Calcium/Vit D Replacement, Oral
PDL Reference 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.
| NDC | Brand Name | Generic Name | Form | Strength | PDL Status |
Rebate | Carveout ‐ Bill FFS |
Current Drug Use Criteria |
|---|---|---|---|---|---|---|---|---|
| 24385087672 | HI-CAL | calcium | TABLET | 500 mg | Y | N | ||
| 46122008278 | CAL MAG ZINC-D3 | calcium carb/D3/magnesium/zinc | TABLET | 333 mg calcium-133 unit-133 mg-5 mg | N | Y | N | Pharmacy PA |
| 17856311730 | CALCIUM CARBONATE | calcium carbonate | ORAL SUSP | 500 mg/5 mL calcium (1,250 mg/5 mL) | Y | N | N | |
| 00121076616 | CALCIUM CARBONATE | calcium carbonate | ORAL SUSP | 500 mg/5 mL calcium (1,250 mg/5 mL) | Y | Y | N | |
| 00121476605 | CALCIUM CARBONATE | calcium carbonate | ORAL SUSP | 500 mg/5 mL calcium (1,250 mg/5 mL) | Y | Y | N | |
| 68599141103 | ANTACID | calcium carbonate | TAB CHEW | 168 mg calcium (420 mg) | Y | N | ||
| 49348016921 | ANTACID | calcium carbonate | TAB CHEW | 200 mg calcium (500 mg) | Y | N | ||
| 49348017021 | ANTACID | calcium carbonate | TAB CHEW | 200 mg calcium (500 mg) | Y | N | ||
| 68084098832 | ANTACID | calcium carbonate | TAB CHEW | 200 mg calcium (500 mg) | Y | N | ||
| 68084098833 | ANTACID | calcium carbonate | TAB CHEW | 200 mg calcium (500 mg) | Y | N | ||
| 70000003401 | ANTACID | calcium carbonate | TAB CHEW | 200 mg calcium (500 mg) | Y | N | ||
| 70677013701 | ANTACID | calcium carbonate | TAB CHEW | 200 mg calcium (500 mg) | Y | N | ||
| 70677107501 | ANTACID | calcium carbonate | TAB CHEW | 200 mg calcium (500 mg) | Y | N | ||
| 70677108101 | ANTACID | calcium carbonate | TAB CHEW | 200 mg calcium (500 mg) | Y | N | ||
| 83324022166 | ANTACID | calcium carbonate | TAB CHEW | 200 mg calcium (500 mg) | Y | N | ||
| 83324031515 | ANTACID | calcium carbonate | TAB CHEW | 200 mg calcium (500 mg) | Y | N | ||
| 83324031615 | ANTACID | calcium carbonate | TAB CHEW | 200 mg calcium (500 mg) | Y | N | ||
| 00536100715 | CAL-GEST | calcium carbonate | TAB CHEW | 200 mg calcium (500 mg) | Y | N | ||
| 00536104815 | CALCIUM ANTACID | calcium carbonate | TAB CHEW | 200 mg calcium (500 mg) | Y | N | ||
| 00904641292 | CALCIUM ANTACID | calcium carbonate | TAB CHEW | 200 mg calcium (500 mg) | Y | N | ||
| 00536122922 | ANTACID EXTRA STRENGTH | calcium carbonate | TAB CHEW | 300 mg calcium (750 mg) | N | Y | N | Pharmacy PA |
| 24385010680 | ANTACID EXTRA STRENGTH | calcium carbonate | TAB CHEW | 300 mg calcium (750 mg) | N | Y | N | Pharmacy PA |
| 46122022575 | ANTACID EXTRA STRENGTH | calcium carbonate | TAB CHEW | 300 mg calcium (750 mg) | N | Y | N | Pharmacy PA |
| 49348086513 | ANTACID EXTRA STRENGTH | calcium carbonate | TAB CHEW | 300 mg calcium (750 mg) | N | Y | N | Pharmacy PA |
| 70000043002 | ANTACID EXTRA STRENGTH | calcium carbonate | TAB CHEW | 300 mg calcium (750 mg) | N | Y | N | Pharmacy PA |
| 70000043101 | ANTACID EXTRA STRENGTH | calcium carbonate | TAB CHEW | 300 mg calcium (750 mg) | N | Y | N | Pharmacy PA |
| 70000046001 | ANTACID EXTRA STRENGTH | calcium carbonate | TAB CHEW | 300 mg calcium (750 mg) | N | Y | N | Pharmacy PA |
| 70000059201 | ANTACID EXTRA STRENGTH | calcium carbonate | TAB CHEW | 300 mg calcium (750 mg) | N | Y | N | Pharmacy PA |
