Multivitamins, Oral

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Drug Use Review Documents

PDL Status Values

Y = preferred
N = non-preferred. Non-preferred drugs listed as N but without clinical drug use criteria are subject to the Non-Preferred Drugs in Select PDL Classes prior authorization criteria. New drugs will be listed as N until reviewed by the P&T Committee and are subject to the New Drug Policy.
V = voluntary non-preferred. Non-preferred mental health drugs are listed as V and prior authorization is not required but eligible patients will encounter a co-pay at the pharmacy.
Null (i.e. blank) = indicates the class or specific drug has not been reviewed for PDL placement.

To request a Prior Authorization, please use this form.

Generic Name Brand Name Form PDL
Status
Current Drug Use Criteria New Drug Evaluation
beta-carotene(A)-vits C,E/mins OPTI-VITAMINS TABLET Y PA Document  
beta-carotene(A)-vits C,E/mins VISION TABLET Y PA Document  
beta-carotene(A)-vits C,E/mins OPTI-VITAMINS TABLET Y PA Document  
beta-carotene(A)-vits C,E/mins OCUVITE TABLET Y PA Document  
beta-carotene(A)-vits C,E/mins OCUTABS TABLET Y PA Document  
beta-carotene(A)-vits C,E/mins HP ZINC WITH ANTIOXIDANTS TABLET Y PA Document  
beta-carotene(A)-vits C,E/mins HP ZINC W/ANTIOXIDANTS TABLET Y PA Document  
beta-carotene(A)-vits C,E/mins EYE HEALTH TABLET Y PA Document  
folic acid/vit B complex and C DIALYVITE 800 TABLET Y PA Document  
folic acid/vit B complex and C NEPHRO-VITE TABLET Y PA Document  
folic acid/vit B complex and C RENAL-VITE TABLET Y PA Document  
folic acid/vit B complex and C RENA-VITE TABLET Y PA Document  
folic acid/vit B complex and C RENAL VITAMIN TABLET Y PA Document  
folic acid/vit B complex and C FULL SPECTRUM B TABLET Y PA Document  
multivit with minerals/lutein CENTURY WITH LUTEIN TABLET Y PA Document  
multivit with minerals/lutein CENTRAL-VITE SELECT TABLET Y PA Document  
multivit with minerals/lutein HIGH POTENCY MULTIVITAMIN TABLET Y PA Document  
multivit with minerals/lutein MULTIVITAMIN 50 PLUS TABLET Y PA Document  
multivit with minerals/lutein MULTIVITAL PLATINUM TABLET Y PA Document  
multivit with minerals/lutein MILLTRIUM SENIOR TABLET Y PA Document  
multivit with minerals/lutein CENTURY W/LUTEIN TABLET Y PA Document  
multivit with minerals/lutein CENTRAL VITE SR W-LUTEIN TAB TABLET Y PA Document  
multivit with minerals/lutein MULTI-VITE 50 & OVER TABLET Y PA Document  
multivit with minerals/lutein A THRU Z TABLET Y PA Document  
multivit with minerals/lutein SUPER AYTINAL TABLET Y PA Document  
multivit with minerals/lutein A THRU Z SELECT TABLET Y PA Document  
multivit with minerals/lutein MULTIVITAMINS WITH MINERALS TABLET Y PA Document  
multivit with minerals/lutein VITRUM SENIOR TABLET Y PA Document  
multivit with minerals/lutein VITATRUM TABLET Y PA Document  
multivit with minerals/lutein VISION PLUS LUTEIN TABLET Y PA Document  
multivit with minerals/lutein ULTRA CHOICE TABLET Y PA Document  
multivit with minerals/lutein THERATRUM COMPLETE 50 PLUS TABLET Y PA Document  
multivit with minerals/lutein CEROVITE SENIOR TABLET Y PA Document  
multivit-min 62/iron fum/folic PUREFE PLUS CAPSULE Y PA Document  
