KP Wellness
11:20 AM - Public
15. Vitamins, Hematinics & Electrolytes
15.1 Vitamins & Hematinics
Injectable vitamins are not included in the Prescription Drug List .
Multivitamins are NOT included in the Prescription Drug List as
various OTC products are available .
TIER 1
Fluoride Ion/Iron/Multivitamins (Poly-Vi-Flor w/Iron)
Fluoride Ion/Iron/Vitamins A,C, and D (Tri-Vi-Flor w/Iron)
Fluoride Ion/Multivitamins (Poly-Vi-Flor)
Fluoride Ion/Vitamins A,C, and D (Tri-Vi-Flor)
Prenatal Vit/Fe Fumarate/FA (Prenatal)
PV W-O Vit A/FECBN-FEFM/Fa (Precare Conceive)
Sodium Fluoride (Luride)
TIER 2
PNV No. 52/Iron B-G Suc-Pro/FA Tablet (Duet Stuartnatal 29 mg-1 mg)
PNV7/Fe Asp Gly/Docusate/Fa (Precare Premier)
PNV48/Iron Na Feredetat/Fa/Omega 3 (Duet DHA with Ferrazone)
PNV54/Iron B-G HCl-P/Fa/Omega 3 (Duet DHA Combination Package)
PNV55/Iron B-G HCl-P/Fa/Omega 3
(Duet DHA EC Combination Package, Tablet and DR Capsule)
TIER 3
Cyanocobalamin, B12 Nasal Spray (Nascobal)
PNN W-Ca #68/Iron/Fa #1/DHA (Prenate Essential)
PNV W-Ca #40/Iron Fum/Fa CMB #1 (Prenate Elite 27 mg -1 mg)
PNV Combo #47/Iron/Fa #1/DHA (Prenate DHA 27-1-300 mg)
PNV39/Iron Fumarate/Fa/DSS/DHA (Prenexa 30-1 .2-55)
PNV39/Iron CBN&Gluc/FA/DSS/DHA (Citranatal Assure)
PNV66/Iron Fumarate/Fa/DSS/DHA (Prenexa 27-1 .25-55)
Prenat Vit Comb 10/Iron/Fa/DHA (Vitafol-OB DHA)
15.1 Vitamins & Hematinics
Injectable vitamins are not included in the Prescription Drug List .
Multivitamins are NOT included in the Prescription Drug List as
various OTC products are available .
TIER 1
Fluoride Ion/Iron/Multivitamins (Poly-Vi-Flor w/Iron)
Fluoride Ion/Iron/Vitamins A,C, and D (Tri-Vi-Flor w/Iron)
Fluoride Ion/Multivitamins (Poly-Vi-Flor)
Fluoride Ion/Vitamins A,C, and D (Tri-Vi-Flor)
Prenatal Vit/Fe Fumarate/FA (Prenatal)
PV W-O Vit A/FECBN-FEFM/Fa (Precare Conceive)
Sodium Fluoride (Luride)
TIER 2
PNV No. 52/Iron B-G Suc-Pro/FA Tablet (Duet Stuartnatal 29 mg-1 mg)
PNV7/Fe Asp Gly/Docusate/Fa (Precare Premier)
PNV48/Iron Na Feredetat/Fa/Omega 3 (Duet DHA with Ferrazone)
PNV54/Iron B-G HCl-P/Fa/Omega 3 (Duet DHA Combination Package)
PNV55/Iron B-G HCl-P/Fa/Omega 3
(Duet DHA EC Combination Package, Tablet and DR Capsule)
TIER 3
Cyanocobalamin, B12 Nasal Spray (Nascobal)
PNN W-Ca #68/Iron/Fa #1/DHA (Prenate Essential)
PNV W-Ca #40/Iron Fum/Fa CMB #1 (Prenate Elite 27 mg -1 mg)
PNV Combo #47/Iron/Fa #1/DHA (Prenate DHA 27-1-300 mg)
PNV39/Iron Fumarate/Fa/DSS/DHA (Prenexa 30-1 .2-55)
PNV39/Iron CBN&Gluc/FA/DSS/DHA (Citranatal Assure)
PNV66/Iron Fumarate/Fa/DSS/DHA (Prenexa 27-1 .25-55)
Prenat Vit Comb 10/Iron/Fa/DHA (Vitafol-OB DHA)
