Multivitamins, Oral

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PDL Reference Documents

Drug Use Review Documents

PDL Status Values

Y = preferred
N = non-preferred. Non-preferred drugs listed as N but without clinical drug use criteria are subject to the Non-Preferred Drugs in Select PDL Classes prior authorization criteria. New drugs will be listed as N until reviewed by the P&T Committee and are subject to the New Drug Policy.
V = voluntary non-preferred. Non-preferred mental health drugs are listed as V and prior authorization is not required.
Null (i.e. blank) = indicates the class or specific drug has not been reviewed for PDL placement.

To request a Prior Authorization, please use this form.

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NDC Brand Name Generic Name Form Strength PDL
Status		 Rebate Current Drug Use Criteria
00904773518 PROSIGHT A/C/E/zinc/sod selenate/copper TABLET 5,000 unit-60 mg-30 unit-40 mg-40 mcg-2 mg Y PA Document
00904773552 PROSIGHT A/C/E/zinc/sod selenate/copper TABLET 5,000 unit-60 mg-30 unit-40 mg-40 mcg-2 mg Y PA Document
00065895001 I-CAPS antiox.mv no.10/omeg3s/lut/zea CAPSULE 280 mg (78 mg-148 mg)-10 mg-2 mg Y PA Document
00004002001 BEROCCA B-complex with vitamin C TABLET Y PA Document
00904263070 FORMULA-B B-complex with vitamin C TABLET Y PA Document
00904422160 VITAMIN B COMPLEX W/C B-complex with vitamin C TABLET Y PA Document
00065804054 ICAPS B2/vits A,C,E/lut/zeaxanth/min TABLET ER 5 mg-3,300 unit-200 mg-75 unit-2 mg Y PA Document
82468062045 EYE HEALTH beta-carotene(A)-vits C,E/mins TABLET Y N PA Document
87701092692 EYE HEALTH beta-carotene(A)-vits C,E/mins TABLET Y N PA Document
87701092701 EYE HEALTH beta-carotene(A)-vits C,E/mins TABLET Y N PA Document
05000000713 HP ZINC W/ANTIOXIDANTS beta-carotene(A)-vits C,E/mins TABLET Y N PA Document
04000000461 HP ZINC WITH ANTIOXIDANTS beta-carotene(A)-vits C,E/mins TABLET Y N PA Document
11917005939 OCUTABS beta-carotene(A)-vits C,E/mins TABLET Y N PA Document
00005455093 OCUVITE beta-carotene(A)-vits C,E/mins TABLET Y N PA Document
24385080972 OPTI-VITAMINS beta-carotene(A)-vits C,E/mins TABLET Y N PA Document
82468061571 OPTI-VITAMINS beta-carotene(A)-vits C,E/mins TABLET Y N PA Document
87701060549 OPTI-VITAMINS beta-carotene(A)-vits C,E/mins TABLET Y N PA Document
87701068536 OPTI-VITAMINS beta-carotene(A)-vits C,E/mins TABLET Y N PA Document
24208069721 PRESERVISION AREDS 2 CO Q-10 C/E/zinc/copper/lut/zeax/coQ10 CAPSULE 250 mg-90 mg-40 mg-1 mg-5 mg-1 mg-50 mg N Y PA Document
50991068930 PREV-RX FA/B12/D3/E/calcium/choline TABLET 1,000 mcg-25 mcg-20 mcg-10 mg-70 mg-100 mg N Y PA Document
10542007510 DIALYVITE 800 WITH IRON ferrous fum/folic acid/Bcomp,C TABLET 29 mg-800 mcg Y PA Document
10542007010 DIALYVITE 800 folic acid/vit B complex and C TABLET 0.8 mg Y Y PA Document
00536141501 NEPHRO-VITE folic acid/vit B complex and C TABLET 0.8 mg Y Y PA Document
51645099501 RENAL-VITE folic acid/vit B complex and C TABLET 0.8 mg Y Y PA Document