| 70000068101 | ANTACID EXTRA STRENGTH | calcium carbonate | TAB CHEW | 300 mg calcium (750 mg) | N | Y | N | Pharmacy PA |
| 70000068201 | ANTACID EXTRA STRENGTH | calcium carbonate | TAB CHEW | 300 mg calcium (750 mg) | N | Y | N | Pharmacy PA |
| 70677107601 | ANTACID EXTRA STRENGTH | calcium carbonate | TAB CHEW | 300 mg calcium (750 mg) | N | Y | N | Pharmacy PA |
| 70677107901 | ANTACID EXTRA STRENGTH | calcium carbonate | TAB CHEW | 300 mg calcium (750 mg) | N | Y | N | Pharmacy PA |
| 83324031396 | ANTACID EXTRA STRENGTH | calcium carbonate | TAB CHEW | 300 mg calcium (750 mg) | N | Y | N | Pharmacy PA |
| 83324031896 | ANTACID EXTRA STRENGTH | calcium carbonate | TAB CHEW | 300 mg calcium (750 mg) | N | Y | N | Pharmacy PA |
| 00536104922 | CALCIUM ANTACID | calcium carbonate | TAB CHEW | 300 mg calcium (750 mg) | N | Y | N | Pharmacy PA |
| 00536105022 | CALCIUM ANTACID | calcium carbonate | TAB CHEW | 300 mg calcium (750 mg) | N | Y | N | Pharmacy PA |
| 00536122522 | CALCIUM ANTACID | calcium carbonate | TAB CHEW | 300 mg calcium (750 mg) | N | Y | N | Pharmacy PA |
| 70000059301 | SMOOTH ANTACID | calcium carbonate | TAB CHEW | 300 mg calcium (750 mg) | N | Y | N | Pharmacy PA |
| 70000043601 | ANTACID ULTRA STRENGTH | calcium carbonate | TAB CHEW | 400 mg calcium (1,000 mg) | Y | N | ||
| 70000045901 | ANTACID ULTRA STRENGTH | calcium carbonate | TAB CHEW | 400 mg calcium (1,000 mg) | Y | N | ||
| 70000068301 | ANTACID ULTRA STRENGTH | calcium carbonate | TAB CHEW | 400 mg calcium (1,000 mg) | Y | N | ||
| 83324031772 | ANTACID ULTRA STRENGTH | calcium carbonate | TAB CHEW | 400 mg calcium (1,000 mg) | Y | N | ||
| 50268014911 | CALCIUM | calcium carbonate | TAB CHEW | 500 mg calcium (1,250 mg) | N | Y | N | Pharmacy PA |
| 50268014913 | CALCIUM | calcium carbonate | TAB CHEW | 500 mg calcium (1,250 mg) | N | Y | N | Pharmacy PA |
| 00904323262 | CALCIUM CARBONATE | calcium carbonate | TABLET | 1.5 gram | Y | N | ||
| 71610030130 | CALCIUM CARBONATE | calcium carbonate | TABLET | 260 mg calcium (648 mg) | Y | N | N | |
| 71610030153 | CALCIUM CARBONATE | calcium carbonate | TABLET | 260 mg calcium (648 mg) | Y | N | N | |
| 71610030160 | CALCIUM CARBONATE | calcium carbonate | TABLET | 260 mg calcium (648 mg) | Y | N | N | |
| 71610030165 | CALCIUM CARBONATE | calcium carbonate | TABLET | 260 mg calcium (648 mg) | Y | N | N | |
| 71610030180 | CALCIUM CARBONATE | calcium carbonate | TABLET | 260 mg calcium (648 mg) | Y | N | N | |
| 71610030185 | CALCIUM CARBONATE | calcium carbonate | TABLET | 260 mg calcium (648 mg) | Y | N | N | |
| 71610030192 | CALCIUM CARBONATE | calcium carbonate | TABLET | 260 mg calcium (648 mg) | Y | N | N | |
| 00536120610 | CALCIUM CARBONATE | calcium carbonate | TABLET | 260 mg calcium (648 mg) | Y | Y | N | |
| 11917005021 | CALCIUM | calcium carbonate | TABLET | 500 mg calcium (1,250 mg) | Y | N | N | |
| 49348006243 | CALCIUM | calcium carbonate | TABLET | 500 mg calcium (1,250 mg) | Y | Y | N | |
| 87701034009 | CALCIUM 500 | calcium carbonate | TABLET | 500 mg calcium (1,250 mg) | Y | N | N | |
| 24385087206 | CALCIUM 500 | calcium carbonate | TABLET | 500 mg calcium (1,250 mg) | Y | Y | N | |
