Calcium/Vit D Replacement, Oral

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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.
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.

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NDC Brand Name Generic Name Form Strength PDL
Status		 Rebate Current Drug Use Criteria
24385087672 HI-CAL calcium TABLET 500 mg Y  
46122008278 CAL MAG ZINC-D3 calcium carb/D3/magnesium/zinc TABLET 333 mg calcium-133 unit-133 mg-5 mg N Y PA Document
17856311730 CALCIUM CARBONATE calcium carbonate ORAL SUSP 500 mg/5 mL calcium (1,250 mg/5 mL) Y N  
00121076616 CALCIUM CARBONATE calcium carbonate ORAL SUSP 500 mg/5 mL calcium (1,250 mg/5 mL) Y Y  
00121476605 CALCIUM CARBONATE calcium carbonate ORAL SUSP 500 mg/5 mL calcium (1,250 mg/5 mL) Y Y  
68599141103 ANTACID calcium carbonate TAB CHEW 168 mg calcium (420 mg) Y  
49348016921 ANTACID calcium carbonate TAB CHEW 200 mg calcium (500 mg) Y  
49348017021 ANTACID calcium carbonate TAB CHEW 200 mg calcium (500 mg) Y  
51645073515 ANTACID calcium carbonate TAB CHEW 200 mg calcium (500 mg) Y  
68084098832 ANTACID calcium carbonate TAB CHEW 200 mg calcium (500 mg) Y  
68084098833 ANTACID calcium carbonate TAB CHEW 200 mg calcium (500 mg) Y  
70000003401 ANTACID calcium carbonate TAB CHEW 200 mg calcium (500 mg) Y  
70677013701 ANTACID calcium carbonate TAB CHEW 200 mg calcium (500 mg) Y  
70677107501 ANTACID calcium carbonate TAB CHEW 200 mg calcium (500 mg) Y  
70677108101 ANTACID calcium carbonate TAB CHEW 200 mg calcium (500 mg) Y  
83324022166 ANTACID calcium carbonate TAB CHEW 200 mg calcium (500 mg) Y  
83324031515 ANTACID calcium carbonate TAB CHEW 200 mg calcium (500 mg) Y  
83324031615 ANTACID calcium carbonate TAB CHEW 200 mg calcium (500 mg) Y  
00536100715 CAL-GEST calcium carbonate TAB CHEW 200 mg calcium (500 mg) Y  
00536104815 CALCIUM ANTACID calcium carbonate TAB CHEW 200 mg calcium (500 mg) Y  
00904641292 CALCIUM ANTACID calcium carbonate TAB CHEW 200 mg calcium (500 mg) Y  
00536122922 ANTACID EXTRA STRENGTH calcium carbonate TAB CHEW 300 mg calcium (750 mg) N Y PA Document
24385010680 ANTACID EXTRA STRENGTH calcium carbonate TAB CHEW 300 mg calcium (750 mg) N Y PA Document
46122022575 ANTACID EXTRA STRENGTH calcium carbonate TAB CHEW 300 mg calcium (750 mg) N Y PA Document
49348086513 ANTACID EXTRA STRENGTH calcium carbonate TAB CHEW 300 mg calcium (750 mg) N Y PA Document
70000043002 ANTACID EXTRA STRENGTH calcium carbonate TAB CHEW 300 mg calcium (750 mg) N Y PA Document
70000043101 ANTACID EXTRA STRENGTH calcium carbonate TAB CHEW 300 mg calcium (750 mg) N Y PA Document
70000046001 ANTACID EXTRA STRENGTH calcium carbonate TAB CHEW 300 mg calcium (750 mg) N Y PA Document
70000059201 ANTACID EXTRA STRENGTH calcium carbonate TAB CHEW 300 mg calcium (750 mg) N Y PA Document
70000068101 ANTACID EXTRA STRENGTH calcium carbonate TAB CHEW 300 mg calcium (750 mg) N Y PA Document
