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.

----------

INDICATIONS AND USAGE: TriCare Prenatalâ„¢ 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 Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:67112-502
Packaging
# Item Code Package Description Marketing Start Date Marketing End Date
1 NDC:67112-502-60 1 in 1 BOX 05/10/2016
Quantity of Parts
Part # Package Quantity Total Product Quantity
Part 1 1 BOTTLE
Part 2 1 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 Administration ORAL
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
DOCONEXENT (UNII: ZAD9OKH9JC) (DOCONEXENT - UNII:ZAD9OKH9JC) DOCONEXENT 150 
ICOSAPENT (UNII: AAN7QOV9EA) (ICOSAPENT - UNII:AAN7QOV9EA) ICOSAPENT 37.5 
OMEGA-3 FATTY ACIDS (UNII: 71M78END5S) (OMEGA-3 FATTY ACIDS - UNII:71M78END5S) OMEGA-3 FATTY ACIDS 75 
Inactive Ingredients
Ingredient Name Strength
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
Color purple Score no score
Shape CAPSULE Size 9mm
Flavor Imprint Code
Contains     
Packaging
# Item Code Package Description Marketing Start Date Marketing End Date
1 NHRIC:67112-802-60 1 in 1 BOTTLE; Type 0: Not a Combination Product
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
dietary supplement 05/10/2016
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 Administration ORAL
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
ASCORBIC ACID (UNII: PQ6CK8PD0R) (ASCORBIC ACID - UNII:PQ6CK8PD0R) ASCORBIC ACID 30 mg
CHOLECALCIFEROL (UNII: 1C6V77QF41) (CHOLECALCIFEROL - UNII:1C6V77QF41) CHOLECALCIFEROL 400 [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) THIAMINE 1.25 mg
RIBOFLAVIN (UNII: TLM2976OFR) (RIBOFLAVIN - UNII:TLM2976OFR) RIBOFLAVIN .85 mg
NIACINAMIDE (UNII: 25X51I8RD4) (NIACINAMIDE - UNII:25X51I8RD4) NIACINAMIDE 10 mg
PYRIDOXINE HYDROCHLORIDE (UNII: 68Y4CF58BV) (PYRIDOXINE - UNII:KV2JZ1BI6Z) PYRIDOXINE 2.5 mg
LEVOMEFOLIC ACID (UNII: 8S95DH25XC) (LEVOMEFOLIC ACID - UNII:8S95DH25XC) LEVOMEFOLIC ACID 1 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 ACID 5 mg
FERRIC PYROPHOSPHATE (UNII: QK8899250F) (FERRIC CATION - UNII:91O4LML611) FERRIC CATION 4.5 mg
ZINC (UNII: J41CSQ7QDS) (ZINC - UNII:J41CSQ7QDS) ZINC 7 mg
SODIUM SELENITE (UNII: HIW548RQ3W) (SELENITE ION - UNII:KXO0259XJ1) SODIUM SELENITE .0325 mg
COPPER GLUCONATE (UNII: RV823G6G67) (CUPRIC CATION - UNII:8CBV67279L) CUPRIC CATION 1 mg
MANGANESE CITRATE DECAHYDRATE (UNII: 4Z2OA6A13N) (MANGANESE CATION (2+) - UNII:H6EP7W5457) MANGANESE CITRATE DECAHYDRATE 1 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 Name Strength
MANNITOL (UNII: 3OWL53L36A)  
CROSPOVIDONE (UNII: 68401960MK)  
POLYVINYL ACETATE (UNII: 32K497ZK2U)  
MAGNESIUM STEARATE (UNII: 70097M6I30)  
SUCRALOSE (UNII: 96K6UQ3ZD4)  
POVIDONE (UNII: FZ989GH94E)  
Product Characteristics
Color white Score no score
Shape OVAL Size 9mm
Flavor Imprint Code
Contains     
Packaging
# Item Code Package Description Marketing Start Date Marketing End Date
1 NHRIC:67112-201-60 1 in 1 BOTTLE; Type 0: Not a Combination Product
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
dietary supplement 03/21/2013
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
unapproved drug other 05/10/2016
Labeler - Medecor Pharma, LLC (830621046)

Revised: 5/2016
Document Id: 8ab123cf-c205-4551-8fca-c9ace007abd6
Set id: 129283a5-516a-4157-bdd6-2ec41f43eae5
Version: 9
Effective Time: 20160518
 
Medecor Pharma, LLC