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State Plan Checklist - FOOD FUNDS MANAGEMENT 8/14/2026 Page 2

A. Cost Containment Measures

1. The State agency seeks FNS approval related to infant formula cost containment measures (check one): For a waiver of the requirement for a single-supplier competitive system. State agency must complete a cost comparison projecting food cost savings in the single-supplier competitive system based on the lowest monthly net price or highest monthly rebate [as required in Section 246.16a(d)(2)(i) through (d)(2)(iii) and savings under an alternative cost containment system, Section 246.16a(d)(2)(B)] To issue an infant formula bid solicitation that evaluates bids by highest rebate. A State agency must demonstrate to FNS’ satisfaction that the weighted average retail prices for different brands of infant formula in the State vary by 5% or less [as required in Section 246.16a(c)(5)(iii)]. Not applicable

Please attach in the Appendix supporting documentation for requests for FNS approval.

2. Cost Containment Contracts for Infant Formula

a. The State agency acquires infant formula through the following food delivery systems:

i. Non-exempt infant formula (check all that apply): [ ] Home food delivery system [ ] Direct distribution food delivery system [X] Retail food delivery system [X] Other Specify: Infant formula purchased directly from the manufacturer or distributor if retail supply is an issue.