13811002810 CORVITA folic/mvi ther-min/lycop/lut TABLET 1.25 mg-2.5 mg-7 mg N Y PA Document
00904767360 GERI-TABS iron/vitamin B comp and C TABLET Y PA Document
00904405760 ALL-IN-ONE lecithin/pyridoxine/kelp TABLET Y PA Document
75854034360 NICOMIDE lmefolate/B3/copp/Zn/sel/chrom TABLET 500 mcg-750 mg-2 mg-27 mg-50 mcg-100 mcg N Y PA Document
42192037460 NICOTINAMIDE lmefolate/B3/copp/Zn/sel/chrom TABLET 500 mcg-750 mg-2 mg-27 mg-50 mcg-100 mcg N Y PA Document
00904054013 THERA-M m-vit,tx,iron,mins/calc/folic TABLET 27 mg-0.4 mg Y PA Document
00904054061 THERA-M m-vit,tx,iron,mins/calc/folic TABLET 27 mg-0.4 mg Y PA Document
00904054080 THERA-M m-vit,tx,iron,mins/calc/folic TABLET 27 mg-0.4 mg Y PA Document
75854030730 PRENATE AM multivit 38/folate no.6/ginger TABLET 1 mg-500 mg Y Y PA Document
42192032130 PNV-DHA multivit 47/iron/folate 1/dha CAPSULE 27 mg iron-1 mg-300 mg Y Y PA Document
69367031630 WESCAP-PN DHA multivit 47/iron/folate 1/dha CAPSULE 27 mg iron-1 mg-300 mg Y Y PA Document
13811058030 ZATEAN-PN DHA multivit 47/iron/folate 1/dha CAPSULE 27 mg iron-1 mg-300 mg Y Y PA Document
28595071530 ALTRIXA multivit comb no.61/folic acid TABLET 1,000 mcg N Y PA Document
59088011266 PUREVIT DUALFE PLUS multivit no.18/iron no.1/folic CAPSULE 162 mg-115.2 mg (106 mg iron)-1 mg N Y PA Document
13925011890 SE-TAN PLUS multivit no.18/iron no.1/folic CAPSULE 162 mg-115.2 mg (106 mg iron)-1 mg N Y PA Document
59088015854 DAVIMET-M multivit no.35/levomefolate TAB CHEW 1,700 mcg DFE N Y PA Document
59088001854 DERMACINRX MULTIVITAMIN multivit no.35/levomefolate TAB CHEW 1,700 mcg DFE N Y PA Document
75854031330 PRENATE ESSENTIAL multivit no.40/iron/folat1/dha CAPSULE 18 mg iron-1 mg-300 mg Y Y PA Document
50967041030 NESTABS ONE multivit no.42/iron/folate/dha CAPSULE 38 mg iron-1 mg-225 mg Y Y PA Document
76439034430 CALCIUM PNV multivit no.48/iron fum/FA/dha CAPSULE 28 mg-1 mg-250 mg Y Y PA Document
59088016054 DAVIMET WITH IRON multivit no.62/iron/levomefol TAB CHEW 11 mg iron-1,700 mcg DFE N Y PA Document
00904264013 CERTA-VITE multivit with iron,hematinic TABLET Y PA Document
00904264072 CERTA-VITE multivit with iron,hematinic TABLET Y PA Document
37205078387 CENTURY multivit with iron,hematinic TABLET 27 mg-0.4 mg Y PA Document
00259036616 MAY-VITA multivit with iron,minerals ELIXIR Y PA Document
00254917058 GEVRATONIC multivit with iron,minerals LIQUID Y PA Document
00904770552 CERTA-VITE SILVER multivit with iron,minerals TABLET Y PA Document
00178022101 COMPETE multivit with iron,minerals TABLET Y PA Document
00904420870 VITA DEC multivit with iron,minerals TABLET 30 mg-0.4 mg Y PA Document
00904503852 SUPER MEGA PLEX multivit with iron,minerals TABLET ER Y PA Document
82468095069 CENTRAL VITE SR W-LUTEIN TAB multivit with minerals/lutein TABLET Y N PA Document
11822228070 CENTRAL-VITE SELECT multivit with minerals/lutein TABLET Y N PA Document
