Formulary List

Drug Name Sort descending	Formulary	Active Ingredient	NAPPI Code	Therapeutic Group
B-Cal-Dm Tabs	Extended	Calcium-Magnesium W/ Vitamin D Tab 500 Mg-125 Mg-250 Unit	862010020	Mineral Combinations
Bao Filivit Capsules	Basic	Prenatal Multivitamins & Minerals W/ Iron Cap**	713206001	Prenatal Vitamins
Bao Filivit Capsules	Standard	Prenatal Multivitamins & Minerals w/iron Cap**	713206001	Prenatal Vitamins
Bao Filivit Capsules	Extended	Prenatal Multivitamins & Minerals W/ Iron Cap	713206001	Prenatal Vitamins
Be-Tabs Folic Acid 5MG TA	Core	Folic Acid Tab 5 MG	810967006	Prenatal Vitamins
Be-Tabs Folic Acid 5MG TA	Core	Folic Acid Tab 5 MG	810967014	Prenatal Vitamins
Be-Tabs Folic Acid 5MG TA	Core	Folic Acid Tab 5 MG	810967015	Prenatal Vitamins
Be-Tabs Folic Acid 5Mg Ta	Extended	Folic Acid Tabs 5 Mg	810967006	Prenatal Vitamins
Be-Tabs Folic Acid 5Mg Ta	Extended	Folic Acid Tab 5 Mg	810967014	Prenatal Vitamins
Be-Tabs Folic Acid 5Mg Ta	Extended	Folic Acid Tab 5 Mg	810967015	Prenatal Vitamins
Be-Tabs Folic Acid 5Mg Ta	Basic	Folic Acid Tab 5 Mg	810967006	Prenatal Vitamins
Be-Tabs Folic Acid 5Mg Ta	Basic	Folic Acid Tab 5 Mg	810967014	Prenatal Vitamins
Be-Tabs Folic Acid 5Mg Ta	Basic	Folic Acid Tab 5 Mg	810967015	Prenatal Vitamins
Be-Tabs Folic Acid 5MG TA	Standard	Folic Acid Tab 5 MG	810967006	Prenatal Vitamins
Be-Tabs Folic Acid 5MG TA	Standard	Folic Acid Tab 5 MG	810967014	Prenatal Vitamins
Be-Tabs Folic Acid 5MG TA	Standard	Folic Acid Tab 5 MG	810967015	Prenatal Vitamins
Bump 2 Baby Prenatal Supp	Basic	Prenatal Multivitamins & Minerals W/Iron & Fa Cap 0.5 Mg**	3004348001	Prenatal Vitamins
Bump 2 Baby Prenatal Supp	Standard	Prenatal Multivitamins & Minerals w/iron & FA Cap 0.5 MG**	3004348001	Prenatal Vitamins
Bump 2 Baby Prenatal Supp	Extended	Prenatal Multivitamins & Minerals W/ Iron & Fa Cap 0.5 Mg	3004348001	Prenatal Vitamins
Calcipreg Tabs	Extended	Prenatal W/O Vit A W/ Fe Fum-Dss-Fa-Dha Cap 26-1.2-300 Mg	704600001	Prenatal Vitamins
Calcipreg Tabs	Basic	Prenatal W/O Vit A W/ Fe Fum-Dss-Fa-Dha Cap 26-1.2-300 Mg	704600001	Prenatal Vitamins
Calcipreg Tabs	Core	PRENATAL W/O VIT A W/ FE FUM-DSS-FA-DHA CAP 26-1.2-300 MG*	704600001	Prenatal Vitamins
Calcipreg Tabs	Standard	Prenatal w/o Vit A w/fe FUM-DSS-FA-DHA Cap 26-1.2-300 MG*	704600001	Prenatal Vitamins
Calcium Gluconate 300Mg C	Basic	Calcium Gluconate Chew Tab 300 MG	877662002	Calcium
Calcium Gluconate 300MG C	Core	Calcium Gluconate Chew Tab 300 MG	877662002	Calcium
Calcium Gluconate 300MG C	Core	Calcium Gluconate Chew Tab 300 MG	877662010	Calcium
Calcium Gluconate 300MG C	Core	Calcium Gluconate Chew Tab 300 MG	877662011	Calcium
Calcium Gluconate 300MG C	Standard	Calcium Gluconate Chew Tab 300 MG	877662002	Calcium
Calcium Gluconate 300MG C	Standard	Calcium Gluconate Chew Tab 300 MG	877662010	Calcium
Calcium Gluconate 300MG C	Standard	Calcium Gluconate Chew Tab 300 MG	877662011	Calcium
Calcium Gluconate 300MG C	Standard	Egoli Calcium Gluconate 3	710551001	Calcium
Calcium Gluconate 300MG C	Standard	Calcium Gluconate Chew Tab 300 MG	710551002	Calcium
Calcium Gluconate 300Mg C	Extended	Calcium Gluconate Chew Tab 300 Mg	877662002	Calcium
Calcium Gluconate 300Mg C	Extended	Calcium Gluconate Chew Tab 300 Mg	877662010	Calcium
Calcium Gluconate 300Mg C	Extended	Calcium Gluconate Chew Tab 300 Mg	877662011	Calcium
Calcium Gluconate 300Mg T	Basic	Calcium Gluconate Chew Tab300 Mg	721699001	Calcium
Calcium Gluconate 300MG T	Core	Calcium Gluconate Tab 300 MG (Elemenatl CA)	721699001	Calcium
Calcium Gluconate 300MG T	Standard	Calcium Gluconate Tab 300 MG (Elemental CA)	721699001	Calcium
Calcium Gluconate 300Mg T	Extended	Calcium Gluconate Tab 300 Mg (Elemental Ca)	721699001	Calcium
Calcuim Gluconate 300Mg C	Basic	Calcium Gluconate Chew Tab 300 Mg	877662010	Calcium
Calpin D Tabs	Basic	Calcium 750 Mg W/ Vitamin D Tab**	846155001	Mineral Combinations
Calpin D Tabs	Standard	Calcium 750 MG W/Vitamin D Tab**	846155001	Mineral Combinations
Caltrate 600+D Tabs	Basic	Calcium W/ Vitamin D Tab 600 Mg-800 Unit	720597002	Mineral Combinations
Caltrate 600+D Tabs	Standard	Calcium w/vitamin D Tab 600 MG-800 Unit	720597001	Mineral Combinations
Caltrate 600+D Tabs	Standard	Calcium w/vitamin D Tab 600 MG-800 Unit	720597002	Mineral Combinations
Caltrate 600+D Tabs	Extended	Calcium W/ Vitamin D Tab 600 Mg-800 Unit	720597001	Mineral Combinations
Caltrate 600+D Tabs	Extended	Calcium W/ Vitamin D Tab 600 Mg-800 Unit	720597002	Mineral Combinations
Caplin D Tabs	Extended	Calcium 750 Mg W/ Vitamin D Tab	846155001	Mineral Combinations
Chel-Mag B6 Mother Nam O	Extended	Prenatal Vitamin Cap	723960001	Prenatal Vitamins
Chela-Mag B6 Mother Nam O	Basic	Prenatal Vitamin Cap	723960001	Prenatal Vitamins

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