multivit-min/FA/lycopen/lutein CENTURY TABLET Y PA Document  
multivit-min/FA/lycopen/lutein CERTAVITE SENIOR-ANTIOXIDANT TABLET Y PA Document  
multivit-min/FA/lycopen/lutein COMPLETE SENIOR TABLET Y PA Document  
multivit-min/FA/lycopen/lutein SENTRY SENIOR TABLET Y PA Document  
multivit-min/FA/lycopen/lutein SENTRY SENIOR TABLET Y PA Document  
multivit-min/FA/lycopen/lutein CENTRUM SILVER TABLET Y PA Document  
multivit-min/FA/lycopen/lutein CENTURY TABLET Y PA Document  
multivit-min/FA/lycopen/lutein CENTURY MATURE TABLET Y PA Document  
multivit-min/FA/lycopen/lutein COMPLETE 50 PLUS TABLET Y PA Document  
multivit-min/FA/lycopen/lutein COMPLETE MULTIVITAMIN TABLET Y PA Document  
multivit-min/FA/lycopen/lutein SENIOR TABS TABLET Y PA Document  
multivit-min/FA/lycopen/lutein CENTRAL-VITE TABLET Y PA Document  
multivit-min/FA/lycopen/lutein SPECTRAVITE ADULT 50+ TABLET Y PA Document  
multivit-min/FA/lycopen/lutein THERATRUM COMPLETE 50 PLUS TABLET Y PA Document  
multivit-min/FA/lycopen/lutein COMPLETE SENIOR TABLET Y PA Document  
multivit-min/FA/lycopen/lutein CENTRAVITES 50 PLUS TABLET Y PA Document  
multivit-min/FA/lycopen/lutein CENTRAL-VITE SENIOR TABLET Y PA Document  
multivit-min/FA/lycopen/lutein A THRU Z SELECT TABLET Y PA Document  
multivit-min/FA/lycopen/lutein A THRU Z SELECT 50 PLUS TABLET Y PA Document  
multivit-min/FA/lycopen/lutein ABC PLUS TABLET Y PA Document  
multivit-min/FA/lycopen/lutein ADULTS 50 PLUS DAILY FORMULA TABLET Y PA Document  
multivit-min/FA/lycopen/lutein ADULTS 50 PLUS MULTIVITAMIN TABLET Y PA Document  
multivit,min52/folic/vitK/cQ10 AQUADEKS CAPSULE Y PA Document  
multivit,tx with iron,minerals THEREMS-M TABLET Y PA Document  
multivitamin DAILY VITAMIN TABLET Y PA Document  
multivitamin DAILY VALUE TABLET Y PA Document  
multivitamin DAILY MULTIPLE VITAMIN TABLET Y PA Document  
multivitamin CENTRAL VITE TABLET Y PA Document  
multivitamin VITAMINS FOR HAIR TABLET Y PA Document  
multivitamin MULTIVITAMIN TABLET Y PA Document  
multivitamin OPTIVITE P.M.T. TABLET Y PA Document  
multivitamin MULTIVITAMINS TABLET Y PA Document  
multivitamin ONE DAILY TABLET Y PA Document  
multivitamin ONE DAILY ESSENTIAL TABLET Y PA Document  
multivitamin ONE DAILY MULTIVITAMIN TABLET Y PA Document  
multivitamin ONE-A-DAY ESSENTIAL TABLET Y PA Document  
multivitamin ONE-TABLET-DAILY TABLET Y PA Document  
multivitamin PHARMACIST FAVORITE MULTI-VITE TABLET Y PA Document  
multivitamin SIGTAB TABLET Y PA Document  
multivitamin SUPER MEDI-VITE TABLET Y PA Document  
multivitamin SUPER MULTIVITAMIN TABLET Y PA Document  
multivitamin VIMAR TABLET Y PA Document  
multivitamin ONE-DAILY MULTI-VITAMIN TABLET Y PA Document  
multivitamin MULTIPLE VITAMINS TABLET Y PA Document  
multivitamin TAB-A-VITE TABLET Y PA Document  
multivitamin DAILY VITE TABLET Y PA Document  
multivitamin ULTRA-MEGA TABLET Y PA Document  
multivitamin ONE DAILY ESSENTIAL TABLET Y PA Document  
multivitamin ONE DAILY TABLET Y PA Document  
multivitamin ONCE DAILY TABLET Y PA Document  
multivitamin MULTIVITAMINS TABLET Y PA Document  
multivitamin MULTI-VITAMIN DAILY TABLET Y PA Document  