| 10135021101 | CALCIUM CARBONATE | calcium carbonate | TABLET | 500 mg calcium (1,250 mg) | Y | N | N | |
| 10135021103 | CALCIUM CARBONATE | calcium carbonate | TABLET | 500 mg calcium (1,250 mg) | Y | N | N | |
| 10135021110 | CALCIUM CARBONATE | calcium carbonate | TABLET | 500 mg calcium (1,250 mg) | Y | N | N | |
| 10135021113 | CALCIUM CARBONATE | calcium carbonate | TABLET | 500 mg calcium (1,250 mg) | Y | N | N | |
| 10135021160 | CALCIUM CARBONATE | calcium carbonate | TABLET | 500 mg calcium (1,250 mg) | Y | N | N | |
| 10135021164 | CALCIUM CARBONATE | calcium carbonate | TABLET | 500 mg calcium (1,250 mg) | Y | N | N | |
| 34575051387 | HI-CALCIUM | calcium carbonate | TABLET | 500 mg calcium (1,250 mg) | Y | N | N | |
| 04000000138 | OYSTER SHELL CALCIUM | calcium carbonate | TABLET | 500 mg calcium (1,250 mg) | Y | N | N | |
| 10939041511 | OYSTER SHELL CALCIUM | calcium carbonate | TABLET | 500 mg calcium (1,250 mg) | Y | N | N | |
| 37864082701 | OYSTER SHELL CALCIUM | calcium carbonate | TABLET | 500 mg calcium (1,250 mg) | Y | N | N | |
| 49614051672 | OYSTER SHELL CALCIUM | calcium carbonate | TABLET | 500 mg calcium (1,250 mg) | Y | N | N | |
| 51645082701 | OYSTER SHELL CALCIUM | calcium carbonate | TABLET | 500 mg calcium (1,250 mg) | Y | N | N | |
| 60814053112 | OYSTER SHELL CALCIUM | calcium carbonate | TABLET | 500 mg calcium (1,250 mg) | Y | N | N | |
| 87701088913 | OYSTER SHELL CALCIUM | calcium carbonate | TABLET | 500 mg calcium (1,250 mg) | Y | N | N | |
| 87701088921 | OYSTER SHELL CALCIUM | calcium carbonate | TABLET | 500 mg calcium (1,250 mg) | Y | N | N | |
| 00904188361 | OYSTER SHELL CALCIUM | calcium carbonate | TABLET | 500 mg calcium (1,250 mg) | Y | Y | N | |
| 00904188362 | OYSTER SHELL CALCIUM | calcium carbonate | TABLET | 500 mg calcium (1,250 mg) | Y | Y | N | |
| 00904188372 | OYSTER SHELL CALCIUM | calcium carbonate | TABLET | 500 mg calcium (1,250 mg) | Y | Y | N | |
| 00904188413 | OYSTER SHELL CALCIUM | calcium carbonate | TABLET | 500 mg calcium (1,250 mg) | Y | Y | N | |
| 00904188452 | OYSTER SHELL CALCIUM | calcium carbonate | TABLET | 500 mg calcium (1,250 mg) | Y | Y | N | |
| 00904188472 | OYSTER SHELL CALCIUM | calcium carbonate | TABLET | 500 mg calcium (1,250 mg) | Y | Y | N | |
| 71085007704 | OYSTER SHELL CALCIUM | calcium carbonate | TABLET | 500 mg calcium (1,250 mg) | Y | Y | N | |
| 83035181205 | OYSTER SHELL CALCIUM | calcium carbonate | TABLET | 500 mg calcium (1,250 mg) | Y | Y | N | |
| 83592001805 | OYSTER SHELL CALCIUM | calcium carbonate | TABLET | 500 mg calcium (1,250 mg) | Y | Y | N | |
| 85633003236 | OYSTER SHELL CALCIUM | calcium carbonate | TABLET | 500 mg calcium (1,250 mg) | Y | Y | N | |
| 85633003260 | OYSTER SHELL CALCIUM | calcium carbonate | TABLET | 500 mg calcium (1,250 mg) | Y | Y | N | |
| 10135025660 | CALCIUM | calcium carbonate | TABLET | 600 mg calcium (1,500 mg) | Y | N | N | |
| 10135025664 | CALCIUM | calcium carbonate | TABLET | 600 mg calcium (1,500 mg) | Y | N | N | |
| 11917005027 | CALCIUM | calcium carbonate | TABLET | 600 mg calcium (1,500 mg) | Y | N | N | |