70000068201 ANTACID EXTRA STRENGTH calcium carbonate TAB CHEW 300 mg calcium (750 mg) N Y PA Document
70677107601 ANTACID EXTRA STRENGTH calcium carbonate TAB CHEW 300 mg calcium (750 mg) N Y PA Document
70677107901 ANTACID EXTRA STRENGTH calcium carbonate TAB CHEW 300 mg calcium (750 mg) N Y PA Document
83324031396 ANTACID EXTRA STRENGTH calcium carbonate TAB CHEW 300 mg calcium (750 mg) N Y PA Document
83324031896 ANTACID EXTRA STRENGTH calcium carbonate TAB CHEW 300 mg calcium (750 mg) N Y PA Document
00536104922 CALCIUM ANTACID calcium carbonate TAB CHEW 300 mg calcium (750 mg) N Y PA Document
00536105022 CALCIUM ANTACID calcium carbonate TAB CHEW 300 mg calcium (750 mg) N Y PA Document
00536122522 CALCIUM ANTACID calcium carbonate TAB CHEW 300 mg calcium (750 mg) N Y PA Document
70000059301 SMOOTH ANTACID calcium carbonate TAB CHEW 300 mg calcium (750 mg) N Y PA Document
70000043601 ANTACID ULTRA STRENGTH calcium carbonate TAB CHEW 400 mg calcium (1,000 mg) Y  
70000045901 ANTACID ULTRA STRENGTH calcium carbonate TAB CHEW 400 mg calcium (1,000 mg) Y  
70000068301 ANTACID ULTRA STRENGTH calcium carbonate TAB CHEW 400 mg calcium (1,000 mg) Y  
83324031772 ANTACID ULTRA STRENGTH calcium carbonate TAB CHEW 400 mg calcium (1,000 mg) Y  
50268014911 CALCIUM calcium carbonate TAB CHEW 500 mg calcium (1,250 mg) N Y PA Document
50268014913 CALCIUM calcium carbonate TAB CHEW 500 mg calcium (1,250 mg) N Y PA Document
00904323262 CALCIUM CARBONATE calcium carbonate TABLET 1.5 gram Y  
71610030130 CALCIUM CARBONATE calcium carbonate TABLET 260 mg calcium (648 mg) Y N  
71610030153 CALCIUM CARBONATE calcium carbonate TABLET 260 mg calcium (648 mg) Y N  
71610030160 CALCIUM CARBONATE calcium carbonate TABLET 260 mg calcium (648 mg) Y N  
71610030165 CALCIUM CARBONATE calcium carbonate TABLET 260 mg calcium (648 mg) Y N  
71610030180 CALCIUM CARBONATE calcium carbonate TABLET 260 mg calcium (648 mg) Y N  
71610030185 CALCIUM CARBONATE calcium carbonate TABLET 260 mg calcium (648 mg) Y N  
71610030192 CALCIUM CARBONATE calcium carbonate TABLET 260 mg calcium (648 mg) Y N  
00536120610 CALCIUM CARBONATE calcium carbonate TABLET 260 mg calcium (648 mg) Y Y  
11917005021 CALCIUM calcium carbonate TABLET 500 mg calcium (1,250 mg) Y N  
49348006243 CALCIUM calcium carbonate TABLET 500 mg calcium (1,250 mg) Y Y  
87701034009 CALCIUM 500 calcium carbonate TABLET 500 mg calcium (1,250 mg) Y N  
24385087206 CALCIUM 500 calcium carbonate TABLET 500 mg calcium (1,250 mg) Y Y  
10135021101 CALCIUM CARBONATE calcium carbonate TABLET 500 mg calcium (1,250 mg) Y N  
10135021103 CALCIUM CARBONATE calcium carbonate TABLET 500 mg calcium (1,250 mg) Y N  
10135021110 CALCIUM CARBONATE calcium carbonate TABLET 500 mg calcium (1,250 mg) Y N  
10135021113 CALCIUM CARBONATE calcium carbonate TABLET 500 mg calcium (1,250 mg) Y N  
10135021160 CALCIUM CARBONATE calcium carbonate TABLET 500 mg calcium (1,250 mg) Y N  
