Vendor´s Connection

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• For Predominantly WIC Vendors (PWV)
  • Maximum Allowable Reimbursement (MAR) Search
    - Rates effective May 1, 2013
• Permanent Rule 10A NCAC 43D .0706 (PDF, 76 KB) - Adopted October 1, 2009
• Approved List of Suppliers of Infant Formula, WIC-Eligible Medical Foods, and Exempt Formula
  • NC Approved Suppliers - Retailers (PDF, 740 KB)
  • NC Approved Suppliers - Wholesalers (PDF, 8 KB)
  • NC Approved Suppliers - Manufacturers (PDF, 5 KB)
• Forms - Effective October 1, 2012
• Maximum Allowable Prices (MAPs) - Effective April 1 - May 31, 2013

Forms - Effective October 1, 2012

• Sample Vendor Agreement and Instructions (DHHS 2768; PDF, 488 KB; for reference only)
• Terms of Vendor Agreement (DHHS 2768; PDF, 517 KB)
• Vendor Application (DHHS 3282; PDF, 534 KB; for reference only)
  • Page 3A (do not submit for stores under corporate agreement; PDF, 506 KB)
• Vendor Update (DHHS 779; PDF, 514 KB; for reference only)
• WIC Price List (DHHS 2766; PDF, 480 KB; for reference only)
• Vendor Monitoring Report (for local agencies; for reference only) (DHHS 2925; PDF, 477 KB)
• Vendor Authorization for Direct Deposit (PDF, 24 KB)
• Vendor Management Complaint Intake Form (PDF, 58 KB)
• Above Fifty Percent Vendor Self Declaration (PDF, 17 KB)
• Participant Access (for local agencies) (PDF, 10 KB)
• Participant Hardship (for local agencies) (PDF, 10 KB)

Resources

• Maximum Allowable Prices (MAPs)
  • New MAPs -- April 1 - May 31, 2013
    • Foods (PDF, 10 KB)
    • Formula (PDF, 7 KB)
  • Previous MAPs -- February 1 - March 31, 2013
    • Foods (PDF, 10 KB)
    • Formula (PDF, 7 KB)
• 2012 NC WIC Approved Foods (PDF, 302 KB) – Effective: October 1, 2012 – September 30, 2014 | Los Alimentos Aprobados Por WIC (PDF, 302 KB) – Efectivo: 1 Octubre 2012 – 30 Septiembre 2014
• WIC Exempt Formulas and Medical Foods– Effective October 1, 2012 (PDF, 17 KB)
• 2012 Universal Product Codes of NC WIC Allowed Brand-Specific Foods (PDF, 185 KB) – Effective October 1, 2012; Updated April 30, 2013
• NC WIC UPC Update Procedures (PDF, 42 KB)
• Vendor Manual (PDF, 1.8 MB) – Effective October 1, 2012
• Minimum Inventory Requirements (PDF, 114 KB)