Attachment G Infant Formula Rebate Invoices September 2024 - April 2025.pdf

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Attached to
Open Market Competitive Sealed Bidding IL|25-444DHS-FAMCO-P-82733
Contract number
25-444DHS-FAMCO-P-82733
Issued by
Illinois

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Written by GovTribe AI ·

The document is a series of monthly invoices from the Illinois Department of Human Services (IDHS) for a WIC Infant Formula Rebate Contract with Mead Johnson Nutrition, located in Evansville, Indiana. The invoices cover the period from September 2024 to April 2025, and are part of a contract that began on February 1, 2023, under BidBuy Bid #25-444DHS-FAMCO-B-47390.

The invoices detail monthly rebates for various Enfamil infant formula products, including different sizes and types such as Reguline, Gentlease, Infant, AR Powder, Prosobee, and NeuroPro variants. The monthly redemption volumes range from approximately 244,000 to 262,000 units, with corresponding extended rebate amounts between $4.6 million and $5 million per month. The rebate per can varies by product type, ranging from $4.97 to $24.92. Payments are to be remitted to Mark Bartolozzi at the Bureau of Revenue Management and Fiscal Reporting, Illinois Department of Human Services, located in Springfield, IL.

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Other files

File Type Posted
Attachment E-1 Rebate Formula Redemptions Aug 2024 - Mar 2025.pdf PDF
Attachment B WIC Food Center Addresses.xlsx XLSX spreadsheet
Attachment F FFY 2022 to December FFY 2025 Rebate Receipts.pdf PDF
Questions and Answers-B-47390~2.docx DOCX document
DHS IFB Infant Formula Rebate-B-47390-Revised~1.docx DOCX document
Invitation for Bid Vendor Instructions and Requirements-B-47390~1.docx DOCX document
invitation-for-bid-offer-to-the-state-of-illinois-B-47390.pdf PDF
Attachment I Food Center WIC Formula Purchases 3-year Trend.xlsx XLSX spreadsheet
Attachment H Active Vendors April 2025.xlsx XLSX spreadsheet
vendor-disclosure-v.24.1~39.docx DOCX document
NOA DHS-B-47390.pdf PDF
Attachment C WIC Food Center Information.pdf PDF
Attachment A Federal Participation FFY 2023 to Jan FFY 2025.docx DOCX document
Attachment D Bid Sheet Template-Single Solicitation July 2024.xlsx XLSX spreadsheet
ipg-active-registered-vendor-disclosure-v.23.1~77.docx DOCX document
Attachment E-2 Non-rebate Formula Redemptions Aug 2024 - Mar 2025.pdf PDF
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ILLINOIS DEPARTMENT OF HUMAN SERVICES

WIC INFANT FORMULA REBATE MONTHLY INVOICE 9/3/2024

FFY 25 invoice

Natasha Scott

Mead Johnson Nutrition 2400 W. Lloyd Expressway, T40 Evansville, IN

Fax: (812) 647-8587 Phone: (812) 429-5342

Based on the actual redemptions from Aug 2024 from new contract beginning 02/01/2023.

Formula Type UPC Monthly Rebate Extended Mead Johnson Nutritionals Number Redemptions Per Can Rebate

