Prescription Required Infant Formulas - State of Indiana

WIC Eligible
Formula Name
W-C Boost (Any Flavor)
Formula
Company
INDIANA WIC AUTHORIZED FORMULAS
(Print in COLOR for ease in reading)
Container Size
Product
Fully Formula Fed Some BreastFeeding
Mostly BreastFed (***MBF)
****Women Exempt Yield/
Concentrate
(*FFF)
(**SBF)
&
or
A B C A B C D
A B C D
Unit
RTU
Children Medical
0-3mo / 4-5mo / 6-11mo 0 to 1/ 1-3/ 4-5/ 6-11 0 to 1/ 1-3/ 4-5/ 6-11
Food in
(Fd. Pkg. III)
Powder
(fl. oz.)
Nestlé 8-oz HealthCare RTU, 6 Nutrition pk 18 pks MF 48
C Boost Kid Essentials 1.0 Cal. (Any flavor) Nestlé 8.25-oz. HealthCare RTU, Nutrition 4 pack 27 pks MF 33
W-C Boost Kid Essentials 1.5 Cal. (Any flavor) Nestlé 8-oz HealthCare RTU, 27 Nutrition pack(cs) 4 cs MF 216
W-C Boost Kid Essentials1.5 Cal.w/Fiber (Any Flavor) Nestlé 8-oz HealthCare RTU, 27 Nutrition pack(cs) 4 cs MF 216
W-C Bright Beginnings Soy Pediatric Drink PBM Products 8-oz RTU, LLC6
pk 18 pks MF 48
C Complete Pediatric Nestlé 8.45 HealthCare oz RTU-24 Nutrition pack 4 pks MF 202
W-I-C EleCare for Infants w/DHA & ARA
I Enfamil Enfacare [Lipil]
I-C Enfamil Enfacare [Lipil]
I-C Enfamil Enfacare [Lipil]
I Enfamil Lipil w/Iron 24 cal.
Abbott 14.1-oz Nutritionpowdered
9 cans / 10 / 7 2-8 / 5-8 / 6-9 / 5-6 1 can / 4 / 5 / 4 14 E
MeadJohnsonNutritionals
2-oz bottles (48/cs) 8 cs / 9 / 6 2-7cs/ 5-7 / 5-8 / 4-5 1 cs / 4 / 4 / 3 E 96
MeadJohnsonNutritionals
1-quart RTU 26 cans / 28 / 20 4-25 / 13-25/ 15-27/ 11-19 3 cans/ 12 / 14 / 10 28 E 32
MeadJohnsonNutritionals
12.8-oz powdered 10 cans / 11 / 8 2-9 / 6-9 / 7-10 / 5-7 1 can / 5 / 6 / 4 11 E 87
MeadJohnsonNutritionals
2-oz bottles (48/cs) 8 cs / 9 / 6 2-7cs/5-7 / 5-8 / 4-5 1 cs / 4 / 4 / 3 E 96
W-I-C (Enfamil Nutramigen AA) Puramino MeadJohnsonNutritionals
14.1 oz. powdered 9 cans / 10 / 7 2-8 / 5-8 / 6-9 / 5-6 1 can / 4 / 5 / 4 9 E 98
W-I-C (Enfamil) Nutramigen [Lipil]
W-I-C (Enfamil) Nutramigen [Lipil]
I-C
(Enfamil)Nutramigen w/Enflora LGG [Lipil]
MeadJohnsonNutritionals
13-oz concentrate 31 cans/ 34 / 24 5-30 / 15-30/ 18-33/ 13-23 4 cans/ 14 / 17 / 12 35 E 26
MeadJohnsonNutritionals
1-quart RTU 26 cans/ 28 / 20 4-25 / 13-25/ 15-27/ 11-19
I-95
W&C-62
3 cans/ 12 / 14 / 10 28 bottles E 32
MeadJohnson 12.6 oz powdered 10 cans/ 11 / 8 2-9 / 6-9 /7-10 / 5-7 1 can / 5 / 6 / 4 10 E 87
I Enfamil Premature Lipil w/iron 20 MeadJohnsonNutritionals
2-oz bottles(48/cs)=8/6pks 8 cs / 9 / 6 2-7cs/5-7 / 5-8 / 4-5 1 cs / 4 / 4 / 3 E 96
I Enfamil Premature Lipil w/iron 24 MeadJohnsonNutritionals
