ESBD_567618_1791984749264_Exhibit_H-2 -- Minnesota Invoice Examples.pdf
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- Attached to
- WIC Infant Formula Rebate
- Solicitation number
- HHS0016707
- Issued by
- Texas
About this file
This document contains invoice examples for the Minnesota WIC Program's Infant Formula Rebate program for Fiscal Year 2026, detailing rebate transactions for two major manufacturers: Abbott (soy-based formulas) and Mead Johnson (milk-based formulas). The examples cover three billing periods—January, February, and March 2026—and document the specific products, quantities of cans issued and redeemed, rebate rates per unit, and total rebate amounts for each manufacturer. Abbott's soy-based product line includes Similac Isomil in powder, liquid concentrate, and ready-to-feed formats, while Mead Johnson's offerings encompass multiple Enfamil product types across various package sizes and formulations. The document tracks the number of participating infants and fully breast-fed infants during each issuance month, providing operational metrics alongside financial data. Total rebates for the three-month period reached approximately $65,860 for Abbott and $2.2 million for Mead Johnson in January alone, with similarly substantial amounts in subsequent months.
The rebate structure demonstrates a tiered pricing model with per-unit rebate amounts varying by product type and size, ranging from $2.29 to $25.03 per unit. Billing entries are organized by manufacturer and month, indicating a systematic monthly invoicing and rebate processing cycle. The document serves as an example of invoice documentation requirements for vendors participating in the WIC Program's rebate system, demonstrating how manufacturers submit claims based on actual can distributions and redemptions by participating WIC beneficiaries. The data reflects both formula types distributed and actual cans redeemed by children, with monthly participation figures and redemption metrics documented for program management and accountability purposes.
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MINNESOTA WIC PROGRAM
Infant Formula Rebate - Abbott - Soy Based
FFY 2026
January 2026
1 Similac Isomil Soy-Based Powder (12.4 ounces ) Issue Months # of Cans Rebate Per Unit Rebate Amount
December 658 $20.850 $13,719.30 January 2,492 $20.850 $51,958.20
Total 3,150 $65,677.50
2 Similac Isomil Soy-Based Liquid Concentrate (13 ounces ) Issue Months # of Cans Rebate Per Unit Rebate Amount
December 2 $4.800 $9.60 January 36 $4.800 $172.80
Total 38 $182.40
3 Similac Isomil Soy-Based Ready to Feed (RTF) (32 ounces ) Issue Months # of Cans Rebate Per Unit Rebate Amount
December - $2.290 $0.00 January - $2.290 $0.00
Total - $0.00
Issue Months Total Rebate Amount
December $13,728.90 January $52,131.00
Total $65,859.90
# of cans 3,188
20,603
4,757
Est. number of participating infants in issuance month:
Est. number of infants fully breast-fed in issuance month:
Infant Formula Rebate - Mead Johnson - Milk Based
FFY 2026
January 2026
1 Enfamil AR Powder (12.9 oz) Issue Months # of Cans Rebate Per Unit Rebate Amount
December 1,136 $25.025 $28,428.40 January 4,047 $25.025 $101,276.18
Total 5,183 $129,704.58
2 Enfamil Gentlease Powder (12.4 oz) Issue Months # of Cans Rebate Per Unit Rebate Amount
December 8,435 $22.945 $193,541.08 January 30,344 $22.945 $696,243.08
