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18-BABY FOOD MEAT
05-CEREAL
02-CHEESE
- 012-CHEESE
03-EGGS
08-FISH
- 002-TUNA 5-12 OZ CAN
- 000-TUNA/SALMON/SARDINE/MKRL
11-FORMULA
19-FRUIT/VEGETABLES
16-GRAINS
09-INFANT CEREAL
17-INFANT FOOD
04-JUICE
- 005-JUICE 48 OZ OR 12 OZ FRZ
- 004-JUICE 64 OZ OR 16 OZ FRZ
06-LEGUMES
52-LOWFAT MILK/YOGURT Q
01-MILK
15-SPECIAL MILK
51-WHOLE MILK ONLY
- 000-WHOLE MILK ONLY
- 002-WHOLE MILK ONLY 1/2 GAL
50-WHOLE MILK/YOGURT QT

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01-MILK

000-SKIM OR 1% MILK/BUTTRMLK

006-SKIM 1/2% 1% MLK 1/2 GAL

007-EMERGENCY RELIEF- 1/2 GA
02-CHEESE

012-CHEESE
03-EGGS

000-EGGS SM/MED/LG/XLG/JUMBO

001-EGGS SM/MED/LG

002-EMERGENCY RELIEF - EGGS

006-EGGS ENRICHED SM/MED/LG

014-ORGANIC EGGS SM/MED/LG
04-JUICE

004-JUICE 64 OZ OR 16 OZ FRZ

005-JUICE 48 OZ OR 12 OZ FRZ
05-CEREAL

000-CEREAL

001-CEREAL 14 - 23 OZ

002-CEREAL 24 - 36 OZ

003-CEREAL 12 - 13 OZ

004-CEREAL UNDER 12 OZ
06-LEGUMES

000-BEANS OR PEANUT BUTTER

001-DRY BEANS 1 LB PKG

002-PEANUT BUTTER 16-18 OZ

003-CANNED BEANS
08-FISH

000-TUNA/SALMON/SARDINE/MKRL

002-TUNA 5-12 OZ CAN
09-INFANT CEREAL

000-INFANT CEREAL NO FRUIT

001-INFANT CEREAL W/O FRUIT

002-ORG INFANT CEREAL
11-FORMULA

019-SIM DIARRHEA RTU 32OZ

024-NUTRAMIGEN RTU 32OZ

031-NUTRAMIGEN CON 13OZ

034-PEDIASURE RTU 8OZ

035-PEDIASURE W/FBR RTU 8OZ

036-PREGESTIMIL PWD 16OZ

042-SIM PM 60/40 PWD 14.1OZ

051-PEPTAMEN JR RTU 250ML

075-ENSURE RTU 8OZ

101-COMPLEAT PED RTU 250ML

120-ENSURE PLS RTU 8OZ

132-GLYTROL RTU 250ML

183-NUTREN 1.0 RTU 250ML

187-NUTREN 2.0 RTU 250ML

188-NUTREN JR FBR RTU 250ML

189-NUTREN JR RTU 250ML

197-PEPTAMEN RTU 250ML

199-PEPTAMEN 1.5 RTU 250ML

235-SIMILAC HMF PWD 0.9G

238-DUOCAL PWD 400G

239-SUPLENA RTU 8OZ

274-BOOST HP RTU 8OZ

275-BOOST PUDD RTU 5OZ

292-PEDIASR ENTRL1.0 RTU 8OZ

293-PEDIAS ENT1.0FBR RTU 8OZ

332-NEOCATE JR PWD 400G

364-KETOCAL 4:1 PWD 300G

365-SIMILAC ADVANCE RTU 32OZ

370-NEOSURE PWD 13.1OZ

371-ENF ENFACARE PWD 13.6OZ

388-SIMILAC ADVANCE CON 13OZ

389-SIM SOY ISOML PWD 12.4OZ

390-SIM SOY ISOML RTU 32OZ

391-SIM SOY ISOML CON 13OZ

395-ALIMENTUM RTU 32OZ

414-SIMILAC ADVANCE PWD 12.4

428-BOOST RTU 8OZ

429-BOOST PLS RTU 8OZ

430-NEOSURE RTU 32OZ

438-PEPTAMEN JR PREBIO RTU 2

440-NEOCATE DHA/ARA PWD 400G

441-SIM SPEC 24 IRN RTU 2OZ

443-ENF PREM 24 IRN RTU 2OZ

460-PURAMINO PWD 14.1OZ

461-PREGESTIMIL 24 RTU 2OZ

462-PREGESTIMIL 20 RTU 2OZ

469-PEPTMN JR FBR RTU 8.45OZ

470-CALCILO XD PWD 13.2 OZ

475-BOOST KE 1.5 RTU 8OZ

476-BOOST KE 1.5FBR RTU 8OZ

