CitraNatal ® B-Calm Rx Prenatal Vitamin with two 25 mg each Vitamin B 6 tablets

Manufacturer
Mission Pharmacal Company | Nutra-Med Packaging Inc.
Effective date
2010-05-03
Label type
HUMAN PRESCRIPTION DRUG LABEL
Version
1
Source
full-release
Hydrated at
2026-05-31 20:11:50

Label at a glance#

ProductCitraNatal B-Calm
Active ingredientascorbic acid, calcium citrate, Iron Pentacarbonyl, Cholecalciferol, Pyridoxine Hydrochloride, folic acid
Label structure12 sections

Boxed warning

Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children under 6. KEEP THIS AND ALL DRUGS OUT OF THE REACH OF CHILDREN. In case of accidental overdose, call a doctor or poison control center immediately.

Dosage and administration

One tablet every eight hours, beginning with "Tablet 1", or as directed by a physician. Store at controlled room temperature. NOTICE: Contact with moisture can discolor or erode tablets.

Label contents#

Full prescribing information#

SPL UNCLASSIFIED SECTION

A prescription prenatal supplement with 1 mg folic acid and a high level of vitamin B6 which may act as an antiemetic.

DESCRIPTION

DESCRIPTION SECTION

CitraNatal® B-Calm™ is a prescription prenatal multivitamin/mineral tablet with a high level of B6, along with two vitamin B6 tablets. The prenatal tablet is white, coated, modified oval, and is debossed with "0866" on one side and is blank on the other. The B6 25 mg tablets are white to off-white, uncoated, round, and are debossed with "B" on one side and "6" on the other.

Each prenatal tablet contains:

Vitamin C (Ascorbic acid)120 mg
Calcium (Calcium citrate)125 mg
Iron (Carbonyl iron)20 mg
Vitamin D3 (Cholecalciferol)400 IU
Vitamin B6 (Pyridoxine HCl)25 mg
Folic Acid1 mg

Each vitamin B6 tablet contains:

Vitamin B6 (Pyridoxine HCl)25 mg

INDICATIONS

INDICATIONS & USAGE SECTION

CitraNatal® B-Calm™ is a multivitamin/mineral prescription drug indicated for use in improving the nutritional status of women prior to conception, throughout pregnancy, and in the postnatal period for both lactating and nonlactating mothers. CitraNatal® B-Calm™ may be used in conjunction with a physician prescribed regimen to help minimize pregnancy related nausea and vomiting.

CONTRAINDICATIONS

CONTRAINDICATIONS SECTION

This product is contraindicated in patients with a known hypersensitivity to any of the ingredients.

WARNING

BOXED WARNING SECTION

Accidental overdose of iron-containing products is a leading cause of fatal poisoning in children under 6. KEEP THIS AND ALL DRUGS OUT OF THE REACH OF CHILDREN. In case of accidental overdose, call a doctor or poison control center immediately.

WARNING

WARNINGS SECTION

Folic acid alone is improper therapy in the treatment of pernicious anemia and other megaloblastic anemias where vitamin B12 is deficient.

PRECAUTION

PRECAUTIONS SECTION

Folic acid in doses above 0.1 mg daily may obscure pernicious anemia, in that hematologic remission can occur while neurological manifestations remain progressive.

ADVERSE REACTIONS

ADVERSE REACTIONS SECTION

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

DOSAGE AND ADMINISTRATION

DOSAGE & ADMINISTRATION SECTION

One tablet every eight hours, beginning with "Tablet 1", or as directed by a physician.

Store at controlled room temperature.

NOTICE: Contact with moisture can discolor or erode tablets.

HOW SUPPLIED

HOW SUPPLIED SECTION

Six child-resistant blister packs of 5 multivitamin/multimineral tablets and 10 vitamin B6 tablets each - NDC 0178-0866-30.

To report a serious adverse event or obtain product information, call (210) 696-8400.

SPL UNCLASSIFIED SECTION

50307 C01 REV 010090

MISSION PHARMACAL COMPANY
San Antonio, TX USA 78230 1355

www.missionpharmacal.com
Copyright © 2009 Mission Pharmacal Company.
All rights reserved.

