 070074580593 ABBOTT NUTRITION Pediasure Cho 6pk PKG No 1,271.00 1,271.00 $17,599.05

036 Pediasure 6pk (any flavor) 070074669205 ABBOTT NUTRITION Pediasure Smores 6pk

PKG No 327.00 327.00 $4,506.61

SubCategory Total : 036 Pediasure 6pk (any flavor) 6,489.00 6,486.00 $77,013.62

038 Pediasure with Fiber 6pk (any flavor)

070074580623 Pediasure Vanilla Fiber 8oz 6pk PKG No 2,229.00 2,229.00 $23,776.65

SubCategory Total : 038 Pediasure with Fiber 6pk (any flavor)

2,229.00 2,229.00 $23,776.65

063 Neocate Junior Any Flavor 749735006276 Neocate Junior Vanilla CTR No 28.00 28.00 $0.00

063 Neocate Junior Any Flavor 749735017906 Neocate Junior without Prebiotics Unflavor 14.1OZ

CTR No 273.00 273.00 $10,383.22

063 Neocate Junior Any Flavor 749735026908 Neocate Junior Chocolate 14.1OZ CTR No 1.00 1.00 $49.12

063 Neocate Junior Any Flavor 749735117903 Neocate Jr without Prebiotics Unflav Case 4 Pac

CTR No 5.00 20.00 $314.65

SubCategory Total : 063 Neocate Junior Any Flavor

307.00 322.00 $10,746.99

153 Peptamen Junior RTF Any Flavor

798716062527 PEPTAMEN JUNIOR® Van 8.45OZ CTR No 96.00 96.00 $902.40

SubCategory Total : 153 Peptamen Junior RTF Any Flavor

96.00 96.00 $902.40

228 Pediasure Peptide 1.0 CAL Any Flavor

070074674100 PEDIASURE PEPTIDE 1 CAL VAN 8 OZ

BOTTLE

CTR No 1,504.00 1,504.00 $371.77

228 Pediasure Peptide 1.0 CAL Any Flavor

070074674124 PEDIASURE PEPTIDE 1 CAL STRAWB

8oz BOTTLE

CTR No 72.00 72.00 $647.28 eWIC Rebate Analysis Summary

Account Type: HHousehold Report Date/Time: 03/03/2025 01:27:40 PM

Rebate Indicator

Redeemed Quantity

Applied Benefit Units

Settled Amount

SubCategory Total : 228 Pediasure Peptide 1.0 CAL Any Flavor

1,576.00 1,576.00 $1,019.05

256 PediaSure 1.5 Cal RTF 070074673868 PEDIASURE 1.5 CAL VANILLA 8OZ CTR No 1,835.00 1,609.00 $1,114.02

SubCategory Total : 256 PediaSure 1.5 Cal RTF 1,835.00 1,609.00 $1,114.02

257 PediaSure 1.5 Cal with Fiber RTF 8 oz

070074673752 PEDIASURE 1.5 CAL FIBER VANILLA

8OZ

CTR No 2,318.00 2,318.00 $2,301.00

SubCategory Total : 257 PediaSure 1.5 Cal with Fiber RTF 8 oz

2,318.00 2,318.00 $2,301.00

271 Peptamen Junior Fiber 798716602006 PEPTAMEN JUNIOR® FIBER Van

8.45OZ

CTR No 85.00 85.00 $934.15

SubCategory Total : 271 Peptamen Junior Fiber 85.00 85.00 $934.15

336 Neocate Splash Any Flavor 749735024362 Neocate Splash OrangePineapple 8OZ CTR No 465.00 465.00 $942.95

336 Neocate Splash Any Flavor 749735044513 Neocate Splash Unflavored 8OZ CTR No 230.00 230.00 $0.00

336 Neocate Splash Any Flavor 749735124352 Neocate Splash Grape Case CTR No 2.00 54.00 $405.98

336 Neocate Splash Any Flavor 749735124369 Neocate Splash Orange Pineapple Case CTR No 2.00 54.00 $364.10

336 Neocate Splash Any Flavor 749735124376 Neocate Splash Tropical Fruit Case CTR No 1.00 27.00 $202.99

SubCategory Total : 336 Neocate Splash Any Flavor

700.00 830.00 $1,916.02

Category Total : 41 15,635.00 15,551.00 $119,723.90 eWIC Rebate Analysis Summary

Account Type: HHousehold Report Date/Time: 03/03/2025 01:27:40 PM

Rebate Indicator

Redeemed Quantity

Applied Benefit Units

Settled Amount

036 Pediasure 6pk (any flavor) 070074580500 ABBOTT NUTRITION Pediasure Van 6pk PKG No 3,655.00 3,655.00 $36,804.16

036 Pediasure 6pk (any flavor) 070074580531 ABBOTT NUTRITION Pediasure Ban 6pk PKG No 699.00 699.00 $9,426.96

036 Pediasure 6pk (any flavor) 070074580562 ABBOTT NUTRITION Pediasure Str 6pk PKG No 1,390.00 1,390.00 $18,886.57

036 Pediasure 6pk (any flavor) 070074580593 ABBOTT NUTRITION Pediasure Cho 6pk PKG No 1,359.00 1,359.00 $18,601.74

036 Pediasure 6pk (any flavor) 070074669205 ABBOTT NUTRITION Pediasure Smores 6pk

PKG No 311.00 311.00 $4,275.48

SubCategory Total : 036 Pediasure 6pk (any flavor) 7,414.00 7,414.00 $87,994.91

038 Pediasure with Fiber 6pk (any flavor)

070074580623 Pediasure Vanilla Fiber 8oz 6pk PKG No 2,528.00 2,520.00 $25,975.73

SubCategory Total : 038 Pediasure with Fiber 6pk (any flavor)

