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

If you are a consumer or patient please visit this version.

  • Health Claim Section:

    Altriva Chewable Tablets

    Dispensed by Prescription

    Supp Facts

  • 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

  • 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.

  • 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.

  • Dosage:

    Usual adult dose is 1 chewable tablet by mouth once to twice daily, or as prescribed by a licensed medical practitioner.

  • Storage:

    Store at 20°-25°C (68°-77°F), excursions permitted to 15°-30°C (59°-86°F) [See USP Controlled Room Temperature]. Protect from moisture and excessive heat. Note that contact with moisture may produce surface discoloration of the tablet. 

  • Label:

    Label

  • 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 tablet
    Product Information
    Product TypeDIETARY SUPPLEMENTItem Code (Source)NHRIC:85622-205
    Route of AdministrationORAL
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    BETA CAROTENE (UNII: 01YAE03M7J) (BETA CAROTENE - UNII:01YAE03M7J) BETA CAROTENE1000 [iU]
    ASCORBIC ACID (UNII: PQ6CK8PD0R) (ASCORBIC ACID - UNII:PQ6CK8PD0R) ASCORBIC ACID120 mg
    cholecalciferol (UNII: 1C6V77QF41) (CHOLECALCIFEROL - UNII:1C6V77QF41) cholecalciferol10 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) THIAMINE2 mg
    riboflavin (UNII: TLM2976OFR) (RIBOFLAVIN - UNII:TLM2976OFR) riboflavin3 mg
    niacinamide (UNII: 25X51I8RD4) (NIACINAMIDE - UNII:25X51I8RD4) niacinamide20 mg
    pyridoxine Hydrochloride (UNII: 68Y4CF58BV) (PYRIDOXINE - UNII:KV2JZ1BI6Z) pyridoxine Hydrochloride10 mg
    folic acid (UNII: 935E97BOY8) (FOLIC ACID - UNII:935E97BOY8) folic acid1 mg
    cyanocobalamin (UNII: P6YC3EG204) (CYANOCOBALAMIN - UNII:P6YC3EG204) cyanocobalamin12 ug
    ferrous fumarate (UNII: R5L488RY0Q) (FERROUS CATION - UNII:GW89581OWR) FERROUS CATION29 mg
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NHRIC:85622-205-3030 in 1 BOTTLE, PLASTIC
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    DIETARY SUPPLEMENT07/15/2026
    Supplement Facts
    Serving Size : Serving per Container :
    Amount Per Serving% Daily Value
    color
    flavor
    scoring1
    shape
    size (solid drugs)12 mm
    Labeler - Blue Heron Pharmaceuticals, LLC (137019051)