27.4 OZ ENFAMIL AR POWDER 41.9430 -

12.4 OZ ENFAMIL REGULINE 300875111321 5,296.00 21.1770 $112,153.39

12.4 OZ GENTLEASE PWD 300875100691 100,181.00 20.2190 $2,025,559.64

12.5 OZ ENFAMIL INFANT 30087165421 120,070.00 18.1270 $2,176,508.89

12.9 OZ ENFAMIL AR PWD 300870201423 11,318.00 21.6170 $244,661.21

12.9 OZ PROSOBEE PWD 300871214415 6,366.00 22.3140 $142,050.92

13 OZ ENFAMIL PREMIUM INFANT 300871367418 3,850.00 5.3540 $20,612.90

13 OZ ENFAMIL PROSOBEE CON 3008711954423 298.00 5.6730 $1,690.55

32 OZ ENFAMIL PROSOBEE RTU 300875123645 100.00 7.9590 $795.90

32 OZ ENFAMIL INFANT RTF 300875121542 22.00 4.9710 109.36

36.4 OZ ENFAMIL NEUROPRO INFANT REFILL 59.9190 -

Enfamil Infant Powder 29.4oz 42.8600 -

Enfamil NeuroPro Infant RTU 300875121412 961.00 7.6370 $7,339.16

Enfamil NeuroPro Infant Powder 28.3oz 48.7530 -

Enfamil NeuroPro Infant Powder Box 52.7870 -

Enfamil Gentlease Powder 27.7oz 46.9180 -

Enfamil NeuroPro Gentlease RTU 3008715626 840.00 8.5370 $7,171.08

Enfamil NeuroPro Gentlease Powder 27.4oz 53.7280 -

Enfamil NeuroPro Gentlease Powder Box 56.7930 -

20.9oz Enfamil Prosobee Powder 40.7990 -

Enfamil AR Powder Box 53.7280 -

249,302 4,738,653.00

4,738,653.00

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 - Illinois Department of Human Services – WIC Infant Formula Rebate – Sept. 2024 to Apr. 2025 Rebate sheets – BidBuy Bid #25-444DHS-FAMCO-B-47390

WIC INFANT FORMULA REBATE MONTHLY INVOICE 10/9/2024

FFY 25 invoice

Natasha Scott

Mead Johnson Nutrition 2400 W. Lloyd Expressway, T40 Evansville, IN

Fax: (812) 647-8587 Phone: (812) 429-5342

Based on the actual redemptions from Sep 2024 from new contract beginning 02/01/2023.

Formula Type UPC Monthly Rebate Extended Mead Johnson Nutritionals Number Redemptions Per Can Rebate

27.4 OZ ENFAMIL AR POWDER 41.9430 -

12.4 OZ ENFAMIL REGULINE 300875111321 4,271.00 21.1770 $90,446.97

12.4 OZ GENTLEASE PWD 300875100691 105,776.00 20.2190 $2,138,684.94

12.5 OZ ENFAMIL INFANT 300871365421 120,901.00 18.1270 $2,191,572.43

12.9 OZ ENFAMIL AR PWD 300870201423 11,727.00 21.6170 $253,502.56

12.9 OZ PROSOBEE PWD 300871214415 6,216.00 22.3140 $138,703.82

13 OZ ENFAMIL PREMIUM INFANT 300871367418 3,694.00 5.3540 $19,777.68

13 OZ ENFAMIL PROSOBEE CON 300871195417 279.00 5.6730 $1,582.77

32 OZ ENFAMIL PROSOBEE RTU 300875123645 85.00 7.9590 $676.52

32 OZ ENFAMIL INFANT RTF 300875121542 28.00 4.9710 139.19

36.4 OZ ENFAMIL NEUROPRO INFANT REFILL 59.9190 -

Enfamil Infant Powder 29.4oz 42.8600 -

Enfamil NeuroPro Infant RTU 300875121412 927.00 7.6370 $7,079.50

Enfamil NeuroPro Infant Powder 28.3oz 48.7530 -

Enfamil NeuroPro Infant Powder Box 52.7870 -

Enfamil Gentlease Powder 27.7oz 46.9180 -

Enfamil NeuroPro Gentlease RTU 3008715626 466.00 8.5370 $3,978.24

Enfamil NeuroPro Gentlease Powder 27.4oz 53.7280 -

Enfamil NeuroPro Gentlease Powder Box 56.7930 -

20.9oz Enfamil Prosobee Powder 40.7990 -

Enfamil AR Powder Box 53.7280 -

254,370 4,846,144.61

WIC Rebate Contract Review Report (dated 9/12/2024) Deduction (34,278.64)

Total due 4,811,865.97

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

WIC INFANT FORMULA REBATE MONTHLY INVOICE 11/4/2024

FFY 25 invoice

Natasha Scott

Mead Johnson Nutrition 2400 W. Lloyd Expressway, T40 Evansville, IN

Fax: (812) 647-8587 Phone: (812) 429-5342

Based on the actual redemptions from October 2024 from new contract beginning 02/01/2023.

