TRICARE PRENATAL QUICK DISSOLVE- 18 essential vitamins and minerals tablet, chewable Medecor Pharma, LLC ---------- TRICARE PRENATAL CHEWABLE TABLET "1" 18 ESSENTIAL VITAMINS AND MINERALS SMOOTHLY DISSOLVES IN MOUTH 60 TABLETS DOSAGE: Two (2) chewable tablets daily or as directed by a physician. CHEWABLE TABLET 18 ESSENTIAL VITAMINS AND MINERALS SMOOTHLY DISSOLVES IN MOUTH WARNINGS 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. TRICARE PRENATAL QUICK DISSOLVE 18 essential vitamins and minerals tablet, chewable Product Information Product T ype DIETARY SUPPLEMENT Ite m Code (Source ) NHRIC:6 7112-20 1 Route of Administration ORAL Active Ingredient/Active Moiety Ingredient Name Basis of Strength Strength ASCO RBIC ACID (UNII: PQ6 CK8 PD0 R) (ASCORBIC ACID - UNII:PQ6 CK8 PD0 R) ASCORBIC ACID 30 mg CHO LECALCIFERO L (UNII: 1C6 V77QF41) (CHOLECALCIFEROL - UNII:1C6 V77QF41) CHOLECALCIFEROL 40 0 [iU] .ALPHA.-TO CO PHERO L SUCCINATE, D- (UNII: LU4B53JYVE) (.ALPHA.- .ALPHA.-TOCOPHEROL 15 [iU] TOCOPHEROL, D- - UNII:N9 PR349 0 H9 ) SUCCINATE, D- THIAMINE MO NO NITRATE (UNII: 8 K0 I0 49 19 X) (THIAMINE ION - UNII:4ABT0 J9 45J) THIAMINE 1.25 mg RIBO FLAVIN (UNII: TLM29 76 OFR) (RIBOFLAVIN - UNII:TLM29 76 OFR) RIBOFLAVIN 0 .8 5 mg NIACINAMIDE (UNII: 25X51I8 RD4) (NIACINAMIDE - UNII:25X51I8 RD4) NIACINAMIDE 10 mg PYRIDO XINE HYDRO CHLO RIDE (UNII: 6 8 Y4CF58 BV) (PYRIDOXINE - PYRIDOXINE 2.5 mg UNII:KV2JZ1BI6 Z) LEVO MEFO LIC ACID (UNII: 8 S9 5DH25XC) (LEVOMEFOLIC ACID - LEVOMEFOLIC ACID 1 mg UNII:8 S9 5DH25XC) CYANO CO BALAMIN (UNII: P6 YC3EG20 4) (CYANOCOBALAMIN - UNII:P6 YC3EG20 4) CYANOCOBALAMIN .125 mg BIO TIN (UNII: 6 SO6 U10 H0 4) (BIOTIN - UNII:6 SO6 U10 H0 4) BIOTIN .150 mg CALCIUM PANTO THENATE (UNII: 56 8 ET8 0 C3D) (PANTOTHENIC ACID - PANTOTHENIC ACID 5 mg UNII:19 F5HK2737) FERRIC PYRO PHO SPHATE (UNII: QK8 8 9 9 250 F) (FERRIC CATION - FERRIC CATION 4.5 mg UNII:9 1O4LML6 11) ZINC (UNII: J41CSQ7QDS) (ZINC - UNII:J41CSQ7QDS) ZINC 7 mg SO DIUM SELENITE (UNII: HIW548 RQ3W) (SELENITE ION - UNII:KXO0 259 XJ1) SODIUM SELENITE .0 325 mg CO PPER GLUCO NATE (UNII: RV8 23G6 G6 7) (CUPRIC CATION - UNII:8 CBV6 7279 L) CUPRIC CATION 1 mg MANGANESE CITRATE DECAHYDRATE (UNII: 4Z2OA6 A13N) (MANGANESE CATION MANGANESE CITRATE 1 mg (2+) - UNII:H6 EP7W5457) DECAHYDRATE CHRO MIC CHLO RIDE CR-51 (UNII: U4M5Y13FGM) (CHROMIUM CR-51 - CHROMIC CHLORIDE CR-51 .0 6 0 mg UNII:9 QAU17N70 5) SO DIUM MO LYBDATE (UNII: 9 48 QAQ0 8 I1) (MOLYBDATE ION - UNII:O0 L10 E6 352) SODIUM MOLYBDATE .0 375 mg Inactive Ingredients Ingredient Name Strength MANNITO L (UNII: 3OWL53L36 A) CRO SPO VIDO NE (UNII: 2S78 30 E56 1) PO LYVINYL ACETATE (UNII: 32K49 7ZK2U) MAGNESIUM STEARATE (UNII: 70 0 9 7M6 I30 ) SUCRALO SE (UNII: 9 6 K6 UQ3ZD4) PO VIDO NE (UNII: FZ9 8 9 GH9 4E) Packaging # Item Code Package Description Marketing Start Date Marketing End Date 1 NHRIC:6 7112-20 1-6 0 1 in 1 BOTTLE Marketing Information Marke ting Cate gory Application Numbe r or Monograph Citation Marke ting Start Date Marke ting End Date dietary supplement 0 5/10 /20 16 Supplement Facts Serving Size : Serving per Container : Amount Per Serving % Daily Value color shape size (solid drugs) 9 mm scoring 1 Labeler - Medecor Pharma, LLC (830621046) Registrant - Medecor Pharma, LLC (830621046) Establishment Name Addre ss ID/FEI Busine ss Ope rations Sterling Pharmaceutical Services, LLC 0 79 56 9 18 9 manufacture(6 7112-20 1) Revised: 3/2018 Medecor Pharma, LLC.