Vitamins & Dietary Supplements

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Product
Size
ManufacturerMfgr
NDC#
Code*
RNI
340B
Multi-Vitamin (With Fluoride)
Product: Multi-Vitamin Drops with Fluoride, Arcofolin®
Prescribing Information
Size: 0.25 mg (Fruity Flavor) 50 mL Bottle
Manufacturer: Aytu BioPharma
NDC#: 62542-0805-50
Code*: A9153
RNINo
340BNo
Product: Multi-Vitamin with Fluoride Chewable Tablet, Metafolin®
Prescribing Information
Size: 0.25 mg (Berry Flavor) Bottle of 30 Tablets
Manufacturer: Aytu BioPharma
NDC#: 62542-0200-30
Code*: A9153
RNINo
340BNo
Product: Multi-Vitamin with Fluoride Chewable Tablet, Metafolin®
Prescribing Information
Size: 0.5 mg (Berry Flavor) Bottle of 30 Tablets
Manufacturer: Aytu BioPharma
NDC#: 62542-0300-30
Code*: A9153
RNINo
340BNo
Product: Multi-Vitamin with Fluoride Chewable Tablet, Metafolin®
Prescribing Information
Size: 1 mg (Berry Flavor) Bottle of 30 Tablets
Manufacturer: Aytu BioPharma
NDC#: 62542-0400-30
Code*: A9153
RNINo
340BNo
Product: Poly-Vi-Flor® Multivitamin Drops with Fluoride, Arcofolin®
Prescribing Information
Size: 0.25 mg 50 mL Bottle (Fruit Flavor)
Manufacturer: Aytu BioPharma
NDC#: 23594-0805-50
Code*: A9153
RNINo
340BNo
Product: Poly-Vi-Flor® Multivitamin with Fluoride, Arcofolin® Chewable Tablet
Prescribing Information
Size: 0.25 mg Bottle of 30 Tablets (Berry Flavor)
Manufacturer: Aytu BioPharma
NDC#: 23594-0225-30
Code*: A9153
RNINo
340BNo
Product: Poly-Vi-Flor® Multivitamin with Fluoride, Arcofolin® Chewable Tablet
Prescribing Information
Size: 0.5 mg Bottle of 30 Tablets (Berry Flavor)
Manufacturer: Aytu BioPharma
NDC#: 23594-0325-30
Code*: A9153
RNINo
340BNo
Product: Poly-Vi-Flor® Multivitamin with Fluoride, Arcofolin® Chewable Tablet
Prescribing Information
Size: 1 mg Bottle of 30 Tablets (Berry Flavor)
Manufacturer: Aytu BioPharma
NDC#: 23594-0425-30
Code*: A9153
RNINo
340BNo
Product: Poly-Vi-Flor® Multivitamin with Fluoride Chewable Tablet, Arcofolin® With Iron
Prescribing Information
Size: 0.5 mg Bottle of 30 Tablets (Berry Flavor)
Manufacturer: Aytu BioPharma
NDC#: 23594-0525-30
Code*: A9153
RNINo
340BNo
Product: Tri-Vi-Flor® Multivitamin Drops with Fluoride Metafolin®
Prescribing Information
Size: 0.25 mg 50 mL Bottle (Fruity Flavor)
Manufacturer: Aytu BioPharma
NDC#: 62542-0700-50
Code*: A9153
RNINo
340BNo
Product: Tri-Vitamin Drops with Fluoride Multivitamin Metafolin®
Prescribing Information
Size: 0.25 mg (Fruity Flavor) 50 mL Bottle
Manufacturer: Aytu BioPharma
NDC#: 62542-0700-50
Code*: A9153
RNINo
340BNo
* All codes should be verified between the provider and the payer.
1 Call for eligibility through your GPO affiliation.
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