Total 38,779 $889,784.16
3 Enfamil Infant Powder (12.5 oz) Issue Months # of Cans Rebate Per Unit Rebate Amount
December 12,887 $20.812 $268,204.24 January 41,279 $20.812 $859,098.55
Total 54,166 $1,127,302.79
4 Enfamil Infant Concentrate (13 oz) Issue Months # of Cans Rebate Per Unit Rebate Amount
December 117 $5.506 $644.20 January 161 $5.506 $886.47
Total 278 $1,530.67
5 Enfamil Infant RTU Bottle (32 oz) Issue Months # of Cans Rebate Per Unit Rebate Amount
December - $4.644 $0.00 January - $4.644 $0.00
Total - $0.00
6 Enfamil NeuroPro Gentlease RTU Bottle (32 oz) Issue Months # of Cans Rebate Per Unit Rebate Amount
December 28 $8.088 $226.46 January 52 $8.088 $420.58
Total 80 $647.04
7 Enfamil NeuroPro Infant RTU Bottle (32 oz) Issue Months # of Cans Rebate Per Unit Rebate Amount
December - $8.164 $0.00 January 2 $8.164 $16.33
Total 2 $16.33
8 Enfamil Reguline Powder (12.4 oz) Issue Months # of Cans Rebate Per Unit Rebate Amount
December 521 $24.518 $12,773.88 January 1,927 $24.518 $47,246.19
Total 2,448 $60,020.06
FFY 2026
January 2026
9 Enfamil NeuroPro Infant RTU Bottle (6 pack - 8 oz) Issue Months # of Cans Rebate Per Unit Rebate Amount
December - $12.618 $0.00 January - $12.618 $0.00
Total - $0.00
10 Enfamil NeuroPro Gentlease RTU Bottle (6 pack - 8 oz) Issue Months # of Cans Rebate Per Unit Rebate Amount
December - $13.488 $0.00 January - $13.488 $0.00
Total - $0.00
Issue Months Total Rebate Amount
December $503,818.26 January $1,705,187.36
Total $2,209,005.62
# of cans 100,936
Number of cans redeemed for children during the issuance month : 503
February 2026
January 668 $20.850 $13,927.80 February 2,152 $20.850 $44,869.20
Total 2,820 $58,797.00
2 Similac Isomil Soy-Based Liquid Concentrate (13 ounces ) Issue Months # of Cans Rebate Per Unit Rebate Amount
January - $4.800 $0.00 February 12 $4.800 $57.60
Total 12 $57.60
3 Similac Isomil Soy-Based Ready to Feed (RTF) (32 ounces ) Issue Months # of Cans Rebate Per Unit Rebate Amount
January - $2.290 $0.00 February - $2.290 $0.00
Total - $0.00
Issue Months Total Rebate Amount
January $13,927.80 February $44,926.80
Total $58,854.60
# of cans 2,832
20,344
4,704
FFY 2026
February 2026
1 Enfamil AR Powder (12.9 oz) Issue Months # of Cans Rebate Per Unit Rebate Amount
January 1,023 $25.025 $25,600.58 February 3,672 $25.025 $91,891.80
Total 4,695 $117,492.38
2 Enfamil Gentlease Powder (12.4 oz) Issue Months # of Cans Rebate Per Unit Rebate Amount
January 7,692 $22.945 $176,492.94 February 26,492 $22.945 $607,858.94
Total 34,184 $784,351.88
3 Enfamil Infant Powder (12.5 oz) Issue Months # of Cans Rebate Per Unit Rebate Amount
January 11,922 $20.812 $248,120.66 February 36,534 $20.812 $760,345.61
Total 48,456 $1,008,466.27
4 Enfamil Infant Concentrate (13 oz) Issue Months # of Cans Rebate Per Unit Rebate Amount
January 76 $5.506 $418.46 February 126 $5.506 $693.76
Total 202 $1,112.21
5 Enfamil Infant RTU Bottle (32 oz) Issue Months # of Cans Rebate Per Unit Rebate Amount
January - $4.644 $0.00 February - $4.644 $0.00
Total - $0.00
6 Enfamil NeuroPro Gentlease RTU Bottle (32 oz) Issue Months # of Cans Rebate Per Unit Rebate Amount
January 33 $8.088 $266.90 February 40 $8.088 $323.52
Total 73 $590.42
7 Enfamil NeuroPro Infant RTU Bottle (32 oz) Issue Months # of Cans Rebate Per Unit Rebate Amount
January 3 $8.164 $24.49 February 24 $8.164 $195.94
Total 27 $220.43
