TRICARE PRENATAL 2-PART DAILY PRENATAL VITAMIN SYSTEM- 18 essential vitamins and minerals, ultra pure dha 
Medecor Pharma, LLC

Disclaimer: This drug has not been found by FDA to be safe and effective, and this labeling has not been approved by FDA. For further information about unapproved drugs, click here.

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TRICARE PRENATAL 2-PART DAILY PRENATAL VITAMIN SYSTEM

INDICATIONS AND USAGE: TriCare Prenatal™ Chewable
Tablets with Twist-off DHA Softgels are indicated to provide
vitamin and mineral supplementation throughout
pregnancy and during the postnatal period for both the
lactating and non-lactating mother. It is also useful for
improving nutritional status prior to conception.
CONTRAINDICATIONS: This product is contraindicated in
patients with a known hypersensitivity to any of the
ingredients.
NOTICE: Contact with moisture may produce surface
discoloration or erosion of the tablets and twist-off softgels.
ADVERSE REACTIONS: Allergic sensitization has been
reported following both oral and parenteral administration
of folic acid.
DOSAGE: Two (2) chewable tablets and two (2) twist-off
softgels daily or as directed by a physician.
ADMINISTRATION: Chew tablets before swallowing. Twist
small end off from softgel and squeeze contents directly into
mouth or into juice to drink. Daily dosage should be taken
with food.
HOW SUPPLIED: Child-resistant, blister pack of two (2) white
tablets and two (2) purple twist-off softgels.
Each tablet is embossed MP 201.
Each Twist-off softgel is marked MP 802.
(NDC 67112-502-60)
Store at controlled room temperature, 15º-30ºC (59º-86ºF).
TO REPORT a serious adverse event or obtain product
information, call 877-803-8235.
KEEP THIS AND ALL DRUGS OUT OF THE REACH
OF CHILDREN.
Marketed by: Medecor Pharma, LLC, Baton Rouge, LA
Patent Pending

