TRAMADOL HCL 200MG TAB,SA (17871)    VA PRODUCT (50.68)

Name Value
NAME TRAMADOL HCL 200MG TAB,SA
VA GENERIC NAME TRAMADOL
DOSAGE FORM TAB,SA
FDA MED GUIDE Tramadol_SA_Tab_(Generic)_(2021).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule IV
STRENGTH 200
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2019-05-16 00:00:00
UNITS MG
NATIONAL FORMULARY NAME TRAMADOL TAB,SA
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE 1x Possible Dosage
PACKAGE Both Inpatient and Outpatient
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TRAMADOL HCL 200MG SA TAB
VA PRODUCT IDENTIFIER T0615
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4025558
EFFECTIVE DATE/TIME
  • 2006-09-05 00:00:00
    STATUS:   ACTIVE
  • 2019-05-16 00:00:00
    STATUS:   INACTIVE