Food List (FPL) Updated 10/01/2017 Name Phone Number Email County Store Address City State Zip Code WIC Vendor Number (if known) Name of Person Completing this FPL Instructions: Complete all sections of the Food List (FPL) for all relevant WIC authorized foods in the following pages. If you have questions, explanations, or comments, please provide these in the space on the last page. If you are an existing vendor, save this document to your computer using the file name For “County#####FPL.” example, a store in Marion County with WIC vendor number 01234 would save the file as Marion01234FPL. the completed FPL document and Vendor Application to . Minimum Inventory of WIC Approved Foods (Refer to the Vendor Food Card for more information.): 12 gallons total: 3-whole, 2-2%, 1-1% or skim Milk: Infant Formula: Cheese: 2 kinds, 3 lbs. in 8 or 16 oz. sizes 6-12.1 oz. Gerber Good Start Gentle concentrate Eggs: 3 large or extra large white eggs, one-dozen 20-12.7 oz. Gerber Good Gentle powder Dry 2 kinds of dry beans for a total of 3 lbs. in 1 lb. 10-12.4 oz. Gerber Good Start Soothe powder bags 5-12.9 oz. Gerber Good Start Soy powder Canned Beans: 128 oz. of canned beans in 15-64 oz. size Infant Cereal: 2 kinds for a total of 64 oz. in 8 or 16 oz. containers Cereal: 6 kinds of dry and 1 kind of cooked, 20 boxes Fruits and Vegetables Infant Food: 192 oz. in 4 oz. jars total, at least 1 whole grain cereal or 8 oz. 2-packs 15 containers of 64 oz., 3 kinds with 100% juice and Meat Baby Food: 16 containers of 2.5 oz. glass jars 120% Vitamin C or more 5 cans of 11.5 or 12 oz. concentrate or 5 loaves of WIC approved whole grain bread in 16 Concentrate: Bread: 46-48 oz. juice, 2 kinds oz. packages Peanut Butter: 5 jars, 16-18 oz. Fruits and Vegetables: $30 with 2 different fruits and 2 different vegetables Does your store have all of the required WIC food listed above in stock? Yes No ☐ ☐ Least expensive brand only. No organic. Price A. MILK:
Food List (FPL) Updated 10/01/2017 Name Phone Number Email County Store Address City State Zip Code WIC Vendor Number (if known) Name of Person Completing this FPL Instructions: Complete all sections of the Food List (FPL) for all relevant WIC authorized foods in the following pages. If you have questions, explanations, or comments, please provide these in the space on the last page. If you are an existing vendor, save this document to your computer using the file name “County#####FPL.” For example, a store in Marion County with WIC vendor number 01234 would save the file as Marion01234FPL. the completed FPL document and Vendor Application to . Minimum Inventory of WIC Approved Foods (Refer to the Vendor Food Card for more information.): Milk: 12 gallons total: 3-whole, 2-2%, 1-1% or skim Infant Formula: Cheese: 2 kinds, 3 lbs. in 8 or 16 oz. sizes 6-12.1 oz. Gerber Good Start Gentle concentrate Eggs: 3 large or extra large white eggs, one-dozen 20-12.7 oz. Gerber Good Gentle powder Dry 2 kinds of dry beans for a total of 3 lbs. in 1 lb. bags 10-12.4 oz. Gerber Good Start Soothe powder 5-12.9 oz. Gerber Good Start Soy powder Canned Beans: 128 oz. of canned beans in 15-64 oz. size Infant Cereal: 2 kinds for a total of 64 oz. in 8 or 16 oz. containers Cereal: 6 kinds of dry and 1 kind of cooked, 20 boxes total, at least 1 whole grain cereal Fruits and Vegetables Infant Food: 192 oz. in 4 oz. jars or 8 oz. 2-packs 15 containers of 64 oz., 3 kinds with 100% juice and 120% Vitamin C or more Meat Baby Food: 16 containers of 2.5 oz. glass jars Concentrate: 5 cans of 11.5 or 12 oz. concentrate or 46-48 oz. juice, 2 kinds Bread: 5 loaves of WIC approved whole grain bread in 16 oz. packages Peanut Butter: 5 jars, 16-18 oz. Fruits and Vegetables: $30 with 2 different fruits and 2 different vegetables Does your store have all of the required WIC food listed above in stock? ☐ Yes ☐ No A. MILK: Least expensive brand only. No organic. Price
IN%20WIC%20Food%20Price%20List%20FPL%20updated%2010.01.17.docx