10135021164 CALCIUM CARBONATE calcium carbonate TABLET 500 mg calcium (1,250 mg) Y N  
34575051387 HI-CALCIUM calcium carbonate TABLET 500 mg calcium (1,250 mg) Y N  
04000000138 OYSTER SHELL CALCIUM calcium carbonate TABLET 500 mg calcium (1,250 mg) Y N  
10939041511 OYSTER SHELL CALCIUM calcium carbonate TABLET 500 mg calcium (1,250 mg) Y N  
37864082701 OYSTER SHELL CALCIUM calcium carbonate TABLET 500 mg calcium (1,250 mg) Y N  
49614051672 OYSTER SHELL CALCIUM calcium carbonate TABLET 500 mg calcium (1,250 mg) Y N  
60814053112 OYSTER SHELL CALCIUM calcium carbonate TABLET 500 mg calcium (1,250 mg) Y N  
87701088913 OYSTER SHELL CALCIUM calcium carbonate TABLET 500 mg calcium (1,250 mg) Y N  
87701088921 OYSTER SHELL CALCIUM calcium carbonate TABLET 500 mg calcium (1,250 mg) Y N  
00904188361 OYSTER SHELL CALCIUM calcium carbonate TABLET 500 mg calcium (1,250 mg) Y Y  
00904188362 OYSTER SHELL CALCIUM calcium carbonate TABLET 500 mg calcium (1,250 mg) Y Y  
00904188372 OYSTER SHELL CALCIUM calcium carbonate TABLET 500 mg calcium (1,250 mg) Y Y  
00904188413 OYSTER SHELL CALCIUM calcium carbonate TABLET 500 mg calcium (1,250 mg) Y Y  
00904188452 OYSTER SHELL CALCIUM calcium carbonate TABLET 500 mg calcium (1,250 mg) Y Y  
00904188472 OYSTER SHELL CALCIUM calcium carbonate TABLET 500 mg calcium (1,250 mg) Y Y  
51645082701 OYSTER SHELL CALCIUM calcium carbonate TABLET 500 mg calcium (1,250 mg) Y Y  
51645082706 OYSTER SHELL CALCIUM calcium carbonate TABLET 500 mg calcium (1,250 mg) Y Y  
51645082710 OYSTER SHELL CALCIUM calcium carbonate TABLET 500 mg calcium (1,250 mg) Y Y  
51645082799 OYSTER SHELL CALCIUM calcium carbonate TABLET 500 mg calcium (1,250 mg) Y Y  
71085007704 OYSTER SHELL CALCIUM calcium carbonate TABLET 500 mg calcium (1,250 mg) Y Y  
83035181205 OYSTER SHELL CALCIUM calcium carbonate TABLET 500 mg calcium (1,250 mg) Y Y  
83592001805 OYSTER SHELL CALCIUM calcium carbonate TABLET 500 mg calcium (1,250 mg) Y Y  
85633003236 OYSTER SHELL CALCIUM calcium carbonate TABLET 500 mg calcium (1,250 mg) Y Y  
85633003260 OYSTER SHELL CALCIUM calcium carbonate TABLET 500 mg calcium (1,250 mg) Y Y  
10135025660 CALCIUM calcium carbonate TABLET 600 mg calcium (1,500 mg) Y N  
10135025664 CALCIUM calcium carbonate TABLET 600 mg calcium (1,500 mg) Y N  
11917005027 CALCIUM calcium carbonate TABLET 600 mg calcium (1,500 mg) Y N  
11917005038 CALCIUM calcium carbonate TABLET 600 mg calcium (1,500 mg) Y N  
24385026972 CALCIUM calcium carbonate TABLET 600 mg calcium (1,500 mg) Y N  
35515098043 CALCIUM calcium carbonate TABLET 600 mg calcium (1,500 mg) Y N  
54629072000 CALCIUM calcium carbonate TABLET 600 mg calcium (1,500 mg) Y N  
87701053153 CALCIUM calcium carbonate TABLET 600 mg calcium (1,500 mg) Y N  
46122007772 CALCIUM calcium carbonate TABLET 600 mg calcium (1,500 mg) Y Y  