multivitamin MULTI-VITAMIN DAILY TABLET Y PA Document  
multivitamin DAILY VITAMIN FORMULA TABLET Y PA Document  
multivitamin DAILY VITE TABLET Y PA Document  
multivitamin DAILY VITAMIN FORMULA TABLET Y PA Document  
multivitamin ESSENTIAL ONE DAILY TABLET Y PA Document  
multivitamin MEN'S MULTI-VITAMIN TABLET Y PA Document  
multivitamin MULTI-DAY VITAMINS TABLET Y PA Document  
multivitamin MULTIDAY VITES TABLET Y PA Document  
multivitamin MULTIPLE DAILY W/BETA TABLET Y PA Document  
multivitamin MULTIPLE VITAMIN TABLET Y PA Document  
multivitamin no.58/vit D3/K ABDEK MULTIVITAMIN CAPSULE Y PA Document  
multivitamin,therapeutic THEREMS TABLET Y PA Document  
multivitamin,therapeutic THERA-TABS TABLET Y PA Document  
multivitamin,therapeutic THERA TABLET Y PA Document  
multivitamin,therapeutic ONCOVITE TABLET Y PA Document  
multivitamin/iron/folic acid COMPLETE MULTI-VIT-MINERAL TABLET Y PA Document  
multivitamin/iron/folic acid CENTURY TABLET Y PA Document  
multivitamin/iron/folic acid CENTURY ULTIMATE WOMEN'S TABLET Y PA Document  
multivitamin/iron/folic acid CEROVITE ADVANCED FORMULA TABLET Y PA Document  
multivitamin/iron/folic acid CERTAVITE-ANTIOXIDANT TABLET Y PA Document  
multivitamin/iron/folic acid ONE DAILY PLUS IRON TABLET Y PA Document  
multivitamin/iron/folic acid COMPLETE MULTI-VIT-MINERAL TABLET Y PA Document  
multivitamin/iron/folic acid A THRU Z ADVANCED FORMULA TABLET Y PA Document  
multivitamin/iron/folic acid CENTRAL-VITE TABLET Y PA Document  
multivitamin/iron/folic acid CENTRUM COMPLETE TABLET Y PA Document  
multivitamin/iron/folic acid CENTRUM WOMEN TABLET Y PA Document  
multivitamin/iron/folic acid CENTURY TABLET Y PA Document  
multivitamin/iron/folic acid MULTI-DAY PLUS IRON TABLET Y PA Document  
multivitamin/iron/folic acid COMPLETE MULTIVITAMIN TABLET Y PA Document  
multivitamin/iron/folic acid COMPLETE WOMEN TABLET Y PA Document  
multivitamin/iron/folic acid DAILY MULTIPLE TABLET Y PA Document  
multivitamin/iron/folic acid DAILY MULTIVITAMIN-IRON TABLET Y PA Document  
multivitamin/iron/folic acid DAILY VITAMIN FORMULA-IRON TABLET Y PA Document  
multivitamin/iron/folic acid ESSENTIA TABLET Y PA Document  
multivitamin/iron/folic acid CENTURY ULTIMATE WOMEN'S TABLET Y PA Document  
multivitamin/iron/folic acid CENTRUM ADULTS TABLET Y PA Document  
multivitamin/iron/folic acid MULTIVITAMIN WITH IRON TABLET Y PA Document  
multivitamin/iron/folic acid MULTI COMPLETE-IRON TABLET Y PA Document  
multivitamin/iron/folic acid YELETS TABLET Y PA Document  
multivitamin/iron/folic acid MULTI-VITE TABLET Y PA Document  
multivitamin/iron/folic acid ONE DAILY MULTIVITAMIN-IRON TABLET Y PA Document  
multivitamin/iron/folic acid ONE DAILY PLUS IRON TABLET Y PA Document  
multivitamin/iron/folic acid ONE DAILY WITH IRON TABLET Y PA Document  
multivitamin/iron/folic acid ONE-A-DAY TEEN ADVANTAGE TABLET Y PA Document  
multivitamin/iron/folic acid SENTRY TABLET Y PA Document  
multivitamin/iron/folic acid SPECTRAVITE ULTRA WOMEN TABLET Y PA Document  
multivitamin/iron/folic acid SPECTRAVITE ADVANCED FORMULA TABLET Y PA Document  
mv-min 51/folic acid/vit K/ubi AQUADEKS TAB CHEW Y PA Document  