KP Wellness
11:20 AM - Public
15.2 Coagulation Therapy
15.2.1 ANTICOAGULANTS
TIER 1
Warfarin Sodium (Coumadin)
TIER 2
Coumadin (Warfarin Sodium)
15.2.2 ANTIPLATELET DRUGS
TIER 1
Cilostazol (Pletal)
Dipyridamole (Persantine)
Ticlopidine HCl (Ticlid)
TIER 2
Plavix (Clopidogrel Bisulfate)
TIER 3
Aspirin, Extended-Release Dipyridamole (Aggrenox)
Prasugrel Tablets (Effient)
15.2.3 HEPARIN
TIER 1
Heparin Sodium (Heparin)
TIER 2
Enoxaparin Sodium (Lovenox)
Fondaparinux Sodium (Arixtra)
TIER 3
Dalteparin (Fragmin)
Tinzaparin (Innohep)
15.2.4 VITAMIN K
TIER 2
Mephyton (Phytonadione)
15.2.5 HEMOSTATICS
TIER 1
Aminocaproic Acid Syrup (Amicar)
Aminocaproic Acid Tablet (Amicar 500 mg)
TIER 2
Amicar 1000 mg (Aminocaproic Acid Tablet)
15.2.6 MISCELLANEOUS COAGULATION AGENTS
TIER 1
Pentoxifylline Tablet, Sustained-Action (Trental)
15.2.1 ANTICOAGULANTS
TIER 1
Warfarin Sodium (Coumadin)
TIER 2
Coumadin (Warfarin Sodium)
15.2.2 ANTIPLATELET DRUGS
TIER 1
Cilostazol (Pletal)
Dipyridamole (Persantine)
Ticlopidine HCl (Ticlid)
TIER 2
Plavix (Clopidogrel Bisulfate)
TIER 3
Aspirin, Extended-Release Dipyridamole (Aggrenox)
Prasugrel Tablets (Effient)
15.2.3 HEPARIN
TIER 1
Heparin Sodium (Heparin)
TIER 2
Enoxaparin Sodium (Lovenox)
Fondaparinux Sodium (Arixtra)
TIER 3
Dalteparin (Fragmin)
Tinzaparin (Innohep)
15.2.4 VITAMIN K
TIER 2
Mephyton (Phytonadione)
15.2.5 HEMOSTATICS
TIER 1
Aminocaproic Acid Syrup (Amicar)
Aminocaproic Acid Tablet (Amicar 500 mg)
TIER 2
Amicar 1000 mg (Aminocaproic Acid Tablet)
15.2.6 MISCELLANEOUS COAGULATION AGENTS
TIER 1
Pentoxifylline Tablet, Sustained-Action (Trental)
KP Wellness
11:19 AM - Public
15.3 Electrolytes
15.3.1 POTASSIUM
TIER 1
Potassium Chloride (K-Dur)
Potassium Chloride Capsule, Sustained-Action (Micro-K)
Potassium Chloride Liquid (Kay Ciel)
Potassium Chloride Packet (K-Lor)
Potassium Chloride Packet (Klor-Con 25mEq)
Potassium Chloride Tablet, Sustained-Action (K-Tab, Slow-K)
Potassium Gluconate Liquid (Kaon-Cl)
TIER 3
Potassium Chloride Extended-Release Tablets (K-Tab)
15.3.2 OTHER ELECTROLYTES
TIER 1
Calcium Acetate (PhosLo)
15.3.1 POTASSIUM
TIER 1
Potassium Chloride (K-Dur)
Potassium Chloride Capsule, Sustained-Action (Micro-K)
Potassium Chloride Liquid (Kay Ciel)
Potassium Chloride Packet (K-Lor)
Potassium Chloride Packet (Klor-Con 25mEq)
Potassium Chloride Tablet, Sustained-Action (K-Tab, Slow-K)
Potassium Gluconate Liquid (Kaon-Cl)
TIER 3
Potassium Chloride Extended-Release Tablets (K-Tab)
15.3.2 OTHER ELECTROLYTES
TIER 1
Calcium Acetate (PhosLo)
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