PRENATAL VITAMINS
Displaying 11 - 20 of 49 records found.| Brand Name/Generic Name | NDC/Manufacturer | FFS Clinical Prior Auth Required | PDL Prior Auth Required | Programs |
|---|---|---|---|---|
| VITAFOL ULTRA SOFTGEL PNV 67/iron ps/folate no.1/dha |
00642009330 EXELTIS USA, IN |
No | No | Medicaid CHIP CSHCN |
| VITAFOL-OB CAPLET prenatal vit 10/iron fum/folic |
00642007912 EXELTIS USA, IN |
No | No | Medicaid CHIP CSHCN |
| VITAFOL-OB+DHA COMBO PACK prenatal vit 10/iron/folic/dha |
00642007630 EXELTIS USA, IN |
No | No | Medicaid CHIP CSHCN |
| VITAFOL-ONE CAPSULE prenatal 26/iron ps/folic/dha |
00642007030 EXELTIS USA, IN |
No | No | Medicaid CHIP CSHCN |
| WESTAB PLUS TABLET PNV,calcium 72/iron/folic acid |
69367026701 WESTMINSTER PHA |
No | No | Medicaid CSHCN |
| CITRANATAL 90 DHA COMBO PACK PNV72/iron,gluc/folic/dss/dha |
00178082130 MISSION PHARM. |
No | Yes | Medicaid CHIP CSHCN |
| CITRANATAL ASSURE COMBO PACK PNV73/iron,gluc/folic/dss/dha |
00178089130 MISSION PHARM. |
No | Yes | Medicaid CHIP CSHCN |
| CITRANATAL B-CALM COMBO PACK prenatal 48/iron/folic acid/B6 |
00178083230 MISSION PHARM. |
No | Yes | Medicaid CHIP CSHCN |
| CITRANATAL HARMONY CAPSULE PNV59/iron,carb,fum/FA/dss/dha |
00178079630 MISSION PHARM. |
No | Yes | Medicaid CHIP CSHCN |
| COMPLETENATE TABLET CHEW prenatal vit 14/iron fum/folic |
13811001490 TRIGEN LABORATO |
No | Yes | Medicaid CHIP CSHCN |