pedi multivit 22/vit D3/vit K MULTIVITAMINS-A,B,D,E,K,ZN TAB CHEW Y PA Document  
vitamin B complex VITAMIN B COMPLEX CAPSULE Y PA Document  
vitamin B complex BALANCED B-50 CAPSULE Y PA Document  
vitamin B complex SUPER B-50 COMPLEX CAPSULE Y PA Document  
vitamin B complex VITAMIN B COMPLEX CAPSULE Y PA Document  
vitamin B complex VITAMIN B COMPLEX W/VIT B-12 CAPSULE Y PA Document  
folic/mvi ther-min/lycop/lut CORVITA TABLET N PA Document  
lmefolate/B3/copp/Zn/sel/chrom NICOMIDE TABLET N PA Document  
m-tetrahyrofolate/niacin/Cu/Zn NICOMIDE TABLET N PA Document  
multivit-min/FA/lycopen/lutein SENTRY SENIOR TABLET N PA Document  
multivit-min/iron/folic/vit K1 CENTRUM CHEWABLES TAB CHEW N PA Document  
multivit-minerals/folic acid CENTRUM MULTIGUMMIES TAB CHEW N PA Document  
multivit-minerals/folic acid CENTRUM VITAMINTS TAB CHEW N PA Document  
multivit-mins no.20/iron/folic BACMIN TABLET N PA Document  
multivit-mins no.61/iron/folic O-CAL FA TABLET N PA Document  
multivit-mins no.64/iron/folic VOL-NATE TABLET N PA Document  
multivit-mins60/iron fum/folic NIVA-PLUS TABLET N PA Document  
multivit-mins60/iron fum/folic VOL-PLUS TABLET N PA Document  
multivit,calc,mins/iron/folic THERAPEUTIC-M TABLET N PA Document  
multivit,calc,mins/iron/folic THERA-M TABLET N PA Document  
multivit,calc,mins/iron/folic THERA M PLUS TABLET N PA Document  
multivit,iron,min 5/folic acid STROVITE FORTE TABLET N PA Document  
multivitamin with folic acid THERA TABLET N PA Document  
multivitamin with folic acid ONE DAILY ESSENTIAL TABLET N PA Document  
mv-mins 6/folic acid/lut/coQ10 CORVITE FREE TABLET N PA Document  
mv-mins no.50/iron,carb/folic VOL-TAB RX TABLET N PA Document  
mv, min 59/iron/folic/docusate THRIVITE 19 TABLET N PA Document  
mv,min10/folic acid/D3/ala/lut STROVITE ONE TABLET N PA Document  
om-3/dha/epa/B12/FA/B6/phytost VIT 3 CAPSULE N PA Document  
omeg3/dha/epa/fish oil/L.casei RESTORA CAPSULE N PA Document  
vit A/C/E ac/ZnOx/cupric oxide EYEPROTECT TABLET N PA Document  
vits A,C,E/lutein/minerals HEALTHY EYES TABLET N PA Document  
vits A,C,E/lutein/minerals I-VITE TABLET N PA Document  
vits A,C,E/lutein/minerals OPTI-VITAMIN TABLET N PA Document  
vits A,C,E/lutein/minerals OCUVITE WITH LUTEIN TABLET N PA Document  
A/C/E/zinc/sod selenate/copper PROSIGHT TABLET PA Document  
antiox.mv no.10/omeg3s/lut/zea I-CAPS CAPSULE PA Document  
B-complex with vitamin C SUPER B COMPLEX-VITAMIN C TABLET PA Document  
B-complex with vitamin C B-COMPLEX PLUS VITAMIN C TABLET PA Document  
B-complex with vitamin C FORMULA-B TABLET PA Document  
B-complex with vitamin C SUPERPLEX-T TABLET PA Document  
B-complex with vitamin C TOTAL B WITH C TABLET PA Document  
B-complex with vitamin C VITA-BEE WITH C TABLET PA Document  
B-complex with vitamin C VITAMIN B COMPLEX W/C TABLET PA Document  
B-complex with vitamin C BEROCCA TABLET PA Document  
B1,B2,B3,B6,B12/dexpan/Zn/mang ELDERTONIC ELIXIR PA Document  
B2/vits A,C,E/lut/zeaxanth/min ICAPS TABLET ER PA Document  
Bcomp,C/St.Jhn Wrt/S.ginsg/Pgn FATIGUE RELIEF COMPLEX TABLET PA Document  
C,E,zinc,copper 11/omega3s/lut OCUVITE ADULT 50 PLUS CAPSULE PA Document  