| 11917005038 | CALCIUM | calcium carbonate | TABLET | 600 mg calcium (1,500 mg) | Y | N | N | |
| 24385026972 | CALCIUM | calcium carbonate | TABLET | 600 mg calcium (1,500 mg) | Y | N | N | |
| 35515098043 | CALCIUM | calcium carbonate | TABLET | 600 mg calcium (1,500 mg) | Y | N | N | |
| 54629072000 | CALCIUM | calcium carbonate | TABLET | 600 mg calcium (1,500 mg) | Y | N | N | |
| 87701053153 | CALCIUM | calcium carbonate | TABLET | 600 mg calcium (1,500 mg) | Y | N | N | |
| 46122007772 | CALCIUM | calcium carbonate | TABLET | 600 mg calcium (1,500 mg) | Y | Y | N | |
| 49614068278 | OYSTER SHELL CALCIUM | calcium carbonate | TABLET | 600 mg calcium (1,500 mg) | Y | N | N | |
| 00904401860 | LIQUID CALCIUM | calcium carbonate/vitamin D2 | CAPSULE | 600 mg calcium-200 unit | Y | N | ||
| 62584063501 | CALCIUM CARBONATE W/VITAMIN D | calcium carbonate/vitamin D2 | TABLET | 250 mg calcium (625 mg)-125 unit | N | Y | N | Pharmacy PA |
| 62584063533 | CALCIUM CARBONATE W/VITAMIN D | calcium carbonate/vitamin D2 | TABLET | 250 mg calcium (625 mg)-125 unit | N | Y | N | Pharmacy PA |
| 00904188552 | OYSTER + D | calcium carbonate/vitamin D2 | TABLET | 500 mg calcium (1,250 mg)-125 unit | Y | N | ||
| 00904188592 | OYSTER SHELL CALCIUM | calcium carbonate/vitamin D2 | TABLET | 500 mg calcium (1,250 mg)-125 unit | Y | N | ||
| 49348001923 | OYSTER SHELL CALCIUM W-VIT D | calcium carbonate/vitamin D2 | TABLET | 500 mg calcium (1,250 mg)-125 unit | Y | N | ||
| 00904188562 | OYSTER SHELL CALCIUM W/VIT D | calcium carbonate/vitamin D2 | TABLET | 500 mg calcium (1,250 mg)-125 unit | Y | N | ||
| 00904188572 | OYSTER SHELL CALCIUM W/VIT D | calcium carbonate/vitamin D2 | TABLET | 500 mg calcium (1,250 mg)-125 unit | Y | N | ||
| 00904188580 | OYSTER SHELL CALCIUM W/VIT D | calcium carbonate/vitamin D2 | TABLET | 500 mg calcium (1,250 mg)-125 unit | Y | N | ||
| 00904323362 | CALCIUM CARBONATE W/VITAMIN D | calcium carbonate/vitamin D2 | TABLET | 600 mg calcium-200 unit | Y | N | ||
| 00088166301 | OS-CAL 500+D | calcium carbonate/vitamin D3 | TAB CHEW | 500 mg calcium (1,250 mg)-600 unit | Y | Y | N | |
| 00904188260 | CALCIUM 250-VIT D3 | calcium carbonate/vitamin D3 | TABLET | 250 mg calcium-3 mcg (120 unit) | N | Y | N | Pharmacy PA |
| 46122007606 | CALCIUM 500-VIT D3 | calcium carbonate/vitamin D3 | TABLET | 500 mg calcium-15 mcg (600 unit) | Y | Y | N | |
| 46122007698 | CALCIUM 500-VIT D3 | calcium carbonate/vitamin D3 | TABLET | 500 mg calcium-15 mcg (600 unit) | Y | Y | N | |
| 00088165125 | OS-CAL 500-VIT D3 | calcium carbonate/vitamin D3 | TABLET | 500 mg calcium-15 mcg (600 unit) | Y | Y | N | |
| 00088165149 | OS-CAL 500-VIT D3 | calcium carbonate/vitamin D3 | TABLET | 500 mg calcium-15 mcg (600 unit) | Y | Y | N | |
| 83035181006 | CALCIUM 500-VIT D3 | calcium carbonate/vitamin D3 | TABLET | 500 mg calcium-5 mcg (200 unit) | N | Y | N | Pharmacy PA |
| 00088165475 | OS-CAL 500-VIT D3 | calcium carbonate/vitamin D3 | TABLET | 500 mg calcium-5 mcg (200 unit) | N | Y | N | Pharmacy PA |
| 00536781708 | OYSCO 500-VIT D3 | calcium carbonate/vitamin D3 | TABLET | 500 mg calcium-5 mcg (200 unit) | N | Y | N | Pharmacy PA |
| 00536781710 | OYSCO 500-VIT D3 | calcium carbonate/vitamin D3 | TABLET | 500 mg calcium-5 mcg (200 unit) | N | Y | N | Pharmacy PA |