Formula Type UPC Monthly Rebate Extended Mead Johnson Nutritionals Number Redemptions Per Can Rebate

27.4 OZ ENFAMIL AR POWDER 41.9430 -

12.4 OZ ENFAMIL REGULINE 300875111321 5,291.00 21.1770 112,047.51

12.4 OZ GENTLEASE PWD 300875100691 107,961.00 20.2190 2,182,863.46

12.5 OZ ENFAMIL INFANT 300871365421 124,674.00 18.1270 2,259,965.60

12.9 OZ ENFAMIL AR PWD 300870201423 10,925.00 21.6170 236,165.73

12.9 OZ PROSOBEE PWD 300871214415 6,415.00 22.3140 143,144.31

13 OZ ENFAMIL PREMIUM INFANT 300871367418 3,741.00 5.3540 20,029.31

13 OZ ENFAMIL PROSOBEE CON 300871195417 239.00 5.6730 1,355.85

32 OZ ENFAMIL PROSOBEE RTU 300875123645 72.00 7.9590 573.05

32 OZ ENFAMIL INFANT RTF 300875121542 4.9710 -

Enfamil NeuroPro Infant RTU 300875121412 920.00 7.6370 7,026.04

Enfamil NeuroPro Gentlease RTU 3008715626 247.00 8.5370 2,108.64

260,485 4,965,279.49

WIC Rebate Contract Review Report Deduction -

Total due 4,965,279.49

PLEASE REMIT PAYMENT TO:

Mark Bartolozzi

Bureau of Revenue Management and Fiscal Reporting Illinois Department of Human Services

WIC INFANT FORMULA REBATE MONTHLY INVOICE 12/2/2024

FFY 25 invoice

Natasha Scott

Mead Johnson Nutrition 2400 W. Lloyd Expressway, T40 Evansville, IN

Fax: (812) 647-8587 Phone: (812) 429-5342

Based on the actual redemptions from November 2024 from new contract beginning 02/01/2023.

Formula Type UPC Monthly Rebate Extended Mead Johnson Nutritionals Number Redemptions Per Can Rebate

27.4 OZ ENFAMIL AR POWDER 41.9430 -

12.4 OZ ENFAMIL REGULINE 300875111321 4,951.00 21.1770 104,847.33

12.4 OZ GENTLEASE PWD 300875100691 100,791.00 20.2190 2,037,893.23

12.5 OZ ENFAMIL INFANT 300871365421 115,989.00 18.1270 2,102,532.60

12.9 OZ ENFAMIL AR PWD 300870201423 12,593.00 21.6170 272,222.88

12.9 OZ PROSOBEE PWD 300871214415 5,842.00 22.3140 130,358.39

13 OZ ENFAMIL PREMIUM INFANT 300871367418 2,908.00 5.3540 15,569.43

13 OZ ENFAMIL PROSOBEE CON 300871195417 146.00 5.6730 828.26

32 OZ ENFAMIL PROSOBEE RTU 300875123645 52.00 7.9590 413.87

32 OZ ENFAMIL INFANT RTF 300875121542 4.9710 -

Enfamil NeuroPro Infant RTU 300875121412 918.00 7.6370 7,010.77

Enfamil NeuroPro Gentlease RTU 3008715626 149.00 8.5370 1,272.01

244,339 4,672,948.77

Total due 4,672,948.77

PLEASE REMIT PAYMENT TO:

Mark Bartolozzi

Bureau of Revenue Management and Fiscal Reporting Illinois Department of Human Services

WIC INFANT FORMULA REBATE MONTHLY INVOICE 1/3/2025

FFY 25 invoice

Natasha Scott

Mead Johnson Nutrition 2400 W. Lloyd Expressway, T40 Evansville, IN

Fax: (812) 647-8587 Phone: (812) 429-5342

Based on the actual redemptions from December 2024 from new contract beginning 02/01/2023.