ferrous fum/folic acid/Bcomp,C DIALYVITE 800 WITH IRON TABLET PA Document  
folic acid/multivit,iron,miner NUTRICAP TABLET PA Document  
folic acid/multivit,iron,miner ONE DAILY MAXIMUM TABLET PA Document  
folic acid/mv,iron,min/lutein CERTA PLUS TABLET PA Document  
iron/lys/vit B comp/folic acid NUTRIVIT LIQUID PA Document  
iron/vitamin B comp and C GERI-TABS TABLET PA Document  
lecithin/pyridoxine/kelp ALL-IN-ONE TABLET PA Document  
m-vit,tx,iron,mins/calc/folic THERAPEUTIC M TABLET PA Document  
m-vit,tx,iron,mins/calc/folic THERA-M TABLET PA Document  
multivit with calcium,iron,min ONE DAILY WOMEN'S TABLET PA Document  
multivit with iron,hematinic CENTRAL-VITE TABLET PA Document  
multivit with iron,hematinic CENTURY TABLET PA Document  
multivit with iron,hematinic COMPLETE TABLET PA Document  
multivit with iron,hematinic CERTA-VITE TABLET PA Document  
multivit with iron,minerals HEMOCYTE ELIXIR PA Document  
multivit with iron,minerals MAY-VITA ELIXIR PA Document  
multivit with iron,minerals GERAVIM LIQUID PA Document  
multivit with iron,minerals GERIATON LIQUID PA Document  
multivit with iron,minerals UNICOMPLEX-M TABLET PA Document  
multivit with iron,minerals MULTILEX TABLET PA Document  
multivit with iron,minerals CERTA-VITE SILVER TABLET PA Document  
multivit with iron,minerals COMPETE TABLET PA Document  
multivit with iron,minerals COMPLETE SENIOR TABLET PA Document  
multivit with iron,minerals VITA DEC TABLET PA Document  
multivit with iron,minerals SUPER MEGA PLEX TABLET ER PA Document  
multivit-min/FA/lutein/zeaxant ICAPS MV TABLET DR PA Document  
multivit-min/FA/lycopen/lutein CENTURY ULTIMATE MEN'S TABLET PA Document  
multivit-min/iron/folic/lutein CENTRUM SILVER WOMEN TABLET PA Document  
multivit-min/iron/folic/lutein CENTURY ULTIMATE WOMEN'S TABLET PA Document  
multivit-minerals/FA/lycopene ONE DAILY TABLET PA Document  
multivit-minerals/ferrous gluc VITAMIN-MINERAL LIQUID PA Document  
multivit-minerals/ferrous gluc CERTAVITE-ANTIOXIDANT LIQUID PA Document  
multivit-minerals/ferrous gluc CEROVITE LIQUID PA Document  
multivit-minerals/ferrous gluc CENTRUM LIQUID PA Document  
multivit-minerals/ferrous gluc CENTAMIN LIQUID PA Document  
multivit-minerals/folic/ginkgo ONE DAILY WOMEN'S 50+ TABLET PA Document  
multivit-mins no.5/folic acid ELDERCAPS CAPSULE PA Document  
multivit-mins no.7/folic acid V-C FORTE CAPSULE PA Document  
multivit-mins no.7/folic acid VIC-FORTE CAPSULE PA Document  
multivit-mins/iron/folic/lycop CENTURY ULTIMATE MEN'S TABLET PA Document  
multivit,calc,mins/iron/folic ONE DAILY WOMEN'S HEALTH TABLET PA Document  
multivit,iron fum,min 4/folic MULTICHEW TAB CHEW PA Document  
multivit,iron,mins/folic acid CENTURY CARDIO TABLET PA Document  
multivit,stress formula/zinc STRESS-600 WITH ZINC TABLET PA Document  
multivit,stress formula/zinc STRESS FORMULA WITH ZINC TABLET PA Document  
multivit,stress formula/zinc STRESS FORMULA W/ZINC TABLET PA Document  
multivit,ther.w-iron,hematinic VITALIZE PLUS TABLET PA Document  
multivit,ther.w-iron,hematinic THERAGRAN HEMATINIC TABLET PA Document  
multivit,ther.w-iron,hematinic BEROCCA PLUS TABLET PA Document  