Chewable Retail Box

Chewable Tablet 1_LBL

Twist-Off DHA Softgel_LBL

TRICARE PRENATAL 2-PART DAILY PRENATAL VITAMIN SYSTEM 
18 essential vitamins and minerals, ultra pure dha kit
Product Information
Product TypeHUMAN PRESCRIPTION DRUGItem Code (Source)NDC:67112-502
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:67112-502-601 in 1 BOX05/10/2016
Quantity of Parts
Part #Package QuantityTotal Product Quantity
Part 10 BOTTLE
Part 21 BOTTLE
Part 1 of 2
TRICARE PRENATAL TWIST-OFF DHA SOFT  QUICK DISSOLVE
dha, epa, other omega-3s capsule, gelatin coated
Product Information
Item Code (Source)NHRIC:67112-802
Route of AdministrationORAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
DOCONEXENT (UNII: ZAD9OKH9JC) (DOCONEXENT - UNII:ZAD9OKH9JC) DOCONEXENT150 
ICOSAPENT (UNII: AAN7QOV9EA) (ICOSAPENT - UNII:AAN7QOV9EA) ICOSAPENT37.5 
OMEGA-3 FATTY ACIDS (UNII: 71M78END5S) (OMEGA-3 FATTY ACIDS - UNII:71M78END5S) OMEGA-3 FATTY ACIDS75 
Inactive Ingredients
Ingredient NameStrength
GELATIN (UNII: 2G86QN327L)  
COCHINEAL (UNII: TZ8Z31B35M)  
FERROSOFERRIC OXIDE (UNII: XM0M87F357)  
TITANIUM DIOXIDE (UNII: 15FIX9V2JP)  
GLYCERIN (UNII: PDC6A3C0OX)  
WATER (UNII: 059QF0KO0R)  
COCONUT OIL (UNII: Q9L0O73W7L)  
LECITHIN, SOYBEAN (UNII: 1DI56QDM62)  
TOCOPHEROL (UNII: R0ZB2556P8)  
SUCRALOSE (UNII: 96K6UQ3ZD4)  
XYLITOL (UNII: VCQ006KQ1E)  
ANHYDROUS CITRIC ACID (UNII: XF417D3PSL)  
ORANGE OIL (UNII: AKN3KSD11B)  
Product Characteristics
ColorpurpleScoreno score
ShapeCAPSULESize9mm
FlavorImprint Code
Contains    
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NHRIC:67112-802-6060 in 1 BOTTLE; Type 0: Not a Combination Product
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
dietary supplement05/10/2016
Part 2 of 2
TRICARE PRENATAL  QUICK DISSOLVE
18 essential vitamins and minerals tablet, chewable
Product Information
Item Code (Source)NHRIC:67112-201
Route of AdministrationORAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
ASCORBIC ACID (UNII: PQ6CK8PD0R) (ASCORBIC ACID - UNII:PQ6CK8PD0R) ASCORBIC ACID30 mg
CHOLECALCIFEROL (UNII: 1C6V77QF41) (CHOLECALCIFEROL - UNII:1C6V77QF41) CHOLECALCIFEROL400 [iU]
.ALPHA.-TOCOPHEROL SUCCINATE, D- (UNII: LU4B53JYVE) (.ALPHA.-TOCOPHEROL, D- - UNII:N9PR3490H9) .ALPHA.-TOCOPHEROL SUCCINATE, D-15 [iU]
THIAMINE MONONITRATE (UNII: 8K0I04919X) (THIAMINE ION - UNII:4ABT0J945J) THIAMINE1.25 mg
RIBOFLAVIN (UNII: TLM2976OFR) (RIBOFLAVIN - UNII:TLM2976OFR) RIBOFLAVIN.85 mg
NIACINAMIDE (UNII: 25X51I8RD4) (NIACINAMIDE - UNII:25X51I8RD4) NIACINAMIDE10 mg
PYRIDOXINE HYDROCHLORIDE (UNII: 68Y4CF58BV) (PYRIDOXINE - UNII:KV2JZ1BI6Z) PYRIDOXINE2.5 mg
LEVOMEFOLIC ACID (UNII: 8S95DH25XC) (LEVOMEFOLIC ACID - UNII:8S95DH25XC) LEVOMEFOLIC ACID1 mg
CYANOCOBALAMIN (UNII: P6YC3EG204) (CYANOCOBALAMIN - UNII:P6YC3EG204) CYANOCOBALAMIN.125 mg
BIOTIN (UNII: 6SO6U10H04) (BIOTIN - UNII:6SO6U10H04) BIOTIN.150 mg
CALCIUM PANTOTHENATE (UNII: 568ET80C3D) (PANTOTHENIC ACID - UNII:19F5HK2737) PANTOTHENIC ACID5 mg
FERRIC PYROPHOSPHATE (UNII: QK8899250F) (FERRIC CATION - UNII:91O4LML611) FERRIC CATION4.5 mg
ZINC (UNII: J41CSQ7QDS) (ZINC - UNII:J41CSQ7QDS) ZINC7 mg
SODIUM SELENITE (UNII: HIW548RQ3W) (SELENITE ION - UNII:KXO0259XJ1) SODIUM SELENITE.0325 mg
COPPER GLUCONATE (UNII: RV823G6G67) (CUPRIC CATION - UNII:8CBV67279L) CUPRIC CATION1 mg
MANGANESE CITRATE DECAHYDRATE (UNII: 4Z2OA6A13N) (MANGANESE CATION (2+) - UNII:H6EP7W5457) MANGANESE CITRATE DECAHYDRATE1 mg
CHROMIC CHLORIDE CR-51 (UNII: U4M5Y13FGM) (CHROMIUM CR-51 - UNII:9QAU17N705) CHROMIC CHLORIDE CR-51.060 mg
SODIUM MOLYBDATE (UNII: 948QAQ08I1) (MOLYBDATE ION - UNII:O0L10E6352) SODIUM MOLYBDATE.0375 mg
Inactive Ingredients
Ingredient NameStrength
MANNITOL (UNII: 3OWL53L36A)  
CROSPOVIDONE (UNII: 2S7830E561)  
POLYVINYL ACETATE (UNII: 32K497ZK2U)  
MAGNESIUM STEARATE (UNII: 70097M6I30)  
SUCRALOSE (UNII: 96K6UQ3ZD4)  
POVIDONE (UNII: FZ989GH94E)  
Product Characteristics
ColorwhiteScoreno score
ShapeOVALSize9mm
FlavorImprint Code
Contains    
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NHRIC:67112-201-601 in 1 BOTTLE; Type 0: Not a Combination Product
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
dietary supplement03/21/2013
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
unapproved drug other05/10/2016
Labeler - Medecor Pharma, LLC (830621046)

Revised: 11/2020
Document Id: 045e4470-49e8-465f-abbf-c583dd67708c
Set id: 129283a5-516a-4157-bdd6-2ec41f43eae5
Version: 13
Effective Time: 20201113
 
Medecor Pharma, LLC