Formula Type UPC Monthly Rebate Extended Mead Johnson Nutritionals Number Redemptions Per Can Rebate

27.4 OZ ENFAMIL AR POWDER 41.9430 -

12.4 OZ ENFAMIL REGULINE 300875111321 4,959.00 21.1770 105,016.74

12.4 OZ GENTLEASE PWD 300875100691 107,143.00 20.2190 2,166,324.32

12.5 OZ ENFAMIL INFANT 300871365421 121,744.00 18.1270 2,206,853.49

12.9 OZ ENFAMIL AR PWD 300870201423 13,228.00 21.6170 285,949.68

12.9 OZ PROSOBEE PWD 300871214415 5,728.00 22.3140 127,814.59

13 OZ ENFAMIL PREMIUM INFANT 300871367418 3,434.00 5.3540 18,385.64

13 OZ ENFAMIL PROSOBEE CON 300871195417 133.00 5.6730 754.51

32 OZ ENFAMIL PROSOBEE RTU 300875123645 49.00 7.9590 389.99

32 OZ ENFAMIL INFANT RTF 300875121542 5.00 4.9710 24.86

Enfamil NeuroPro Infant RTU 300875121412 841.00 7.6370 6,422.72

Enfamil NeuroPro Gentlease RTU 3008715626 121.00 8.5370 1,032.98

257,385 4,918,969.50

Total due 4,918,969.50

PLEASE REMIT PAYMENT TO:

Mark Bartolozzi

Bureau of Revenue Management and Fiscal Reporting Illinois Department of Human Services

WIC INFANT FORMULA REBATE MONTHLY INVOICE 2/3/2025

FFY 25 invoice

Natasha Scott

Mead Johnson Nutrition 2400 W. Lloyd Expressway, T40 Evansville, IN

Fax: (812) 647-8587 Phone: (812) 429-5342

Based on the actual redemptions from January 2025 from new contract beginning 02/01/2023.

Formula Type UPC Monthly Rebate Extended Mead Johnson Nutritionals Number Redemptions Per Can Rebate

27.4 OZ ENFAMIL AR POWDER 41.9430 -

12.4 OZ ENFAMIL REGULINE 300875111321 5,016.00 21.1770 106,223.83

12.4 OZ GENTLEASE PWD 300875100691 107,173.00 20.2190 2,166,930.89

12.5 OZ ENFAMIL INFANT 300871365421 119,813.00 18.1270 2,171,850.25

12.9 OZ ENFAMIL AR PWD 300870201423 13,982.00 21.6170 302,248.89

12.9 OZ PROSOBEE PWD 300871214415 5,580.00 22.3140 124,512.12

13 OZ ENFAMIL PREMIUM INFANT 300871367418 3,158.00 5.3540 16,907.93

13 OZ ENFAMIL PROSOBEE CON 300871195417 110.00 5.6730 624.03

32 OZ ENFAMIL PROSOBEE RTU 300875123645 68.00 7.9590 541.21

32 OZ ENFAMIL INFANT RTF 300875121542 4.00 4.9710 19.88

Enfamil NeuroPro Infant RTU 300875121412 944.00 7.6370 7,209.33

Enfamil NeuroPro Gentlease RTU 3008715626 223.00 8.5370 1,903.75

256,071 4,898,972.12

Total due 4,898,972.12

PLEASE REMIT PAYMENT TO:

Mark Bartolozzi

Bureau of Revenue Management and Fiscal Reporting Illinois Department of Human Services

WIC INFANT FORMULA REBATE MONTHLY INVOICE 3/5/2025

FFY 25 invoice

Natasha Scott

Mead Johnson Nutrition 2400 W. Lloyd Expressway, T40 Evansville, IN

Fax: (812) 647-8587 Phone: (812) 429-5342

Based on the actual redemptions from February 1, 2025 to March 4, 2025 from new contract beginning 02/01/2023.

