Minnesota WIC Vendor Shelf Price Survey March 2012 Vendor Stamp Number: Store Name: Store Address: Store City: Store County: EXPLANATION AND INSTRUCTIONS: This survey is used to determine average shelf prices for the current WIC foods and will also provide us with important information regarding the availability of specific WIC food items. Submission of this survey is required by WIC Program Rules and your current WIC Vendor Agreement. 1. If you would like to receive an electronic version of this survey, please contact Theresa Graham at Theresa.graham@state.mn.us or go to the WIC website at: http://www.health.state.mn.us/divs/fh/wic/vendor/rqrmnts/survey.html 2. Complete the entire survey. 3. Not all WIC-allowed products are listed in this survey. For a list of WIC-allowed products, refer to the WIC website at http://www.health.state.mn.us/divs/fh/wic/vendor/fpchng/upc/download/allpdf.cfm 4. Where applicable, UPC codes are listed. 5. If no brand or manufacturer is specified, write the price of your most expensive brand. 6. Please do not include sale prices. Write in your store s usual price (what you would charge non-wic customers), even if this is more than the maximum price allowed by WIC. Remember, though, that even if you write a price on this survey that is higher than the maximum WIC price, the price you charge on WIC vouchers cannot exceed the maximum WIC price. 7. If you do not stock the item or size listed, leave the line blank. 8. If you have any questions, please call (651) 201-4417. 9. Send your completed survey by April 25, 2012. Minnesota WIC Price Survey CSC 13401 West 98th Street Lenexa, KS 66215 1
WIC Program Shelf Price Survey MILK Skim or Fat Free Milk (multiple brands) $ / quart Skim or Fat Free Milk (multiple brands) $ / half gallon Skim or Fat Free Milk (multiple brands) $ / gallon 1% Milk (multiple brands) $ / quart 1% Milk (multiple brands) $ / half gallon 1% Milk (multiple brands) $ / gallon 2% Milk (multiple brands) $ / quart 2% Milk (multiple brands) $ / half gallon 2% Milk (multiple brands) $ / gallon Fat Free or Lowfat (1%) Lactose Free Milk Fat Free or Lowfat (1%) Lactose Free Milk Fat Free or Lowfat (2%) Lactose Free Milk Fat Free or Lowfat (2%) Lactose Free Milk (multiple brands) (multiple brands) (multiple brands) (multiple brands) $ /half gallon $ / quart $ /half gallon $ / quart Nonfat Dry Powdered Milk (multiple brands) $ /3 quart Nonfat Dry Powdered Milk (multiple brands) $ /8 quart Nonfat Dry Powdered Milk (multiple brands) $ /20 quart Evaporated Milk (multiple brands) $ /12 oz. GOAT MILK Myenberg whole 0 72904 00003 5 $ / quart Myenberg low-fat 0 72904 00015 5 $ / quart Nanny s Pride whole 0 41483 00105 4 $ / quart Poplar Hill whole 0 19433 00001 3 $ / quart Meyenberg evaporated milk 0 72904 00012 7 $ / 12 oz. 2
CHEESE Cheddar (multiple brands) $ /8 oz block Colby (multiple brands) $ /8 oz block Co-Jack (Colby/Monterey Jack) (multiple brands) $ /8 oz block Farmer Cheese (multiple brands) $ /8 oz block Monterey Jack Cheese (multiple brands) $ /8 oz block Mozzarella Cheese (multiple brands) $ /8 oz block Muenster Cheese (multiple brands) $ /8 oz block Provolone Cheese (multiple brands) $ /8 oz block Swiss Cheese (multiple brands) $ /8 oz block SOY BEVERAGE 8 th Continent- Plain Original Label 0 53859 07066 3 $ / half gallon Pacific Natural Foods 0 52603 08200 6 $ / quart TOFU WIC Allowed Tofu (multiple brands) $ / 12 to 16 ounce package EGGS Large Eggs (multiple brands) $ / dozen CANNED FISH Tuna Fish (multiple brands) $ /5-6 oz Pink Salmon (multiple brands) $ / oz PEANUT BUTTER Peanut Butter (multiple brands) $ /15 to 18 oz 3