478-PEPTMN JR 1.5 RTU 250ML

479-ELECARE PWD 14.1OZ

480-NUTRAMIGEN PWD 12.6OZ

492-BOOST KE RTU 8OZ

496-BOOST BREEZE RTU 8OZ

503-SIM SPEC 30 RTU 2OZ

504-NEOCATE JR PWD 400G

506-PEDIASURE 1.5 RTU 8OZ

507-PEDIASURE 1.5FBR RTU 8OZ

514-PEDIASURE PEP1.0 RTU 8OZ

515-ELECARE JR PWD 14.1OZ

525-NEOCATE NUTRA PWD 14OZ

529-PEDIASURE PEP1.5 RTU 8OZ

539-CMPL PED REDCAL RTU250ML

550-PEDIASR RED CAL RTU 8OZ

555-NUTRAMIG TODD PWD 12.6OZ

564-ENFAPORT RTU 6OZ-6PK

565-NEOCATE SPLASH RTU 8OZ

592-EXTENSIVE HA PWD 14.1OZ

593-ALFAMINO INF PWD 14.1OZ

594-ALFAMINO JR PWD 14.1OZ

598-ALIMENTUM PWD 12.1OZ

599-PURAMINO JR PWD 14.1OZ

601-NEOCATE SYNEO PWD 400G

602-GOGROW TODD PWD 1.5LB

608-ENFAGROW TODD PWD 24OZ

619-SIMILAC SENSITIVE PWD 12

620-SIMILAC SENSITIVE RTU 32

621-SIMILAC FOR SPIT-UP PWD

622-SIMILAC FOR TOTAL COMFOR

638-FORTINI INFANT RTU 4OZ

663-ENFAMIL INFAN PWD 12.5OZ

664-ENFAMIL INFANT CON 13OZ

667-ENFAMIL A.R. PWD 12.9OZ

668-ENFAMIL GENTL PWD 12.4OZ

670-ENFAMIL REGUL PWD 12.4OZ

673-ENF NEU GENT RTU 8OZ-6PK

676-ALTERNATIVE CONTRACT RTU

693-PEPTICATE PWD 14.1OZ

706-PEPTICATE INF PWD 13.2OZ

707-NEOCAT SYN JR PWD 14.1OZ
15-SPECIAL MILK

001-LACT FREE SKIM OR 1% MLK

009-LACTOSE FREE WHOLE MILK

013-SOY MILK
16-GRAINS

000-BREAD/TORT/RICE/OAT/PSTA

001-WHOLE WHEAT BREAD

003-CORN TORTILLAS

005-BROWN RICE

006-OATMEAL

007-BREAD / TORTILLA 20-24OZ

008-WHOLE WHEAT PASTA

009-EMERGENCY RELIEF - BREAD

011-ORGANIC OATMEAL
17-INFANT FOOD

000-BABY FOOD FRUIT VEG 4 OZ

001-GERBER BABY FRUIT 4 OZ

002-GERBER BABY VEG 4 OZ

014-ORG NAT BRND BB FRT 4 OZ

015-ORG NAT BRND BB VEG 4 OZ

020-NAT BRND 2PK BB FRT 4 OZ

021-NAT BRND 2PK BB VEG 4 OZ

024-NAT BRD ORG 2PK FRT 4 OZ

025-NAT BRD ORG 2PK VEG 4 OZ
18-BABY FOOD MEAT

000-BABY FOOD MEAT 2.5 OZ

001-BABY FOOD MEAT 2.5 OZ

003-ORG NAT BRND MEAT 2.5 OZ
19-FRUIT/VEGETABLES

000-FRUITS &/OR VEGETABLES

001-FRESH FRUITS

002-FRESH VEGETABLES

003-FROZEN FRUITS

004-FROZEN VEGETABLES

006-FRESH MIXED VEGETABLES

008-FROZEN MIXED VEGETABLES

009-CANNED FRUIT

010-CANNED VEGETABLES

011-CANNED MIXED FRUIT

012-CANNED MIXED VEGETABLES
50-WHOLE MILK/YOGURT QT

000-WHOLE FAT YOGURT OR MILK

001-WHOLE MILK QT

002-WHOLE FAT YOGURT QT
51-WHOLE MILK ONLY

000-WHOLE MILK ONLY

002-WHOLE MILK ONLY 1/2 GAL
52-LOWFAT MILK/YOGURT Q

000-LOW/NONFAT YOGRT OR MILK

001-SKIM 1% & 1/2% MILK QT

002-LOWFAT/NONFAT YOGURT QT

01-MILK

000-SKIM OR 1% MILK/BUTTRMLK

006-SKIM 1/2% 1% MLK 1/2 GAL

007-EMERGENCY RELIEF- 1/2 GA
02-CHEESE

012-CHEESE
03-EGGS

000-EGGS SM/MED/LG/XLG/JUMBO

