Designed for people who have had bariatric (weight loss) surgery
After weight loss surgery, you have to take nutritional supplements for the rest of your life because your digestive tract and stomach work differently now.
Your monthly supply of bariatric supplements are delivered together to your doorstep:
- NASCOBAL® Vitamin B12 Nasal Spray
- Multivitamin, with or without Iron
- Calcium + D3 & Magnesium
Nutrition Direct™ : RECOMMENDED MICRONUTRIENTS WITH THE CONVENIENCE OF FREE HOME DELIVERY—AT AN AFFORDABLE PRICE
When you enroll in
What’s more, many people are eligible to get
Get
It is easy to get
NASCOBAL® Nasal Spray prescription with enrollment in
ENROLL IN Nutrition Direct™
It offers eligible patients nutritional supplements they need after weight loss surgery for as little as $0 per month.†
If your doctor thinks
Talk to your doctor about
Your doctor will ask you to complete the top half of the enrollment form. The doctor will sign the prescription on the bottom half.
The doctor’s office will fax the completed form to ProCare PharmacyCare at 855-828-1492.
You will receive a welcome communication (text and/or phone call) from the pharmacy to confirm your order. After that, ProCare PharmacyCare will ship your nutritional supplements to you within 3 to 5 days. You will receive an email confirming shipping with tracking information so you can track your shipment.
Your order will be automatically refilled each month. The pharmacy will help you with insurance claim processing each month so that the nutritional supplements in
ASMBS Integrated Health Nutritional Guidelines for the Surgical Weight Loss Patient — 2016 Update: Micronutrients.
Patients may redeem this offer ONLY when accompanied by a valid prescription. Offer is valid up to a maximum benefit of $150. Offer is not valid for patients whose prescriptions are reimbursed in whole or in part under Medicaid, Medicare, Medigap, VA, DoD, TRICARE, or any other federal or state programs (such as medical assistance programs) or where otherwise prohibited by law. Offer is not valid in VT or where prohibited in whole or in part. This offer may be amended or ended at any time without notice.
What is NASCOBAL® nasal spray?
NASCOBAL® (Cyanocobalamin, USP) Nasal Spray is a prescription medicine used as a supplement to treat vitamin B12 deficiency. People who have had bariatric (weight loss) surgery may not absorb enough vitamin B12 from food. That is why NASCOBAL® is a good option. It is a fine-mist nasal spray that gets absorbed directly into the bloodstream, bypassing the stomach and digestive tract. It is odorless and tasteless.
NASCOBAL® dosing is simple:
1 spray, 1 nostril, 1x a week‡
Product shown may not be actual size.
NASCOBAL® Nasal Spray is the only FDA-approved vitamin B12 nasal spray. Here are some features of this product:
- Once-weekly nasal spray
- Fewer visits to the doctor’s office for vitamin B12 dose
- Not a painful injection
- Tasteless and odorless fine mist
- Increased and maintained vitamin B12 levels in clinical trials
- Absorbed directly into the bloodstream—designed to bypass the digestive tract
- Self-administered
‡Dose adjustments may be required.
How to use NASCOBAL® Nasal Spray
NASCOBAL® is especially useful for people who have had weight loss surgery. It is just 1 spray, 1 nostril, 1x a week.‡
- The unit contains only 1 spray: DO NOT prime before use
- Blow nose gently to clear both nostrils
- Hold the unit with your thumb, supporting it at the bottom, and your index and middle fingers on either side of the nozzle
- Gently close 1 nostril with your other index finger. Insert the nozzle into open nostril approximately ½ inch, or as far as feels comfortable, and tilt your head slightly forward. Do not press the plunger yet
- Breathe in gently through your nose, close your mouth, and at the same time, press the plunger firmly with your thumb
- Remove the nozzle from your nostril. At the same time, keep your head level for 10 to 20 seconds while gently breathing in through your nose and breathing out through your mouth
‡Dose adjustments may be required.
