DAILY-VITE- vitamin a acetate, ascorbic acid, cholecalciferol, thiamine hydrochloride, riboflavin, niacin, pyridoxine hydrochloride, folic acid, and cyanocobalamin tablet 
Central Texas Community Health Centers

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Daily-Vite

TAMPER RESISTANT - DO NOT USE IF IMPRINTED SAFETY SEAL UNDER CAP IS BROKEN OR MISSING

DIRECTIONS

Adults only: One tablet daily, preferably with a meal, as a dietary supplement or as directed by your doctor.

Supplement Facts
Serving Size 1 Tablet
Amount per tablet% Daily Value
Vitamin A (as acetate)5000 IU100%
Vitamin C (as ascorbic acid)60 mg100%
Vitamin D-3 (as cholecalciferol)400 IU100%
Vitamin B-1 (as thiamine HCl)1.5 mg100%
Vitamin B-2 (riboflavin)1.7 mg100%
Niacin (as Vitamin B-3)20 mg100%
Vitamin B-6 (as pyridoxine HCl)2 mg100%
Folic Acid0.4 mg100%
Vitamin B-12 (as cyanocobalamin)6 mcg100%

Other Ingredients: Dicalcium phosphate, stearic acid, microcrystalline cellulose, starch, hypromellose, talc, gelatin, croscarmellose sodium, sucrose, FD&C red #40 lake, mineral oil, polyethylene glycol, titanium dioxide, sodium ascorbate, triglycerides, triacetin, FD&C yellow #6 lake, silica, mixed tocopherols and BHT.

To preserve quality and freshness, keep bottle tightly closed.

Store between 15° - 30°C (59° - 86°F).

KEEP OUT OF REACH OF CHILDREN.

Questions or comments?
1-800-645-2158
www.rugbylaboratories.com

Distributed by:
Rugby Laboratories
31778 Enterprise Drive
Livonia, MI 48150

Re-order No. 370496
Rev. 03/16 R-29
11087-03-16

LOT # / EXP. DATE:

PRINCIPAL DISPLAY PANEL - 100 Tablet Bottle Label

Austin/Travis Co. Health & Human Services Dept.
1000 Toyath St Austin, TX 78702   512-972-6206

Daily-Vite
tabs #100

Date:

Name:
Dr.

Take as directed on package.

04/2019

171489

Daily-Vite tabs #100 NDC 76413-341-01

Batch:
08301705
Lot:
171489
Exp:
04/2019

RUGBY

Federal law prohibits the transfer of this drug to any other person than the patient for whom prescribed.

PRINCIPAL DISPLAY PANEL - 100 Tablet Bottle Label
DAILY-VITE 
vitamin a acetate, ascorbic acid, cholecalciferol, thiamine hydrochloride, riboflavin, niacin, pyridoxine hydrochloride, folic acid, and cyanocobalamin tablet
Product Information
Product TypeDIETARY SUPPLEMENTItem Code (Source)NHRIC:76413-341
Route of AdministrationORAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
VITAMIN A ACETATE (UNII: 3LE3D9D6OY) (VITAMIN A - UNII:81G40H8B0T) VITAMIN A5000 [iU]
ASCORBIC ACID (UNII: PQ6CK8PD0R) (ASCORBIC ACID - UNII:PQ6CK8PD0R) ASCORBIC ACID60 mg
CHOLECALCIFEROL (UNII: 1C6V77QF41) (CHOLECALCIFEROL - UNII:1C6V77QF41) CHOLECALCIFEROL400 [iU]
THIAMINE HYDROCHLORIDE (UNII: M572600E5P) (THIAMINE ION - UNII:4ABT0J945J) THIAMINE HYDROCHLORIDE1.5 mg
RIBOFLAVIN (UNII: TLM2976OFR) (RIBOFLAVIN - UNII:TLM2976OFR) RIBOFLAVIN1.7 mg
NIACIN (UNII: 2679MF687A) (NIACIN - UNII:2679MF687A) NIACIN20 mg
PYRIDOXINE HYDROCHLORIDE (UNII: 68Y4CF58BV) (PYRIDOXINE - UNII:KV2JZ1BI6Z) PYRIDOXINE HYDROCHLORIDE2 mg
Folic acid (UNII: 935E97BOY8) (Folic acid - UNII:935E97BOY8) Folic acid0.4 mg
CYANOCOBALAMIN (UNII: P6YC3EG204) (CYANOCOBALAMIN - UNII:P6YC3EG204) CYANOCOBALAMIN6 ug
Inactive Ingredients
Ingredient NameStrength
ANHYDROUS DIBASIC CALCIUM PHOSPHATE (UNII: L11K75P92J)  
stearic acid (UNII: 4ELV7Z65AP)  
microcrystalline cellulose (UNII: OP1R32D61U)  
HYPROMELLOSE, UNSPECIFIED (UNII: 3NXW29V3WO)  
talc (UNII: 7SEV7J4R1U)  
GELATIN, UNSPECIFIED (UNII: 2G86QN327L)  
croscarmellose sodium (UNII: M28OL1HH48)  
sucrose (UNII: C151H8M554)  
FD&C RED NO. 40 (UNII: WZB9127XOA)  
ALUMINUM OXIDE (UNII: LMI26O6933)  
mineral oil (UNII: T5L8T28FGP)  
POLYETHYLENE GLYCOL, UNSPECIFIED (UNII: 3WJQ0SDW1A)  
titanium dioxide (UNII: 15FIX9V2JP)  
sodium ascorbate (UNII: S033EH8359)  
triacetin (UNII: XHX3C3X673)  
FD&C YELLOW NO. 6 (UNII: H77VEI93A8)  
SILICON DIOXIDE (UNII: ETJ7Z6XBU4)  
TOCOPHEROL (UNII: R0ZB2556P8)  
BUTYLATED HYDROXYTOLUENE (UNII: 1P9D0Z171K)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NHRIC:76413-341-01100 in 1 BOTTLE, PLASTIC
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
DIETARY SUPPLEMENT03/01/2016
Supplement Facts
Serving Size : Serving per Container :
Amount Per Serving% Daily Value
color
scoring1
shape
size (solid drugs)5 mm
Labeler - Central Texas Community Health Centers (079674019)
Establishment
NameAddressID/FEIBusiness Operations
Central Texas Community Health Centers079674019REPACK, RELABEL
Establishment
NameAddressID/FEIBusiness Operations
Rugby383359612MANUFACTURE

Revised: 9/2017
Document Id: e8881342-d7a8-41da-98f9-306e9bba2c34
Set id: 80bd4c2b-5c24-4d2c-b87f-14fd21dc2d32
Version: 1
Effective Time: 20170922
 
Central Texas Community Health Centers