49614068278 OYSTER SHELL CALCIUM calcium carbonate TABLET 600 mg calcium (1,500 mg) Y N  
00904401860 LIQUID CALCIUM calcium carbonate/vitamin D2 CAPSULE 600 mg calcium-200 unit Y  
62584063501 CALCIUM CARBONATE W/VITAMIN D calcium carbonate/vitamin D2 TABLET 250 mg calcium (625 mg)-125 unit N Y PA Document
62584063533 CALCIUM CARBONATE W/VITAMIN D calcium carbonate/vitamin D2 TABLET 250 mg calcium (625 mg)-125 unit N Y PA Document
00904188552 OYSTER + D calcium carbonate/vitamin D2 TABLET 500 mg calcium (1,250 mg)-125 unit Y  
00904188592 OYSTER SHELL CALCIUM calcium carbonate/vitamin D2 TABLET 500 mg calcium (1,250 mg)-125 unit Y  
49348001923 OYSTER SHELL CALCIUM W-VIT D calcium carbonate/vitamin D2 TABLET 500 mg calcium (1,250 mg)-125 unit Y  
00904188562 OYSTER SHELL CALCIUM W/VIT D calcium carbonate/vitamin D2 TABLET 500 mg calcium (1,250 mg)-125 unit Y  
00904188572 OYSTER SHELL CALCIUM W/VIT D calcium carbonate/vitamin D2 TABLET 500 mg calcium (1,250 mg)-125 unit Y  
00904188580 OYSTER SHELL CALCIUM W/VIT D calcium carbonate/vitamin D2 TABLET 500 mg calcium (1,250 mg)-125 unit Y  
00904323362 CALCIUM CARBONATE W/VITAMIN D calcium carbonate/vitamin D2 TABLET 600 mg calcium-200 unit Y  
00088166301 OS-CAL 500+D calcium carbonate/vitamin D3 TAB CHEW 500 mg calcium (1,250 mg)-600 unit Y Y  
51645082906 CALCIUM 500-VIT D3 calcium carbonate/vitamin D3 TAB CHEW 500 mg calcium-10 mcg (400 unit) Y Y  
00904188260 CALCIUM 250-VIT D3 calcium carbonate/vitamin D3 TABLET 250 mg calcium-3 mcg (120 unit) N Y PA Document
51645082610 OYSTER SHELL + D calcium carbonate/vitamin D3 TABLET 250 mg calcium-3.125 mcg (125 unit) N Y PA Document
51645082601 OYSTER SHELL-D calcium carbonate/vitamin D3 TABLET 250 mg calcium-3.125 mcg (125 unit) N Y PA Document
51645082699 OYSTER SHELL-D calcium carbonate/vitamin D3 TABLET 250 mg calcium-3.125 mcg (125 unit) N Y PA Document
46122007606 CALCIUM 500-VIT D3 calcium carbonate/vitamin D3 TABLET 500 mg calcium-15 mcg (600 unit) Y Y  
46122007698 CALCIUM 500-VIT D3 calcium carbonate/vitamin D3 TABLET 500 mg calcium-15 mcg (600 unit) Y Y  
00088165125 OS-CAL 500-VIT D3 calcium carbonate/vitamin D3 TABLET 500 mg calcium-15 mcg (600 unit) Y Y  
00088165149 OS-CAL 500-VIT D3 calcium carbonate/vitamin D3 TABLET 500 mg calcium-15 mcg (600 unit) Y Y  
51645082806 CALCIUM 500-VIT D3 calcium carbonate/vitamin D3 TABLET 500 mg calcium-5 mcg (200 unit) N Y PA Document
51645082808 CALCIUM 500-VIT D3 calcium carbonate/vitamin D3 TABLET 500 mg calcium-5 mcg (200 unit) N Y PA Document
51645082810 CALCIUM 500-VIT D3 calcium carbonate/vitamin D3 TABLET 500 mg calcium-5 mcg (200 unit) N Y PA Document
51645082899 CALCIUM 500-VIT D3 calcium carbonate/vitamin D3 TABLET 500 mg calcium-5 mcg (200 unit) N Y PA Document
83035181006 CALCIUM 500-VIT D3 calcium carbonate/vitamin D3 TABLET 500 mg calcium-5 mcg (200 unit) N Y PA Document
00088165475 OS-CAL 500-VIT D3 calcium carbonate/vitamin D3 TABLET 500 mg calcium-5 mcg (200 unit) N Y PA Document
