This study finds milk is significantly costlier in First Nations communities than in Winnipeg and Northern Manitoba. The cost was higher in First Nations with and without access to an all-weather road. The study is based on a milk price survey in August and September 2016 in 26 stores located in 22 communities in north­ern Manitoba (15 First Nation and 8 non-First Nation communities) and 11 stores in Winnipeg for comparative purposes. The report also includes focus group interviews with residents in Northern First Nations.