2-oz bottles(48/cs)=8/6pks 8 cs / 9 / 6 2-7cs/5-7 / 5-8 / 4-5 1 cs / 4 / 4 / 3 E 96
W-C Ensure (Any Flavor) Abbott 8-oz Nutrition RTU, 6 Pk-24/cs. 4 cs MF 192
W-C Ensure Plus (Any Flavor) Abbott 8-oz Nutrition RTU, 6 Pk-24/cs. 4 cs MF 192
I Gerber Good Start Nourish (22 cal) Nestle 3-oz Healthcare bottle Nutrition (6-8 pks/48/cs)5cs 6 4 2-4 / 3-4 /4-5 / 3 1/ 2/ 3/ 2 E 144
I Gerber Good Start Nourish (22 cal) Nestle 12.6 Healthcare oz powdered Nutrition 10 cans / 11 / 8 2-9 / 6-9 / 7-10 / 6-7 1 can / 5 / 6 / 5 E 83
C KetoCal 3:1 Nutricia 11-oz powdered 13 cans MF 69
C KetoCal 4:1 Nutricia11-oz powdered 18 cans MF 50
W-C (Neocate) E028 Splash (Any Flavor) Nutricia 8-oz North RTU America 27/case 4 cs MF 216
W-I-C Neocate Infant w/DHA & ARA Nutricia 14-oz. North powdered America 10 cans / 11 / 8 2-9 / 6-9 / 7-10 / 6-7 1 can / 5 / 6 / 5 11 cans E 85
C Neocate Junior (Any Flavor) Nutricia 14-oz. North powdered America
15 cans MF 60
C Neocate Junior w/Prebiotics [Any Flavor] Nutricia 14-oz. North powdered America
14 cans MF 63
C Nutren Junior
Nestlé 8.45-oz HealthCare RTU, Nutrition 24/cs 4 cs MF 202
C Nutren Junior w/Fiber Nestlé 8.45-oz HealthCare RTU, Nutrition 24/cs 4 cs MF 202
C Pediasure (Any flavor)
C Pediasure w/Fiber (Any flavor)
Abbott 8-oz Nutrition RTU, 6 Pack 18-6 pks MF 48
Abbott 8-oz Nutrition RTU, 6 Pack 18-6 pks MF 48
W-C Pediasure 1.5 Cal (Any flavor) Abbott8-oz RTU, 24/cs 4 cs MF 192
W-C Pediasure 1.5 Cal w/Fiber (Any flavor) Abbott8-oz RTU, 24/cs 4 cs MF 192
2 Revised January 2013

W-C
WIC Eligible
Formula Name
Pediasure Peptide 1.0 Cal.(Any flavor)--
(formerly Vital Jr.)
Formula
Company
Container Size
Concentrate
RTU
Powder
INDIANA WIC AUTHORIZED FORMULAS
(Print in COLOR for ease in reading)
Fully Formula Fed
(*FFF)
A B C
0-3mo / 4-5mo / 6-11mo
Some BreastFeeding
(**SBF)
A B C D
0 to 1/ 1-3/ 4-5/ 6-11
Mostly BreastFed (***MBF)
A B C D
0 to 1/ 1-3/ 4-5/ 6-11
****Women
&
Children
(Fd. Pkg. III)
Abbott 8-oz Nutrition RTU, 24/cs 4 cs MF 192
W Peptamen OS Nestlé 8-oz. HealthCare RTU, Nutrition 27/cs 4 cs MF 216
W-C Peptamen with Prebio 1 Nestlé 8.45-oz HealthCare RTU, Nutrition 24/cs 4 cs MF 202
W-C Peptamen
Nestlé 8.45-oz HealthCare RTU, Nutrition 24/cs 4 cs MF 202
C Peptamen Jr. Nestlé 8.45-oz HealthCare RTU Nutrition 24/cs 4 cs MF 202
C Peptamen Jr. Fiber Nestlé 8.45-oz HealthCare RTU Nutrition 24/cs 4 cs MF 202
C Peptamen Jr.w/Prebio 1(Any Flavor)
Nestlé 8.45-oz HealthCare RTU Nutrition 24/cs 4 cs MF 202
C Peptamen Junior 1.5 Nestlé 8.45-oz HealthCare RTU Nutrition 24/cs 4 cs MF 202
W-I-C Pregestimil 20 calorie [LIPIL]