Formula Type UPC Monthly Rebate Extended Mead Johnson Nutritionals Number Redemptions Per Can Rebate

27.4 OZ ENFAMIL AR POWDER 41.9430 -

12.4 OZ ENFAMIL REGULINE 300875111321 5,367.00 21.1770 113,656.96

12.4 OZ GENTLEASE PWD 300875100691 108,675.00 20.2190 2,197,299.83

12.5 OZ ENFAMIL INFANT 300871365421 123,492.00 18.1270 2,238,539.48

12.9 OZ ENFAMIL AR PWD 300870201423 14,656.00 21.6170 316,818.75

12.9 OZ PROSOBEE PWD 300871214415 6,193.00 22.3140 138,190.60

13 OZ ENFAMIL PREMIUM INFANT 300871367418 2,968.00 5.3540 15,890.67

13 OZ ENFAMIL PROSOBEE CON 300871195417 195.00 5.6730 1,106.24

32 OZ ENFAMIL PROSOBEE RTU 300875123645 61.00 7.9590 485.50

32 OZ ENFAMIL INFANT RTF 300875121542 26.00 4.9710 129.25

Enfamil NeuroPro Infant RTU 300875121412 812.00 7.6370 6,201.24

Enfamil NeuroPro Gentlease RTU 3008715626 231.00 8.5370 1,972.05

262,676 5,030,290.57

Total due 5,030,290.57

PLEASE REMIT PAYMENT TO:

Mark Bartolozzi

Bureau of Revenue Management and Fiscal Reporting Illinois Department of Human Services

WIC INFANT FORMULA REBATE MONTHLY INVOICE 4/3/2025

FFY 25 invoice

Natasha Scott

Mead Johnson Nutrition 2400 W. Lloyd Expressway, T40 Evansville, IN

Fax: (812) 647-8587 Phone: (812) 429-5342

Based on the actual redemptions from March 5, 2025 to March 31, 2025 from new contract beginning 02/01/2023.

Prices reflect pricing update on March 5, 2025.

Formula Type UPC Monthly Rebate Extended Mead Johnson Nutritionals Number Redemptions Per Can Rebate

12.9 OZ PROSOBEE PWD 300871214415 4,954 24.924 123,473.50

13 OZ ENFAMIL PROSOBEE CON 300871195417 137 5.673 777.20

32 OZ ENFAMIL PROSOBEE RTU 300875123645 41 7.959 326.32

12.9 OZ ENFAMIL AR PWD 300870201423 13,046 24.137 314,891.30

12.4 OZ GENTLEASE PWD 300875100691 91,571 22.099 2,023,627.53

Enfamil NeuroPro Gentlease RTU 300875115626 245 8.537 2,091.57

12.5 OZ ENFAMIL INFANT 300871365421 103,433 19.997 2,068,349.70

Enfamil NeuroPro Infant RTU 300875121412 692 7.637 5,284.80

32 OZ ENFAMIL INFANT RTF 300875121542 - 4.971 -

13 OZ ENFAMIL PREMIUM INFANT 300871367418 3,001 5.354 16,067.35

12.4 OZ ENFAMIL REGULINE 300875111321 4,659 23.647 110,171.37

Enfamil Infant Powder 29.4oz 42.860 -

36.4 OZ ENFAMIL NEUROPRO INFANT REFILL 59.919 -

Enfamil NeuroPro Infant Powder 28.3oz 48.753 -

Enfamil NeuroPro Infant Powder Box 52.787 -

Enfamil Gentlease Powder 27.7oz 46.918 -

27.4 OZ ENFAMIL AR POWDER 41.943

Enfamil NeuroPro Gentlease Powder 27.4oz 53.728 -

Enfamil NeuroPro Gentlease Powder Box 56.793 -

20.9oz Enfamil Prosobee Powder 40.799 -

Enfamil AR Powder Box 53.728 -

221,779 4,665,060.64

Total due 4,665,060.64

PLEASE REMIT PAYMENT TO:

Mark Bartolozzi

Bureau of Revenue Management and Fiscal Reporting Illinois Department of Human Services

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