Schedule B - Bid Pricing Sheet- RFP 26-1046 MDHHS WIC Infant Formula Rebate Program.xlsx
XLSX spreadsheet 17 KB Posted
- Attached to
- MDHHS WIC Infant Formula Bid Contract
- Solicitation number
- RFP 491 260000001094 1
- Issued by
- Michigan
About this file
This is a bid pricing sheet template for RFP 26-1046 issued by the Michigan Department of Health and Human Services (MDHHS) for the WIC Infant Formula Rebate Program. The solicitation seeks bids for primary contract infant formula to be supplied in three physical forms: powdered, liquid concentrate, and ready-to-feed formulations. Bidders must provide pricing for three infant age categories (0-3 months, 4-5 months, and 6-11 months) across both fully formula-fed and partially breastfed infant populations. The bid sheet includes estimated monthly issuance volumes based on six months of recent program data, with powdered formula representing the largest volume at approximately 21 million reconstituted ounces monthly, followed by ready-to-feed at approximately 67,600 reconstituted ounces and liquid concentrate at approximately 28,750 reconstituted ounces. The solicitation requires a single-supplier competitive bid process to comply with federal requirements outlined in 7 C.F.R. 246.10(e)(9) and 246.16a(c).
Bidders must submit pricing data to at least three decimal places for the lowest wholesale full truckload price per unit and rebate bid per unit for each formula type and age category. The bid sheet calculates net price per unit, percent rebate, and total monthly costs based on estimated infant populations. All bidders must certify that they are registered with the FDA under the Food, Drug and Cosmetic Act; that products comply with federal regulations under P.L. 100-237 and are suitable for routine issuance to healthy, full-term infants; and that they can supply one hundred percent of the program's needs across all geographic areas served by Michigan WIC. The template note specifies that no assurances are provided regarding the quantity, type, or physical forms that will actually be issued under any resulting contract.
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Other files
| File | Type | Posted |
|---|---|---|
| Standard Contract Terms RFP 260000001094 - MDHHS WIC Infant Formula Rebate Program.docx | DOCX document | |
| Schedule C - Bidder Response_RFP 26-1046 MDHHS WIC Infant Formula Rebate Program.docx | DOCX document | |
| RFP 260000001094 - MDHHS WIC Infant Formula Rebate Program.docx | DOCX document |
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Text version
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 Form | Product Name | UPC Code | Unit Size (in ounces) | Reconstituted Ounce Per Unit | Lowest Wholesale Full Truckload Price Per Unit | Rebate Bid Per Unit | Infant Age Categories | Number 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 Unit | Percent Rebate | Total Monthly Reconstituted Ounces to Bid | Standardized Number of Units of Infant Formula | Total Cost | ||
| Fully Formula Fed Infants | Partially Breastfed Infants | Fully Formula Fed Infants | Partially Breastfed Infants | |||||||||||||
| Powdered | 0-3 months | 870 | 435 | 6,602 | 3,128 | $0.000 | ERROR:#DIV/0! | 21,075,474 | ERROR:#DIV/0! | ERROR:#DIV/0! | ||||||
| 4-5 months | 960 | 522 | 3,824 | 1,075 | ||||||||||||
| 6-11 months | 696 | 384 | 12,802 | 2,158 | ||||||||||||
| Liquid Concentrate | 0-3 months | 823 | 388 | 11 | 6 | $0.000 | ERROR:#DIV/0! | 28,751 | ERROR:#DIV/0! | ERROR:#DIV/0! | ||||||
| 4-5 months | 896 | 460 | 5 | 2 | ||||||||||||
| 6-11 months | 630 | 315 | 16 | 6 | ||||||||||||
| Ready-to-Feed | 0-3 months | 832 | 384 | 22 | 10 | $0.000 | ERROR:#DIV/0! | 67,616 | ERROR:#DIV/0! | ERROR:#DIV/0! | ||||||
| 4-5 months | 913 | 474 | 12 | 2 | ||||||||||||
| 6-11 months | 643 | 338 | 48 | 8 | ||||||||||||
| *Based on WIC Program Regulations (§246.10(e)(9)(Table 1) and §246.16a(c)(5)(i)) | Total Monthly Price | ERROR:#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) (l)(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 WIC | Manufacturer's Signature: |
| Manufacturer Name: |
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