8 Enfamil Reguline Powder (12.4 oz) Issue Months # of Cans Rebate Per Unit Rebate Amount
January 563 $24.518 $13,803.63 February 1,713 $24.518 $41,999.33
Total 2,276 $55,802.97
FFY 2026
February 2026
9 Enfamil NeuroPro Infant RTU Bottle (6 pack - 8 oz) Issue Months # of Cans Rebate Per Unit Rebate Amount
January - $12.618 $0.00 February - $12.618 $0.00
Total - $0.00
10 Enfamil NeuroPro Gentlease RTU Bottle (6 pack - 8 oz) Issue Months # of Cans Rebate Per Unit Rebate Amount
January - $13.488 $0.00 February - $13.488 $0.00
Total - $0.00
Issue Months Total Rebate Amount
January $464,727.67 February $1,503,308.89
Total $1,968,036.56
# of cans 89,913
Number of cans redeemed for children during the issuance month : 371
March 2026
February 733 $20.850 $15,283.05 March 2,349 $20.850 $48,976.65
Total 3,082 $64,259.70
2 Similac Isomil Soy-Based Liquid Concentrate (13 ounces ) Issue Months # of Cans Rebate Per Unit Rebate Amount
February - $4.800 $0.00 March 24 $4.800 $115.20
Total 24 $115.20
3 Similac Isomil Soy-Based Ready to Feed (RTF) (32 ounces ) Issue Months # of Cans Rebate Per Unit Rebate Amount
February - $2.290 $0.00 March - $2.290 $0.00
Total - $0.00
Issue Months Total Rebate Amount
February $15,283.05 March $49,091.85
Total $64,374.90
# of cans 3,106
19,938
4,653
FFY 2026
March 2026
1 Enfamil AR Powder (12.9 oz) Issue Months # of Cans Rebate Per Unit Rebate Amount
February 1,233 $25.025 $30,855.83 March 4,021 $25.025 $100,625.53
Total 5,254 $131,481.35
2 Enfamil Gentlease Powder (12.4 oz) Issue Months # of Cans Rebate Per Unit Rebate Amount
February 9,944 $22.945 $228,165.08 March 28,080 $22.945 $644,295.60
Total 38,024 $872,460.68
3 Enfamil Infant Powder (12.5 oz) Issue Months # of Cans Rebate Per Unit Rebate Amount
February 15,127 $20.812 $314,823.12 March 39,398 $20.812 $819,951.18
Total 54,525 $1,134,774.30
4 Enfamil Infant Concentrate (13 oz) Issue Months # of Cans Rebate Per Unit Rebate Amount
February 150 $5.506 $825.90 March 239 $5.506 $1,315.93
Total 389 $2,141.83
5 Enfamil Infant RTU Bottle (32 oz) Issue Months # of Cans Rebate Per Unit Rebate Amount
February - $4.644 $0.00 March - $4.644 $0.00
Total - $0.00
6 Enfamil NeuroPro Gentlease RTU Bottle (32 oz) Issue Months # of Cans Rebate Per Unit Rebate Amount
February - $8.088 $0.00 March 10 $8.088 $80.88
Total 10 $80.88
7 Enfamil NeuroPro Infant RTU Bottle (32 oz) Issue Months # of Cans Rebate Per Unit Rebate Amount
February 8 $8.164 $65.31 March 54 $8.164 $440.86
Total 62 $506.17
8 Enfamil Reguline Powder (12.4 oz) Issue Months # of Cans Rebate Per Unit Rebate Amount
February 645 $24.518 $15,814.11 March 1,754 $24.518 $43,004.57
Total 2,399 $58,818.68
FFY 2026
March 2026
9 Enfamil NeuroPro Infant RTU Bottle (6 pack - 8 oz) Issue Months # of Cans Rebate Per Unit Rebate Amount
February - $12.618 $0.00 March - $12.618 $0.00
Total - $0.00
10 Enfamil NeuroPro Gentlease RTU Bottle (6 pack - 8 oz) Issue Months # of Cans Rebate Per Unit Rebate Amount
February - $13.488 $0.00 March - $13.488 $0.00
Total - $0.00
Issue Months Total Rebate Amount
February $590,549.35 March $1,609,714.54
Total $2,200,263.89
# of cans 100,663
Number of cans redeemed for children during the issuance month : 403
| 202601 Abbott Billing |
| 202601 Mead Johnson Billing |
| 202602 Abbott Billing |
| 202602 Mead Johnson Billing |
| 202603 Abbott Billing |
| 202603 Mead Johnson Billing |
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