Passport Health Plan | Prenatal Vitamins
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Prenatal Vitamins The following resource guide will help you select prenatal vitamins by product names and National Drug Codes (NDC). This list was updated on May 2012. GCN GENERIC NAME STRENGTH FORM NDC BRAND NAME 11161 PRENATAL VIT/FE FUMARATE/FA 60-1MG TABLET 00904-7755-60 MATERNAL VITAMIN AND MINERAL 11162 PRENATAL VIT/FE FUMARATE/FA 65-1MG TABLET 00277-0179-01 LACTOCAL-F 11162 PRENATAL VIT/FE FUMARATE/FA 65-1MG TABLET 10135-0125-01 VYNATAL-FA 11162 PRENATAL VIT/FE FUMARATE/FA 65-1MG TABLET 10135-0125-05 VYNATAL-FA 11162 PRENATAL VIT/FE FUMARATE/FA 65-1MG TABLET 58177-0224-04 PRENATAL Z 11162 PRENATAL VIT/FE FUMARATE/FA 65-1MG TABLET 58607-0105-65 MYNATAL-Z 11162 PRENATAL VIT/FE FUMARATE/FA 65-1MG TABLET 58607-0811-20 MYNATAL PLUS 11177 PRENATAL VIT/FE FUMARATE/FA 27-0.8MG TABLET 10939-0556-11 PRENATAL VITAMINS 11177 PRENATAL VIT/FE FUMARATE/FA 27-0.8MG TABLET 35356-0366-30 PRENATAL VITAMINS 11177 PRENATAL VIT/FE FUMARATE/FA 27-0.8MG TABLET 35356-0366-90 PRENATAL VITAMINS 11177 PRENATAL VIT/FE FUMARATE/FA 27-0.8MG TABLET 37205-0395-78 PRENATAL VITAMINS 11177 PRENATAL VIT/FE FUMARATE/FA 27-0.8MG TABLET 37864-0837-01 PRENATAL 11177 PRENATAL VIT/FE FUMARATE/FA 27-0.8MG TABLET 51645-0837-01 PRENATAL 11177 PRENATAL VIT/FE FUMARATE/FA 27-0.8MG TABLET 58487-0031-31 PRENATAL 11177 PRENATAL VIT/FE FUMARATE/FA 27-0.8MG TABLET 62107-0063-01 PRENATAL VITAMINS 11177 PRENATAL VIT/FE FUMARATE/FA 27-0.8MG TABLET 68752-0827-01 RIGHT STEP PRENATAL VITAMIN 11178 PRENATAL VIT/FE FUM/DOSS/FA 90-1MG TABLET SA 58607-0103-90 MYNATE 90 PLUS 12763 PNV54/IRON B-G HCL-P/FA/OMEGA3 29-1-430MG COMBO. PKG 13925-0100-60 SETONET 12763 PNV54/IRON B-G HCL-P/FA/OMEGA3 29-1-430MG COMBO. PKG 42546-0812-30 PR NATAL 430 13411 PRENATAL VIT/FE FUMARATE/FA 28MG-0.8MG TABLET 00536-4063-01 PRENAVITE 13411 PRENATAL VIT/FE FUMARATE/FA 28MG-0.8MG TABLET 00536-4085-01 PRENAVITE 13411 PRENATAL VIT/FE FUMARATE/FA 28MG-0.8MG TABLET 10939-0454-33 PRENATAL VITAMINS 13411 PRENATAL VIT/FE FUMARATE/FA 28MG-0.8MG TABLET 11822-3089-10 PRENATAL VITAMINS 13411 PRENATAL VIT/FE FUMARATE/FA 28MG-0.8MG TABLET 11917-0058-80 PRENATAL 13411 PRENATAL VIT/FE FUMARATE/FA 28MG-0.8MG TABLET 11917-0058-81 PRENATAL VITAMINS 13411 PRENATAL VIT/FE FUMARATE/FA 28MG-0.8MG TABLET 11917-0074-04 PRENATAL VITAMINS 13411 PRENATAL VIT/FE FUMARATE/FA 28MG-0.8MG TABLET 11917-0075-75 PRENATAL VITAMINS 13411 PRENATAL VIT/FE FUMARATE/FA 28MG-0.8MG TABLET 24385-0078-78 PRENATAL VITAMINS 13411 PRENATAL VIT/FE FUMARATE/FA 28MG-0.8MG TABLET 37205-0395-82 PRENATAL VITAMINS 13411 PRENATAL VIT/FE FUMARATE/FA 28MG-0.8MG TABLET 40986-0018-47 PRENATAL FORMULA 13411 PRENATAL VIT/FE FUMARATE/FA 28MG-0.8MG TABLET 41163-0403-55 PRENATAL VITAMINS 13411 PRENATAL VIT/FE FUMARATE/FA 