Label: ALTRIVA- .beta.-carotene, ascorbic acid, sodium ascorbate, cholecalciferol, .alpha.-tocopherol acetate, dl-, thiamine mononitrate, riboflavin, niacinamide, pyridoxine hydrochloride, folic acid, cyanocobalamin, and ferrous fumarate tablet
- NHRIC Code(s): 85622-205-30
- Packager: Blue Heron Pharmaceuticals, LLC
- Category: DIETARY SUPPLEMENT
- DEA Schedule: None
- Marketing Status: Dietary Supplement
Drug Label Information
Updated July 15, 2026
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Description:
Altriva Tablets are orange-flavored, chewable tablets in plastic bottles of 30 ct.
85622-0203-30
Reserved for Professional Recommendation
Altriva Tablets are an orally administered prescription vitamin to provide significant amounts of Vitamins A, B6, B12, C, D3, E, riboflavin, niacinamide, thiamine monoitrate, folate and iron to supplement the diet, and to help assure that nutritional deficiencies of these vitamines will not develop.
Altriva Tablets should be administered under the supervision of a licensed medical practitioner.
This listed product is not a National Drug Code, but instead has merely been formatted to comply with standard industry practice for pharmacy and insurance computer systems.
These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.
All prescriptions using this product shall be pursuant to state statutes as applicable. This is not an Orange Book product. This product may be administered only under a physician’s supervision. There are no implied or explicit claims on therapeutic equivalence.
Manufactured for:
Blue Heron Pharmaceuticals
Lutz, FL 33559
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Warnings:
WARNING: Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children under 6. KEEP THIS PRODUCT OUT OF REACH OF CHILDREN. In case of accidental overdose, call a doctor or poison control center immediately. This product is contraindicated in patients with a known hypersensitivity to any of the ingredients.
Altriva Tablets should only be used under the direction and supervision of a licensed medical practitioner. Use with caution in patients that may have a medical condition, are pregnant, lactating, trying to conceive, under the age of 18, or taking medications.
These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
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Precautions:
Folic acid alone is improper therapy in the treatment of pernicious anemia and other megaloblastic anemias where vitamin B12 is deficient. Folic acid in doses above 0.1 mg daily may obscure pernicious anemia, in that hematologic remission can occur while neurological manifestations remain progressive.
CONTRAINDICATIONS
This product is contraindicated in patients with known hypersensitivity to any of the ingredients.PRECAUTIONS
This product is contraindicated in patients with a known hypersensitivity to any of the ingredients.ADVERSE REACTIONS
Allergic sensitizations have been reported following oral administration of folic acid. Consult your physician immediately if adverse side effects occur.KEEP OUT OF THE REACH OF CHILDREN.
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INGREDIENTS AND APPEARANCE
ALTRIVA
.beta.-carotene, ascorbic acid, sodium ascorbate, cholecalciferol, .alpha.-tocopherol acetate, dl-, thiamine mononitrate, riboflavin, niacinamide, pyridoxine hydrochloride, folic acid, cyanocobalamin, and ferrous fumarate tabletProduct Information Product Type DIETARY SUPPLEMENT Item Code (Source) NHRIC:85622-205 Route of Administration ORAL Active Ingredient/Active Moiety Ingredient Name Basis of Strength Strength BETA CAROTENE (UNII: 01YAE03M7J) (BETA CAROTENE - UNII:01YAE03M7J) BETA CAROTENE 1000 [iU] ASCORBIC ACID (UNII: PQ6CK8PD0R) (ASCORBIC ACID - UNII:PQ6CK8PD0R) ASCORBIC ACID 120 mg cholecalciferol (UNII: 1C6V77QF41) (CHOLECALCIFEROL - UNII:1C6V77QF41) cholecalciferol 10 mg .alpha.-tocopherol acetate, dl- (UNII: WR1WPI7EW8) (.ALPHA.-TOCOPHEROL, DL- - UNII:7QWA1RIO01) .ALPHA.-TOCOPHEROL, DL- 11 mg thiamine mononitrate (UNII: 8K0I04919X) (THIAMINE ION - UNII:4ABT0J945J) THIAMINE 2 mg riboflavin (UNII: TLM2976OFR) (RIBOFLAVIN - UNII:TLM2976OFR) riboflavin 3 mg niacinamide (UNII: 25X51I8RD4) (NIACINAMIDE - UNII:25X51I8RD4) niacinamide 20 mg pyridoxine Hydrochloride (UNII: 68Y4CF58BV) (PYRIDOXINE - UNII:KV2JZ1BI6Z) pyridoxine Hydrochloride 10 mg folic acid (UNII: 935E97BOY8) (FOLIC ACID - UNII:935E97BOY8) folic acid 1 mg cyanocobalamin (UNII: P6YC3EG204) (CYANOCOBALAMIN - UNII:P6YC3EG204) cyanocobalamin 12 ug ferrous fumarate (UNII: R5L488RY0Q) (FERROUS CATION - UNII:GW89581OWR) FERROUS CATION 29 mg Packaging # Item Code Package Description Marketing Start Date Marketing End Date 1 NHRIC:85622-205-30 30 in 1 BOTTLE, PLASTIC Marketing Information Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date DIETARY SUPPLEMENT 07/15/2026 Supplement Facts Serving Size : Serving per Container : Amount Per Serving % Daily Value color flavor scoring 1 shape size (solid drugs) 12 mm Labeler - Blue Heron Pharmaceuticals, LLC (137019051)