TORTILLAS Corn Tortillas Carlita s corn tortillas 0 41130 27082 6 $ /16 ounce package Chi-Chi s white corn tortillas 0 37600 08595 3 $ /16 ounce package Don Pancho soft white corn tortillas 0 79341 01386 4 $ /16 ounce package Food Club white corn tortillas 0 36800 30093 4 $ /16 ounce package HyVee White corn tortillas 0 75450 01722 9 $ /16 ounce package La Banderita 100% natural soft corn tortillas 0 27331 00049 3 $ /16 ounce package La Burrita soft corn tortillas 0 37232 00104 8 $ /16 ounce package La Perla soft corn tortillas 6 75674 92645 3 $ /16 ounce package Los Maizales corn tortillas 7 93573 84639 6 $ /16 ounce package Mission extra-thin soft yellow corn tortillas 0-73731 00328-2 $ /16 ounce package Shurfresh corn tortillas 0 11161 40251 0 $ /16 ounce package Tortillas Gloria soft corn tortillas 8 92697 00004 9 $ /15 ounce package Wheat Tortillas Chi-Chi s whole wheat tortillas 0 43354 00790 5 $ /16 ounce package Don Pancho whole wheat tortillas 0 79341 02628 4 $ /16 ounce package Food Club whole wheat tortillas 36800 220829 $ /16 ounce package Frescados whole wheat tortillas 29630 50018 $ /15.5 oz package Hy-Vee Authentic 8 whole wheat tortillas 0 7545001745 8 $ /16 ounce package La Banderita whole wheat tortillas 0 27331 00048 6 $ /16 ounce package Mission whole wheat tortillas 0 73731 07107 6 $ /16 ounce package Ortega whole wheat tortillas 0 41501 00922 2 $ /14.3 oz package Reser s Baja Café whole wheat tortillas 0-74177 00114-6 $ /15 ounce package Roundy s whole wheat tortillas 0 11150 08337 9 $ /16 ounce package Shurfresh whole wheat tortillas 11161 40121 $ /16 ounce package 4
WHOLE GRAIN BREAD Bimbo - 100% Whole Wheat 0 74323-09230 1 $ /16 ounce loaf Cub - 100% Whole Wheat 0 41130 02669 0 $ /16 ounce loaf Family Choice -100% whole wheat bread 76057 00427 $ /16 ounce loaf Food Club -100% whole wheat bread 36800 30087 $ /16 ounce loaf HyVee 100% whole wheat bread 75450 10138 $ /16 ounce loaf Our Family -100% whole wheat bread 70253 75151 $ /16 ounce loaf Pepperidge Farms - Stone Ground 100% Whole Wheat Pepperidge Farms - Very Thin Sliced Soft 100% Whole Wheat Pepperidge Farms - Whole Grain Rye, Seeded 0 14100 07101 3 $ /16 ounce loaf 0 14100 07132 7 $ /16 ounce loaf 14100 09140 $ /16 ounce loaf Sara Lee - Classic 100% Whole Wheat 0 72945 61103 0 $ /16 ounce loaf Shurfresh 100% whole wheat bread 0 11161 40303 6 $ /16 ounce loaf Village Hearth -100% whole wheat bread 76057 00428 $ /16 ounce loaf Weight Watchers - Whole Wheat Bread 83791 00001 2 $ /16 ounce loaf Wonder - Soft 100% Whole Wheat 0 45000 12100 3 $ /16 ounce loaf East African - Injera Bread 8 23264 00007 0 $ /16 ounce package OATMEAL Mom s Best Natural Quick Oats 0 42400 01692 2 $ /16 ounces Mother s Rolled Oats 30000 21641 $ /16 ounces Bulk oatmeal - n/a - $ /16 ounces BROWN RICE Instant Brown Rice (multiple brands) $ /14 ounce package Brown Rice (multiple brands) $ /16 ounce package Bulk Brown Rice -n/a- $ /16 ounce package 5
DRY BEANS, PEAS, LENTILS Dry Beans (multiple brands) $ /14-16 oz bag Lentils (multiple brands) $ /14-16 oz bag Green or Yellow Split or Whole Peas (multiple brands) $ /14-16 oz bag Bulk dry beans, peas or lentils -na- $ /14-16 oz bag CANNED BEANS (no added fats, oils meat) Azuki beans (multiple brands) $ /14-16 ounce can Black beans (multiple brands) $ /14-16 ounce can Chick peas (garbanzo beans) (multiple brands) $ /14-16 ounce can Great Northern beans (multiple brands) $ /14-16 ounce can Kidney beans (multiple brands) $ /14-16 ounce can Lima beans (multiple brands) $ /14-16 ounce can Mung beans (multiple brands) $ /14-16 ounce can Navy beans (multiple brands) $ /14-16 ounce can Pinto beans (multiple brands) $ /14-16 ounce can 100% FRUIT JUICE Apple (multiple brands) $ /64 oz non-refrigerated container Grape (red, white, purple) (multiple brands) $ /64 oz non-refrigerated container Pineapple (multiple brands) $ /64 oz non-refrigerated container Orange (multiple brands) $ /59 oz REFRIGERATED container Orange (multiple brands) $ /64 oz REFRIGERATED container Tomato (multiple brands) $ /64 oz non-refrigerated container Vegetable (multiple brands) $ /64 oz non-refrigerated container Apple (multiple brands) $ /11.5-12 oz can of FROZEN concentrate Grape (multiple brands) $ /11.5-12 oz can of FROZEN concentrate Grapefruit (multiple brands) $ /11.5-12 oz can of FROZEN concentrate Orange (multiple brands) $ /11.5-12 oz can of FROZEN concentrate Pineapple (multiple brands) $ /11.5-12 oz can of FROZEN concentrate 6