W-I-C Pregestimil 20 calorie [LIPIL]
W-I-C Pregestimil 24 calorie [LIPIL]
W-I-C Similac Expert Care Alimentum
W-I-C Similac Expert Care Alimentum
MeadJohnsonNutritionals
16-oz powdered 7 cans / 8 / 6 1-6 / 4-6 / 5-7 / 4-5 1can / 3 / 4 / 3 8 cans E 112
MeadJohnsonNutritionals
2-oz bottles, 48/cs. 8 cs / 9 / 6 2-7cs/5-7 / 5-8 / 4-5 1 cs / 4 / 4 / 3 9 cs E 96
MeadJohnsonNutritionals
2-oz bottles, 48/cs. 8 cs / 9 / 6 2-7cs/5-7 / 5-8 / 4-5 1 cs / 4 / 4 / 3 9 cs E 96
Abbott 16-oz Nutrition powdered 7 cans / 8 / 6 1-6 / 4-6 / 5-7 / 4-5 1 can / 3 / 4 / 3 8 cans E 113
Abbott 1-quart NutritionRTU
Bottle 26bottles/ 28 / 20 4-25/13-25/ 15-27/ 11-19
W-I-C Similac Expert Care for Diarrhea(Isomil DF) Abbott 1-quart NutritionRTU
26 / 28 / 20 4-25/ 13-25 / 15-27/ 11-19
W-I-C Similac Expert Care NeoSure
W-I-C Similac Expert Care NeoSure
W-I-C Similac PM 60/40
I Similac Special Care w/Iron 24
Exempt
or
Medical
Food
Product
Yield/
Unit
in
(fl. oz.)
3bottles/ 12 / 14 / 10 28 E 32
3 cans/ 12 / 14 / 10 28 E 32
Abbott 13.1-oz Nutritionpowdered
10 cans / 11 / 8 2-9 / 6-9 / 7-10 / 6-7 1 can / 5 / 6 / 5 10 cans E 87
Abbott 1-quart NutritionRTU
Bottle 26bottles/ 28 / 20 4-25/ 13-25/ 15-27/ 11-19
3bottles/ 12 / 14 / 10 28 bottles E 32
Abbott 14.1 Nutrition oz powdered 8 cans / 9 / 6 2-7 / 5-7 / 6-8 / 4-5 1 can / 4 / 5 / 3 8 E 102
Abbott 2-oz Nutrition RTU, 6-8Pk/cs 8 cs / 9 / 6 2-7 / 5-7 / 5-8 / 4-5 1cs / 4 / 4 / 3 E 96
3 Revised January 2013

WIC Eligible
Formula Name
Formula
Company
Container Size
Concentrate
RTU
Powder
INDIANA WIC AUTHORIZED FORMULAS
(Print in COLOR for ease in reading)
Fully Formula Fed
(*FFF)
A B C
0-3mo / 4-5mo / 6-11mo
Some BreastFeeding
(**SBF)
A B C D
0 to 1/ 1-3/ 4-5/ 6-11
Mostly BreastFed (***MBF)
A B C D
0 to 1/ 1-3/ 4-5/ 6-11
****Women
&
Children
(Fd. Pkg. III)
Riley Formulas
W-C Acerflex Nutricia 16-oz North powdered America
10 cans MF 89
W-I-C BCAD 1 MeadJohnsonNutritionals
16-oz powdered 7 cans / 8 / 6 1-6 / 4-6 / 5-7 / 4-5 1 can / 3 / 4 / 3 8 cans E/MF 113
W-C BCAD 2 MeadJohnsonNutritionals
16-oz powdered 9 cans MF 93
W-I-C Calcilo-XD
Abbott 13.2-oz. Nutrition powder 9 cans / 10 / 7 2-8 / 5-8 / 6-9 / 5-6 1 can / 4 / 5 / 4 9 cans E 96
W-C Complete Amino Acid Mix Nutricia 7 North oz. powdered America(bottle)
28 bottles MF 32
W-C Complex Essential MSD Drink Mix
Applied 16-oz Nutrition powdered 10 cans MF 90
W-C Complex MSUD Drink Mix Applied 16 Nutrition oz powdered 10 cans MF 90
I Cyclinex-1
W-C Cyclinex-2
Abbott 14.1-oz Nutritionpowdered
8 cans / 9 / 6 2-7 / 5-7 / 6-8 / 4-5 1 can / 4 / 5 / 3 E 102
Abbott 14.1-oz Nutritionpowdered
