Approved Formulary
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Approved Formulary
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multivitamin with iron

multivitamin with iron
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-formulary Interchange
Hemocyte Plus CAPSULE Vitamin B Complex with C, Folic Acid and Iron      
Poly-Vi-Sol with Iron Drops LIQUID Pediatric Multiple Vitamins with Iron      
Flintstones with Iron Chewable TABLET, CHEWABLE Pediatric Multivitamin with 18 mg iron      


Comments:
Product A (mcg) B1 (mg) B2 (mg) B6 (mg) B12 (mcg) C (mg) D (mcg) E (mg) Additional Comments
Poly-vi-sol w/iron drops (per ml) 250 0.3 0.4 0.3   50 10 5 Fe (elemental) 11mg, niacin 4mg
Flintstones w/iron*  400  0.6  0.6  0.6  1.2  25  15  7 Niacin 8mg, Folic Acid 120mcg, Iron 18mg, Iodine 90mcg, Zinc 5mg, pantothenic acid 3mg, biotin 12mcg
Hemocyte Plus   10 6 5 15 187     Cu 0.8mg, Fe (elemental) 106mg, folic acid 1mg, Mg 6.9mg, Mn 1.3mg, niacin 30mg, pantothenic acid 10mg, Zn 18.2mg

 *Exact content of Chewable MV w/Iron subject to variation based on generic product availability.


Last updated: Feb. 13, 2024


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