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PA Bulletin, Doc. No. 04-1740


Special Supplemental Nutrition Program for Women, Infants and Children (WIC Program); Maximum Allowable Prices

[34 Pa.B. 5219]

   Under 28 Pa. Code § 1103.4(5) (relating to selection criteria for authorization and reauthorization), the WIC Program publishes notice of the maximum allowable prices. Effective October 1, 2004, through December 31, 2004, the maximum allowable prices the Department of Health will pay for a WIC allowable food are as follows:

Description         Maximum          Allowable          Price
1/2 gal. of Milk: Whole, Reduced Fat, Low
   Fat or Skim
12 oz. Evaporated Milk$1.13
16 oz. Dry Milk $5.22
1 qt. Lactose Reduced Milk $1.95
1/2 gal. Kosher Milk $2.76
4 oz. Kosher Infant Juice $0.69
8 oz. Kosher Infant Cereal $1.92
1 doz. Grade A Eggs $1.39
1 lb. Fresh Carrots $1.10
14 to 16 oz. Canned Carrots $1.10
1 lb. Cheese $6.12
1 lb. Kosher Cheese $8.32
1 lb. Dry Beans or Peas $1.42
1 oz. Adult WIC Cereal $0.39
8 oz. Gerber Infant Cereal $1.92
15 to 18 oz. Peanut Butter $2.43
46 oz. Single Strength Juice or 11.5 or 12
   oz. Juice Concentrate
6 oz. Cans Juice $1.56
6 to 6.5 oz. Chunk Light Tuna Packed in
4 oz. Gerber Infant Juice $0.69
32 oz. Alimentum Advance Ready-to-Feed $9.32
16 oz. Alimentum Advance Powder $26.82
13 oz. Isomil Advance Concentrate $4.70
32 oz. Isomil Advance Ready-to-Feed $5.80
12.9 oz. Isomil Advance Powder $14.42
12.9 oz. Isomil 2 Advance Powder $14.42
13 oz. Isomil with Iron Concentrate $4.36
12.9 oz. Isomil with Iron Powder $13.29
32 oz. Isomil DF Ready-to-Feed $6.07
13 oz. Nutramigen Lipil Concentrate $7.04
32 oz. Nutramigen Lipil Ready-to-Feed $8.87
16 oz. Nutramigen Lipil Powder $24.42
8 oz. Pediasure Ready-to-Feed $2.24
8 oz. Pediasure with Fiber Ready-to-Feed $2.34
13 oz. Similac Advance Concentrate $4.38
32 oz. Similac Advance Ready-to-Feed $6.20
12.9 oz. Similac Advance Powder $13.66
12.9 oz. Similac 2 Advance Powder $13.66
13 oz. Similac with Iron Concentrate $4.07
32 oz. Similac with Iron Ready-to-Feed $5.39
12.9 oz. Similac with Iron Powder $12.95
13 oz. Similac Lactose Free Advance    Concentrate $4.81
32 oz. Similac Lactose Free Advance    Ready-to-Feed $5.92
12.9 oz. Similac Lactose Free Advance    Powder $14.74
12.8 oz. Similac Neosure Advance Powder $15.65

   A store must permit purchase of WIC allowable foods that exceed the maximum allowable price to WIC participants using a WIC check. However, the amounts that exceed the maximum allowable price of WIC allowable foods sold to WIC participants will be billed to the store on a quarterly basis in accordance with 28 Pa. Code § 1105.2 (relating to price adjustment).

   Persons with a disability who require an alternative format of this listing of maximum allowable prices, (for example, large print, audiotape or Braille) should contact Chris Harr, Department of Health, Division of WIC, Room 604, Health and Welfare Building, Harrisburg, PA 17120, (717) 783-1289, for speech and/or hearing impaired persons, V/TT (717) 783-6514 or the Pennsylvania AT&T Relay Services at (800) 654-5984.


[Pa.B. Doc. No. 04-1740. Filed for public inspection September 17, 2004, 9:00 a.m.]

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