Clickable Table
Iron Preparations
Generic Name | Brand Name | Total Dose (mg/tab or 5mL) |
Elemental Iron (mg/tab or 5mL) |
90 Day Cost (100 mg elemental iron/day) |
Coverage | Comments |
---|---|---|---|---|---|---|
Polysaccharide Iron | Feramax | 150 | 150 | 55 | BC - NC / NIHB - Covered | |
Ferrous Sulphate | Generic adult susp | 150 | 30 | 30 | BC - Restricted / NIHB - Covered | |
Ferrous Gluconate | Generic brands | 300 | 35 | 20 | BC - NC / NIHB - Covered | |
Ferrous Sulphate | Generic brands | 300 | 60 | 15 | BC - NC / NIHB - Covered | |
Ferrous Sulphate | Generic infant susp | 375 | 75 | 90 | BC - Restricted / NIHB - Covered | |
Ferrous Fumarate | Palafer | 300 | 100 | 30 | BC - NC / NIHB - Covered | |
Ferrous Fumarate | Wampole | 300 | 100 | 25 | BC - NC / NIHB - Covered |