10 cans MF 88
I Enfaport (Notify Riley when used) [Lipil] MeadJohnson 8 oz RTU cans 104 cans/ 112 / 80 14-103 / 49-103 / 57-111 / 41-79 13 cans/ 48 / 56 / 40 E 8
W-C Essential Amino Acid Mix Nutricia 7 North oz. powdered America(bottle)
29 bottles MF 31
W-I-C GA MeadJohnsonNutritionals
16 oz powdered 7 cans / 8 / 6 1-6 / 4-6 / 5-7 / 4-5 1 can / 3 / 4 / 3 8 cans E/MF 113
W-C GlutarAde GA-1 Amino Acid Blend Applied 1 Nutrition LB (454 g) powdered 11 cans MF 81
W-C GlutarAde Junior GA-1 Drink Mix Applied 14.1 Nutrition oz. (400 g) powdered 9 cans MF 101
I Glutarex-1 Abbott 14.1-oz Nutritionpowdered
9 cans / 10 / 7 2-8 / 5-8 / 6-9 / 5-6 1 can / 4 / 5 / 4 E 96
W-C Glutarex-2 Abbott 14.1-oz Nutrition powdered 11 cans MF 82
W HCU Express Vitaflo25 gm. Pwd pkts. 455 pkts. MF 2
W-I-C HCY 1 MeadJohnsonNutritionals
16-oz powdered 7 cans / 8 / 6 1-6 / 4-6 / 5-7 / 4-5 1 can / 3 / 4 / 3 8 cans E/MF 113
W-C HCY 2 MeadJohnsonNutritionals
16-oz powdered 9 cans MF 93
W-C HOM-2 Nutricia 17.6-oz North America powdered 12 cans MF 72
I Hominex-1 Abbott 14.1-oz Nutritionpowdered
9 cans / 10 / 7 2-8 / 5-8 / 6-9 / 5-6 1 can / 4 / 5 / 4 E 96
W-C Hominex-2 Abbott 14.1-oz Nutritionpowdered
11 cans MF 82
I I-Valex-1 Abbott 14.1-oz Nutritionpowdered
9 cans / 10 / 7 2-8 / 5-8 / 6-9 / 5-6 1 can / 4 / 5 / 4 E 96
W-C I-Valex-2 Abbott 14.1-oz Nutritionpowdered
11 cans MF 82
I Ketonex-1
W-C Ketonex-2
Abbott 14.1-oz Nutritionpowdered
9 cans / 10 / 7 2-8 / 5-8 / 6-9 / 5-6 1 can / 4 / 5 / 4 E 96
Abbott 14.1-oz Nutrition powdered 11 cans MF 82
W-C KetoVolve-4:1 Ratio Powder Solace 300 Nutrition gm powdered (10 oz) 18 cans MF 50
W-C Lipistart Vitaflo 400 gm. Powdered [14.11 oz] 9 cans MF 93
W-I-C LMD MeadJohnsonNutritionals
16-oz powdered 7 cans / 8 / 6 1-6 / 4-6 / 5-7 / 4-5 1 can / 3 / 4 / 3 8 cans E/MF 113
W LOPHLEX Nutricia .5OZ.Pkt.Pwd(30 North Americapkts./bx)
455 pkts. MF 2
I MSUD Analog Nutricia 14.1-oz North America powdered 9 cans / 10 / 7 2-8 / 5-8 / 6-9 / 5-6 1 can / 4 / 5 / 4 E 95
W-C MSUD Maxamaid Nutricia 16-oz North powdered America
12 cans MF 73
Exempt
or
Medical
Food
Product
Yield/
Unit
in
(fl. oz.)
4 Revised January 2013

WIC Eligible
Formula
Company
INDIANA WIC AUTHORIZED FORMULAS
(Print in COLOR for ease in reading)
Container Size
Product
Fully Formula Fed Some BreastFeeding
Mostly BreastFed (***MBF)
****Women Exempt Yield/
Concentrate
(*FFF)
(**SBF)
&
or
Formula Name
A B C A B C D
A B C D
Unit
RTU
Children Medical
0-3mo / 4-5mo / 6-11mo 0 to 1/ 1-3/ 4-5/ 6-11 0 to 1/ 1-3/ 4-5/ 6-11
Food in
(Fd. Pkg. III)
Powder
(fl. oz.)