*March of Dimes does not endorse specific products or brands. March of dimes is a registered trademark of the March of Dimes Foundation.

PRINCIPAL DISPLAY PANEL

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

Rx Only
NDC 0178-0866-30

The gentle option for
additional B6

CitraNatal® B-Calm
Rx Prenatal Vitamin with two 25 mg each Vitamin B6 tablets

A prescription
prenatal supplement
with 1 mg of folic
acid and a high level
of vitamin B6 which
may act as an
antiemetic.

march of dimes®

Mission Pharmacal is a proud
supporter of the March of Dimes.®

CONTAINS
Six 5-day Blister Packs

Mission®
PHARMACAL

Chemical Structure
Chemical Structure

DailyMed RxNorm Mappings#

RxCUI, RxNorm string, TTY table
RxCUIRxNorm stringTTYSPL version
1100471{30 (ascorbic acid 120 MG / calcium citrate 125 MG / cholecalciferol 400 UNT / folic acid 1 MG / iron carbonyl 20 MG / pyridoxine hydrochloride 25 MG Oral Tablet) / 10 (pyridoxine hydrochloride 25 MG Oral Tablet) } Pack [CitraNatal B-Calm Kit]BPCK1
1100470{30 (ascorbic acid 120 MG / calcium citrate 125 MG / cholecalciferol 400 UNT / folic acid 1 MG / iron carbonyl 20 MG / pyridoxine hydrochloride 25 MG Oral Tablet) / 10 (pyridoxine hydrochloride 25 MG Oral Tablet) } PackGPCK1
1100471CitraNatal B-Calm 30 Day PackPSN1
1100457pyridoxine HCl 25 MG Oral TabletPSN1
1100262ascorbic acid 120 MG / calcium citrate 125 MG / cholecalciferol 400 UNT / folic acid 1 MG / iron carbonyl 20 MG / pyridoxine hydrochloride 25 MG Oral TabletSCD1
1100457pyridoxine hydrochloride 25 MG Oral TabletSCD1
1100262calcium citrate 125 MG / folic acid 1 MG / iron carbonyl 20 MG / vitamin B6 25 MG / vitamin C 120 MG / vitamin D3 400 UNT Oral TabletSY1
1100471CitraNatal B-Calm 30 Day PackSY1
1100457vit-B6 Hydrochloride 25 MG Oral TabletSY1
1100262vit-C 120 MG / Calcium Citrate 125 MG / Cholecalciferol 400 UNT / folate 1 MG / Iron Carbonyl 20 MG / vit-B6 Hydrochloride 25 MG Oral TabletSY1
1100262vit-C 120 MG / Calcium Citrate 125 MG / Cholecalciferol 400 UNT / folate 1 MG / Iron Carbonyl 20 MG / vitamin B6 Hydrochloride 25 MG Oral TabletSY1
1100457vitamin B6 Hydrochloride 25 MG Oral TabletSY1
1100262vitamin C 120 MG / Calcium Citrate 125 MG / Cholecalciferol 400 UNT / folate 1 MG / Iron Carbonyl 20 MG / vit-B6 Hydrochloride 25 MG Oral TabletSY1
1100262vitamin C 120 MG / Calcium Citrate 125 MG / Cholecalciferol 400 UNT / folate 1 MG / Iron Carbonyl 20 MG / vitamin B6 Hydrochloride 25 MG Oral TabletSY1

DailyMed Pharmacologic Classes#

Class, Version, Type table
ClassVersionTypeEffective
ASCORBIC ACID Pharmacologic Class Indexing2Indexing - Pharmacologic Class20180813
CALCIUM Pharmacologic Class Indexing3Indexing - Pharmacologic Class20230427
CHOLECALCIFEROL Pharmacologic Class Indexing2Indexing - Pharmacologic Class20180813
PYRIDOXINE Pharmacologic Class Indexing1Indexing - Pharmacologic Class20170310