87701070083 CENTURY W/LUTEIN multivit with minerals/lutein TABLET Y N PA Document
87701074107 CENTURY W/LUTEIN multivit with minerals/lutein TABLET Y N PA Document
24385006279 CENTURY WITH LUTEIN multivit with minerals/lutein TABLET Y N PA Document
91899099717 HIGH POTENCY MULTIVITAMIN multivit with minerals/lutein TABLET Y N PA Document
35515095030 MULTI-VITE 50 & OVER multivit with minerals/lutein TABLET Y N PA Document
35515095927 MULTI-VITE 50 & OVER multivit with minerals/lutein TABLET Y N PA Document
54629001938 MULTIVITAMINS WITH MINERALS multivit with minerals/lutein TABLET Y N PA Document
11917004006 SUPER AYTINAL multivit with minerals/lutein TABLET Y N PA Document
11917004007 SUPER AYTINAL multivit with minerals/lutein TABLET Y N PA Document
11917003748 ULTRA CHOICE multivit with minerals/lutein TABLET Y N PA Document
11917003752 ULTRA CHOICE multivit with minerals/lutein TABLET Y N PA Document
11845014126 VITATRUM multivit with minerals/lutein TABLET Y N PA Document
59088065931 LIVITA FOR ADULT multivit-min 103/levomefol/inu LIQUID 1,700 mcg DFE-500 mg/15 mL N Y PA Document
59088052554 DERMACINRX MULTITAM multivit-min no.86/folic acid TABLET 1,000 mcg N Y PA Document
59088017654 DERMACINRX VENEXA multivit-min no.86/folic acid TABLET 1,000 mcg N Y PA Document
59088018654 DERMACINRX VENTRIXYL multivit-min no.86/folic acid TABLET 1,000 mcg N Y PA Document
59088019354 DERMACINRX VITRAMYN multivit-min no.86/folic acid TABLET 1,000 mcg N Y PA Document
59088017154 DERMACINRX VITRANOL multivit-min no.86/folic acid TABLET 1,000 mcg N Y PA Document
59088016754 DERMACINRX VITREXATE multivit-min no.86/folic acid TABLET 1,000 mcg N Y PA Document
59088016454 VITREXYL multivit-min no.86/folic acid TABLET 1,000 mcg N Y PA Document
00065804082 ICAPS MV multivit-min/FA/lutein/zeaxant TABLET DR 100 mcg-1.66 mg-0.83 mg Y PA Document
00065804083 ICAPS MV multivit-min/FA/lutein/zeaxant TABLET DR 100 mcg-1.66 mg-0.83 mg Y PA Document
11822603100 CENTRAL-VITE multivit-min/FA/lycopen/lutein TABLET 0.4 mg-300 mcg-250 mcg Y N PA Document
00904548652 CERTAVITE SENIOR multivit-min/FA/lycopen/lutein TABLET 0.4 mg-300 mcg-250 mcg Y Y PA Document
52569013414 COMPLETE 50 PLUS multivit-min/FA/lycopen/lutein TABLET 0.4 mg-300 mcg-250 mcg Y N PA Document
50268070311 SENTRY SENIOR multivit-min/FA/lycopen/lutein TABLET 0.4 mg-300 mcg-250 mcg Y Y PA Document
50268070315 SENTRY SENIOR multivit-min/FA/lycopen/lutein TABLET 0.4 mg-300 mcg-250 mcg Y Y PA Document
81033050108 MULTIVITAMIN-MINERAL multivit-min/ferrous gluconate LIQUID 9 mg iron/15 mL Y PA Document
68094012059 LIQUID MULTIVITAMIN multivit-min/ferrous gluconate LIQUID 9 mg iron/15 mL (15 mL) N Y PA Document
68094012061 LIQUID MULTIVITAMIN multivit-min/ferrous gluconate LIQUID 9 mg iron/15 mL (15 mL) N Y PA Document
68094012062 LIQUID MULTIVITAMIN multivit-min/ferrous gluconate LIQUID 9 mg iron/15 mL (15 mL) N Y PA Document
81033050115 MULTIVITAMIN-MULTIMINERAL multivit-min/ferrous gluconate LIQUID 9 mg iron/15 mL (15 mL) N Y PA Document