00536781708 OYSCO 500-VIT D3 calcium carbonate/vitamin D3 TABLET 500 mg calcium-5 mcg (200 unit) N Y PA Document
00536781710 OYSCO 500-VIT D3 calcium carbonate/vitamin D3 TABLET 500 mg calcium-5 mcg (200 unit) N Y PA Document
00904546052 OYSTER SHELL CALCIUM-VIT D3 calcium carbonate/vitamin D3 TABLET 500 mg calcium-5 mcg (200 unit) N Y PA Document
00904546072 OYSTER SHELL CALCIUM-VIT D3 calcium carbonate/vitamin D3 TABLET 500 mg calcium-5 mcg (200 unit) N Y PA Document
00904546080 OYSTER SHELL CALCIUM-VIT D3 calcium carbonate/vitamin D3 TABLET 500 mg calcium-5 mcg (200 unit) N Y PA Document
00904546092 OYSTER SHELL CALCIUM-VIT D3 calcium carbonate/vitamin D3 TABLET 500 mg calcium-5 mcg (200 unit) N Y PA Document
50268015011 CALCIUM 600-VIT D3 calcium carbonate/vitamin D3 TABLET 600 mg calcium-10 mcg (400 unit) N Y PA Document
50268015015 CALCIUM 600-VIT D3 calcium carbonate/vitamin D3 TABLET 600 mg calcium-10 mcg (400 unit) N Y PA Document
71085007660 CALCIUM 600-VIT D3 calcium carbonate/vitamin D3 TABLET 600 mg calcium-10 mcg (400 unit) N Y PA Document
83592001706 CALCIUM 600-VIT D3 calcium carbonate/vitamin D3 TABLET 600 mg calcium-10 mcg (400 unit) N Y PA Document
85633001036 CALCIUM 600-VIT D3 calcium carbonate/vitamin D3 TABLET 600 mg calcium-10 mcg (400 unit) N Y PA Document
85633001060 CALCIUM 600-VIT D3 calcium carbonate/vitamin D3 TABLET 600 mg calcium-10 mcg (400 unit) N Y PA Document
83035181406 ULTRA CALCIUM 600-VIT D3 calcium carbonate/vitamin D3 TABLET 600 mg calcium-10 mcg (400 unit) N Y PA Document
50268014611 CALCIUM 600-VIT D3 calcium carbonate/vitamin D3 TABLET 600 mg calcium-20 mcg (800 unit) N Y PA Document
50268014615 CALCIUM 600-VIT D3 calcium carbonate/vitamin D3 TABLET 600 mg calcium-20 mcg (800 unit) N Y PA Document
51645073306 CALCIUM 600-VIT D3 calcium carbonate/vitamin D3 TABLET 600 mg calcium-20 mcg (800 unit) N Y PA Document
51645073308 CALCIUM 600-VIT D3 calcium carbonate/vitamin D3 TABLET 600 mg calcium-20 mcg (800 unit) N Y PA Document
51645073310 CALCIUM 600-VIT D3 calcium carbonate/vitamin D3 TABLET 600 mg calcium-20 mcg (800 unit) N Y PA Document
51645073399 CALCIUM 600-VIT D3 calcium carbonate/vitamin D3 TABLET 600 mg calcium-20 mcg (800 unit) N Y PA Document
37205039272 CALCIUM 600 + VIT D calcium carbonate/vitamin D3 TABLET 600 mg calcium-5 mcg (200 unit) N Y PA Document
59088020131 LIQUICAL PLUS calcium cit/magnesium/D3/zinc LIQUID 84 mg calcium-24 mg-10 mcg-0.7 mg/5 mL N Y PA Document
00178081130 CITRACAL LIQUITAB calcium citrate TABLET EFF 500 mg N Y PA Document
46122008172 CALCIUM CITRATE - VITAMIN D3 calcium citrate/vitamin D3 TABLET 315 mg calcium-6.25 mcg (250 unit) N Y PA Document
46122008176 CALCIUM CITRATE - VITAMIN D3 calcium citrate/vitamin D3 TABLET 315 mg calcium-6.25 mcg (250 unit) N Y PA Document
50268014711 CALCIUM CITRATE-VITAMIN D3 calcium citrate/vitamin D3 TABLET 315 mg calcium-6.25 mcg (250 unit) N Y PA Document