DailyMed Product Concepts#

Product concept, Relation, Version table
Product conceptRelationVersionEffective
59361619-24d9-b610-eca6-5a7f25ed5e03Product name520240909
91c62db0-0295-c81c-d10a-0856c259edd6Product name220200428
d32bc2b8-0bb7-2216-87aa-24639646e202Product name320190619
c5cd4727-ac49-4409-82b1-5bd8006c3ec7Product name120171122
5e18e798-5614-cf5c-0185-38b1cb77a093Product name220160822
60c52429-fcef-eb54-2387-43bc9e4f296bProduct name120140508

FDA-Initiated Inactive NDC Indexing#

NDC, Effective, Action table
NDCEffectiveActionDocumentIndexing SPLRelated label
0178-0866-302019-10-29C16284748780-1960f7f55-c929-8e05-e053-dbdaa90a074aCitraNatal ® B-Calm Rx Prenatal Vitamin with two 25 mg each Vitamin B 6 tablets

DailyMed Package Descriptions#

Package NDC, Product, Description table
Package NDCProductDescriptionFormQuantityStrengthSPL version
0178-0866-30CitraNatalB-Calm1 in 1 BLISTER PACKKIT11
0178-0866-30CitraNatalB-Calm5 in 1 CARTONKIT51

DailyMed Dashboard NDC Coverage#

NDC, Dashboard title, SPL version table
NDCDashboard titleSPL versionValidationDashboard ZIP
0178-0866CITRANATAL B-CALM (ASCORBIC ACID, CALCIUM CITRATE, IRON PENTACARBONYL, CHOLECALCIFEROL, PYRIDOXINE HYDROCHLORIDE, FOLIC ACID) KIT [MISSION PHARMACAL COMPANY]1Legacy NDC, 2 package rows20110428_b7846220-4137-4f1f-aea8-cd47e992a845.zip

DailyMed Socrata Ingredients#

Ingredient, Type, UNII table
IngredientTypeUNIISPL versionUploaded
ascorbic acidACTIVE INGREDIENTPQ6CK8PD0R1
calcium citrateACTIVE INGREDIENTMLM29U2X851
CholecalciferolACTIVE INGREDIENT1C6V77QF411
folic acidACTIVE INGREDIENT935E97BOY81
Iron PentacarbonylACTIVE INGREDIENT6WQ62TAQ6Z1
Pyridoxine HydrochlorideACTIVE INGREDIENT68Y4CF58BV1
ascorbic acidACTIVE MOIETYPQ6CK8PD0R1
calciumACTIVE MOIETYSY7Q814VUP1
CholecalciferolACTIVE MOIETY1C6V77QF411
folic acidACTIVE MOIETY935E97BOY81
Iron PentacarbonylACTIVE MOIETY6WQ62TAQ6Z1
PyridoxineACTIVE MOIETYKV2JZ1BI6Z1
Cellulose, MicrocrystallineINACTIVE INGREDIENTOP1R32D61U1
HypromellosesINACTIVE INGREDIENT3NXW29V3WO1
Magnesium SilicateINACTIVE INGREDIENT9B9691B2N91
Magnesium StearateINACTIVE INGREDIENT70097M6I301
Polyethylene GlycolINACTIVE INGREDIENT3WJQ0SDW1A1
PovidoneINACTIVE INGREDIENTFZ989GH94E1
Titanium DioxideINACTIVE INGREDIENT15FIX9V2JP1
Vitamin A PalmitateINACTIVE INGREDIENT1D1K0N0VVC1

Products#

Every source-derived product name is available through these pages.

DailyMed product names page 1 of 1 · 20 matching rows.

NDC Codes#

Product NDC, Package NDC table
Product NDCPackage NDC
0178-08660178-0866-30

Ingredients#

Every source-derived ingredient row is available through these pages.

DailyMed ingredient rows page 1 of 1 · 18 matching rows.

Source Document#

Source XML · Source PDF

Inactive ingredient matches#

Inactive Ingredient Database values describe FDA-listed use contexts. The match method and ambiguity count are shown because ingredient names, routes, and dosage forms are not always unique. Browse recovered IID releases and source provenance.

Inactive ingredient links page 1 of 3 · 174 matching rows.

