Attachment G - Infant Formula Invoices 2021-2022.pdf

72 KB Posted

Attached to
IFB Infant Formula Rebate Program
Solicitation number
22-444DHS-FAMCO-B-28401
Issued by
Illinois

About this file

Written by GovTribe AI ·

This document is a series of monthly invoices from the Illinois Department of Human Services (DHS) to Mead Johnson Nutrition for infant formula rebates under the state's WIC program. The invoices cover redemptions and rebate calculations for various Enfamil and Prosobee formula products from August 2021 through February 2022, with total rebate amounts ranging from $3.6 million to $3.9 million per month.

The related state and local contract opportunity is for an Infant Formula Rebate Program, where the Illinois DHS is seeking sealed bids from infant formula manufacturers to supply and provide rebates on all formulas issued through the state's WIC program, excluding exempt formulas. The contract term and any renewal options are not specified in the information provided.

View the file

Other files

File Type Posted
Attachment E-1 - 11 months Rebate Formula redemptions 2021-2022.pdf PDF
Attachment F-1 - FFY22 Rebate Receipts.pdf PDF
B-28401 Notice of Award Form v.22.1_41.pdf PDF
Forms A~44.docx DOCX document
Attachment B - Food Center Addresses.xlsx XLSX spreadsheet
Attachment D - 2023 Rebate Bid Sheet~1.xlsx XLSX spreadsheet
Attachment E-2 - 11 months non-Rebate Formula redemptions 2021-2022.pdf PDF
Attachment F-2 - FFY21 Rebate Receipts.pdf PDF
Attachment F-3 - FFY20 Rebate Receipts.pdf PDF
Attachment H - Active Vendors February 2022.xlsx XLSX spreadsheet
Attachment I - Food Center WIC Formula Purchases 3-year Trend.xlsx XLSX spreadsheet
DHS IFB WIC Infant Formula-B-28401.docx DOCX document
Attachment C - WIC Food Center Information.docx DOCX document
Questions and Answers for B-28401~1.pdf PDF
Attachment A - Federal Participation.docx DOCX document
Forms B~60.docx DOCX document
Notice of Electronic Submission Only v.22.1~39.pdf PDF
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ILLINOIS DEPARTMENT OF HUMAN SERVICES

WIC INFANT FORMULA REBATE MONTHLY INVOICE 2/4/2022

FFY 22 invoice

Norma Phillips Mead Johnson Nutrition

2400 W. Lloyd Expressway, T40

Evansville, IN 47721

Fax: (812) 647-8587

Phone: (812) 429-5342 `

Based on the actual redemptions from January 2022 from new contract beginning 02/01/2018.

Note: Partial redemptions are no longer part of the rebate calculation.

Formula Type Monthly Rebate Extended

Mead Johnson Nutritionals Redemptions Per Can Rebate

8.00 OZ ENFAMIL INFANT - 1.5480 $0.00

12.4 OZ ENFAMIL REGULINE 5,189.00 16.2640 $84,393.90

12.4 OZ GENTLEASE PWD 92,126.00 15.8190 $1,457,341.19

12.5 OZ ENFAMIL INFANT 130,068.00 15.2250 $1,980,285.30

12.9 OZ ENFAMIL AR PWD 14,765.00 16.6060 $245,187.59

12.9 OZ PROSOBEE PWD 7,043.00 17.1500 $120,787.45

13 OZ ENFAMIL PREMIUM INFANT 6,649.00 4.3300 $28,790.17

13 OZ ENFAMIL PROSOBEE CON 413.00 4.2600 $1,759.38

32 OZ ENFAMIL PROSOBEE RTU 26.00 6.0600 $157.56

32 OZ ENFAMIL INFANT RTF 323.00 4.8980 $1,582.05

PROSOBEE RTF 6-PACKS - 1.5480 $0.00

256,602 $3,920,284.59 Total due within 30 days of Invoice: $3,920,284.59

PLEASE REMIT PAYMENT TO:

Mark Bartolozzi

Bureau of Revenue Management and Fiscal Reporting

Illinois Department of Human Services

100 South Grand Avenue E.

Springfield, IL 62762

Attachment G

WIC INFANT FORMULA REBATE MONTHLY INVOICE 1/5/2022

FFY 22 invoice

Norma Phillips Mead Johnson Nutrition

2400 W. Lloyd Expressway, T40

Evansville, IN 47721

Fax: (812) 647-8587

Phone: (812) 429-5342 `

Based on the actual redemptions from December 2021 from new contract beginning 02/01/2018.

