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
Poly-Vi-Sol with Iron Drops LIQUID Pediatric Multiple Vitamins with Iron      
Buried Treasure LIQUID 30 ml serving size      
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
Liquid Multivitamin (per 30 ml) 3,012 5 5 5 15 144 400 27 Niacinamide 20 mg, Folic Acid 400 mcg, Biotin 300 mcg, Pantothenic Acid 15 mg, Calcium 50 mg, Iron 10 mg, Iodine 75 mcg, Magnesium 100 mg, Zinc 10 mg, Selenium 5 mcg, Copper 200 mcg, Manganese 2 mg, Chromium 10 mcg, Molybdenum 2 mcg, Potassium 5 mg, Super Food Blend 500 mg

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


Last updated: Jul. 3, 2025


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