CEREALS (note: this is not a complete list of all WIC-allowed cereals) General Mills Cheerios (plain) 0 16000 27564 5 $ /14 oz General Mills Cheerios (plain) 0 16000 27528 7 $ / 18 oz General Mills KIX 0 16000 27567 6 $ /12 oz General Mills Multi-Grain Cheerios 0 16000 27562 1 $ /12.8 oz General Mills Rice Chex 0 16000 27559 1 $ /12.8 oz General Mills Whole Grain Total 0 16000 27563 8 $ /16 oz General Mills Wheat Chex 0 16000 27549 2 $ /14 oz General Mills Wheaties (plain) 0 16000 27565 2 $ /15.6 oz Kellogg s Corn Flakes 38000 00127 $ /12 oz Kellogg s Corn Flakes 38000 00120 $ /18 oz Kellogg s Crispix 38000 03530 $ /12 oz Kellogg s Frosted Mini-Wheats (Big Bite) 38000 02720 $ /16 oz Kellogg s Rice Krispies 38000 31846 $ /12 oz Kellogg s Rice Krispies 38000 29121 $ /18 oz Kellogg s Special K 38000 01611 $ /12 oz Malt-O-Meal (original hot) 42400 00105 $ / 28 oz Post Banana Nut Crunch 8 84912 11650 5 $ /15.5 oz Post Grape Nuts 8 84912 10521 9 $ /24 oz Post Honey Bunches of Oats Honey Roasted 8 8491201424 5 $ /14.5 oz Post Honey Bunches of Oats Honey Roasted 8 84912 01426 9 $ /18 oz Quaker Life (Regular) 30000 06340 $ /15 oz Quaker Oatmeal Squares (Blue box) 30000 06430 $ /14.5 oz Quaker Instant Oatmeal 30000 01210 $ /11.8 oz 7
INFANT FORMULA Similac Advance (concentrate) 70074-56974 $ /13 oz can Similac Advance (powder) 70074-55958 $ /12.4 oz can Similac Advance (ready to feed) 70074-55962 $ /1 quart (32 oz) can Similac Advance (powder) 70074-53360 $ /1.45 lb. (23.2 oz) can Similac Soy Isomil (concentrate) 70074-56976 $ /13 oz can Similac Soy Isomil (powder) 70074-55964 $ /12.4 oz can Similac Sensitive (concentrate) 70074-57536 $ /13 oz can Similac Sensitive (powder) 70074-57541 $ /12.6 oz can Similac Sensitive for Spit Up (powder) 70074-50960 $ /12.3 oz can Similac Go and Grow (powder) 70074-50828 $ /22 oz can Similac Go and Grow Soy (powder) 70074-50838 $ /22 oz can INFANT CEREAL Beech Nut (multiple products) $ /8 oz box Gerber (multiple products) $ /8 oz box INFANT FRUITS AND VEGETABLES Beech Nut infant fruits (multiple products) $ /4 oz jar Beech Nut infant vegetables (multiple products) $ /4 oz jar Gerber infant fruits (multiple products) $ /4 oz jar Gerber infant vegetables (multiple products) $ /4 oz jar HyVee infant fruits (multiple products) $ /4 oz jar HyVee infant vegetables (multiple products) $ /4 oz jar Full Circle organic infant fruits (multiple products) $ /4 oz jar Full Circle organic infant vegetables (multiple products) $ /4 oz jar Wild Harvest organic infant fruits (multiple products) $ /4 oz jar Wild Harvest organic infant vegetables (multiple products) $ /4 oz jar 8
INFANT MEATS Beech Nut infant meats (multiple products) $ /2.5 oz jar Gerber infant meats (multiple products) $ /2.5 oz jar BANANAS Regular (including organic) (multiple brands) $ /16 ounce (pound) FRESH VEGETABLES (white-fleshed potatoes are excluded) Please mark with an X what fresh vegetables your store currently has in stock. Fresh Vegetables Fresh Vegetables Fresh Vegetables Avocados Corn Spinach Plain Bagged salad Cucumbers Squash Beets Green beans Sweet Potatoes Broccoli Lettuce Tomatoes Cabbage Onions Yams Carrots Peppers Zucchini Cauliflower Radishes Other (note: Celery Rutabaga cannot include white-fleshed Chilies potatoes or pumpkins) FRESH FRUITS Please mark with an X what fresh fruits your store currently has in stock. Fresh Fruits Fresh Fruits Fresh Fruits Apples Limes Pears Apricots Mangos Pineapples Bananas Melons Plums Blueberries Nectarines Raspberries Cantaloupes Oranges Strawberries Cherries Papayas Watermelons Grapes Peaches Other Lemons 9