Note: Partial redemptions are no longer part of the rebate calculation.

Formula Type Monthly Rebate Extended

Mead Johnson Nutritionals Redemptions Per Can Rebate

8.00 OZ ENFAMIL INFANT - 1.5480 $0.00

12.4 OZ ENFAMIL REGULINE 5,055.00 16.2640 $82,214.52

12.4 OZ GENTLEASE PWD 90,241.00 15.8190 $1,427,522.38

12.5 OZ ENFAMIL INFANT 125,920.00 15.2250 $1,917,132.00

12.9 OZ ENFAMIL AR PWD 14,492.00 16.6060 $240,654.15

12.9 OZ PROSOBEE PWD 6,841.00 17.1500 $117,323.15

13 OZ ENFAMIL PREMIUM INFANT 6,250.00 4.3300 $27,062.50

13 OZ ENFAMIL PROSOBEE CON 513.00 4.2600 $2,185.38

32 OZ ENFAMIL PROSOBEE RTU 2.00 6.0600 $12.12

32 OZ ENFAMIL INFANT RTF 370.00 4.8980 $1,812.26

PROSOBEE RTF 6-PACKS - 1.5480 $0.00

249,684 $3,815,918.46 Total due within 30 days of Invoice: $3,815,918.46

PLEASE REMIT PAYMENT TO:

Mark Bartolozzi

Bureau of Revenue Management and Fiscal Reporting

Illinois Department of Human Services

100 South Grand Avenue E.

WIC INFANT FORMULA REBATE MONTHLY INVOICE 12/3/2021

FFY 21 invoice

Norma Phillips Mead Johnson Nutrition

2400 W. Lloyd Expressway, T40

Evansville, IN 47721

Fax: (812) 647-8587

Phone: (812) 429-5342 `

Based on the actual redemptions from November 2021 from new contract beginning 02/01/2018.

Note: Partial redemptions are no longer part of the rebate calculation.

Formula Type Monthly Rebate Extended

Mead Johnson Nutritionals Redemptions Per Can Rebate

8.00 OZ ENFAMIL INFANT 1.5480 $0.00

12.4 OZ ENFAMIL REGULINE 4,619.00 16.2640 $75,123.42

12.4 OZ GENTLEASE PWD 87,561.00 15.8190 $1,385,127.46

12.5 OZ ENFAMIL INFANT 123,648.00 15.2250 $1,882,540.80

12.9 OZ ENFAMIL AR PWD 14,281.00 16.6060 $237,150.29

12.9 OZ PROSOBEE PWD 6,458.00 17.1500 $110,754.70

13 OZ ENFAMIL PREMIUM INFANT 6,253.00 4.3300 $27,075.49

13 OZ ENFAMIL PROSOBEE CON 414.00 4.2600 $1,763.64

32 OZ ENFAMIL PROSOBEE RTU 0.00 6.0600 $0.00

32 OZ ENFAMIL INFANT RTF 438.00 4.8980 $2,145.32

243,672 $3,721,681.12 Total due within 30 days of Invoice: $3,721,681.12

PLEASE REMIT PAYMENT TO:

Mark Bartolozzi

Bureau of Revenue Management and Fiscal Reporting

Illinois Department of Human Services

WIC INFANT FORMULA REBATE MONTHLY INVOICE Nov-21

FFY 21 invoice

Norma Phillips Mead Johnson Nutrition

2400 W. Lloyd Expressway, T40

Evansville, IN 47721

Fax: (812) 647-8587

Phone: (812) 429-5342 `

Based on the actual redemptions from October 2021 from new contract beginning 02/01/2018.

Note: Partial redemptions are no longer part of the rebate calculation.