50268014715 CALCIUM CITRATE-VITAMIN D3 calcium citrate/vitamin D3 TABLET 315 mg calcium-6.25 mcg (250 unit) N Y PA Document
64980015001 RISACAL-D calcium phosphate dibas/vit D3 TABLET 100 mg calcium-3 mcg N Y PA Document
16571073118 ALGAE BASED CALCIUM calcium/D3/mag/K2/min/herb 326 TABLET 333.33 mg-6.67 mcg-32 mg-28.33 mcg Y  
42192070660 CALCIUM-FOLIC ACID PLUS D calcium/mag/D3/B12/FA/B6/boron WAFER 500 mg-50 mg-300 unit-125 mcg-1 mg-10 mg-250 mcg N Y PA Document
00904430260 CALCIUM/MAGNESIUM/ZINC calcium/magnesium/zinc TABLET N Y PA Document
67112090250 DECARA cholecalciferol (vitamin D3) CAPSULE 1,250 mcg (50,000 unit) Y Y  
75834002001 VITAMIN D3 cholecalciferol (vitamin D3) CAPSULE 1,250 mcg (50,000 unit) Y Y  
75834002012 VITAMIN D3 cholecalciferol (vitamin D3) CAPSULE 1,250 mcg (50,000 unit) Y Y  
83035185001 VITAMIN D3 cholecalciferol (vitamin D3) CAPSULE 1,250 mcg (50,000 unit) Y Y  
75834016712 WEEKLY-D cholecalciferol (vitamin D3) CAPSULE 1,250 mcg (50,000 unit) Y Y  
75834016724 WEEKLY-D cholecalciferol (vitamin D3) CAPSULE 1,250 mcg (50,000 unit) Y Y  
83035184601 VITAMIN D3 cholecalciferol (vitamin D3) CAPSULE 10 mcg (400 unit) N Y PA Document
10542009090 DIALYVITE VITAMIN D cholecalciferol (vitamin D3) CAPSULE 125 mcg (5,000 unit) N Y PA Document
50268086811 VITAMIN D3 cholecalciferol (vitamin D3) CAPSULE 125 mcg (5,000 unit) N Y PA Document
50268086815 VITAMIN D3 cholecalciferol (vitamin D3) CAPSULE 125 mcg (5,000 unit) N Y PA Document
71800001901 VITAMIN D3 cholecalciferol (vitamin D3) CAPSULE 125 mcg (5,000 unit) N Y PA Document
83035184801 VITAMIN D3 cholecalciferol (vitamin D3) CAPSULE 125 mcg (5,000 unit) N Y PA Document
83035184805 VITAMIN D3 cholecalciferol (vitamin D3) CAPSULE 125 mcg (5,000 unit) N Y PA Document
83592007005 VITAMIN D3 cholecalciferol (vitamin D3) CAPSULE 125 mcg (5,000 unit) N Y PA Document
85633002030 VITAMIN D3 cholecalciferol (vitamin D3) CAPSULE 125 mcg (5,000 unit) N Y PA Document
85633002036 VITAMIN D3 cholecalciferol (vitamin D3) CAPSULE 125 mcg (5,000 unit) N Y PA Document
37205074685 VITAMIN D3 cholecalciferol (vitamin D3) CAPSULE 25 mcg (1,000 unit) Y Y  
71800001501 VITAMIN D3 cholecalciferol (vitamin D3) CAPSULE 25 mcg (1,000 unit) Y Y  
83035184701 VITAMIN D3 cholecalciferol (vitamin D3) CAPSULE 25 mcg (1,000 unit) Y Y  
83035184705 VITAMIN D3 cholecalciferol (vitamin D3) CAPSULE 25 mcg (1,000 unit) Y Y  
83592001305 VITAMIN D3 cholecalciferol (vitamin D3) CAPSULE 25 mcg (1,000 unit) Y Y  
85633002230 VITAMIN D3 cholecalciferol (vitamin D3) CAPSULE 25 mcg (1,000 unit) Y Y  
85633002236 VITAMIN D3 cholecalciferol (vitamin D3) CAPSULE 25 mcg (1,000 unit) Y Y  
63044040101 VITAMIN D3 cholecalciferol (vitamin D3) CAPSULE 250 mcg (10,000 unit) Y N  
83035184901 VITAMIN D3 cholecalciferol (vitamin D3) CAPSULE 250 mcg (10,000 unit) Y Y  
