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CHAPTER 5. SUPPLEMENTAL FOODS ATTACHMENT 5-3, PAGE 2
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milk* cheese yogurt* juice eggs cereal canned or dry peas/beans or peanut/nut/ seed butter tuna or salmon CVB whole grains 12-23 month old child
4 gal (3 gal if 16 oz cheese and 32 oz yogurt) 1 pound 32 oz 64 oz 1 dozen 36 oz 1 container 6 oz $26 24 oz 2-5 year old child
4 gal (3 gal if 16 oz cheese and 32 oz yogurt) 1 pound 32 oz 64 oz 1 dozen 36 oz 1 container 6 oz $26 24 oz Pregnant
5 ½ gal (4 ½ gal if 16 oz cheese and 32 oz yogurt) 1 pound 32 oz 64 oz 1 dozen 36 oz 2 containers 10 oz $48 48 oz Pregnant with multiples
5 ½ gal (4 ½ gal if 16 oz cheese and 32 oz yogurt) 1 pound 32 oz 64 oz 1 dozen 36 oz 2 containers 15 oz $52 48 oz Non-breastfeeding woman or Partially BF >MMA
4 gal (3 gal if 16 oz cheese and 32 oz yogurt) 1 pound 32 oz 64 oz 1 dozen 36 oz 1 container 10 oz $48 48 oz Partially BF woman<= MMA (mostly breastfeeding)
5 ½ gal (4 ½ gal if 16 oz cheese and 32 oz yogurt) 1 pound 32 oz 64 oz 1 dozen 36 oz 2 containers 15 oz $52 48 oz Partially BF Woman <= MMA with multiples (mostly breastfeeding) 6 gal (5 gal if 16 oz cheese and 32 oz yogurt) 1 pound 32 oz 64 oz 2 dozen 36 oz 2 containers 20 oz $52 48 oz Partially BF Woman > MMA (minimally breastfeeding) infant is > 6 months old Receives support – no food benefits
Fully BF
6 gal (5 gal if 16 oz cheese and 32 oz yogurt) 1 pound 32 oz 64 oz 2 dozen 36 oz 2 containers 20 oz $52 48 oz Fully BF multiples 9 gal (8 gal if 16 oz cheese and 32 oz yogurt) 1 ½ pounds 32 oz 96 oz 3 dozen 54 oz 3 containers 30 oz $78 72 oz **All tailoring of food packages must be documented in Care Plan notes. Information regarding tailoring of the food packages is in Chapter 5 of the WIC Procedure Manual.** *Whole milk and low-fat/whole milk yogurt only issued for infants 12-23 months old Low-fat or fat-free milk and fat-free or non-fat yogurt only for children 2-5 years and women For all categories, may substitute plant based milk/tofu if requested for dairy milk 32 oz yogurt = ¼ gallon milk 16 oz cheese = ¾ gallon milk 1 lb tofu = ¼ gallon milk