In this article, authors estimated the impacts, costs and cost-effectiveness of hypothetically replacing iron folic acid (IFA) supplements with multiple micronutrient supplements (MMS) for one year in the context of an ongoing program to deliver supplements to pregnant women in Bangladesh. Authors modeled a scenario with current program coverage, and assuming 100 percent adherence and no tablet ‘wastage’ (i.e., all purchased tablets are consumed and ‘count’ toward health benefits). Authors then extended the analysis to introduce the costs of programmatic transitions and possible tablet distribution scenarios.