ESBD_567618_1791985133326_Exhibit_K-4_Choctaw Infant Formula Issuance.xlsx

This file is an infant formula issuance exhibit for the Choctaw Nation WIC (Women, Infants, and Children) program under a rebate contract for the participation period from October 2025 through March 2026. The document contains two detailed tabs: the first presents average formula issuance data by age group and formula-fed status, while the second provides actual monthly issuance records from October 2025 (202510) through March 2026 (202603). The contract covers six primary infant formula products: SIMILAC ISOMIL SOY 12.4 OZ POWDER, Enfamil Infant Powder 12.5oz, Enfamil AR Powder 12.9oz, Enfamil Gentlease Powder 12.4oz, Enfamil Neuropro Gentlease RTF 32oz, and Enfamil Reguline Powder 12.4oz. All formulas are classified as non-exempt and issued to infants across age categories from 0-1 months through 9-11 months, with data tracked separately for formula-fed (FF) and parent-bought formula (PBF) participants. The data reflects both infant counts and can quantities (cans) issued across multiple months, providing a detailed utilization baseline for the rebate contract period.

The file demonstrates significant formula consumption across the Choctaw Nation WIC program, with Enfamil Gentlease Powder consistently representing the largest volume issuance across most age groups and months. Monthly data shows that total infant counts range substantially, with certain months and product categories experiencing higher demand variation. The document serves as an exhibit supporting the WIC Infant Formula Rebate contract opportunity in Texas, providing actual consumption data necessary for contract pricing, rebate calculations, and demand forecasting. This historical issuance information enables vendors and the administering agency to establish appropriate rebate structures and ensure adequate product supply to meet the documented needs of the Choctaw Nation's WIC-eligible population.