| 00904546052 | OYSTER SHELL CALCIUM-VIT D3 | calcium carbonate/vitamin D3 | TABLET | 500 mg calcium-5 mcg (200 unit) | N | Y | N | Pharmacy PA |
| 00904546072 | OYSTER SHELL CALCIUM-VIT D3 | calcium carbonate/vitamin D3 | TABLET | 500 mg calcium-5 mcg (200 unit) | N | Y | N | Pharmacy PA |
| 00904546080 | OYSTER SHELL CALCIUM-VIT D3 | calcium carbonate/vitamin D3 | TABLET | 500 mg calcium-5 mcg (200 unit) | N | Y | N | Pharmacy PA |
| 00904546092 | OYSTER SHELL CALCIUM-VIT D3 | calcium carbonate/vitamin D3 | TABLET | 500 mg calcium-5 mcg (200 unit) | N | Y | N | Pharmacy PA |
| 50268015011 | CALCIUM 600-VIT D3 | calcium carbonate/vitamin D3 | TABLET | 600 mg calcium-10 mcg (400 unit) | N | Y | N | Pharmacy PA |
| 50268015015 | CALCIUM 600-VIT D3 | calcium carbonate/vitamin D3 | TABLET | 600 mg calcium-10 mcg (400 unit) | N | Y | N | Pharmacy PA |
| 71085007660 | CALCIUM 600-VIT D3 | calcium carbonate/vitamin D3 | TABLET | 600 mg calcium-10 mcg (400 unit) | N | Y | N | Pharmacy PA |
| 83592001706 | CALCIUM 600-VIT D3 | calcium carbonate/vitamin D3 | TABLET | 600 mg calcium-10 mcg (400 unit) | N | Y | N | Pharmacy PA |
| 85633001036 | CALCIUM 600-VIT D3 | calcium carbonate/vitamin D3 | TABLET | 600 mg calcium-10 mcg (400 unit) | N | Y | N | Pharmacy PA |
| 85633001060 | CALCIUM 600-VIT D3 | calcium carbonate/vitamin D3 | TABLET | 600 mg calcium-10 mcg (400 unit) | N | Y | N | Pharmacy PA |
| 83035181406 | ULTRA CALCIUM 600-VIT D3 | calcium carbonate/vitamin D3 | TABLET | 600 mg calcium-10 mcg (400 unit) | N | Y | N | Pharmacy PA |
| 50268014611 | CALCIUM 600-VIT D3 | calcium carbonate/vitamin D3 | TABLET | 600 mg calcium-20 mcg (800 unit) | N | Y | N | Pharmacy PA |
| 50268014615 | CALCIUM 600-VIT D3 | calcium carbonate/vitamin D3 | TABLET | 600 mg calcium-20 mcg (800 unit) | N | Y | N | Pharmacy PA |
| 59088020131 | LIQUICAL PLUS | calcium cit/magnesium/D3/zinc | LIQUID | 84 mg calcium-24 mg-10 mcg-0.7 mg/5 mL | N | Y | N | Pharmacy PA |
| 00178081130 | CITRACAL LIQUITAB | calcium citrate | TABLET EFF | 500 mg | N | Y | N | Pharmacy PA |
| 46122008172 | CALCIUM CITRATE - VITAMIN D3 | calcium citrate/vitamin D3 | TABLET | 315 mg calcium-6.25 mcg (250 unit) | N | Y | N | Pharmacy PA |
| 46122008176 | CALCIUM CITRATE - VITAMIN D3 | calcium citrate/vitamin D3 | TABLET | 315 mg calcium-6.25 mcg (250 unit) | N | Y | N | Pharmacy PA |
| 50268014711 | CALCIUM CITRATE-VITAMIN D3 | calcium citrate/vitamin D3 | TABLET | 315 mg calcium-6.25 mcg (250 unit) | N | Y | N | Pharmacy PA |
| 50268014715 | CALCIUM CITRATE-VITAMIN D3 | calcium citrate/vitamin D3 | TABLET | 315 mg calcium-6.25 mcg (250 unit) | N | Y | N | Pharmacy PA |
| 64980015001 | RISACAL-D | calcium phosphate dibas/vit D3 | TABLET | 100 mg calcium-3 mcg | N | Y | N | Pharmacy PA |
| 16571073118 | ALGAE BASED CALCIUM | calcium/D3/mag/K2/min/herb 326 | TABLET | 333.33 mg-6.67 mcg-32 mg-28.33 mcg | Y | N | ||
| 42192070660 | CALCIUM-FOLIC ACID PLUS D | calcium/mag/D3/B12/FA/B6/boron | WAFER | 500 mg-50 mg-300 unit-125 mcg-1 mg-10 mg-250 mcg | N | Y | N | Pharmacy PA |
| 00904430260 | CALCIUM/MAGNESIUM/ZINC | calcium/magnesium/zinc | TABLET | N | Y | N | Pharmacy PA | |