81033050150 MULTIVITAMIN-MULTIMINERAL multivit-min/ferrous gluconate LIQUID 9 mg iron/15 mL (15 mL) N Y PA Document
81033050151 MULTIVITAMIN-MULTIMINERAL multivit-min/ferrous gluconate LIQUID 9 mg iron/15 mL (15 mL) N Y PA Document
00054075664 CENTRUM SILVER WOMEN multivit-min/iron/FA/vit K/lut TABLET 8 mg iron-400 mcg-50 mcg-300 mcg Y PA Document
13811002710 ELITE-OB multivit-min69/iron/folic acid TABLET 50 mg iron-1.25 mg Y Y PA Document
68025001010 OB COMPLETE multivit-min69/iron/folic acid TABLET 50 mg iron-1.25 mg Y Y PA Document
46122009678 ONE DAILY multivit-minerals/FA/lycopene TABLET 0.4 mg-600 mcg Y PA Document
00682300101 BACMIN multivit-mins no.20/iron/folic TABLET 27 mg iron-1 mg N Y PA Document
46122012378 ONE DAILY WOMEN'S HEALTH multivit,calc,mins/iron/folic TABLET 450 mg calcium-18 mg iron-400 mcg Y PA Document
00904549261 THERA M PLUS multivit,calc,mins/iron/folic TABLET 9 mg iron-400 mcg N Y PA Document
00904549280 THERA-M multivit,calc,mins/iron/folic TABLET 9 mg iron-400 mcg N Y PA Document
00904752713 THERA-M multivit,calc,mins/iron/folic TABLET 9 mg iron-400 mcg N Y PA Document
00904752780 THERA-M multivit,calc,mins/iron/folic TABLET 9 mg iron-400 mcg N Y PA Document
00904272713 STRESS FORMULA W/ZINC multivit,stress formula/zinc TABLET Y PA Document
00245013389 STRESS-600 WITH ZINC multivit,stress formula/zinc TABLET Y PA Document
00004015201 BEROCCA PLUS multivit,ther.w-iron,hematinic TABLET 27 mg-0.8 mg Y PA Document
00143233201 VITALIZE PLUS multivit,ther.w-iron,hematinic TABLET 27 mg-0.8 mg Y PA Document
00003053536 THERAGRAN HEMATINIC multivit,ther.w-iron,hematinic TABLET 66.7 mg-0.33 mg Y PA Document
46122009575 MEGA MULTI multivit/iron/folic acid/hb179 TABLET 13.5 mg-200 mcg-250 mcg Y PA Document
37205024975 MEGA MULTIVITAMIN multivit/iron/folic acid/hb179 TABLET 13.5 mg-200 mcg-250 mcg Y PA Document
51991091290 VINATE DHA RF multivit37/iron/Lmfolate/algal CAPSULE 27 mg iron-1.13 mg-581.28 mg Y Y PA Document
64661065030 ENBRACE HR multivit41/iron/folate8/ps-dha CAP IR DR 1.5 mg iron-8.73 mg-6.4 mg Y Y PA Document
58016034299 CENTRAL VITE multivitamin TABLET Y N PA Document
10135011501 DAILY MULTIPLE VITAMIN multivitamin TABLET Y N PA Document
10135011510 DAILY MULTIPLE VITAMIN multivitamin TABLET Y N PA Document
10135011530 DAILY MULTIPLE VITAMIN multivitamin TABLET Y N PA Document
10135011560 DAILY MULTIPLE VITAMIN multivitamin TABLET Y N PA Document
10135016013 DAILY MULTIPLE VITAMIN multivitamin TABLET Y N PA Document
00098186508 DAILY VITAMIN multivitamin TABLET Y N PA Document
00098186520 DAILY VITAMIN multivitamin TABLET Y N PA Document
00098186540 DAILY VITAMIN multivitamin TABLET Y N PA Document
87701024793 ESSENTIAL ONE DAILY multivitamin TABLET Y N PA Document
60346036530 MULTIDAY VITES multivitamin TABLET Y N PA Document
60346036590 MULTIDAY VITES multivitamin TABLET Y N PA Document
60814056201 MULTIPLE DAILY W/BETA multivitamin TABLET Y N PA Document