28MG-0.8MG TABLET 41415-0147-77 PRENATAL VITAMINS 13411 PRENATAL VIT/FE FUMARATE/FA 28MG-0.8MG TABLET 43072-0005-07 PRENATAL VITAMINS 13411 PRENATAL VIT/FE FUMARATE/FA 28MG-0.8MG TABLET 46122-0098-78 PRENATAL VITAMINS GCN GENERIC NAME STRENGTH FORM NDC BRAND NAME 13411 PRENATAL VIT/FE FUMARATE/FA 28MG-0.8MG TABLET 49348-0556-10 PRENATAL VITAMINS 13411 PRENATAL VIT/FE FUMARATE/FA 28MG-0.8MG TABLET 50428-1847-09 PRENATAL VITAMINS 13411 PRENATAL VIT/FE FUMARATE/FA 28MG-0.8MG TABLET 64731-0795-01 STUART PRENATAL 13411 PRENATAL VIT/FE FUMARATE/FA 28MG-0.8MG TABLET 68016-0018-47 PRENATAL FORMULA 13411 PRENATAL VIT/FE FUMARATE/FA 28MG-0.8MG TABLET 87701-0407-99 PRENATAL VITAMINS 13411 PRENATAL VIT/FE FUMARATE/FA 28MG-0.8MG TABLET 87701-0476-91 PRENATAL VITAMINS 13411 PRENATAL VIT/FE FUMARATE/FA 28MG-0.8MG TABLET 96295-0114-66 PRENATAL VITAMINS 14345 PNV WITH CA NO.36/IRON/FA 13.5-0.4MG CAPSULE 11763-0522-01 PERRY PRENATAL 14485 PNV55/IRON BG HC&SUCC-P/FA/OM3 29-1-430MG CMBPKGDRCP 42546-0518-30 PR NATAL 430 EC 20149 PRENATAL VIT/FE FUMARATE/FA 17MG-1MG TABLET 60258-0178-09 PRENATAL PLUS 28688 PNV WITH CA,NO.72/IRON/FA 27 MG-1 MG TABLET 00904-5339-60 PRENATAL PLUS 28688 PNV WITH CA,NO.72/IRON/FA 27 MG-1 MG TABLET 21695-0859-00 PRENATAL PLUS 28688 PNV WITH CA,NO.72/IRON/FA 27 MG-1 MG TABLET 21695-0859-30 PRENATAL PLUS 28688 PNV WITH CA,NO.72/IRON/FA 27 MG-1 MG TABLET 54569-4552-00 PRENATAL PLUS 28688 PNV WITH CA,NO.72/IRON/FA 27 MG-1 MG TABLET 54569-4552-01 PRENATAL PLUS 28688 PNV WITH CA,NO.72/IRON/FA 27 MG-1 MG TABLET 54868-0190-00 PRENATAL PLUS 28688 PNV WITH CA,NO.72/IRON/FA 27 MG-1 MG TABLET 64376-0816-01 PRENATAL PLUS 28688 PNV WITH CA,NO.72/IRON/FA 27 MG-1 MG TABLET 64376-0816-05 PRENATAL PLUS 28688 PNV WITH CA,NO.72/IRON/FA 27 MG-1 MG TABLET 65162-0668-10 PRENATAL PLUS 28688 PNV WITH CA,NO.72/IRON/FA 27 MG-1 MG TABLET 65162-0668-50 PRENATAL PLUS 28723 PNV WITH CA,NO.74/IRON/FA 27 MG-1 MG TABLET 10267-2069-01 PRENATAL LOW IRON 28723 PNV WITH CA,NO.74/IRON/FA 27 MG-1 MG TABLET 10267-2069-05 PRENATAL LOW IRON 28723 PNV WITH CA,NO.74/IRON/FA 27 MG-1 MG TABLET 42546-0269-10 PRENATAL LOW IRON 28883 PRENATAL VIT NO.73/IRON/FA 28 MG-1 MG TABLET 13811-0514-10 VOL-NATE 28883 PRENATAL VIT NO.73/IRON/FA 28 MG-1 MG TABLET 60258-0192-01 TRINATE 28887 PRENATAL VIT NO.78/IRON/FA 29 MG-1 MG TABLET 10267-2270-01 CO-NATAL FA 28887 PRENATAL VIT NO.78/IRON/FA 29 MG-1 MG TABLET 13811-0026-10 VENATAL-FA 28887 PRENATAL VIT NO.78/IRON/FA 29 MG-1 MG TABLET 60258-0190-01 PRENATABS FA 29677 PNV19/IRON BG HC&SUCC#2/FA/OM3 29-1-400MG CMBPKGDRCP 13811-0592-30 TARON-DUO EC 29678 PNV55/IRON BG HC&SUCC#2/FA/OM3 29-1-430MG CMBPKGDRCP 13925-0101-60 SETONET-EC 30583 PRENATAL VITS #93/IRONFUM/FA 9MG-267MCG TABLET 58487-0028-31 PRENATAL FORMULA 30909 PNV CMB#95/FERROUS FUMARATE/FA 28MG-0.8MG TABLET 00179-8439-90 