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Formulary List

Explore our comprehensive list of medications covered under your health plan. This list currently shows pre-natal formularies to support our patient’s well-being. All Core health plans use the Pregnancy Core formulary, All Plus health plans use the Pregnancy Basic, All Extra health plans use the Pregnancy Standard and All Max health plans use the Pregnancy Extended. Review this page regularly to stay informed.
Drug Name9 Months + Calcium & Omega
Active Ingredient
Prenatal W/Fe-Fa Tab & Omega 3 Cap Pack
NAPPI Code
723620001
Therapeutic Group
Prenatal Vitamins
Drug Name Formulary Active Ingredient NAPPI Code Therapeutic Group
Egoli Folic Acid 0.5MG TA Core Folic Acid Tab 0.5 MG 710557003 Prenatal Vitamins
Fizzical 500MG EFF Tabs Standard Calcium Effer Tab 500MG 704941001 Calcium
Fizzical 500Mg Eff Tabs Extended Calcium Effer Tab 500 Mg 704941001 Calcium
Folapro 800MCG Tabs Core Folic Acid Tab 800 MCG 713056001 Prenatal Vitamins
Folapro 800MCG Tabs Core Folic Acid Tab 800 MCG 713056002 Prenatal Vitamins
Folapro 800Mcg Tabs Extended Folic Acid Tab 800 Mg 713056001 Prenatal Vitamins
Folapro 800Mcg Tabs Extended Folic Acid Tab 800 Mg 713056002 Prenatal Vitamins
Folapro 800Mcg Tabs Basic Folic Acid Tab 800 Mcg 713056001 Prenatal Vitamins
Folapro 800Mcg Tabs Basic Folic Acid Tab 800 Mcg 713056002 Prenatal Vitamins
Folapro 800MCG Tabs Standard Folic Acid Tab 800 MCG 713056002 Prenatal Vitamins
Folapro 800MCG Tabs Standard Folic Acid Tab 800 MCG 713056001 Prenatal Vitamins
Folate 1000Mcg Tabs Extended Folic Acid Tab 1 Mg 720513001 Prenatal Vitamins
Folate 1000Mcg Tabs Extended Folic Acid Tab 1 Mg 720513002 Prenatal Vitamins
Folate 1000Mcg Tabs Basic Folic Acid Tab 1Mg 720513001 Prenatal Vitamins
Folate 1000MCG Tabs Standard Folic Acid Tab 1 MG 720513002 Prenatal Vitamins
Folate 1000MCG Tabs Standard Folic Acid Tab 1 MG 720513002 Prenatal Vitamins
Folate 1000MCG Tabs Core Folic Acid Tab 1 MG 720513001 Prenatal Vitamins
Folate 1000MCG Tabs Core Folic Acid Tab 1 MG 720513002 Prenatal Vitamins
Folate 1000Mg Tabs Basic Folic Acid Tab 1 Mg 720513002 Prenatal Vitamins
Folate 400Mcg Tabs Extended Folic Acid Tab 400 Mcg 720514001 Prenatal Vitamins
Folate 400Mcg Tabs Basic folic Acid Tab 400 Mcg 720514001 Prenatal Vitamins
Folate 400MCG Tabs Standard Folic Acid Tab 400 MCG 720514001 Prenatal Vitamins
Folate 400MCG Tabs Core Folic Acid Tab 400 MCG 720514001 Prenatal Vitamins
Folic Acid 0.5MG Tabs Core Folic Acid Cap 0.5 MG 721366001 Prenatal Vitamins
Folic Acid 0.5Mg Tabs Extended Folic Acid Tab 0.5 Mg 721366001 Prenatal Vitamins
Folic Acid 0.5Mg Tabs Extended Folic Acid Tab 0.5 Mg 871281007 Prenatal Vitamins
Folic Acid 0.5Mg Tabs Extended Folic Acid Tab 0.5 Mg 871281016 Prenatal Vitamins
Folic Acid 0.5Mg Tabs Basic Folic Acid Tab 0.5 Mg 721366001 Prenatal Vitamins
Folic Acid 0.5Mg Tabs Basic Folic Acid Tab 0.5 Mg 871281007 Prenatal Vitamins
Folic Acid 0.5Mg Tabs Basic Folic Acid Tab 0.5 Mg 871281016 Prenatal Vitamins
Folic Acid 0.5MG Tabs Standard Folic Acid Tab 0.5 MG 721366001 Prenatal Vitamins
Folic Acid 0.5MG Tabs Standard Folic Acid Tab 0.5 MG 871281016 Prenatal Vitamins
Folic Acid 0.5MG Tabs Standard Folic Acid Tab 0.5 MG 871281007 Prenatal Vitamins
Folic Acid 0.5MG Tabs Core Folic Acid Tab 0.5 MG 871281007 Prenatal Vitamins
Folic Acid 0.5MG Tabs Core Folic Acid Tab 0.5 MG 871281016 Prenatal Vitamins