04000000187 MULTIPLE VITAMIN multivitamin TABLET Y N PA Document
05000000649 MULTIVITAMIN multivitamin TABLET Y N PA Document
05000000691 MULTIVITAMIN multivitamin TABLET Y N PA Document
87701071128 ONE DAILY multivitamin TABLET Y N PA Document
54868156700 OPTIVITE P.M.T. multivitamin TABLET Y N PA Document
54868077100 SIGTAB multivitamin TABLET Y N PA Document
49614026178 SUPER MEDI-VITE multivitamin TABLET Y N PA Document
00904053070 TAB-A-VITE multivitamin TABLET Y Y PA Document
00904425446 ULTRA-MEGA multivitamin TABLET Y Y PA Document
00904425452 ULTRA-MEGA multivitamin TABLET Y Y PA Document
12939013773 VIMAR multivitamin TABLET Y N PA Document
12939013776 VIMAR multivitamin TABLET Y N PA Document
75854030630 PRENATE CHEWABLE multivitamin no.36/folate no.6 TAB CHEW 1 mg Y Y PA Document
59088069554 DERMACINRX DAVIMET multivitamin no.58/folic acid TAB CHEW 1,000 mcg N Y PA Document
00904053061 TAB-A-VITE multivitamin with folic acid TABLET 400 mcg N Y PA Document
00904053961 THERA multivitamin with folic acid TABLET 400 mcg N Y PA Document
83035121609 TM-DAILY VITE multivitamin with folic acid TABLET 400 mcg N Y PA Document
83035122009 TRUE MULTIVITAMIN multivitamin with folic acid TABLET 400 mcg N Y PA Document
00904434160 PMS multivitamin with iron TABLET Y PA Document
00904053170 TAB-A-VITE W/IRON multivitamin with iron TABLET Y PA Document
00254927258 L-TONIC multivitamin with minerals ELIXIR Y PA Document
24385058372 HAIR, SKIN & NAILS multivitamin with minerals TABLET Y PA Document
00065804030 ICAPS PLUS multivitamin with minerals TABLET Y PA Document
00065804052 ICAPS PLUS multivitamin with minerals TABLET Y PA Document
00904420760 TAB-A-VITE W/MINERALS multivitamin with minerals TABLET Y PA Document
00904026252 STRESS FORMULA multivitamin,stress formula TABLET Y PA Document
00904026260 STRESS FORMULA multivitamin,stress formula TABLET Y PA Document
51645086306 STRESS FORMULA multivitamin,stress formula TABLET Y PA Document
00178055001 ONCOVITE multivitamin,therapeutic TABLET Y Y PA Document
00054045160 CENTRUM ADULTS multivitamin/iron/folic acid TABLET 18 mg iron-400 mcg Y Y PA Document
00054045171 CENTRUM ADULTS multivitamin/iron/folic acid TABLET 18 mg iron-400 mcg Y Y PA Document
00904264172 CERTAVITE-ANTIOXIDANT multivitamin/iron/folic acid TABLET 18 mg iron-400 mcg Y Y PA Document
35515095926 MULTI-VITE multivitamin/iron/folic acid TABLET 18 mg iron-400 mcg Y N PA Document
52569013429 ONE DAILY WITH IRON multivitamin/iron/folic acid TABLET 18 mg iron-400 mcg Y N PA Document
85477090430 AFLORA mv-min no.83/iron/folate no.10 TABLET 20 mg iron-1,670 mcg DFE N Y PA Document
85477090330 NUTRALYN mv-min no.83/iron/folate no.10 TABLET 20 mg iron-1,670 mcg DFE N Y PA Document
50991023101 UDAMIN SP mv-min no.9/folic/saw palm frt TABLET 1,000 mcg-320 mg Y PA Document
51759000205 CARDIAMIN mv-min/FA/D3/om-3/dha/epa/fish CAPSULE 200 mcg-500 unit-200 mg-300 mg-833.5 mg Y PA Document
