Vendor´s Connection

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• For Predominantly WIC Vendors (PWV)
  • Maximum Allowable Reimbursement (MAR) Search
    - Rates effective February 1, 2012
• 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, 113 KB)
  • NC Approved Suppliers - Wholesalers (PDF, 11 KB)
  • NC Approved Suppliers - Manufacturers (PDF, 7 KB)
• Forms - Effective October 1, 2011
• Maximum Allowable Prices (MAPs) - Effective February 1, 2012

Forms - Effective October 1, 2011

• Sample Vendor Agreement and Instructions (DHHS 2768; PDF, 687 KB; for reference only)
• Terms of Vendor Agreement (DHHS 2768; PDF, 63 KB)
• Vendor Application (DHHS 3282; PDF, 328 KB; for reference only)
• Vendor Update (DHHS 779; PDF, 300 KB; for reference only)
• WIC Price List (DHHS 2766; PDF, 231 KB; for reference only)
• Vendor Monitoring Report (for local agencies; for reference only) (DHHS 2925; PDF, 298 KB)
• Vendor Authorization for Direct Deposit (PDF, 27 KB)
• Vendor Management Complaint Intake Form (PDF, 8 KB)
• Above Fifty Percent Vendor Self Declaration (PDF, 28 KB)
• Participant Access (for local agencies) (PDF, 8 KB)
• Participant Hardship (for local agencies) (PDF, 8 KB)

Resources

• The product submission period for consideration of inclusion on the October 2012 NC WIC Approved Food List (Effective October 1, 2012 through September 30, 2014) is now closed. All foods and beverages submitted on or before the January 17, 2012 deadline are being reviewed at this time. Submitters will be advised of the approval and non-approval of foods and/or beverages in late April 2012. Thank you for your interest in the NC WIC Program.
• Maximum Allowable Prices (MAPs)
  • New MAPs - Effective February 1 - March 31, 2012
    • Foods (PDF, 6 KB)
    • Formula (PDF, 5 KB)
  • New MAPs - Effective January 1, 2012
    • Foods (PDF, 6 KB)
    • Formula (PDF, 6 KB)
• 2011 NC WIC Approved Foods (PDF, 246 KB) – Effective October 1, 2011 – September 30, 2012 /  Los Alimentos Aprobados Por WIC (PDF, 246 KB) - Efectivo: 1 Octubre 2011 – 30 Septiembre 2012
• WIC Exempt Formulas and Medical Foods - Effective February 1, 2012 (PDF, 21 KB)
• 2011 Universal Product Codes of NC WIC Allowed Brand-Specific Foods (PDF, 176 KB) – Effective October 1, 2011 – September 30, 2012
• Vendor Manual (PDF, 4.5 MB) - Effective October 1, 2011
• Minimum Inventory Requirements (PDF, 62 KB)