DailyMed ingredient, IID ingredient, UNII table
DailyMed ingredientIID ingredientUNIIDosage form / routePotencyMaximum daily exposureMatch
Magnesium SilicateMAGNESIUM SILICATE9B9691B2N9WAFER / ORAL22 mgExact identifier — unii candidate
10 equally ranked IID candidates
Titanium DioxideTITANIUM DIOXIDE15FIX9V2JPCAPSULE, COATED / ORAL17 mgExact identifier — unii candidate
40 equally ranked IID candidates
HypromellosesHYPROMELLOSE3NXW29V3WOLOTION / TOPICAL0.1 %w/wExact identifier — unii candidate
27 equally ranked IID candidates
Titanium DioxideTITANIUM DIOXIDE15FIX9V2JPTABLET, EXTENDED RELEASE / ORAL90 mgExact identifier — unii candidate
40 equally ranked IID candidates
PovidonePOVIDONEFZ989GH94ETROCHE / ORAL30 mgExact identifier — unii candidate
30 equally ranked IID candidates
Magnesium StearateMAGNESIUM STEARATE70097M6I30CREAM / TOPICALNAExact identifier — unii candidate
39 equally ranked IID candidates
Magnesium StearateMAGNESIUM STEARATE70097M6I30CAPSULE, EXTENDED RELEASE / ORAL117 mgExact identifier — unii candidate
39 equally ranked IID candidates
PovidonePOVIDONEFZ989GH94ECAPSULE, DELAYED RELEASE / ORALNAExact identifier — unii candidate
30 equally ranked IID candidates
HypromellosesHYPROMELLOSE3NXW29V3WOSUSPENSION / OPHTHALMIC0.5 %w/wExact identifier — unii candidate
27 equally ranked IID candidates
Titanium DioxideTITANIUM DIOXIDE15FIX9V2JPFILM, EXTENDED RELEASE / TRANSDERMALNAExact identifier — unii candidate
40 equally ranked IID candidates
Titanium DioxideTITANIUM DIOXIDE15FIX9V2JPGEL / TOPICAL0.06 %w/wExact identifier — unii candidate
40 equally ranked IID candidates
Cellulose, MicrocrystallineMICROCRYSTALLINE CELLULOSEOP1R32D61UIMPLANT / INTRAVITREAL1.66 mgExact identifier — unii candidate
28 equally ranked IID candidates
Cellulose, MicrocrystallineMICROCRYSTALLINE CELLULOSEOP1R32D61UGRANULE / ORAL29520 mgExact identifier — unii candidate
28 equally ranked IID candidates
Magnesium SilicateMAGNESIUM SILICATE9B9691B2N9SOAP / TOPICAL0.33 %w/wExact identifier — unii candidate
10 equally ranked IID candidates
Magnesium StearateMAGNESIUM STEARATE70097M6I30TABLET, EXTENDED RELEASE / ORAL173 mgExact identifier — unii candidate
39 equally ranked IID candidates
HypromellosesHYPROMELLOSE3NXW29V3WOGRANULE, FOR SUSPENSION / ORAL1.7 mgExact identifier — unii candidate
27 equally ranked IID candidates
Titanium DioxideTITANIUM DIOXIDE15FIX9V2JPTABLET, FILM COATED, EXTENDED RELEASE / ORAL11 mgExact identifier — unii candidate
40 equally ranked IID candidates
Magnesium StearateMAGNESIUM STEARATE70097M6I30POWDER / TOPICAL104 mgExact identifier — unii candidate
39 equally ranked IID candidates
Titanium DioxideTITANIUM DIOXIDE15FIX9V2JPTABLET, ORALLY DISINTEGRATING / ORAL6 mgExact identifier — unii candidate
40 equally ranked IID candidates
Magnesium StearateMAGNESIUM STEARATE70097M6I30TABLET, FILM COATED / ORAL96 mgExact identifier — unii candidate
39 equally ranked IID candidates
Magnesium StearateMAGNESIUM STEARATE70097M6I30TABLET, FOR SUSPENSION / ORAL131 mgExact identifier — unii candidate
39 equally ranked IID candidates
