1. Infant Formula Voucher Updates Presentation to: Nutrition Services Director’s Presented by: Denice Vance, MS, RD, LD, CLC Date: March 23, 2016

2. – Similac “Expert Care” Product Updates – Discontinuation of Gerber Graduates – New, NOT APPROVED Gerber Formulas – Discontinued Vouchers and Food Packages In this presentation…

3. Similac Expert Care Neosure NEW LOOK beginning April 2016 “Expert Care” is being removed from the product name Voucher message updated to include an “OR” statement during the transition period No change to the formulation, reconstituted ounces, price or UPC Similac Expert Care Diarrhea also having a name change – State Ordered Only (no active vouchers)

4. New Voucher Message (Effective March 7, 2016) Similac Expert Care Neosure This voucher messaging is temporary for use through the transition period. Please reference Action Memo 16-19 for a listing of all affected food packages and voucher codes.

5. Similac Expert Care Alimentum “Expert Care” is being removed from the product name Can size decreased from 16 oz. to 12.1 oz. No container change for RTF products – name change only 16 oz. 12.1 oz. NEW LOOK and SIZE beginning April 2016

6. New reconstituted fluid ounces, maximum monthly allowances, and UPC information Similac (Expert Care) Alimentum Package Size Reconstitute Amount Fully Formula Fed Infant Max Age at 1 st Day to Use Child Max 0-34-56-12 12+ CURRENT16.0 oz.115 oz.8,7,7,78687 NEW12.1 oz.87 oz.10118 10

7. New Voucher Message (Effective May 16, 2016) Similac (Expert Care) Alimentum This voucher messaging is temporary for use through the transition period. For your reference, a listing of all affected food packages and voucher codes will be provided in an upcoming Action Memo.

8. THIS MAY NOT BE AN EASY TRANSITION WARNING:

9. Voucher messages will be updated to include “OR” statement during the transition period Full month’s issuance will be provided on a single voucher – Cannot split issuance due to max allowance conflict – Inability to predict availability from retailer to retailer Will not be required to prorate issuance for late pick-ups during this transition period Single can voucher codes for either product will be available for food package changes – Issue based on retailer transition schedule and participant’s preferred shopping location Alimentum Food Package Transition

11. The SWO will monitor product availability to determine when to discontinue use of the transition vouchers that include the “OR” statements When the transition vouchers are discontinued, the food packages will be updated with new voucher codes that only contain the new product names and container sizes Similac Expert Care Transition (Neosure and Alimentum)

12. Gerber® Graduates® Beginning April 2016 Gerber® Graduates® Gentle, Gerber® Graduates® Soothe and Gerber® Graduates® Soy formulas are being discontinued by the manufacturer Vouchers will be discontinued effective May 16, 2016 Participants issued vouchers prior to May 16 th will be able to redeem vouchers as long as there is product still available

13. Gerber® Graduates® Discontinuation Manufacturer Recommendations – Infants 9-12 months: Transition to the comparable Stage 1 formula – Toddlers 12-24 months: No current transition recommendations – refer to provider If no alternative product is identified by the medical provider, the participant will be transitioned to a comparable standard milk or milk alternative food package Districts should work to identify participants currently receiving a Gerber® Graduates ® food package and provide notice of the coming discontinuation so that they may contact their provider for a transition plan

14. New Gerber Good Start Formulas Gerber Good Start Gentle, Soothe, and Soy Stage 2 and Gerber Good Start Soy Stage 3 are not WIC approved The Georgia WIC Formula Guide will be updated in April 2016 and can be used as a resource to reinforce this information NOT WIC APPROVED 6-12 months 9-24 months

15. SWO Discontinued Vouchers The voucher codes below are associated with food packages that have been discontinued due to low retailer availability and lack of voucher redemption. Please reference Action Memo 16-19 for specific voucher codes and food package information. ProductVoucher CodesFood Packages Similac Human Milk Fortifier 530, 531N/A Enfamil Human Milk Fortifier N75N/A MCT Oil582, 583N/A Nepro with Carb Steady A62, N77, N78, N79, N80, N81, N94 Z41, Z42, Z43, Z44 RCFA61, N74N/A SolCarbA76, A77N/A As of March 7, 2017, these products are state ordered only:

16. The following references will be updated and available on the District Resources web page Friday, April 1, 2016 to reflect the product changes included in this presentation. Common Formula Package Maximums GA WIC Formulary GA WIC Approved Formulas Formula Reference Updates

17. Questions? Denice Vance, MS, RD, LD, CLC Nutrition Program Specialist Phone: 404-656-9868 Denice.Vance@dph.ga.gov