51759000206 CARDIAMIN mv-min/FA/D3/om-3/dha/epa/fish CAPSULE 200 mcg-500 unit-200 mg-300 mg-833.5 mg Y PA Document
24208069864 PRESERVISION AREDS 2 PLUS MV mv-min/FA/vit K/lutein/zeaxant CAPSULE 200 mcg-15 mcg-5 mg-1 mg Y PA Document
24208069866 PRESERVISION AREDS 2 PLUS MV mv-min/FA/vit K/lutein/zeaxant CAPSULE 200 mcg-15 mcg-5 mg-1 mg Y PA Document
24208073510 OCUVITE EYE PLUS MULTI mv-min/FA/vit K/lycop/lut/zeax TABLET 200 mcg-15 mcg-150 mcg-5 mg-1 mg Y PA Document
46122012878 CENTURY ULTIMATE MEN'S mv-min/folic/K1/lycopen/lutein TABLET 300 mcg-60 mcg-600 mcg-300 mcg Y PA Document
00178089630 CITRANATAL MEDLEY mv-min102/iron carb,fum/FA/dha CAPSULE 27 mg iron-1 mg-200 mg N Y PA Document
42192033230 PNV-OMEGA mv-mins 71/iron/folic no.1/dha CAPSULE 28 mg iron-1 mg-300 mg Y Y PA Document
13811058230 ZATEAN-PN PLUS mv-mins 71/iron/folic no.1/dha CAPSULE 28 mg iron-1 mg-300 mg Y Y PA Document
59088000854 FINAZOL mv-mins no.109/iron/lmefolate TABLET 18 mg iron-1,700 mcg DFE N Y PA Document
59088064354 DERMACINRX DEXATRAN mv-mins no.73/iron fum/folic CAPSULE 18 mg iron-1 mg N Y PA Document
46122012271 ONE DAILY MEN'S 50+ mv-mins/folic/lycopene/ginkgo TABLET 400 mcg-600 mcg-120 mg Y PA Document
59088016254 DIATROL mv-mn no.105/levomefol calc/K1 TABLET 1,700 mcg DFE-90 mcg N Y PA Document
59088000554 MULTITOL-M mv-mn no.106/levomefolate calc TABLET 2,040 mcg DFE N Y PA Document
59088017754 DERMACINRX VENEXA FE mv-mn no.86/iron/folic acid TABLET 27 mg iron-1 mg N Y PA Document
59088018754 DERMACINRX VENTRIXYL FE mv-mn no.86/iron/folic acid TABLET 27 mg iron-1 mg N Y PA Document
59088017354 DERMACINRX VITRANOL FE mv-mn no.86/iron/folic acid TABLET 27 mg iron-1 mg N Y PA Document
59088016854 DERMACINRX VITREXATE FE mv-mn no.86/iron/folic acid TABLET 27 mg iron-1 mg N Y PA Document
59088016554 VITREXYL PLUS IRON mv-mn no.86/iron/folic acid TABLET 27 mg iron-1 mg N Y PA Document
59088048058 DERMACINRX FOLIFLEX mv-mn no.89/iron/folic acid TABLET 9 mg iron-500 mcg N Y PA Document
59088018158 DERMACINRX FOLITIN-Z mv-mn no.89/iron/folic acid TABLET 9 mg iron-500 mcg N Y PA Document
59088018258 DERMACINRX RIBOTIN-E mv-mn no.89/iron/folic acid TABLET 9 mg iron-500 mcg N Y PA Document
59088018058 DERMACINRX ZINTREXYL-C mv-mn no.89/iron/folic acid TABLET 9 mg iron-500 mcg N Y PA Document
46122009475 MEGA MULTI mv-mn/folic acid/lutein/hrb178 TABLET 200 mcg-175 mcg-250 mcg Y PA Document
16571072812 ONE-DAILY MULTI mv-mn/folic/Q10/lycopen/lutein CAPSULE 800 mcg-1 mg-500 mcg-500 mcg N Y PA Document
24208046545 OCUVITE EYE PERFORMANCE mv-mn/om3/dha/epa/fish/lut/zea CAPSULE 250 mg (90 mg-160 mg)-10 mg-2 mg Y PA Document
24208046530 OCUVITE ADULT 50 PLUS mv-mn/om3/dha/epa/fish/lut/zea CAPSULE 250 mg (90 mg-160 mg)-5 mg-1 mg Y PA Document
24208046570 OCUVITE ADULT 50 PLUS mv-mn/om3/dha/epa/fish/lut/zea CAPSULE 250 mg (90 mg-160 mg)-5 mg-1 mg Y PA Document
51759000203 PRORENAL QD mv,iron/folic/D3/om-3/dha/epa CAPSULE 400 mcg-500 unit-275 mg (110 mg-165 mg)-500 mg Y PA Document
