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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
Preg Vit Caps Extended Prenatal Multivitamins & Minerals W/Iron & Fa Cap 0.8 Mg 723675001 Prenatal Vitamins
Preg-Natal Caps Basic *Prenatal Multivitamins & Minerals W/ Iron & Fa Cap 1 Mg*** 701693001 Prenatal Vitamins
Preg-Natal Caps Extended Prenatal Multivitamins & Minerals W/Iron & Fa Cap 1 Mg 701693001 Prenatal Vitamins
Preg-Well Caps Extended Prenatal Vitamin Cap 707327001 Prenatal Vitamins
Preg-Well Caps Basic Prenatal Vitamin Cap 707327001 Prenatal Vitamins
Preg-Well Caps Core *Prenatal Vitamins Cap** 707327001 Prenatal Vitamins
Preg-Well Caps Standard *Prenatal Vitamin Cap** 707327001 Prenatal Vitamins
Preggy-Mama Tabs Standard *Prenatal Multivitamins & Minerals w/iron & FA Tab 0.5 MG*** 722210001 Prenatal Vitamins
Preggy-Mama Tabs Extended Prenatal Multivitamins & Minerals W/Iron & Fa Cap 0.5 Mg 722210001 Prenatal Vitamins
Pregi Forte Caps Extended Prenatal Vitamin Cap 715465001 Prenatal Vitamins
Pregi Forte Caps Extended Prenatal Vitamin Cap 3000364001 Prenatal Vitamins
Pregi Forte Caps Basic Prenatal Vitamin Cap 715465001 Prenatal Vitamins
Pregi Forte Caps Core *Prenatal Vitamins Cap** 715465001 Prenatal Vitamins
Pregi Forte Caps Standard *Prenatal Vitamin Cap** 715465001 Prenatal Vitamins
Pregnacare Plu 28 Tablet Extended Prenatal W/Fe-Ca Tab & Omega 3 Cap Pack 714323001 Prenatal Vitamins
Pregnacare Tabs Standard *Prenatal Multivitamins & Minerals w/iron & FA Tab 0.5 MG*** 711697001 Prenatal Vitamins
Pregnacare Tabs Extended Prenatal Multivitamins & Minerals W/Iron & Fa Tab 0.5 Mg 711697001 Prenatal Vitamins
Pregnapil Plus Caps Basic Prenatal Vitamin Cap 3000364001 Prenatal Vitamins
Pregnapil Plus Caps Core *Prenatal Vitamins Cap** 3000364001 Prenatal Vitamins
Pregnapil Plus Caps Standard *Prenatal Vitamin Cap** 3000364001 Prenatal Vitamins
Pregnatal Nam Only Tabs Extended Prenatal Vitamin Cap 3000292001 Prenatal Vitamins
Pregnatal Nam Only Tabs Basic Prenatal Vitamin Tab 3000292001 Prenatal Vitamins
Pregnatal Nam Only Tabs Core *Prenatal Vitamins Tab** 3000292001 Prenatal Vitamins
Pregnatal Nam Only Tabs Standard *Prenatal Vitamin Tab** 3000292001 Prenatal Vitamins
Pregnavit M Caps Extended Prenatal Vit W/ Fe Fumarate-Fa Cap 60-0.8 Mg 834890003 Prenatal Vitamins
Pregnavit M Caps Extended Prenatal Vit W/ Fe Fumarate-Fa Cap 60-0.8 Mg 834890005 Prenatal Vitamins
Pregnavit M Caps Standard *Prenatal Vit w/fe Fumarate-FA Tab 60-0.8 MG*** 834890003 Prenatal Vitamins
Pregnavit M Caps Standard *Prenatal Vit w/fe Fumarate-FA Tab 60-0.8 MG*** 834890005 Prenatal Vitamins
Pregomega Plus Day Pack Extended Prenatal W/Fe-Ca Tab & Omega 3 Cap Pack 713755001 Prenatal Vitamins
Pregs Vitamin & Mineral Sup Extended Prenatal Vitamin Cap 704602001 Prenatal Vitamins
Pregs Vitamin & Mineral Sup Core *Prenatal Vitamins Cap** 704602001 Prenatal Vitamins
Pregs Vitamin&Mineral Sup Basic Prenatal Vitamin Cap 704602001 Prenatal Vitamins
Pregs Vitamin&Mineral Sup Standard *Prenatal Vitamin Cap** 704602001 Prenatal Vitamins
Pregvit Mr Tabs Standard *Prenatal Multivitamins & Minerals w/iron & FA Tab 0.5 MG*** 893038005 Prenatal Vitamins
Pregvit Mr Tabs Extended Prenatal Multivitamins & Minerals W/Iron & Fa Tab 0.5 Mg 893038005 Prenatal Vitamins