RFP 26-1094 Amendment 1 Schedule B - Bid Sheet Template-Single Solicitation March 2026.xlsx

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Attached to
MDHHS WIC Infant Formula Rebate Program Bid Contract
Solicitation number
RFP 491 260000001094 5
Issued by
Michigan

About this file

This is a Bid Sheet Template for the Michigan Department of Health and Human Services (MDHHS) WIC Infant Formula Rebate Program, designed to collect competitive bids from infant formula manufacturers for a single-supplier contract solicitation. The bid sheet requires manufacturers to submit pricing and product information across three physical forms of infant formula: powdered, liquid concentrate, and ready-to-feed. Bidders must provide data for three infant age categories (0-3 months, 4-5 months, and 6-11 months) for both fully formula-fed and partially breastfed infants. The template calculates total monthly reconstituted ounces to be issued based on estimated average infant populations derived from six months of recent program data, with the bid sheet generating standardized units and total costs for each formula category. The solicitation adheres to federal requirements outlined in 7 C.F.R. 246.10(e)(9) and 246.16a(c).

Bidders must complete all gray-highlighted cells with pricing information, including lowest wholesale full truckload price per unit, rebate bid per unit, net price per unit, and percent rebate. The bid sheet includes certification requirements mandating that bidders be registered under the Food, Drug and Cosmetic Act with the U.S. Department of Health and Human Services, that all formula products comply with federal regulations and are suitable for routine issuance to healthy full-term infants, and that bidders can supply one hundred percent of the WIC Program's needs across all geographic areas in Michigan. The template notes that no assurances are provided regarding the actual quantity, type, or physical forms of infant formula that will be issued under the resulting contract, and estimated infant population figures exclude exclusively breastfed infants and those issued exempt infant formula.

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Infant Formula Bid Sheet

WIC Infant Formula Rebate Bid Sheet Template for a Single Bid Solicitation
Purpose: Template for WIC State agencies to use in order to collect bids for primary contract infant formula as part of its single-supplier competitive bid solicitation to meet the federal requirements outlined in 7 C.F.R. 246.10(e)(9)(Table 1) and §246.16a(c)(2, 4-7).
Instructions for the WIC State agency: Please complete all fillable cells in this template highlighted in pink (i.e., cells K8:L16; B25:E25).
Instructions for the Bidder: Please complete all fillable cells in this template highlighted in gray (i.e., cells B8:G16; B26:E26; K25:Q26) and read through the certification statements below. Please provide data to at least 3 decimal places when possible. Once complete, please sign and reference procurement instructions provided in the State agency's bid solicitation.
Physical FormProduct NameUPC CodeUnit Size
(in ounces)Reconstituted Ounce Per UnitLowest Wholesale Full Truckload Price Per UnitRebate Bid Per UnitInfant Age CategoriesNumber of Reconstituted Ounces Issued per Month Based on Max*Estimated Average Number of Infants by Physical Form Based on 6 Months Average**Net Price Per UnitPercent RebateTotal Monthly Reconstituted Ounces to BidStandardized Number of Units of Infant FormulaTotal Cost
Fully Formula Fed InfantsPartially Breastfed InfantsFully Formula Fed InfantsPartially Breastfed Infants
Powdered0-3 months8704356,6023,128$0.000ERROR:#DIV/0!21,075,474ERROR:#DIV/0!ERROR:#DIV/0!
4-5 months9605223,8241,075
6-11 months69638412,8022,158
Liquid Concentrate0-3 months823388116$0.000ERROR:#DIV/0!28,751ERROR:#DIV/0!ERROR:#DIV/0!
4-5 months89646052
6-11 months630315166
Ready-to-Feed0-3 months8323842210$0.000ERROR:#DIV/0!67,616ERROR:#DIV/0!ERROR:#DIV/0!
4-5 months913474122
6-11 months643338488
*Based on WIC Program Regulations (§246.10(e)(9)(Table 1) and §246.16a(c)(5)(i))Total Monthly PriceERROR:#DIV/0!
**Estimated average based on six months of the most recent data available. Excludes infants that are exclusively breastfed or issued exempt infant formula and includes infants that are issued milk- or soy- based infant formula.

Please Note: No assurances are provided on the quantity, type, or physical forms that will be issued under the agreement that will become a result of this bid solicitation. Additionally, the estimated average number of infants provided on this bid sheet is an approximation and excludes infants that are exclusively breastfed or issued exempt infant formula.

Certification:
The bidder hereby certifies that:

1. The bidder is registered under the Food, Drug and Cosmetic Act with the U.S. Department of Health & Human Services and its products are in compliance with Federal regulations issued pursuant to P.L. 100-237.

2. Bids for all physical forms of formula meet the requirements of 246.10 (e) (1)(iii) and 246.10(e)(2)(iii) and are suitable for the routine issuance to the majority of generally healthy, full term infants.

3. Each infant formula product to be supplied under the terms of this contract complies with the Federal Food, Drug, and Cosmetic Act.

4. The bidder can and will supply the quantities of infant formula offered to meet one hundred percent (100%) of the WIC Program’s needs in all geographic areas as outlined in the bid solicitation.

State Agency Name:Michigan WICManufacturer's Signature:
Manufacturer Name:

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