001-EGGS SM/MED/LG

002-EMERGENCY RELIEF - EGGS

006-EGGS ENRICHED SM/MED/LG

014-ORGANIC EGGS SM/MED/LG
04-JUICE

004-JUICE 64 OZ OR 16 OZ FRZ

005-JUICE 48 OZ OR 12 OZ FRZ
05-CEREAL

000-CEREAL

001-CEREAL 14 - 23 OZ

002-CEREAL 24 - 36 OZ

003-CEREAL 12 - 13 OZ

004-CEREAL UNDER 12 OZ
06-LEGUMES

000-BEANS OR PEANUT BUTTER

001-DRY BEANS 1 LB PKG

002-PEANUT BUTTER 16-18 OZ

003-CANNED BEANS
08-FISH

000-TUNA/SALMON/SARDINE/MKRL

002-TUNA 5-12 OZ CAN
09-INFANT CEREAL

000-INFANT CEREAL NO FRUIT

001-INFANT CEREAL W/O FRUIT

002-ORG INFANT CEREAL
11-FORMULA

019-SIM DIARRHEA RTU 32OZ

024-NUTRAMIGEN RTU 32OZ

031-NUTRAMIGEN CON 13OZ

034-PEDIASURE RTU 8OZ

035-PEDIASURE W/FBR RTU 8OZ

036-PREGESTIMIL PWD 16OZ

042-SIM PM 60/40 PWD 14.1OZ

051-PEPTAMEN JR RTU 250ML

075-ENSURE RTU 8OZ

101-COMPLEAT PED RTU 250ML

120-ENSURE PLS RTU 8OZ

132-GLYTROL RTU 250ML

183-NUTREN 1.0 RTU 250ML

187-NUTREN 2.0 RTU 250ML

188-NUTREN JR FBR RTU 250ML

189-NUTREN JR RTU 250ML

197-PEPTAMEN RTU 250ML

199-PEPTAMEN 1.5 RTU 250ML

235-SIMILAC HMF PWD 0.9G

238-DUOCAL PWD 400G

239-SUPLENA RTU 8OZ

274-BOOST HP RTU 8OZ

275-BOOST PUDD RTU 5OZ

292-PEDIASR ENTRL1.0 RTU 8OZ

293-PEDIAS ENT1.0FBR RTU 8OZ

332-NEOCATE JR PWD 400G

364-KETOCAL 4:1 PWD 300G

365-SIMILAC ADVANCE RTU 32OZ

370-NEOSURE PWD 13.1OZ

371-ENF ENFACARE PWD 13.6OZ

388-SIMILAC ADVANCE CON 13OZ

389-SIM SOY ISOML PWD 12.4OZ

390-SIM SOY ISOML RTU 32OZ

391-SIM SOY ISOML CON 13OZ

395-ALIMENTUM RTU 32OZ

414-SIMILAC ADVANCE PWD 12.4

428-BOOST RTU 8OZ

429-BOOST PLS RTU 8OZ

430-NEOSURE RTU 32OZ

438-PEPTAMEN JR PREBIO RTU 2

440-NEOCATE DHA/ARA PWD 400G

441-SIM SPEC 24 IRN RTU 2OZ

443-ENF PREM 24 IRN RTU 2OZ

460-PURAMINO PWD 14.1OZ

461-PREGESTIMIL 24 RTU 2OZ

462-PREGESTIMIL 20 RTU 2OZ

469-PEPTMN JR FBR RTU 8.45OZ

470-CALCILO XD PWD 13.2 OZ

475-BOOST KE 1.5 RTU 8OZ

476-BOOST KE 1.5FBR RTU 8OZ

478-PEPTMN JR 1.5 RTU 250ML

479-ELECARE PWD 14.1OZ

480-NUTRAMIGEN PWD 12.6OZ

492-BOOST KE RTU 8OZ

496-BOOST BREEZE RTU 8OZ

503-SIM SPEC 30 RTU 2OZ

504-NEOCATE JR PWD 400G

506-PEDIASURE 1.5 RTU 8OZ

507-PEDIASURE 1.5FBR RTU 8OZ

514-PEDIASURE PEP1.0 RTU 8OZ

515-ELECARE JR PWD 14.1OZ

525-NEOCATE NUTRA PWD 14OZ

529-PEDIASURE PEP1.5 RTU 8OZ

539-CMPL PED REDCAL RTU250ML

550-PEDIASR RED CAL RTU 8OZ

555-NUTRAMIG TODD PWD 12.6OZ

564-ENFAPORT RTU 6OZ-6PK

565-NEOCATE SPLASH RTU 8OZ

592-EXTENSIVE HA PWD 14.1OZ

593-ALFAMINO INF PWD 14.1OZ

594-ALFAMINO JR PWD 14.1OZ

598-ALIMENTUM PWD 12.1OZ

599-PURAMINO JR PWD 14.1OZ

601-NEOCATE SYNEO PWD 400G