PRENATAL MULTIVITAMINS 30909 PNV CMB#95/FERROUS FUMARATE/FA 28MG-0.8MG TABLET 35515-0947-74 PRENATAL 30909 PNV CMB#95/FERROUS FUMARATE/FA 28MG-0.8MG TABLET 40985-0273-10 PRENATAL 30909 PNV CMB#95/FERROUS FUMARATE/FA 28MG-0.8MG TABLET 63868-0001-01 PRENATAL 30958 PRENATAL VIT#96/FERROUS FUM/FA 27MG-0.8MG TABLET 00904-5313-46 PRENATAL 30958 PRENATAL VIT#96/FERROUS FUM/FA 27MG-0.8MG TABLET 00904-5313-60 PRENATAL 94121 PRENATAL VIT/FE PS CMPLX/FA 60-1MG TABLET 10267-2101-01 POLY IRON PN FORTE 94121 PRENATAL VIT/FE PS CMPLX/FA 60-1MG TABLET 10267-2102-01 POLY IRON PN 95220 PRENATAL VIT/FE FUMARATE/FA/SE 27MG-1MG TABLET 10267-1991-01 MATERNITY 95220 PRENATAL VIT/FE FUMARATE/FA/SE 27MG-1MG TABLET 51991-0155-01 VINATE-M 95339 PRENATAL VIT/FE FUMARATE/FA 27-1MG TABLET 58864-0736-30 PRENATAL PLUS 95339 PRENATAL VIT/FE FUMARATE/FA 27-1MG TABLET 67112-0101-00 TRICARE GCN GENERIC NAME 95391 STRENGTH FORM NDC BRAND NAME PRENATAL VITS W-CA,FE,FA(<1MG) TABLET 00003-0478-50 ENGRAN-HP 95391 PRENATAL VITS W-CA,FE,FA(<1MG) TABLET 00087-0700-06 NATALINS 95391 PRENATAL VITS W-CA,FE,FA(<1MG) TABLET 00904-3178-72 PRENATAL OTC 95391 PRENATAL VITS W-CA,FE,FA(<1MG) TABLET 10432-0033-01 KPN 95391 PRENATAL VITS W-CA,FE,FA(<1MG) TABLET 24385-0817-28 95391 PRENATAL VITS W-CA,FE,FA(<1MG) TABLET 41163-0235-69 PRENATAL FORMULA 95391 PRENATAL VITS W-CA,FE,FA(<1MG) TABLET 43292-0555-15 PRENATAL VITAMINS 95391 PRENATAL VITS W-CA,FE,FA(<1MG) TABLET 43292-0556-70 PRENATAL VITAMINS 95391 PRENATAL VITS W-CA,FE,FA(<1MG) TABLET 49614-0613-78 PRENATAL VITAMINS 95391 PRENATAL VITS W-CA,FE,FA(<1MG) TABLET 50428-2525-77 PRENATAL VITAMINS 95391 PRENATAL VITS W-CA,FE,FA(<1MG) TABLET 54629-0052-01 PRENATAL VITAMINS 95391 PRENATAL VITS W-CA,FE,FA(<1MG) TABLET 55289-0741-01 P-D NATAL PLUS WITH FOLIC ACID 95391 PRENATAL VITS W-CA,FE,FA(<1MG) TABLET 58487-0033-01 KPN 95391 PRENATAL VITS W-CA,FE,FA(<1MG) TABLET 79854-0400-70 PRENATAL VITAMINS 95391 PRENATAL VITS W-CA,FE,FA(<1MG) TABLET 87701-0368-32 PRENATAL 95391 PRENATAL VITS W-CA,FE,FA(<1MG) TABLET 87701-0721-10 PRENATAL VITAMINS 95411 PRENATAL VITS W-CA,FE,FA(1MG) TABLET 38245-0514-55 PRENATAL Z 98929 PNV53/IRON B-G HCL-P/FA/OMEGA3 29-1-400MG COMBO. PKG 13811-0591-30 TRIVEEN-DUO DHA 98929 PNV53/IRON B-G HCL-P/FA/OMEGA3 29-1-400MG COMBO. PKG 42546-0811-30 PR NATAL 400 98933 PNV19/IRON BG HC&SUCC-P/FA/OM3C6V 250MG TABLET 42546-0517-30 PR NATAL 400 EC 99629 PRENATAL VIT27&CALCIUM/IRON/FA 60 MG-1 MG TABLET 13811-0007-10 TRINATAL RX 1 99629 PRENATAL VIT27&CALCIUM/IRON/FA 60 MG-1 MG TABLET 13925-0103-01 SE-NATAL ONE 99629 PRENATAL VIT27&CALCIUM/IRON/FA 60 MG-1 MG TABLET 51991-0566-01 VINATE ONE Please Note: If at any time a generic product is available for a listed brand product, the generic version will be the preferred product. © 2012 PASSPORT HEALTH PLAN (PHA-12143)