ABOUT SUPPLEMENTS
With
MULTIVITAMIN IS NOW AVAILABLE ONCE-DAILY
Chewable:
- Can be started soon after surgery as discussed with your healthcare provider
- Used for lifelong nutritional support
- Great-tasting fruit flavor
Tablets/Capsules:
- When chewable tablets are no longer required, tablets/capsules can be started as discussed with your healthcare provider
- Used for lifelong nutritional support
Nutrition Direct™ : designed to meet ASMBS Nutritional Guidelines*§
Your monthly delivery from
| ASMBS RECOMMENDED NUTRITIONAL SUPPLEMENTATION* | BARIACTIV® ONCE-DAILY MULTIVITAMINS |
|---|---|
| Vitamin B1 |  12 mg/day |
| Vitamin B12 | 500 mcg/week |
| Folate | 1,360 DFE (800 mcg folic acid) |
| Calcium∥ | (see footnote below) |
| Vitamin A | 3,000 mcg/day¶ |
| Vitamin E | 15 mg/day |
| Vitamin K | 300 mcg/day |
| Vitamin D | 75 mcg/day# |
| Iron | Chewable: 18 mg/day Tablet/Capsule: 45 mg/day |
| Zinc | 16 mg/day |
| Copper | 2 mg/day |
ASMBS Integrated Health Nutritional Guidelines for the Surgical Weight Loss Patient — 2016 Update: Micronutrients.
For all types of surgery, including Roux-en-Y gastric bypass (RYGB), laparoscopic sleeve gastrectomy (LSG), and laparoscopic adjustable gastric banding (LAGB).
Calcium is provided in the Bariactiv® Calcium (1200 mg per day) + Vitamin D (3000 IU per day) supplement. It is very important NOT to take calcium and multivitamin with iron supplements at the same time. Take them at least 2 hours apart.
Equivalent to 10,000 IU/day (3000 mcg RAE/day) retinol.
Equivalent to 3,000 IU/day.
HOW TO TAKE YOUR SUPPLEMENTS
It’s important to take your nutritional supplements provided by Nutrition Direct™ correctly. Important note: The directions are different for chewable supplements and the tablets/capsules. Chewable supplements can be chewed without the use of water. Tablets/capsules can be easily swallowed with water.
How to use NASCOBAL®
Nasal Spray
FDA-approved NASCOBAL® Nasal Spray1 spray, 1 nostril, 1x a week‡
- Dose adjustments may be required.
How to take
Chewable Supplements:
Calcium + D3 & Magnesium Chewable**Take one serving (2 tablets) twice a dayNutrition Facts
Multivitamin Chewable††Take one serving (1 tablet) once a dayNutrition Facts
Multivitamin + Iron Chewable**††Take one serving (1 tablet) once a dayNutrition Facts
How to take
Tablet/Capsule Supplements:
Calcium + D3 & Magnesium Tablets**Take one serving (2 tablets) twice a dayNutrition Facts
Multivitamin Capsule††Take one serving (1 capsule) once a dayNutrition Facts
Multivitamin + Iron Capsule**††Take one serving (1 capsule) once a dayNutrition Facts
- It is very important NOT to take calcium and multivitamin with iron supplements at the same time. Take them at least 2 hours apart.
- Talk to your doctor about which multivitamin option is best for you.
SOME TIPS TO HELP YOU REMEMBER TO TAKE YOUR VITAMINS
It can be easy to forget to take your vitamins and minerals. Here are some reminders to help keep you on track:
- Set an alarm. Most phones have them. Be sure to set yours so you will remember when it is time to take your vitamins. If you wear a watch, set the alarm so you will remember to take your vitamins when you are away from the house
- Remind yourself with notes, diaries, or checklists. Post a calendar or a Post-it® note where you will see it. You can also make a “to-do” list so you will always remember
- Keep the bottles of your nutritional supplements in a place where you will see them easily. This way, you will remember to take them as your healthcare provider prescribes. But make sure that they are out of the reach of children
- Have a support network. Ask a friend or family member to remind you by phone or text
IMPORTANT SAFETY INFORMATION FOR NASCOBAL®
Do not use NASCOBAL® if you are allergic to cobalt, vitamin B12, or any of the ingredients in NASCOBAL®.
NASCOBAL® can cause serious side effects, including:
- Weakening of your eye nerve in patients with early Leber's disease. Tell your healthcare provider if you or your family has a history of early Leber's disease.