multivit,thx,calcium,iron,mins THERAPEUTIC M TABLET PA Document  
multivit,tx with iron,minerals COMPLETE MULTIVITAMIN TABLET PA Document  
multivit,tx with iron,minerals THEREMS-H TABLET PA Document  
multivit,tx with iron,minerals MULTILEX-T-M WITH MINERALS TABLET PA Document  
multivit,tx with iron,minerals THERA-M TABLET PA Document  
multivit/iron/folic acid/hb179 MEGA MULTIVITAMIN TABLET PA Document  
multivit/iron/folic acid/hb179 MEGA MULTI TABLET PA Document  
multivitamin MULTI-DELYN LIQUID PA Document  
multivitamin CHEWABLE-VITE TAB CHEW PA Document  
multivitamin no.44/vit D3/K MULTIVITAMINS-A,B,D,E,K,ZN CAPSULE PA Document  
multivitamin with iron DAILY VITE WITH IRON TABLET PA Document  
multivitamin with iron DAILY VITAMIN + IRON TABLET PA Document  
multivitamin with iron PMS TABLET PA Document  
multivitamin with iron MULTIVITAMINS WITH IRON TABLET PA Document  
multivitamin with iron ONE DAILY WITH IRON TABLET PA Document  
multivitamin with iron TAB-A-VITE WITH IRON TABLET PA Document  
multivitamin with iron TAB-A-VITE W/IRON TABLET PA Document  
multivitamin with minerals ELLIS TONIC ELIXIR PA Document  
multivitamin with minerals HAIR, SKIN & NAILS TABLET PA Document  
multivitamin with minerals TAB-A-VITE-MINERALS TABLET PA Document  
multivitamin with minerals TAB-A-VITE W/MINERALS TABLET PA Document  
multivitamin with minerals ICAPS PLUS TABLET PA Document  
multivitamin with minerals DAILY VITAMIN FORMULA-MINERALS TABLET PA Document  
multivitamin with minerals BEE-ZEE TABLET PA Document  
multivitamin with minerals MEDIPLEX PLUS TABLET PA Document  
multivitamin,stress formula STRESS FORMULA TABLET PA Document  
multivitamin,ther and minerals VITAMIN AND MINERALS TABLET PA Document  
multivitamin/ferrous gluconate MULTI-DELYN LIQUID PA Document  
mv-min 16/folic acid/lut/lycop REQ49+ TABLET PA Document  
mv-min/FA/D3/om-3/dha/epa/fish CARDIAMIN CAPSULE PA Document  
mv-min/FA/vit K/lycop/lut/zeax OCUVITE EYE PLUS MULTI TABLET PA Document  
mv-mins no.9/folic/saw palmett UDAMIN SP TABLET PA Document  
mv-mins/folic/lycopene/ginkgo ONE DAILY MEN'S 50+ TABLET PA Document  
mv-mn/folic acid/lutein/hrb178 MEGA MULTI TABLET PA Document  
mv-mn/folic acid/lutein/hrb178 MEGA MULTIVITAMIN TABLET PA Document  
mv,cal,min/iron/folic acid/lut COMPLETE TABLET PA Document  
mv,cal,min/iron/folic acid/lut SENTRY TABLET PA Document  
mv,iron,min/ginkgo/Pan.ginseng COMPLETE PREMIUM VITAMIN TABLET PA Document  
mv,iron/folic/D3/om-3/dha/epa PRORENAL QD CAPSULE PA Document  
vit A/vit C/vit E/selenium yst ANTIOXIDANT FORMULA TABLET PA Document  
vit A/vit C/vit E/zinc/copper HEALTHY EYES SUPERVISION CAPSULE PA Document  
vit A/vit C/vit E/zinc/copper ICAPS AREDS CAPSULE PA Document  
vit A/vit C/vit E/zinc/copper PRESERVISION AREDS CAPSULE PA Document  
vit A/vit C/vit E/zinc/copper I-VITE TABLET PA Document  
vit A/vit C/vit E/zinc/copper PRESERVISION AREDS TABLET PA Document  
vit A/vit C/vit E/zinc/copper ICAPS TABLET DR PA Document  
vit C/vit E ac/lut/copper/zinc PRESERVISION LUTEIN CAPSULE PA Document  
vit C/vit E/lutein/min/omega-3 OCUVITE CAPSULE PA Document  
vitamins A and D VITAMIN A AND D CAPSULE PA Document