602-GOGROW TODD PWD 1.5LB

608-ENFAGROW TODD PWD 24OZ

619-SIMILAC SENSITIVE PWD 12

620-SIMILAC SENSITIVE RTU 32

621-SIMILAC FOR SPIT-UP PWD

622-SIMILAC FOR TOTAL COMFOR

638-FORTINI INFANT RTU 4OZ

663-ENFAMIL INFAN PWD 12.5OZ

664-ENFAMIL INFANT CON 13OZ

667-ENFAMIL A.R. PWD 12.9OZ

668-ENFAMIL GENTL PWD 12.4OZ

670-ENFAMIL REGUL PWD 12.4OZ

673-ENF NEU GENT RTU 8OZ-6PK

676-ALTERNATIVE CONTRACT RTU

693-PEPTICATE PWD 14.1OZ

706-PEPTICATE INF PWD 13.2OZ

707-NEOCAT SYN JR PWD 14.1OZ
15-SPECIAL MILK

001-LACT FREE SKIM OR 1% MLK

009-LACTOSE FREE WHOLE MILK

013-SOY MILK
16-GRAINS

000-BREAD/TORT/RICE/OAT/PSTA

001-WHOLE WHEAT BREAD

003-CORN TORTILLAS

005-BROWN RICE

006-OATMEAL

007-BREAD / TORTILLA 20-24OZ

008-WHOLE WHEAT PASTA

009-EMERGENCY RELIEF - BREAD

011-ORGANIC OATMEAL
17-INFANT FOOD

000-BABY FOOD FRUIT VEG 4 OZ

001-GERBER BABY FRUIT 4 OZ

002-GERBER BABY VEG 4 OZ

014-ORG NAT BRND BB FRT 4 OZ

015-ORG NAT BRND BB VEG 4 OZ

020-NAT BRND 2PK BB FRT 4 OZ

021-NAT BRND 2PK BB VEG 4 OZ

024-NAT BRD ORG 2PK FRT 4 OZ

025-NAT BRD ORG 2PK VEG 4 OZ
18-BABY FOOD MEAT

000-BABY FOOD MEAT 2.5 OZ

001-BABY FOOD MEAT 2.5 OZ

003-ORG NAT BRND MEAT 2.5 OZ
19-FRUIT/VEGETABLES

000-FRUITS &/OR VEGETABLES

001-FRESH FRUITS

002-FRESH VEGETABLES

003-FROZEN FRUITS

004-FROZEN VEGETABLES

006-FRESH MIXED VEGETABLES

008-FROZEN MIXED VEGETABLES

009-CANNED FRUIT

010-CANNED VEGETABLES

011-CANNED MIXED FRUIT

012-CANNED MIXED VEGETABLES
50-WHOLE MILK/YOGURT QT

000-WHOLE FAT YOGURT OR MILK

001-WHOLE MILK QT

002-WHOLE FAT YOGURT QT
51-WHOLE MILK ONLY

000-WHOLE MILK ONLY

002-WHOLE MILK ONLY 1/2 GAL
52-LOWFAT MILK/YOGURT Q

000-LOW/NONFAT YOGRT OR MILK

001-SKIM 1% & 1/2% MILK QT

002-LOWFAT/NONFAT YOGURT QT

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11-FORMULA
292-PEDIASR ENTRL1.0 RTU 8OZ

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05-CEREAL
18-BABY FOOD MEAT
01-MILK
02-CHEESE
- 012-CHEESE
03-EGGS
04-JUICE
- 004-JUICE 64 OZ OR 16 OZ FRZ
- 005-JUICE 48 OZ OR 12 OZ FRZ
06-LEGUMES
08-FISH
- 000-TUNA/SALMON/SARDINE/MKRL
- 002-TUNA 5-12 OZ CAN
09-INFANT CEREAL
11-FORMULA
15-SPECIAL MILK
16-GRAINS
17-INFANT FOOD
19-FRUIT/VEGETABLES
50-WHOLE MILK/YOGURT QT
51-WHOLE MILK ONLY
- 000-WHOLE MILK ONLY
- 002-WHOLE MILK ONLY 1/2 GAL
52-LOWFAT MILK/YOGURT Q

292-PEDIASR ENTRL1.0 RTU 8OZ

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PEDISURE ENTERAL

Pedisure Enteral

$2.36

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PEDISURE ENTERAL

UPC: 070074518053

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