| 67112090250 | DECARA | cholecalciferol (vitamin D3) | CAPSULE | 1,250 mcg (50,000 unit) | Y | Y | N | |
| 75834002001 | VITAMIN D3 | cholecalciferol (vitamin D3) | CAPSULE | 1,250 mcg (50,000 unit) | Y | Y | N | |
| 75834002012 | VITAMIN D3 | cholecalciferol (vitamin D3) | CAPSULE | 1,250 mcg (50,000 unit) | Y | Y | N | |
| 83035185001 | VITAMIN D3 | cholecalciferol (vitamin D3) | CAPSULE | 1,250 mcg (50,000 unit) | Y | Y | N | |
| 75834016712 | WEEKLY-D | cholecalciferol (vitamin D3) | CAPSULE | 1,250 mcg (50,000 unit) | Y | Y | N | |
| 75834016724 | WEEKLY-D | cholecalciferol (vitamin D3) | CAPSULE | 1,250 mcg (50,000 unit) | Y | Y | N | |
| 83035184601 | VITAMIN D3 | cholecalciferol (vitamin D3) | CAPSULE | 10 mcg (400 unit) | N | Y | N | Pharmacy PA |
| 10542009090 | DIALYVITE VITAMIN D | cholecalciferol (vitamin D3) | CAPSULE | 125 mcg (5,000 unit) | N | Y | N | Pharmacy PA |
| 50268086811 | VITAMIN D3 | cholecalciferol (vitamin D3) | CAPSULE | 125 mcg (5,000 unit) | N | Y | N | Pharmacy PA |
| 50268086815 | VITAMIN D3 | cholecalciferol (vitamin D3) | CAPSULE | 125 mcg (5,000 unit) | N | Y | N | Pharmacy PA |
| 71800001901 | VITAMIN D3 | cholecalciferol (vitamin D3) | CAPSULE | 125 mcg (5,000 unit) | N | Y | N | Pharmacy PA |
| 83035184801 | VITAMIN D3 | cholecalciferol (vitamin D3) | CAPSULE | 125 mcg (5,000 unit) | N | Y | N | Pharmacy PA |
| 83035184805 | VITAMIN D3 | cholecalciferol (vitamin D3) | CAPSULE | 125 mcg (5,000 unit) | N | Y | N | Pharmacy PA |
| 83592007005 | VITAMIN D3 | cholecalciferol (vitamin D3) | CAPSULE | 125 mcg (5,000 unit) | N | Y | N | Pharmacy PA |
| 85633002030 | VITAMIN D3 | cholecalciferol (vitamin D3) | CAPSULE | 125 mcg (5,000 unit) | N | Y | N | Pharmacy PA |
| 85633002036 | VITAMIN D3 | cholecalciferol (vitamin D3) | CAPSULE | 125 mcg (5,000 unit) | N | Y | N | Pharmacy PA |
| 71800001501 | VITAMIN D3 | cholecalciferol (vitamin D3) | CAPSULE | 25 mcg (1,000 unit) | Y | Y | N | |
| 83035184701 | VITAMIN D3 | cholecalciferol (vitamin D3) | CAPSULE | 25 mcg (1,000 unit) | Y | Y | N | |
| 83035184705 | VITAMIN D3 | cholecalciferol (vitamin D3) | CAPSULE | 25 mcg (1,000 unit) | Y | Y | N | |
| 83592001305 | VITAMIN D3 | cholecalciferol (vitamin D3) | CAPSULE | 25 mcg (1,000 unit) | Y | Y | N | |
| 85633002230 | VITAMIN D3 | cholecalciferol (vitamin D3) | CAPSULE | 25 mcg (1,000 unit) | Y | Y | N | |
| 85633002236 | VITAMIN D3 | cholecalciferol (vitamin D3) | CAPSULE | 25 mcg (1,000 unit) | Y | Y | N | |
| 63044040101 | VITAMIN D3 | cholecalciferol (vitamin D3) | CAPSULE | 250 mcg (10,000 unit) | Y | N | N | |
| 83035184901 | VITAMIN D3 | cholecalciferol (vitamin D3) | CAPSULE | 250 mcg (10,000 unit) | Y | Y | N | |
| 00536135301 | VITAMIN D3 | cholecalciferol (vitamin D3) | CAPSULE | 50 mcg (2,000 unit) | N | Y | N | Pharmacy PA |
| 45861006701 | VITAMIN D3 | cholecalciferol (vitamin D3) | CAPSULE | 50 mcg (2,000 unit) | N | Y | N | Pharmacy PA |
| 50268086711 | VITAMIN D3 | cholecalciferol (vitamin D3) | CAPSULE | 50 mcg (2,000 unit) | N | Y | N | Pharmacy PA |
| 50268086715 | VITAMIN D3 | cholecalciferol (vitamin D3) | CAPSULE | 50 mcg (2,000 unit) | N | Y | N | Pharmacy PA |
