Approved Hospital Formulary
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Approved Hospital Formulary
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multivitamin
multivitamin
- Formulary Vitamin Formulary
- Formulary Miscellaneous Program Formulary
| Drug Name | Form | Strength | Formulary Unrestricted | Formulary Restricted | Non-Formulary | Interchange |
|---|---|---|---|---|---|---|
| Ocuvite | ||||||
| Nephrocaps | CAPSULE, ORAL | Vitamin B Complex with C and Folic Acid | ||||
| Poly-Vi-Sol Drops | DROPS, ORAL | Multiple Vitamins | ||||
| Multivitamin Patch | FILM, TRANSDERMAL | Multiple Vitamins | ||||
| Wellesse, Multi-Delyn | LIQUID, ORAL | Multiple Vitamins | ||||
| Infuvite Pediatric | SOLUTION, INTRAVENOUS | Pediatric Multiple Vitamins | ||||
| Infuvite, M.V.I. Adult | SOLUTION, INTRAVENOUS | Multiple Vitamins | ||||
| Multivitamin chew | TABLET, CHEWABLE, ORAL | Multiple Vitamins | ||||
| Cardiotek-Rx | TABLET, ORAL | Folic Acid, L-Arginine HCI, Cyanocobalamin, Pyridoxine | ||||
| Cerefolin-NAC, CerefolinNAC | TABLET, ORAL | Vitamin B12, Folate, and Acetylcysteine | ||||
| Nephro-Vite with Fe | TABLET, ORAL | Vitamin B Complex with C and Folic Acid | ||||
| Theragran | TABLET, ORAL | Multiple Vitamins |
VIEW MORE Replacement Preparations, Vitamin A, Vitamin B Complex, Vitamin C, Vitamin D, Multivitamin Preparations, Miscellaneous Therapeutic Agents
CLASS
CLASS
401200, 880400, 880800, 881200, 881600, 882800, 920000
Last updated: Dec. 21, 2017
Adult Multivitamin Comparison -- October 2017
Pediatric Multivitamin Comparison -- October 2017
Cardiotek-RX is classified as non-formulary, not stocked, and it should be interchanged to FOLTX on a 1:1 dosage ratio.
Cerefolin-NAC is classified as non-formulary, not stocked. Initiation should be deferred to the outpatient setting. Inpatients may use their own supply if desired.
MVI-12 - Maximum 10 mL/day per IVF.
Reviewed: December 12, 2007 (MyKidz Iron, Cardenz) and April 28, 2009 (Cerefolin-NAC) and January 28, 2014 (Cardiotek-Rx)
Reviewed: March 27, 2007 (FOLMOR)