00536135301 VITAMIN D3 cholecalciferol (vitamin D3) CAPSULE 50 mcg (2,000 unit) N Y PA Document
45861006701 VITAMIN D3 cholecalciferol (vitamin D3) CAPSULE 50 mcg (2,000 unit) N Y PA Document
50268086711 VITAMIN D3 cholecalciferol (vitamin D3) CAPSULE 50 mcg (2,000 unit) N Y PA Document
50268086715 VITAMIN D3 cholecalciferol (vitamin D3) CAPSULE 50 mcg (2,000 unit) N Y PA Document
83035185901 VITAMIN D3 cholecalciferol (vitamin D3) CAPSULE 50 mcg (2,000 unit) N Y PA Document
83035185905 VITAMIN D3 cholecalciferol (vitamin D3) CAPSULE 50 mcg (2,000 unit) N Y PA Document
83592001605 VITAMIN D3 cholecalciferol (vitamin D3) CAPSULE 50 mcg (2,000 unit) N Y PA Document
85633002130 VITAMIN D3 cholecalciferol (vitamin D3) CAPSULE 50 mcg (2,000 unit) N Y PA Document
85633002136 VITAMIN D3 cholecalciferol (vitamin D3) CAPSULE 50 mcg (2,000 unit) N Y PA Document
67112090100 DECARA cholecalciferol (vitamin D3) CAPSULE 625 mcg (25,000 unit) Y Y  
67112090130 DECARA cholecalciferol (vitamin D3) CAPSULE 625 mcg (25,000 unit) Y Y  
82098061515 OSTEO-VIT3 cholecalciferol (vitamin D3) DROPS 1,250 mcg/3 mL (50,000 unit/3 mL) N Y PA Document
00536134380 VITAMIN D3 cholecalciferol (vitamin D3) DROPS 10 mcg/mL (400 unit/mL) Y Y  
54838000650 VITAMIN D3 cholecalciferol (vitamin D3) DROPS 10 mcg/mL (400 unit/mL) Y Y  
68094022401 VITAMIN D3 cholecalciferol (vitamin D3) SYRINGE 10 mcg/mL (400 unit/mL) N Y PA Document
68094022458 VITAMIN D3 cholecalciferol (vitamin D3) SYRINGE 10 mcg/mL (400 unit/mL) N Y PA Document
10542010002 DIALYVITE VITAMIN D3 MAX cholecalciferol (vitamin D3) TABLET 1,250 mcg (50,000 unit) Y Y  
10542010008 DIALYVITE VITAMIN D3 MAX cholecalciferol (vitamin D3) TABLET 1,250 mcg (50,000 unit) Y Y  
83035184501 VITAMIN D3 cholecalciferol (vitamin D3) TABLET 1,250 mcg (50,000 unit) Y Y  
00904582360 VITAMIN D3 cholecalciferol (vitamin D3) TABLET 10 mcg (400 unit) N Y PA Document
50268086311 VITAMIN D3 cholecalciferol (vitamin D3) TABLET 10 mcg (400 unit) N Y PA Document
50268086315 VITAMIN D3 cholecalciferol (vitamin D3) TABLET 10 mcg (400 unit) N Y PA Document
68094011459 VITAMIN D3 cholecalciferol (vitamin D3) TABLET 10 mcg (400 unit) N Y PA Document
68094011461 VITAMIN D3 cholecalciferol (vitamin D3) TABLET 10 mcg (400 unit) N Y PA Document
83035184101 VITAMIN D3 cholecalciferol (vitamin D3) TABLET 10 mcg (400 unit) N Y PA Document
50268086611 VITAMIN D3 cholecalciferol (vitamin D3) TABLET 125 mcg (5,000 unit) Y Y  
50268086615 VITAMIN D3 cholecalciferol (vitamin D3) TABLET 125 mcg (5,000 unit) Y Y  
83035184301 VITAMIN D3 cholecalciferol (vitamin D3) TABLET 125 mcg (5,000 unit) Y Y  
24385065578 VITAMIN D cholecalciferol (vitamin D3) TABLET 25 mcg (1,000 unit) Y N  
51645091999 VITAMIN D3 cholecalciferol (vitamin D3) TABLET 25 mcg (1,000 unit) Y Y  
83035184201 VITAMIN D3 cholecalciferol (vitamin D3) TABLET 25 mcg (1,000 unit) Y Y  
83035184401 VITAMIN D3 cholecalciferol (vitamin D3) TABLET 250 mcg (10,000 unit) N Y PA Document
