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01.MILK
02.CHEESE
- CHEESE ALL AUTHORIZED
- Tofu
03.EGGS
- EGGS ALL AUTHORIZED
04.JUICE
- Bottled Juice 64 oz
- JUICE FROZEN CONCENTRATE
05.CEREAL
- Dry Cereal
06.LEGUMES
08.FISH
09.INFANT CEREAL
- Infant Cereal
11.Formula
12.INFANT FRUITS & VEGE
- INFANT FRUITS, VEG ALL
13.INFANT MEATS ALL AUT
- Infant Meats all auth.
15.SPECIAL MILK
- Low Lactose Milk
16.WHOLE GRAINS
19.FRUIT & VEGETABLES-C
41.FORMULA
- ENSURE HIGH PROTEIN RTF
50.YOGURT
- YOGURT LOWFAT, FF OR LTE
- Yogurt Whole milk 4%

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01.MILK

2% Milk

Whole Milk

LOWFAT MILK 1% OR FAT FF

Fresh Goat Milk

SOY BEVERAGE ALL AUTH
02.CHEESE

CHEESE ALL AUTHORIZED

Tofu
03.EGGS

EGGS ALL AUTHORIZED
04.JUICE

JUICE FROZEN CONCENTRATE

Bottled Juice 64 oz
05.CEREAL

Dry Cereal
06.LEGUMES

Dry Legumes 16oz

PEANUT BUTTER

Canned Beans
08.FISH

FISH/ALL AUTHORIZED

TUNA/ALL AUTHORIZED

Salmon

SARDINES/ALL AUTHORIZED
09.INFANT CEREAL

Infant Cereal
11.Formula

NUTRAMIGEN RTU 32 OZ

PEDIASURE RTF 8 OZ

PREGESTIMIL POWDER 16 OZ

ENSURE RTF 8 OZ

ALIMENTUM RTF 32 OZ
12.INFANT FRUITS & VEGE

INFANT FRUITS, VEG ALL
13.INFANT MEATS ALL AUT

Infant Meats all auth.
15.SPECIAL MILK

Low Lactose Milk
16.WHOLE GRAINS

Whole Grains all auth.

Whole Wheat Bread

Whole Grain Bread

Brown Rice

Oatmeal

Soft Corn Tortillas

Whole Wheat Tortillas

Whole Wheat or WG Pasta
19.FRUIT & VEGETABLES-C

Fruit & Vegetables-CVB

CVB Fresh

CVB Frozen

CVB Canned
31.FORMULA
41.FORMULA

ENSURE HIGH PROTEIN RTF
50.YOGURT

YOGURT LOWFAT, FF OR LTE

Yogurt Whole milk 4%

01.MILK

2% Milk

Whole Milk

LOWFAT MILK 1% OR FAT FF

Fresh Goat Milk

SOY BEVERAGE ALL AUTH
02.CHEESE

CHEESE ALL AUTHORIZED

Tofu
03.EGGS

EGGS ALL AUTHORIZED
04.JUICE

JUICE FROZEN CONCENTRATE

Bottled Juice 64 oz
05.CEREAL

Dry Cereal
06.LEGUMES

Dry Legumes 16oz

PEANUT BUTTER

Canned Beans
08.FISH

FISH/ALL AUTHORIZED

TUNA/ALL AUTHORIZED

Salmon

SARDINES/ALL AUTHORIZED
09.INFANT CEREAL

Infant Cereal
11.Formula

NUTRAMIGEN RTU 32 OZ

PEDIASURE RTF 8 OZ

PREGESTIMIL POWDER 16 OZ

ENSURE RTF 8 OZ

ALIMENTUM RTF 32 OZ
12.INFANT FRUITS & VEGE

INFANT FRUITS, VEG ALL
13.INFANT MEATS ALL AUT

Infant Meats all auth.
15.SPECIAL MILK

Low Lactose Milk
16.WHOLE GRAINS

Whole Grains all auth.

Whole Wheat Bread

Whole Grain Bread

Brown Rice

Oatmeal

Soft Corn Tortillas

Whole Wheat Tortillas

Whole Wheat or WG Pasta
19.FRUIT & VEGETABLES-C

Fruit & Vegetables-CVB

CVB Fresh

CVB Frozen

CVB Canned
31.FORMULA
41.FORMULA

ENSURE HIGH PROTEIN RTF
50.YOGURT

YOGURT LOWFAT, FF OR LTE

Yogurt Whole milk 4%

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05.CEREAL
Dry Cereal
MOM ORIGINAL (36 OZ)

MOM ORIGINAL (36 OZ)

MOM ORIGINAL (36 OZ)

MOM ORIGINAL (36 OZ)

UPC: 042400001041

$6.09

Quantity

In stock

Description

MOM ORIGINAL (36 OZ)

Data sheet

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