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FeRivaFA

Generic Name: ferrous bisglycinate, ascorbic acid, folic acid, cyanocobalamin, biotin, cupric oxide and docusate sodium
Dosage Form: capsule

Disclaimer: This drug has not been found by FDA to be safe and effective, and this labeling has not been approved by FDA. For further information about unapproved drugs, click here.

FeRiva FA 75854-0319-30

Iron Supplement

Rx Only Dietary Supplement

DESCRIPTION: FeRiva FA is a prescription iron supplement. FeRiva FA™ is a red gel capsule.

*
Daily Value (DV) not established
Supplement Facts
Serving Size: 1 Capsule
Amount per Serving: % Daily
Value
Iron (as ferrous asparto glycinate - Sumalate® ferrous bis-glycinate chelate - Ferrochel®
and ferrous fumarate)
110 mg 611%
Vitamin C (as ascorbic acid) 175 mg 292%
Folate (as ((6S)-N5-methyltetrahydrofolic acid calcium salt (molar equivalent to 600 mcg
of folic acid) and folic acid, USP 400 mcg)
1 mg 250%
Vitamin B12 (as cyanocobalamin) 12 mcg 200%
Biotin 300 mcg 100%
Copper (as cupric oxide) 1.5 mg 75%
Docusate sodium 50 mg *

OTHER INGREDIENTS: Silicon dioxide and magnesium stearate. Gel capsule: (bovine gelatin, titanium dioxide, FD&C blue #1 and FD&C red #40).

INDICATIONS: FeRiva FA is a multivitamin/multimineral dietary supplement indicated for use in improving the nutritional status of patients with iron deficiency.

CONTRAINDICATIONS: FeRiva FA is contraindicated in patients with a known hypersensitivity to any of the ingredients. Hemochromatosis and hemosiderosis are contraindicated to iron therapy.

WARNING: 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.

PRECAUTIONS: Folic acid alone is improper therapy in the treatment of pernicious anemia and other megaloblastic anemias where Vitamin B12 is deficient. Folic acid in doses above 1.0 mg daily may obscure pernicious anemia in that hematologic remission can occur while neurological manifestations progress. While prescribing this nutritional supplement for pregnant women, nursing mothers or for women prior to conception, their medical condition and other drugs, herbs and/or supplements consumption should be considered.

PEDIATRIC USE: Safety and effectiveness have not been studied in pediatric patients.

ADVERSE REACTIONS: Allergic sensitization has been reported following both oral and parenteral administration of folic acid.

DOSAGE AND ADMINISTRATION: Adults, one (1) capsule daily, with or without food, or as prescribed by your healthcare provider. Do not administer to children under the age of 12.

HOW SUPPLIED: In child-resistant bottles of 30 capsules (75854-0319-30). The listed product number is not a National Drug Code, but has instead been formatted to comply with standard industry practice for pharmacy computer systems.

STORAGE: Store at 20° - 25°C (68° - 77°F); excursions permitted to 15° - 30°C (59° - 86°F) [See USP Controlled Room Temperature.]

MANUFACTURED FOR:
Avion Pharmaceuticals, LLC
Alpharetta, GA 30022
1-888-61-AVION

Rev. 0115-10

Sumalate® is a registered trademark of Albion Laboratories, Inc., covered by one or more claims of U.S. Patent Nos. 6,716,814, 8,007,846, and 8,425,956.

Ferrochel® is a registered trademark of Albion Laboratories, Inc. covered by U.S. Patents 6,716,814 & 7,838,042.

THESE STATEMENTS HAVE NOT BEEN EVALUATED BY THE FOOD AND DRUG ADMINISTRATION. THIS PRODUCT IS NOT INTENDED TO DIAGNOSE, TREAT, CURE OR PREVENT ANY DISEASE.

KEEP THIS AND ALL MEDICATIONS OUT OF THE REACH OF CHILDREN.

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

75854-0319-30

FeRivaFA

Iron Supplement

30 Capsules

Rx Only

Avion
PHARMACEUTICALS

FERIVA FA 
ferrous bisglycinate, ferrous asparto glycinate, ferrous fumarate, ascorbic acid, folic acid, cyanocobalamin, biotin, cupric oxide and docusate sodium capsule, gelatin coated
Product Information
Product Type HUMAN PRESCRIPTION DRUG LABEL Item Code (Source) NDC:75854-319
Route of Administration ORAL DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
FERROUS BISGLYCINATE (FERROUS CATION) FERROUS CATION 36.7 mg
FERROUS ASPARTO GLYCINATE (FERROUS CATION) FERROUS CATION 36.7 mg
FERROUS FUMARATE (FERROUS CATION) FERROUS CATION 36.7 mg
ASCORBIC ACID (ASCORBIC ACID) ASCORBIC ACID 175 mg
FOLIC ACID (FOLIC ACID) FOLIC ACID 1 mg
CYANOCOBALAMIN (CYANOCOBALAMIN) CYANOCOBALAMIN 12 ug
BIOTIN (BIOTIN) BIOTIN 300 ug
CUPRIC OXIDE (CUPRIC CATION) CUPRIC CATION 1.5 mg
DOCUSATE SODIUM (DOCUSATE) DOCUSATE SODIUM 50 mg
Inactive Ingredients
Ingredient Name Strength
SILICON DIOXIDE  
MAGNESIUM STEARATE  
GELATIN  
TITANIUM DIOXIDE  
FD&C BLUE NO. 1  
FD&C RED NO. 40  
Product Characteristics
Color RED Score no score
Shape CAPSULE Size 22mm
Flavor Imprint Code
Contains         
Packaging
# Item Code Package Description
1 NDC:75854-319-30 30 CAPSULE, GELATIN COATED (CAPSULE) in 1 BOTTLE
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
unapproved drug other 12/18/2014
Labeler - Avion Pharmaceuticals, LLC (965450542)
Revised: 01/2015
 
Avion Pharmaceuticals, LLC



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