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*Denotes a generic available in at least one dosage form or strength - page 25 / 26

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This PDL reference tool is to aid a prescribing physician with generic availability and preferred product status. A "substitution allowed" physician signature on a prescription should not require a PA to be obtained if a generic agent is available.

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prenatal vitamins, iron, folic acid prenatal vitamins, iron, folic acid, DHA prenatal vitamins, iron, folic acid iron, ascorbic acid, cyanocobalamin, folic acid iron, ascorbic acid, cyanocobalamin, folic acid

prenatal vitamins, iron, folic acid

prenatal vitamins, iron, folic acid

prenatal vitamins, iron, folic acid, DHA

prenatal vitamins, iron, folic acid

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prenatal vitamins, iron, folic acid, omega-3 fatty acids

Gesticare* Gesticare DHA* HIP Prenatal* Icar-C Plus* Icar-C Plus SR* Maxinate NataChew* NataFort Natalvit Natelle Natelle C* Natelle One Natelle Plus* Natelle Prefer Natelle-ez* Neevo Neevo DHA Novanatal* Novastart* OB Complete* OB Complete 400 OB-Natal One*

prenatal vitamins, iron, folic acid prenatal vitamins, iron, folic acid prenatal vitamins, iron, folic acid, docusate prenatal vitamins, iron, folic acid

prenatal vitamins, iron, folic acid, DHA prenatal vitamins, iron, folic acid

prenatal vitamins, iron, folic acid, docusate, fatty acid combination

Precare* Precare Conceive* Precare Premier* Prefera-OB* Prefera-OB Plus DHA Prenate DHA* Prenate Elite* Prenexa Preque 10 Primacare*

prenatal vitamins, iron, folic acid, docusate, fatty acid combination

Primacare Advantage*

prenatal vitamins, iron, folic acid, docusate, omega-3 fatty acids

Primacare One*

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PR Natal 400 PR Natal 400 EC PR Natal 430*

prenatal vitamins, iron, folic acid, omega-3 fatty acids

PR Natal 430 EC*

prenatal vitamins, iron, folic acid, omega-3 fatty acids, DHA

PR Natal 440EC*

prenatal vitamins, iron, folic acid, omega-3 fatty acids

Pruet DHA*

prenatal vitamins, iron, folic acid, omega-3 fatty acids

Pruet DHA EC*

prenatal vitamins, iron, folic acid

prenatal vitamins, iron, folic acid, omega-3 fatty acids

prenatal vitamins, iron, folic acid

Select-OB* Select-OB+DHA Tandem DHA*

Tandem OB*

*Denotes a generic available in at least one dosage form or strength **Will be reviewed at a future time when eligible

Effective 4/1/2010

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