Formula Type Monthly Rebate Extended

Mead Johnson Nutritionals Redemptions Per Can Rebate

8.00 OZ ENFAMIL INFANT 1.5480 $0.00

12.4 OZ ENFAMIL REGULINE 4,956.00 16.2640 $80,604.38

12.4 OZ GENTLEASE PWD 88,244.00 15.8190 $1,395,931.84

12.5 OZ ENFAMIL INFANT 124,484.00 15.2250 $1,895,268.90

12.9 OZ ENFAMIL AR PWD 14,184.00 16.6060 $235,539.50

12.9 OZ PROSOBEE PWD 7,126.00 17.1500 $122,210.90

13 OZ ENFAMIL PREMIUM INFANT 6,666.00 4.3300 $28,863.78

13 OZ ENFAMIL PROSOBEE CON 446.00 4.2600 $1,899.96

32 OZ ENFAMIL PROSOBEE RTU 7.00 6.0600 $42.42

32 OZ ENFAMIL INFANT RTF 356.00 4.8980 $1,743.69

246,469 $3,762,105.37 Total due within 30 days of Invoice: $3,762,105.37

PLEASE REMIT PAYMENT TO:

Mark Bartolozzi

Bureau of Revenue Management and Fiscal Reporting

Illinois Department of Human Services

WIC INFANT FORMULA REBATE MONTHLY INVOICE Oct-21

FFY 21 invoice

Norma Phillips Mead Johnson Nutrition

2400 W. Lloyd Expressway, T40

Evansville, IN 47721

Fax: (812) 647-8587

Phone: (812) 429-5342 ` meqa

Based on the actual redemptions from September 2021 from new contract beginning 02/01/2018.

Note: Partial redemptions are no longer part of the rebate calculation.

Formula Type Monthly Rebate Extended

Mead Johnson Nutritionals Redemptions Per Can Rebate

8.00 OZ ENFAMIL INFANT 1.5480 $0.00

12.4 OZ ENFAMIL REGULINE 4,891.00 16.2640 $79,547.22

12.4 OZ GENTLEASE PWD 83,858.00 15.8190 $1,326,549.70

12.5 OZ ENFAMIL INFANT 119,299.00 15.2250 $1,816,327.28

12.9 OZ ENFAMIL AR PWD 13,985.00 16.6060 $232,234.91

12.9 OZ PROSOBEE PWD 6,312.00 17.1500 $108,250.80

13 OZ ENFAMIL PREMIUM INFANT 6,156.00 4.3300 $26,655.48

13 OZ ENFAMIL PROSOBEE CON 353.00 4.2600 $1,503.78

32 OZ ENFAMIL PROSOBEE RTU 6.0600 $0.00

32 OZ ENFAMIL INFANT RTF 358.00 4.8980 $1,753.48

235,212 $3,592,822.66 Total due within 30 days of Invoice: $3,592,822.66

PLEASE REMIT PAYMENT TO:

Mark Bartolozzi

Bureau of Revenue Management and Fiscal Reporting

Illinois Department of Human Services

WIC INFANT FORMULA REBATE MONTHLY INVOICE Sep-21

FFY 21 invoice

Norma Phillips Mead Johnson Nutrition

2400 W. Lloyd Expressway, T40

Evansville, IN 47721

Fax: (812) 647-8587

Phone: (812) 429-5342 ` meqa

Based on the actual redemptions from August 2021 from new contract beginning 02/01/2018.

Note: Partial redemptions are no longer part of the rebate calculation.

Formula Type Monthly Rebate Extended

Mead Johnson Nutritionals Redemptions Per Can Rebate

8.00 OZ ENFAMIL INFANT 1.5480 $0.00

12.4 OZ ENFAMIL REGULINE 4,941.00 16.2640 $80,360.42

12.4 OZ GENTLEASE PWD 85,664.00 15.8190 $1,355,118.82

12.5 OZ ENFAMIL INFANT 123,284.00 15.2250 $1,876,998.90

12.9 OZ ENFAMIL AR PWD 14,332.00 16.6060 $237,997.19

12.9 OZ PROSOBEE PWD 7,109.00 17.1500 $121,919.35

13 OZ ENFAMIL PREMIUM INFANT 6,685.00 4.3300 $28,946.05

13 OZ ENFAMIL PROSOBEE CON 354.00 4.2600 $1,508.04

32 OZ ENFAMIL PROSOBEE RTU 24.00 6.0600 $145.44

32 OZ ENFAMIL INFANT RTF 302.00 4.8980 $1,479.20

242,695 $3,704,473.41 Total due within 30 days of Invoice: $3,704,473.41

PLEASE REMIT PAYMENT TO:

Mark Bartolozzi

Bureau of Revenue Management and Fiscal Reporting

Illinois Department of Human Services

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