Titanium DioxideTITANIUM DIOXIDE15FIX9V2JPCAPSULE, DELAYED RELEASE / ORAL55 mgExact identifier — unii candidate
40 equally ranked IID candidates
PovidonePOVIDONEFZ989GH94EFILM, EXTENDED RELEASE / TRANSDERMALNAExact identifier — unii candidate
30 equally ranked IID candidates
Magnesium StearateMAGNESIUM STEARATE70097M6I30IMPLANT / SUBCUTANEOUS0.5 mgExact identifier — unii candidate
39 equally ranked IID candidates
Titanium DioxideTITANIUM DIOXIDE15FIX9V2JPTABLET, COATED / ORAL49 mgExact identifier — unii candidate
40 equally ranked IID candidates
HypromellosesHYPROMELLOSE3NXW29V3WOTABLET, EXTENDED RELEASE / ORAL1472 mgExact identifier — unii candidate
27 equally ranked IID candidates
Cellulose, MicrocrystallineMICROCRYSTALLINE CELLULOSEOP1R32D61UCAPSULE, DELAYED RELEASE / ORAL366 mgExact identifier — unii candidate
28 equally ranked IID candidates
Magnesium StearateMAGNESIUM STEARATE70097M6I30GRANULE, FOR SUSPENSION / ORAL14 mgExact identifier — unii candidate
39 equally ranked IID candidates
PovidonePOVIDONEFZ989GH94ETABLET / SUBLINGUAL6 mgExact identifier — unii candidate
30 equally ranked IID candidates
Cellulose, MicrocrystallineMICROCRYSTALLINE CELLULOSEOP1R32D61UCAPSULE, COATED PELLETS / ORAL456 mgExact identifier — unii candidate
28 equally ranked IID candidates
Titanium DioxideTITANIUM DIOXIDE15FIX9V2JPPASTE / DENTAL0.5 %w/wExact identifier — unii candidate
40 equally ranked IID candidates
PovidonePOVIDONEFZ989GH94EINJECTION / INTRAMUSCULAR0.2 %w/vExact identifier — unii candidate
30 equally ranked IID candidates
PovidonePOVIDONEFZ989GH94ESOLUTION / ORAL3000 mgExact identifier — unii candidate
30 equally ranked IID candidates
Magnesium StearateMAGNESIUM STEARATE70097M6I30CAPSULE / ORAL256.4 mgExact identifier — unii candidate
39 equally ranked IID candidates
Cellulose, MicrocrystallineMICROCRYSTALLINE CELLULOSEOP1R32D61UTABLET, FOR SUSPENSION / ORAL20100 mgExact identifier — unii candidate
28 equally ranked IID candidates
Magnesium SilicateMAGNESIUM SILICATE9B9691B2N9TABLET, FILM COATED / ORAL33.7 mgExact identifier — unii candidate
10 equally ranked IID candidates
Cellulose, MicrocrystallineMICROCRYSTALLINE CELLULOSEOP1R32D61UTABLET, ORALLY DISINTEGRATING, DELAYED RELEASE / ORAL1576 mgExact identifier — unii candidate
28 equally ranked IID candidates
PovidonePOVIDONEFZ989GH94ESUSPENSION / ORAL20 mg/5mlExact identifier — unii candidate
30 equally ranked IID candidates
Titanium DioxideTITANIUM DIOXIDE15FIX9V2JPTABLET, FILM COATED / ORAL36 mgExact identifier — unii candidate
40 equally ranked IID candidates
Titanium DioxideTITANIUM DIOXIDE15FIX9V2JPPOWDER / RESPIRATORY (INHALATION)2 mgExact identifier — unii candidate
40 equally ranked IID candidates
Cellulose, MicrocrystallineMICROCRYSTALLINE CELLULOSEOP1R32D61USUSPENSION / ORAL1600 mgExact identifier — unii candidate
28 equally ranked IID candidates
Titanium DioxideTITANIUM DIOXIDE15FIX9V2JPPOWDER / ORAL2 mgExact identifier — unii candidate
40 equally ranked IID candidates
PovidonePOVIDONEFZ989GH94ECAPSULE, DELAYED RELEASE PELLETS / ORAL32 mgExact identifier — unii candidate
30 equally ranked IID candidates
