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December 2018

We’re changing coverage for some vitamin supplements, effective Jan. 1

Blue Cross and Blue Care Network will no longer cover certain vitamins or nutritional supplements starting Jan. 1, 2019.  The vitamins and nutritional supplements listed below will no longer be covered because these products are not approved by the FDA.

Many of these vitamins and nutritional supplements have over-the-counter alternatives that are available without a prescription.

A

H

R

ACTIVE FE

HEMATINIC PLUS

RENAL CAPS

ANIMI-3

HEMATINIC WITH FOLIC ACID

RENA-VITE RX

AV-PHOS 250 NEUTRAL

HEMATOGEN

RENO CAPS

B

HEMATOGEN FORTE

S

BIFERA RX

HEMATRON-AF

SE-TAN PLUS

C

 

HEMAX

 

STROVITE FORTE

CALCIUM-FOLIC ACID PLUS D

HEMETAB

STROVITE ONE

CENTRATEX

 

HEMOCYTE PLUS

 

T

CORVITA

HEMOCYTE-F

TANDEM PLUS

CORVITE FE

I

TARON FORTE

D

INTEGRA F

THRIVITE-19

DIALYVITE

INTEGRA PLUS

TL GARD RX

DIALYVITE 3000

 

IROSPAN

 

TL-HEM 150

DIALYVITE 5000

 

K

 

TL ICON

DIALYVITE SUPREME D

 

K-PHOS NEUTRAL

 

TRICON

E

M

TRIGELS-F FORTE

ESCAVITE

MAGNEBIND 400 RX

TRIPHROCAPS

ESCAVITE D

 

MULTIGEN FOLIC

 

TRI-VITAMIN WITH FLUORIDE

ESCAVITE LQ

 

MULTIGEN PLUS

 

V

F

MULTIVITAMINES-A,B,C,D,E

V-C FORTE

FEROCON

MULTIVITAMIN W/FLUORIDE & IRON

VI-C FORTE

FERRALET 90

MULTIVITAMIN WITH FLUORIDE

VIRT-GARD

FERRAPLUS 90

MVC-FLUORIDE

VOL-CARE RX

FERREX 150 FORTE

MYNEPHROCAPS

VOL-NATE

FERREX 28

MYNEPHRON

VOL-TAB RX

FERROCITE PLUS

N

VIRT-PHOS 250 NEUTRAL

FLUORABON

NEPHPLEX RX

VIRT-VITE

FOLBEE

NEPHROCAPS

VIRT-VITE PLUS

FOCALGIN DSS

 

NEPHROCAPS QT

 

VIT 3

FOLGARD OS

 

NEPHRON FA

 

VITAFOL

FOLGARD RX

 

NEPHRO-VITE RX

 

VITAL-D RX

FOLIC ACID-CYANCOBAL-PYRIDOXIN

NIVA-PLUS

VITAMINS A,C,D & FLUORIDE

FOLIVANE-F

P

VOL-PLUS

FOLIVANE-PLUS

PHOSPHA 250 NEUTRAL

VP-VITE RX

FOLPLEX 2.2

PHOSPHOROUS

 

FOLTRATE

POLY-IRON 150 FORTE

 

FORTAVIT

 

POLY-VI-FLOR

 

 

FUSION PLUS

POLY-VI-FLOR W/IRON

 

 

POLY-VITAMIN WITH FLUORIDE

 

 

PUREVIT DUALFE PLUS

 

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2017 American Medical Association. All rights reserved.
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