W MSUD Maxamum Nutricia 16-oz North powdered America
13 cans MF 69
W-C MSUD 2 Nutricia 17.6-oz North America powdered 12 cans MF 75
W-I-C OA 1 MeadJohnsonNutritionals
16-oz powdered 7 cans / 8 / 6 1-6 / 4-6 / 5-7 / 4-5 1 can / 3 / 4 / 3 8 cans E/MF 113
W-C OA 2 MeadJohnsonNutritionals
16-oz powdered 9 cans MF 93
W-C OS 2 Nutricia 17.6-oz North America powdered 12 cans MF 75
W Periflex Advance Nutricia 16-oz North powdered America
10 cans MF 83
I Periflex Infant Nutricia 14.1-oz North America powdered 10 cans / 11 / 8 2-9 / 6-9 / 7-10 / 5-7 1 can / 5 / 6 / 4 E 84
W-C Periflex Junior Nutricia 16-oz North powdered America
10 cans MF 84
W-I-C PFD Toddler (formerly PFD 1) MeadJohnsonNutritionals
16-oz powdered 7 cans / 8 / 5 1-6 / 4-6 / 5-7 / 4 1 can / 3 / 4 / 3 7 cans E/MF 120
W-C PFD 2
I Phenex-1
MeadJohnsonNutritionals
16-oz powdered 10 cans MF 91
Abbott 14.1-oz Nutritionpowdered
9 cans / 10 / 7 2-8 / 5-8 / 6-9 / 5-6 1 can / 4 / 5 / 4 E 96
W-C Phenex 2 Abbott 14.1 Nutrition oz powdered 11 cans MF 82
W-C Phlexy-10 Drink Mix
Nutricia .7oz North pkts. America (30/cs.) 303 pkts. MF 3
W-C Phenylade-40 Drink Mix Applied 25gm.pkt.Pwd(20pkt/cs) Nutrition
182 pkts. MF 5
W-C Phenylade-60 Drink Mix Applied 16-oz Nutrition powdered 8 cans MF 106
W-C Phenylade Drink Mix Applied 16-oz Nutrition powdered 10 cans MF 90
W-C PhenyladeEssentialDrinkMix Applied 16-oz Nutrition powdered 10 cans MF 90
I-C Phenyl Free 1
MeadJohnsonNutritionals
16-oz powdered 7 cans / 8 / 6 1-6 / 4-6 / 5-7 / 4-5 1 can / 3 / 4 / 3 8 cans E 113
W-C Phenyl Free 2 MeadJohnsonNutritionals
16-oz powdered 9 cans MF 93
W-C Phenyl Free 2 HP
MeadJohnsonNutritionals
16-oz powdered 10 cans MF 88
W-C PKU 2 Nutricia 17.6-oz North America powdered 12 cans MF 72
W PKU 3
Nutricia 17.6-oz North America powdered 13 cans MF 70
W PKU Express Vitaflo25 gm. powder (packet/s) 303 pkts. MF 3
C PKU Gel Vitaflo24 gm. powder (packet/s) 303 pkts. MF 3
W-I-C Product 3232A
MeadJohnsonNutritionals
16-oz powdered 7 cans / 8 / 6 1-6 / 4-6 / 5-7 / 4-5 1 can / 3 / 4 / 3 8 cans E 113
W-I-C ProPhree
Abbott 14.1-oz Nutritionpowdered
8 cans / 9 / 6 2-7 / 5-7 / 6-8 / 4-5 1 can / 4 / 5 / 3 8 cans MF 102
W-I-C Propimex-1 Abbott 14.1-oz Nutritionpowdered
9 cans / 10 / 7 2-8 / 5-8 / 6-9 / 5-6 1 can / 4 / 5 / 4 9 cans E 96
W-C Propimex 2 Abbott 14.1-oz Nutritionpowdered
11 cans MF 82
W-C ProViMin
Abbott 5.3-oz Nutritionpowdered
5 cans MF 167
W-C TYR 2 Nutricia 17.6-oz North America powdered 12 cans MF 75
W-I-C Tyrex-1 Abbott 14.1-oz Nutritionpowdered
9 cans / 10 / 7 2-8 / 5-8 / 6-9 / 5-6 1 can / 4 / 5 / 4 9 cans E 96
W-C Tyrex-2 Abbott 14.1-oz Nutritionpowdered
11 cans MF 82
W-I-C TYROS 1 MeadJohnsonNutritionals
16-oz powdered 7 cans / 8 / 6 1-6 / 4-6 / 5-7 / 4-5 1 can / 3 / 4 / 3 8 cans E/MF 113
5 Revised January 2013

WIC Eligible
Formula
Company
INDIANA WIC AUTHORIZED FORMULAS
(Print in COLOR for ease in reading)
Container Size
Product
Fully Formula Fed Some BreastFeeding
Mostly BreastFed (***MBF)
****Women Exempt Yield/
Concentrate
(*FFF)
(**SBF)
&
or
Formula Name
A B C A B C D
A B C D
Unit
RTU
Children Medical
0-3mo / 4-5mo / 6-11mo 0 to 1/ 1-3/ 4-5/ 6-11 0 to 1/ 1-3/ 4-5/ 6-11
Food in
(Fd. Pkg. III)
Powder
(fl. oz.)