| 83035185901 | VITAMIN D3 | cholecalciferol (vitamin D3) | CAPSULE | 50 mcg (2,000 unit) | N | Y | N | Pharmacy PA |
| 83035185905 | VITAMIN D3 | cholecalciferol (vitamin D3) | CAPSULE | 50 mcg (2,000 unit) | N | Y | N | Pharmacy PA |
| 83592001605 | VITAMIN D3 | cholecalciferol (vitamin D3) | CAPSULE | 50 mcg (2,000 unit) | N | Y | N | Pharmacy PA |
| 85633002130 | VITAMIN D3 | cholecalciferol (vitamin D3) | CAPSULE | 50 mcg (2,000 unit) | N | Y | N | Pharmacy PA |
| 85633002136 | VITAMIN D3 | cholecalciferol (vitamin D3) | CAPSULE | 50 mcg (2,000 unit) | N | Y | N | Pharmacy PA |
| 67112090100 | DECARA | cholecalciferol (vitamin D3) | CAPSULE | 625 mcg (25,000 unit) | Y | Y | N | |
| 67112090130 | DECARA | cholecalciferol (vitamin D3) | CAPSULE | 625 mcg (25,000 unit) | Y | Y | N | |
| 82098061515 | OSTEO-VIT3 | cholecalciferol (vitamin D3) | DROPS | 1,250 mcg/3 mL (50,000 unit/3 mL) | N | Y | N | Pharmacy PA |
| 00536134380 | VITAMIN D3 | cholecalciferol (vitamin D3) | DROPS | 10 mcg/mL (400 unit/mL) | Y | Y | N | |
| 54838000650 | VITAMIN D3 | cholecalciferol (vitamin D3) | DROPS | 10 mcg/mL (400 unit/mL) | Y | Y | N | |
| 68094022401 | VITAMIN D3 | cholecalciferol (vitamin D3) | SYRINGE | 10 mcg/mL (400 unit/mL) | N | Y | N | Pharmacy PA |
| 68094022458 | VITAMIN D3 | cholecalciferol (vitamin D3) | SYRINGE | 10 mcg/mL (400 unit/mL) | N | Y | N | Pharmacy PA |
| 10542010002 | DIALYVITE VITAMIN D3 MAX | cholecalciferol (vitamin D3) | TABLET | 1,250 mcg (50,000 unit) | Y | Y | N | |
| 10542010008 | DIALYVITE VITAMIN D3 MAX | cholecalciferol (vitamin D3) | TABLET | 1,250 mcg (50,000 unit) | Y | Y | N | |
| 83035184501 | VITAMIN D3 | cholecalciferol (vitamin D3) | TABLET | 1,250 mcg (50,000 unit) | Y | Y | N | |
| 00904582360 | VITAMIN D3 | cholecalciferol (vitamin D3) | TABLET | 10 mcg (400 unit) | N | Y | N | Pharmacy PA |
| 50268086311 | VITAMIN D3 | cholecalciferol (vitamin D3) | TABLET | 10 mcg (400 unit) | N | Y | N | Pharmacy PA |
| 50268086315 | VITAMIN D3 | cholecalciferol (vitamin D3) | TABLET | 10 mcg (400 unit) | N | Y | N | Pharmacy PA |
| 68094011459 | VITAMIN D3 | cholecalciferol (vitamin D3) | TABLET | 10 mcg (400 unit) | N | Y | N | Pharmacy PA |
| 68094011461 | VITAMIN D3 | cholecalciferol (vitamin D3) | TABLET | 10 mcg (400 unit) | N | Y | N | Pharmacy PA |
| 83035184101 | VITAMIN D3 | cholecalciferol (vitamin D3) | TABLET | 10 mcg (400 unit) | N | Y | N | Pharmacy PA |
| 50268086611 | VITAMIN D3 | cholecalciferol (vitamin D3) | TABLET | 125 mcg (5,000 unit) | Y | Y | N | |
| 50268086615 | VITAMIN D3 | cholecalciferol (vitamin D3) | TABLET | 125 mcg (5,000 unit) | Y | Y | N | |
| 83035184301 | VITAMIN D3 | cholecalciferol (vitamin D3) | TABLET | 125 mcg (5,000 unit) | Y | Y | N | |
| 24385065578 | VITAMIN D | cholecalciferol (vitamin D3) | TABLET | 25 mcg (1,000 unit) | Y | N | N | |
| 83035184201 | VITAMIN D3 | cholecalciferol (vitamin D3) | TABLET | 25 mcg (1,000 unit) | Y | Y | N | |
| 83035184401 | VITAMIN D3 | cholecalciferol (vitamin D3) | TABLET | 250 mcg (10,000 unit) | N | Y | N | Pharmacy PA |
| 50268086511 | VITAMIN D3 | cholecalciferol (vitamin D3) | TABLET | 50 mcg (2,000 unit) | Y | Y | N | |