HypromellosesHYPROMELLOSE3NXW29V3WOTABLET, CHEWABLE / ORAL11.8 mgExact identifier — unii candidate
27 equally ranked IID candidates
Titanium DioxideTITANIUM DIOXIDE15FIX9V2JPCREAM / TOPICAL80 mgExact identifier — unii candidate
40 equally ranked IID candidates
HypromellosesHYPROMELLOSE3NXW29V3WOSYRUP / ORAL250 mgExact identifier — unii candidate
27 equally ranked IID candidates
PovidonePOVIDONEFZ989GH94ESOLUTION / OPHTHALMIC1.8 %w/vExact identifier — unii candidate
30 equally ranked IID candidates
Cellulose, MicrocrystallineMICROCRYSTALLINE CELLULOSEOP1R32D61UTABLET, ORALLY DISINTEGRATING / ORAL1800 mgExact identifier — unii candidate
28 equally ranked IID candidates
Magnesium SilicateMAGNESIUM SILICATE9B9691B2N9PASTE, DENTIFRICE / DENTAL0.4 %w/wExact identifier — unii candidate
10 equally ranked IID candidates
HypromellosesHYPROMELLOSE3NXW29V3WOGEL / RECTAL348 mgExact identifier — unii candidate
27 equally ranked IID candidates
PovidonePOVIDONEFZ989GH94EGRANULE, FOR SUSPENSION, EXTENDED RELEASE / ORAL350 mgExact identifier — unii candidate
30 equally ranked IID candidates
Cellulose, MicrocrystallineMICROCRYSTALLINE CELLULOSEOP1R32D61UTABLET, DELAYED RELEASE / ORAL2210 mgExact identifier — unii candidate
28 equally ranked IID candidates
HypromellosesHYPROMELLOSE3NXW29V3WOTABLET, DELAYED RELEASE / ORAL79 mgExact identifier — unii candidate
27 equally ranked IID candidates
PovidonePOVIDONEFZ989GH94ETABLET, COATED / ORAL49.2 mgExact identifier — unii candidate
30 equally ranked IID candidates
Cellulose, MicrocrystallineMICROCRYSTALLINE CELLULOSEOP1R32D61UTABLET, DELAYED RELEASE PARTICLES / ORAL580 mgExact identifier — unii candidate
28 equally ranked IID candidates
Titanium DioxideTITANIUM DIOXIDE15FIX9V2JPINSERT, EXTENDED RELEASE / OPHTHALMIC0.4 mgExact identifier — unii candidate
40 equally ranked IID candidates
Titanium DioxideTITANIUM DIOXIDE15FIX9V2JPSOAP / TOPICAL1 %w/wExact identifier — unii candidate
40 equally ranked IID candidates
Magnesium SilicateMAGNESIUM SILICATE9B9691B2N9TABLET / ORAL10 mgExact identifier — unii candidate
10 equally ranked IID candidates
HypromellosesHYPROMELLOSE3NXW29V3WOTABLET, COATED / ORAL58 mgExact identifier — unii candidate
27 equally ranked IID candidates
Magnesium SilicateMAGNESIUM SILICATE9B9691B2N9TABLET / SUBLINGUAL1.2 mgExact identifier — unii candidate
10 equally ranked IID candidates

openFDA label cross-check#

OpenFDA label data provides additional search and identifier links. DailyMed’s Structured Product Label is the canonical label on FDA.report. Matching records are deduplicated before they are shown below.

Matched openFDA labels page 1 of 1 · 1 matching rows.

Brand, Generic, Manufacturer table
BrandGenericManufacturerSPL set IDEffective dateAvailable safety fieldsJoin
03d6e2ba-0ef8-48ad-ab6f-959bfbabbbf7b7846220-4137-4f1f-aea8-cd47e992a8452010-05-03Boxed warning, Warnings, Adverse reactionsExact identifier
spl id: 03d6e2ba-0ef8-48ad-ab6f-959bfbabbbf7
spl set id: b7846220-4137-4f1f-aea8-cd47e992a845

Reported adverse events (FAERS/openFDA)#

Adverse event summaries are temporarily unavailable. Other product information remains available.