W-C TYROS 2 MeadJohnsonNutritionals
16-oz powdered 9 cans MF 93
W-C UCD 2 Nutricia 17.6-oz North America powdered 12 cans MF 72
W-I-C WND 1 MeadJohnsonNutritionals
16-oz powdered 7 cans / 8 / 6 1-6 / 4-6 / 5-7 / 4-5 1 can / 3 / 4 / 3 8 cans E 113
W-C WND 2 MeadJohnsonNutritionals
16-oz powdered 9 cans MF 93
W-I-C XLEU Analog Nutricia 14.1-oz North America powdered 9 cans / 10 / 7 2-8 / 5-8 / 6-9 / 5-6 1 can / 4 / 5 / 4 9 cans E 95
W-C XLEU Maxamaid Nutricia 16-oz North powdered America
12 cans MF 73
W XLEU Maxamum Nutricia 16-oz North powdered America
13 cans MF 69
W-I-C XLys, XTrp Analog Nutricia 14.1 North oz America powdered 9 cans / 10 / 7 2-8 / 5-8 / 6-9 / 5-6 1 can / 4 / 5 / 4 9 cans E 95
W-C XLys, XTrp Maxamaid
Nutricia 16 North oz powdered America
12 cans MF 73
W XLys, XTrp Maxamum Nutricia 16 North oz powdered America
13 cans MF 69
W-I-C XMET Analog Nutricia 14.1-oz North America powdered 9 cans / 10 / 7 2-8 / 5-8 / 6-9 / 5-6 1 can / 4 / 5 / 4 9 cans E 95
W-C XMET Maxamaid Nutricia 16-oz North powdered America
12 cans MF 73
W XMET Maxamum Nutricia 16-oz North powdered America
13 cans MF 69
W-I-C XMTVI Analog Nutricia 14.1-oz North America powdered 9 cans / 10 / 7 2-8 / 5-8 / 6-9 / 5-6 1 can / 4 / 5 / 4 9 cans E 95
W-C XMTVI Maxamaid Nutricia 16-oz North powdered America
12 cans MF 73
W XMTVI Maxamum Nutricia 16-oz North powdered America
13 cans MF 69
W-C XPhe Maxamaid Nutricia 16-oz North powdered America
12 cans MF 73
W XPhe Maxamum Nutricia 16-oz North powdered America
13 cans MF 69
W XPhe Maxamum Drink Nutricia 8.5 North oz RTU America pak 105 paks MF 8.5
W-I-C XPhe, XTyr Analog Nutricia 14.1-oz North America powdered 9 cans / 10 / 7 2-8 / 5-8 / 6-9 / 5-6 1 can / 4 / 5 / 4 9 cans E 95
W-C XPhe, XTyr Maxamaid Nutricia 16-oz North powdered America
12 cans MF 73
W-I-C XPTM Analog Nutricia 14.1-oz North America powdered 9 cans / 10 / 7 2-8 / 5-8 / 6-9 / 5-6 1 can / 4 / 5 / 4 9 cans E 95
6 Revised January 2013