Appendix A.3 Summary of Cost-Containment Practices

Appendix A.3

Summary of Cost-Containment Practices

OMB Number: 0584-XXXX

Expiration Date: XX/XX/XXXX

[WIC State Agency Name] Summary of Cost Containment Practices

This memo has been prefilled with the cost containment practices of your State agency. If any information is incorrect or incomplete, please correct it by clicking on any of the boxes or by using the drop-down menu for Brand Requirements. Brand Requirements include: Any brand allowed, Store brand required, Least expensive brand required, or Allowed brands. Please select the option that is most correct for the food category. For example, if any brands are allowed for liquid cow’s milk, but only specific brands are allowed for goat’s milk, please select “Any brand allowed”. If you feel that a specific response option is not adequate to explain a food-specific practice, you may further explain the requirements or practices in the comment box below each food category (e.g., Milk and Milk Substitutes Comments).

MILK AND MILK SUBSTITUTES

Milk

Brand Requirements		Sizes Allowed Quarts Half gallons Gallons
Types Allowed Lactose reduced milk Acidophilus milk Organic milk Calcium-fortified milk	Buttermilk Evaporated milk Flavored milk		Goat’s milk Nonfat dry milk UHT milk

Cheese

Brand Requirements
Packaging Allowed Sliced cheese Individually wrapped slices of cheese	Shredded cheese	String cheese
Types Allowed American cheese Colby cheese Muenster cheese Marbled/blended cheese Low-sodium cheese	Brick cheese Monterey Jack cheese Provolone cheese Fat-reduced cheese Lactose-reduced cheese	Cheddar cheese Mozzarella cheese Swiss cheese Low-cholesterol cheese Organic cheese

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0584-XXXX. The time required to complete this information collection is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

Yogurt

Allowed Not allowed		Brand Requirements
Types Allowed Greek yogurt	Flavored yogurt		Organic yogurt

Soy-based beverage

Allowed Not allowed		Brand Requirements
Types Allowed Refrigerated soy-based beverage	Shelf-stable soy-based beverage		Organic soy-based beverage

Tofu

Allowed Not allowed		Brand Requirements
Types Allowed Light tofu	Organic tofu		Shelf-stable tofu	Cubed tofu

Milk and Milk Substitutes Comments

     

EGGS

Eggs

Brand Requirements	Sizes Allowed Small Medium Large Extra large
Types Allowed Brown eggs	Organic eggs

Eggs Comments

     

LEGUMES

Peanut Butter

Brand Requirements		Textures Allowed Creamy Chunky Natural
Types Allowed Fortified peanut butter Low-sugar peanut butter	Low-fat/reduced-fat peanut butter Organic peanut butter		Low-sodium peanut butter

Beans

Dry Beans Brand Requirements		Canned Beans Allowed Not allowed Canned Beans Brand Requirements
Types Allowed Dry beans: organic	Canned beans: baked Canned beans: low sodium		Canned beans: organic Canned beans: refried

Legumes Comments

     

CANNED FISH

Canned Fish

Brand Requirements
Types Allowed Tuna Mackerel Organic canned fish Canned fish with skin and bones	Salmon Packed in oil Pouch packed	Sardines Packed in sauce Low-sodium canned fish

Canned Fish Comments

     

WHOLE-GRAIN PRODUCTS

Whole-Grain Bread

Brand Requirements

Types Allowed Light bread

Organic bread

Tortillas

Allowed Not allowed		Brand Requirements
Types Allowed Refrigerated tortillas Soft corn, white tortillas	Organic tortillas Whole-wheat tortillas		Soft corn, yellow tortillas

Brown Rice

Allowed Not allowed		Brand Requirements
Types Allowed Instant brown rice Quick brown rice Organic brown rice	Short-grain brown rice Medium-grain brown rice Long-grain brown rice		Boil-in-a-bag brown rice Jasmine brown rice Basmati brown rice

Oats

Allowed Not allowed		Brand Requirements
Types Allowed Instant oats Quick oats	Crystal wedding oats Old-fashioned oats		Rolled/cut/steel cut oats Organic oats

Bulgur

Allowed Not allowed

Brand Requirements

Barley

Allowed Not allowed

Brand Requirements

Whole-Wheat Pasta

Allowed Not allowed	Brand Requirements
Types Allowed Organic pasta	Shape specified

Whole-Grain Products Comments

     

INFANT FOODS

Infant Cereal

Brand Requirements		Types Allowed Organic
Types Allowed All types of infant cereal allowed	Mixed/multigrain Whole wheat		Oats Corn	Brown rice Barley

Infant Fruits and Vegetables

Brand Requirements
Types Allowed Single varieties	Combination varieties	Organic infant fruits and vegetables

Infant Meat

Brand Requirements		Types Allowed Organic Broth/gravy
Animal Proteins Allowed All types of animal protein allowed	Beef Turkey		Chicken Veal	Ham Lamb

Infant Foods Comments

     

CEREAL

Cereal

Brands allowed

Store brand National brand

Describe Any Cereal Cost-Containment Practices

     

Cereal Comments

     

JUICE

Juice

Types Allowed 11.5-12 oz. frozen Brand Requirements 16 oz. frozen Brand Requirements

48 oz. shelf stable Brand Requirements 64 oz. shelf stable Brand Requirements

48 oz. refrigerated Brand Requirements 64 oz. refrigerated Brand Requirements

Juice Comments