2,528.00 2,520.00 $25,975.73

063 Neocate Junior Any Flavor 749735006276 Neocate Junior Vanilla CTR No 38.00 38.00 $440.86

063 Neocate Junior Any Flavor 749735017906 Neocate Junior without Prebiotics Unflavor

14.1OZ

CTR No 334.00 314.00 $12,700.16

063 Neocate Junior Any Flavor 749735026908 Neocate Junior Chocolate 14.1OZ CTR No 51.00 51.00 $2,509.48

063 Neocate Junior Any Flavor 749735064566 Neocate Junior Strawberry 14.1OZ CTR No 34.00 34.00 $1,666.60

063 Neocate Junior Any Flavor 749735117903 Neocate Jr without Prebiotics Unflav Case 4 Pac

CTR No 7.00 28.00 $427.98

063 Neocate Junior Any Flavor 749735164563 Neocate Junior Strawberry Case 4Pack CTR No 3.00 12.00 $183.42

SubCategory Total : 063 Neocate Junior Any Flavor

467.00 477.00 $17,928.50

153 Peptamen Junior RTF Any Flavor

798716062527 PEPTAMEN JUNIOR® Van 8.45OZ CTR No 96.00 96.00 $902.40

SubCategory Total : 153 Peptamen Junior RTF Any Flavor

96.00 96.00 $902.40 eWIC Rebate Analysis Summary

Account Type: HHousehold Report Date/Time: 04/03/2025 11:21:43 AM

Rebate Indicator

Redeemed Quantity

Applied Benefit Units

Settled Amount

228 Pediasure Peptide 1.0 CAL Any Flavor

070074674100 PEDIASURE PEPTIDE 1 CAL VAN 8 OZ

BOTTLE

CTR No 1,792.00 1,792.00 $3,137.53

228 Pediasure Peptide 1.0 CAL Any Flavor

070074674124 PEDIASURE PEPTIDE 1 CAL STRAWB

8oz BOTTLE

CTR No 117.00 117.00 $969.48

228 Pediasure Peptide 1.0 CAL Any Flavor

070074674148 PEDIASURE PEPTIDE 1 CAL UNFLAV 8

OZ BOTTLE

CTR No 113.00 113.00 $0.00

SubCategory Total : 228 Pediasure Peptide 1.0 CAL Any Flavor

2,022.00 2,022.00 $4,107.01

256 PediaSure 1.5 Cal RTF 070074673868 PEDIASURE 1.5 CAL VANILLA 8OZ CTR No 1,638.00 1,638.00 $606.24

SubCategory Total : 256 PediaSure 1.5 Cal RTF 1,638.00 1,638.00 $606.24

257 PediaSure 1.5 Cal with Fiber RTF 8 oz

070074673752 PEDIASURE 1.5 CAL FIBER VANILLA

8OZ

CTR No 2,470.00 2,470.00 $1,354.74

SubCategory Total : 257 PediaSure 1.5 Cal with Fiber RTF 8 oz

2,470.00 2,470.00 $1,354.74

271 Peptamen Junior Fiber 798716602006 PEPTAMEN JUNIOR® FIBER Van

8.45OZ

CTR No 119.00 119.00 $1,307.81

SubCategory Total : 271 Peptamen Junior Fiber 119.00 119.00 $1,307.81

336 Neocate Splash Any Flavor 749735000595 Neocate Splash Vanilla CTR No 135.00 135.00 $0.00

336 Neocate Splash Any Flavor 749735024355 Neocate Splash Grape 8OZ CTR No 54.00 54.00 $391.50

336 Neocate Splash Any Flavor 749735024362 Neocate Splash OrangePineapple 8OZ CTR No 169.00 169.00 $761.62

336 Neocate Splash Any Flavor 749735024379 Neocate Splash Tropical Fruit 8OZ CTR No 48.00 48.00 $348.48

336 Neocate Splash Any Flavor 749735044513 Neocate Splash Unflavored 8OZ CTR No 617.00 617.00 $0.00

336 Neocate Splash Any Flavor 749735124352 Neocate Splash Grape Case CTR No 1.00 27.00 $202.99

336 Neocate Splash Any Flavor 749735124369 Neocate Splash Orange Pineapple Case CTR No 3.00 81.00 $546.15

336 Neocate Splash Any Flavor 749735124376 Neocate Splash Tropical Fruit Case CTR No 1.00 27.00 $202.99

SubCategory Total : 336 Neocate Splash Any Flavor

1,028.00 1,158.00 $2,453.73

Category Total : 41 17,782.00 17,914.00 $142,631.07 eWIC Rebate Analysis Summary

Account Type: HHousehold Report Date/Time: 04/03/2025 11:21:43 AM

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