50268086511 VITAMIN D3 cholecalciferol (vitamin D3) TABLET 50 mcg (2,000 unit) Y Y  
50268086515 VITAMIN D3 cholecalciferol (vitamin D3) TABLET 50 mcg (2,000 unit) Y Y  
51645092199 VITAMIN D3 cholecalciferol (vitamin D3) TABLET 50 mcg (2,000 unit) Y Y  
83035185501 VITAMIN D3 cholecalciferol (vitamin D3) TABLET 50 mcg (2,000 unit) Y Y  
67112090550 DECARA K cholecalciferol (vitD3)/vit K2 CAPSULE 1,250 mcg (50,000 unit)-200 mcg N Y PA Document
29978091790 DOSOKAP cholecalciferol (vitD3)/vit K2 TABLET 137.5 mcg (5,500 unit)-200 mcg N Y PA Document
00054418925 DHT dihydrotachysterol TABLET 0.2 mg Y  
00054818225 DHT dihydrotachysterol TABLET 0.2 mg Y  
23155080901 VITAMIN D2 ergocalciferol (vitamin D2) CAPSULE 1,250 mcg (50,000 unit) Y Y  
42806054701 VITAMIN D2 ergocalciferol (vitamin D2) CAPSULE 1,250 mcg (50,000 unit) Y Y  
42806054705 VITAMIN D2 ergocalciferol (vitamin D2) CAPSULE 1,250 mcg (50,000 unit) Y Y  
50268029711 VITAMIN D2 ergocalciferol (vitamin D2) CAPSULE 1,250 mcg (50,000 unit) Y Y  
50268029715 VITAMIN D2 ergocalciferol (vitamin D2) CAPSULE 1,250 mcg (50,000 unit) Y Y  
62135043990 VITAMIN D2 ergocalciferol (vitamin D2) CAPSULE 1,250 mcg (50,000 unit) Y Y  
62332046431 VITAMIN D2 ergocalciferol (vitamin D2) CAPSULE 1,250 mcg (50,000 unit) Y Y  
64380073706 VITAMIN D2 ergocalciferol (vitamin D2) CAPSULE 1,250 mcg (50,000 unit) Y Y  
69452015120 VITAMIN D2 ergocalciferol (vitamin D2) CAPSULE 1,250 mcg (50,000 unit) Y Y  
39328035760 CALCIDOL ergocalciferol (vitamin D2) DROPS 200 mcg/mL (8,000 unit/mL) N Y PA Document
47781064726 ERGOCALCIFEROL ergocalciferol (vitamin D2) DROPS 200 mcg/mL (8,000 unit/mL) N Y PA Document
69367028302 ERGOCALCIFEROL ergocalciferol (vitamin D2) DROPS 200 mcg/mL (8,000 unit/mL) N Y PA Document
69543023460 ERGOCALCIFEROL ergocalciferol (vitamin D2) DROPS 200 mcg/mL (8,000 unit/mL) N Y PA Document
75834001060 ERGOCALCIFEROL ergocalciferol (vitamin D2) DROPS 200 mcg/mL (8,000 unit/mL) N Y PA Document
59088069705 VITAMIN D2-VITAMIN K1 vitamin D2/vitamin K1 DROPS 20 mcg-120 mcg/4 drops N Y PA Document
59088016354 DERMACINRX FOLIXAPURE vitamin D3/folic acid TABLET 125 mcg (5,000 unit)-1 mg N Y PA Document
59088020054 DERMACINRX FOLTAMIN vitamin D3/folic acid TABLET 125 mcg (5,000 unit)-1 mg N Y PA Document
59088044754 DERMACINRX FOLTREXYL vitamin D3/folic acid TABLET 125 mcg (5,000 unit)-1 mg N Y PA Document
59088018454 DERMACINRX PUREFOLTIN vitamin D3/folic acid TABLET 125 mcg (5,000 unit)-1 mg N Y PA Document
59088052454 DERMACINRX DOTREMIN vitamin D3/folic acid TABLET 250 mcg (10,000 unit)-1 mg N Y PA Document
59088018554 DERMACINRX FOLDITAM vitamin D3/folic acid TABLET 250 mcg (10,000 unit)-1 mg N Y PA Document
59088030154 DERMACINRX FOLIXATE vitamin D3/levomefolate TABLET 125 mcg (5,000 unit)-1,700 mcg DFE N Y PA Document
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