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RxBoxed warning

Prenate Pixie

ascorbic acid, biotin, cholecalciferol, cyanocobalamin, levomefolate calcium, folic acid, ferrous asparto glycinate, potassium iodide, pyridoxine hydrochloride, .alpha.-tocopherol acetate, dl-, docosahexaenoic acid, and blueberry · Prenate Pixie is a vitamin b12 (prescription) containing ascorbic acid, biotin, cholecalciferol, cyanocobalamin, levomefolate calcium, folic acid, ferrous asparto glycinate, potassium iodide, pyridoxine hydrochloride, .alpha.-tocopherol acetate, dl-, docosahexaenoic acid, and blueberry, made by Avion Pharmaceuticals, LLC.

Type
Prescription
Drug class
Vitamin B12
Route
Oral
Manufacturers
1

PRENATE PIXIE ® is a multivitamin/multimineral fatty acid dietary supplement indicated for use in improving the nutritional status of women throughout pregnancy and in the postnatal period for both lactating and nonlactating mothers.

FDA boxed warning

Boxed warning

Ingestion of more than 3 grams of omega-3 fatty acids (such as DHA) per day has been shown to have potential antithrombotic effects, including an increased bleeding time and International Normalized Ratio (INR). Administration of omega-3 fatty acids should be avoided in patients taking anticoagulants and in those known to have an inherited or acquired predisposition to bleeding.

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.

Drug facts

Generic name
ascorbic acid, biotin, cholecalciferol, cyanocobalamin, levomefolate calcium, folic acid, ferrous asparto glycinate, potassium iodide, pyridoxine hydrochloride, .alpha.-tocopherol acetate, dl-, docosahexaenoic acid, and blueberry
Active ingredients
.alpha.-Tocopherol Acetate, Dl-, Ascorbic Acid, Biotin, Blueberry, Cholecalciferol, Cyanocobalamin, Docosahexaenoic Acid, Ferrous Asparto Glycinate, Folic Acid, Levomefolate Calcium, Potassium Iodide, Pyridoxine Hydrochloride
Dosage forms
Tablet, film coated
Label holder
Avion Pharmaceuticals, LLC
Label updated
05/14/2025

Uses

PRENATE PIXIE ® is a multivitamin/multimineral fatty acid dietary supplement indicated for use in improving the nutritional status of women throughout pregnancy and in the postnatal period for both lactating and nonlactating mothers.

Dosage and administration

Before, during and/or after pregnancy, one softgel daily or as directed by a physician.

Contraindications

PRENATE PIXIE ® is contraindicated in patients with a known hypersensitivity to any of the ingredients.

Precautions

Folic acid alone is improper therapy in the treatment of pernicious anemia and other megaloblastic anemias where Vitamin B 12 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. Biotin levels higher than the recommended daily allowance may cause interference with some laboratory tests, including cardiovascular diagnostic test (e.g. troponin) and hormone tests, and may lead to incorrect test results. Tell your healthcare provider about all prescription and over-the-counter medicines, vitamins, and dietary supplements that you take, including biotin.

Side effects (adverse reactions)

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

Description

Rx Only Dietary Supplement DESCRIPTION: PRENATE PIXIE ® is a prescription prenatal/postnatal multivitamin/mineral/essential fatty acid softgel. Each softgel is purple in color, opaque, and imprinted with “PIX”. Prenate Pixie ® contains no ingredient made from gluten-containing grain (wheat, barley, or rye) Supplement Facts Panel PRENATE PIXIE ® contains fish oil and soy. OTHER INGREDIENTS: Beeswax, palm shortening and soy lecithin. Capsule (caramel, FD&C blue #1, FD&C red #40, gelatin, glycerin, purified water and titanium dioxide).

How supplied

Bottles of 30 softgels (75854-0316-30). The listed product number is not a National Drug Code. Instead, Avion Pharmaceuticals has assigned a product code formatted according to standard industry practice to meet the formatting requirements of pharmacy and healthcare insurance computer systems.

Storage and handling

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

Inactive ingredients

PRENATE PIXIE ® contains fish oil and soy. OTHER INGREDIENTS: Beeswax, palm shortening and soy lecithin. Capsule (caramel, FD&C blue #1, FD&C red #40, gelatin, glycerin, purified water and titanium dioxide).

Forms and strengths

From the FDA NDC Directory · 1 product codes

Dosage formStrengthRouteNDCs
Tablet, film coated30 mg / 75 ug / 12.5 ug / 13 ug / 400 ug / 10 mg / 150 ug / 5 mg / 4.5 mg / 5 mg / 200 mg / 600 ugoral1

What pharmacies pay

National Average Drug Acquisition Cost (NADAC), week of 10/21/2026

All prices

Pharmacies paid about $12.98 per tablet, capsule or unit across 1 package code.

NADAC is a survey of what retail pharmacies pay to buy a drug. It is not the price you pay at the counter, which depends on your insurance and the pharmacy.

Manufacturers and labels

1 FDA label

  • Avion Pharmaceuticals, LLCShown hereLabel 05/14/2025 · NDC 75854-316Full label

Related recalls

FDA drug recalls that name this drug or its active ingredient

All drug recalls

Prenate Pixie: common questions

What is Prenate Pixie used for?
PRENATE PIXIE ® is a multivitamin/multimineral fatty acid dietary supplement indicated for use in improving the nutritional status of women throughout pregnancy and in the postnatal period for both lactating and nonlactating mothers.
What are the side effects of Prenate Pixie?
Allergic sensitization has been reported following both oral and parenteral administration of folic acid. See the full side effects section on this page, and ask your doctor or pharmacist about any side effect that bothers you.
Does Prenate Pixie have a boxed warning?
Yes. The FDA label carries a boxed warning. A boxed warning is the FDA's strongest warning for serious or life-threatening risks.
Is Prenate Pixie a prescription drug?
Yes. Prenate Pixie is a prescription (Rx) drug.

Source: U.S. Food and Drug Administration, openFDA drug label (SPL) and NDC Directory · Last updated 05/14/2025 · Label text is shown as published by the manufacturer. Not medical advice