| 50268086515 | VITAMIN D3 | cholecalciferol (vitamin D3) | TABLET | 50 mcg (2,000 unit) | Y | Y | N | |
| 83035185501 | VITAMIN D3 | cholecalciferol (vitamin D3) | TABLET | 50 mcg (2,000 unit) | Y | Y | N | |
| 67112090550 | DECARA K | cholecalciferol (vitD3)/vit K2 | CAPSULE | 1,250 mcg (50,000 unit)-200 mcg | N | Y | N | Pharmacy PA |
| 29978091790 | DOSOKAP | cholecalciferol (vitD3)/vit K2 | TABLET | 137.5 mcg (5,500 unit)-200 mcg | N | Y | N | Pharmacy PA |
| 00054418925 | DHT | dihydrotachysterol | TABLET | 0.2 mg | Y | N | ||
| 00054818225 | DHT | dihydrotachysterol | TABLET | 0.2 mg | Y | N | ||
| 23155080901 | VITAMIN D2 | ergocalciferol (vitamin D2) | CAPSULE | 1,250 mcg (50,000 unit) | Y | Y | N | |
| 42806054701 | VITAMIN D2 | ergocalciferol (vitamin D2) | CAPSULE | 1,250 mcg (50,000 unit) | Y | Y | N | |
| 42806054705 | VITAMIN D2 | ergocalciferol (vitamin D2) | CAPSULE | 1,250 mcg (50,000 unit) | Y | Y | N | |
| 50268029711 | VITAMIN D2 | ergocalciferol (vitamin D2) | CAPSULE | 1,250 mcg (50,000 unit) | Y | Y | N | |
| 50268029715 | VITAMIN D2 | ergocalciferol (vitamin D2) | CAPSULE | 1,250 mcg (50,000 unit) | Y | Y | N | |
| 62135043990 | VITAMIN D2 | ergocalciferol (vitamin D2) | CAPSULE | 1,250 mcg (50,000 unit) | Y | Y | N | |
| 62332046431 | VITAMIN D2 | ergocalciferol (vitamin D2) | CAPSULE | 1,250 mcg (50,000 unit) | Y | Y | N | |
| 64380073706 | VITAMIN D2 | ergocalciferol (vitamin D2) | CAPSULE | 1,250 mcg (50,000 unit) | Y | Y | N | |
| 69452015120 | VITAMIN D2 | ergocalciferol (vitamin D2) | CAPSULE | 1,250 mcg (50,000 unit) | Y | Y | N | |
| 39328035760 | CALCIDOL | ergocalciferol (vitamin D2) | DROPS | 200 mcg/mL (8,000 unit/mL) | N | Y | N | Pharmacy PA |
| 47781064726 | ERGOCALCIFEROL | ergocalciferol (vitamin D2) | DROPS | 200 mcg/mL (8,000 unit/mL) | N | Y | N | Pharmacy PA |
| 69367028302 | ERGOCALCIFEROL | ergocalciferol (vitamin D2) | DROPS | 200 mcg/mL (8,000 unit/mL) | N | Y | N | Pharmacy PA |
| 69543023460 | ERGOCALCIFEROL | ergocalciferol (vitamin D2) | DROPS | 200 mcg/mL (8,000 unit/mL) | N | Y | N | Pharmacy PA |
| 75834001060 | ERGOCALCIFEROL | ergocalciferol (vitamin D2) | DROPS | 200 mcg/mL (8,000 unit/mL) | N | Y | N | Pharmacy PA |
| 59088069705 | VITAMIN D2-VITAMIN K1 | vitamin D2/vitamin K1 | DROPS | 20 mcg-120 mcg/4 drops | N | Y | N | Pharmacy PA |
| 59088016354 | DERMACINRX FOLIXAPURE | vitamin D3/folic acid | TABLET | 125 mcg (5,000 unit)-1 mg | N | Y | N | Pharmacy PA |
| 59088020054 | DERMACINRX FOLTAMIN | vitamin D3/folic acid | TABLET | 125 mcg (5,000 unit)-1 mg | N | Y | N | Pharmacy PA |
| 59088044754 | DERMACINRX FOLTREXYL | vitamin D3/folic acid | TABLET | 125 mcg (5,000 unit)-1 mg | N | Y | N | Pharmacy PA |
| 59088018454 | DERMACINRX PUREFOLTIN | vitamin D3/folic acid | TABLET | 125 mcg (5,000 unit)-1 mg | N | Y | N | Pharmacy PA |
| 59088052454 | DERMACINRX DOTREMIN | vitamin D3/folic acid | TABLET | 250 mcg (10,000 unit)-1 mg | N | Y | N | Pharmacy PA |
| 59088018554 | DERMACINRX FOLDITAM | vitamin D3/folic acid | TABLET | 250 mcg (10,000 unit)-1 mg | N | Y | N | Pharmacy PA |
| 59088030154 | DERMACINRX FOLIXATE | vitamin D3/levomefolate | TABLET | 125 mcg (5,000 unit)-1,700 mcg DFE | N | Y | N | Pharmacy PA |