- Serious allergic reactions. Serious, life-threatening allergic reactions, including death, have happened in people who have received vitamin B12 by injection or by intravenous (IV) infusion (parenteral). Tell your healthcare provider if you have ever had a reaction after you received vitamin B12 by injection or IV infusion.
- Hiding (masking) a folate deficiency. Your healthcare provider may do certain blood tests to check your vitamin B12 and folate levels.
- Low potassium levels (hypokalemia) and low blood platelets (thrombocytopenia) can happen in people with serious megaloblastic anemia. Your healthcare provider may monitor your potassium levels and platelet counts during your treatment with NASCOBAL®.
Vitamin B12 deficiency may hide signs of a blood condition called polycythemia vera. Treatment with NASCOBAL® may uncover this condition.
Tell your doctor if you are pregnant or planning to become pregnant (it is not known if NASCOBAL® will harm your unborn baby).
Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.
The most common side effects include infection, headache, feeling weak, nausea, swelling of your tongue, runny nose, tingling of the hands and feet.
These are not all the possible side effects of NASCOBAL®. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
WHAT IS NASCOBAL®?
NASCOBAL® (Cyanocobalamin, USP) Nasal Spray is a prescription medicine used to treat vitamin B12 deficiency caused by lack of absorption (malabsorption) that is not related to pernicious anemia.
NASCOBAL® should not be used for a vitamin B12 absorption test known as the Schilling test.
In people who have corrected or have fixed their short-term causes of vitamin B12 deficiency, the benefit of continued long-term use of NASCOBAL® is not known after vitamin B12 deficiency has been corrected.
It is not known if NASCOBAL® is effective in people who currently have a stuffy nose, allergies or an upper respiratory infection. You should wait until these symptoms have gone away before using NASCOBAL®.
It is not known if NASCOBAL® is safe and effective in children.
Please see the full Prescribing Information.IMPORTANT SAFETY INFORMATION FOR NASCOBAL®
Do not use NASCOBAL® if you are allergic to cobalt, vitamin B12, or any of the ingredients in NASCOBAL®.
NASCOBAL® can cause serious side effects, including:
- Weakening of your eye nerve in patients with early Leber's disease. Tell your healthcare provider if you or your family has a history of early Leber's disease.
- Serious allergic reactions. Serious, life-threatening allergic reactions, including death, have happened in people who have received vitamin B12 by injection or by intravenous (IV) infusion (parenteral). Tell your healthcare provider if you have ever had a reaction after you received vitamin B12 by injection or IV infusion.
- Hiding (masking) a folate deficiency. Your healthcare provider may do certain blood tests to check your vitamin B12 and folate levels.
- Low potassium levels (hypokalemia) and low blood platelets (thrombocytopenia) can happen in people with serious megaloblastic anemia. Your healthcare provider may monitor your potassium levels and platelet counts during your treatment with NASCOBAL®.
Vitamin B12 deficiency may hide signs of a blood condition called polycythemia vera. Treatment with NASCOBAL® may uncover this condition.
Tell your doctor if you are pregnant or planning to become pregnant (it is not known if NASCOBAL® will harm your unborn baby).
Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.
The most common side effects include infection, headache, feeling weak, nausea, swelling of your tongue, runny nose, tingling of the hands and feet.
These are not all the possible side effects of NASCOBAL®. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
WHAT IS NASCOBAL®?
NASCOBAL® (Cyanocobalamin, USP) Nasal Spray is a prescription medicine used to treat vitamin B12 deficiency caused by lack of absorption (malabsorption) that is not related to pernicious anemia.
NASCOBAL® should not be used for a vitamin B12 absorption test known as the Schilling test.
In people who have corrected or have fixed their short-term causes of vitamin B12 deficiency, the benefit of continued long-term use of NASCOBAL® is not known after vitamin B12 deficiency has been corrected.
It is not known if NASCOBAL® is effective in people who currently have a stuffy nose, allergies or an upper respiratory infection. You should wait until these symptoms have gone away before using NASCOBAL®.
It is not known if NASCOBAL® is safe and effective in children.
Please see the full Prescribing Information.Intended for U.S. Residents Only
Rx Only