51759000204 PRORENAL QD mv,iron/folic/D3/om-3/dha/epa CAPSULE 400 mcg-500 unit-275 mg (110 mg-165 mg)-500 mg Y PA Document
00642020790 STROVITE ONE mv,min10/folic acid/D3/ALA/lut TABLET 1 mg-1,000 unit-15 mg-5 mg N Y PA Document
13811054330 TARON-PREX PRENATAL mvn no.53/iron/folic/dss/dha CAPSULE 30 mg iron-1.2 mg-55 mg-265 mg Y Y PA Document
13811053530 FOLIVANE-OB mvn-min 74/iron fum/iron/FA CAPSULE 85 mg-1 mg Y Y PA Document
13811053630 TARON-C DHA mvn-min75/iron/iron ps/om3/dha CAPSULE 35 mg-1 mg-200 mg Y Y PA Document
69367031530 WESCAP-C DHA mvn-min75/iron/iron ps/om3/dha CAPSULE 35 mg-1 mg-200 mg Y Y PA Document
42192030160 VIT 3 om-3/dha/epa/B12/FA/B6/phytost CAPSULE 500 mg-350 mg-35 mg-500 mcg-1 mg-12.5 mg-200 mg N Y PA Document
51645099712 EYEPROTECT vit A/C/E ac/ZnOx/cupric oxide TABLET 7,160 unit-113 mg-100 unit-17.4 mg-0.4 mg N Y PA Document
00065804601 ICAPS AREDS vit A/vit C/vit E/zinc/copper CAPSULE 4,296 mcg-226 mg-90 mg-34.8 mg-0.8 mg Y PA Document
00065804603 ICAPS AREDS vit A/vit C/vit E/zinc/copper CAPSULE 4,296 mcg-226 mg-90 mg-34.8 mg-0.8 mg Y PA Document
24208053210 PRESERVISION AREDS vit A/vit C/vit E/zinc/copper CAPSULE 4,296 mcg-226 mg-90 mg-34.8 mg-0.8 mg Y PA Document
24208053230 PRESERVISION AREDS vit A/vit C/vit E/zinc/copper CAPSULE 4,296 mcg-226 mg-90 mg-34.8 mg-0.8 mg Y PA Document
24208053293 PRESERVISION AREDS vit A/vit C/vit E/zinc/copper CAPSULE 4,296 mcg-226 mg-90 mg-34.8 mg-0.8 mg Y PA Document
24208043262 PRESERVISION AREDS vit A/vit C/vit E/zinc/copper TABLET 2,148 mcg-113 mg-45 mg-17.4 mg-0.4 mg Y PA Document
24208043272 PRESERVISION AREDS vit A/vit C/vit E/zinc/copper TABLET 2,148 mcg-113 mg-45 mg-17.4 mg-0.4 mg Y PA Document
24208063210 PRESERVISION LUTEIN vit C/E/cuperic/zinc/lutein CAPSULE 226 mg-90 mg-0.8 mg-34.8 mg-5 mg Y PA Document
24208063211 PRESERVISION LUTEIN vit C/E/cuperic/zinc/lutein CAPSULE 226 mg-90 mg-0.8 mg-34.8 mg-5 mg Y PA Document
00904722118 EYE MULTIVITAMIN WITH LUTEIN vit C/E/cuperic/zinc/lutein CAPSULE 226 mg-90 mg-2 mg-34.8 mg-5 mg N Y PA Document
00904722151 EYE MULTIVITAMIN WITH LUTEIN vit C/E/cuperic/zinc/lutein CAPSULE 226 mg-90 mg-2 mg-34.8 mg-5 mg N Y PA Document
00065804812 ICAPS AREDS2 vit C/E/zinc ox/copp/lut/zeax CAPSULE 250 mg-200 unit-12.5 mg-1 mg-5 mg-1 mg Y PA Document
50428206508 BALANCED B-50 vitamin B complex CAPSULE Y N PA Document
00536137801 VITAMIN B COMPLEX vitamin B complex CAPSULE Y Y PA Document
05000000658 VITAMIN B COMPLEX W/VIT B-12 vitamin B complex CAPSULE Y N PA Document
00904421472 VITAMIN A AND D vitamins A and D CAPSULE Y PA Document
00065804803 ICAPS AREDS2 vitC/E/zinc/copper/lutein/zeax TAB CHEW 250 mg-200 unit-12.5 mg-1 mg-5 mg-1 mg Y PA Document
00065804806 ICAPS AREDS2 vitC/E/zinc/copper/lutein/zeax TABLET 250 mg-200 unit-12.5 mg-1 mg-5 mg-1 mg Y PA Document
00065804807 ICAPS AREDS2 vitC/E/zinc/copper/lutein/zeax TABLET 250 mg-200 unit-12.5 mg-1 mg-5 mg-1 mg Y PA Document
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