TRAMADOL HCL 100MG TAB,SA (17873)    VA PRODUCT (50.68)

Name Value
NAME TRAMADOL HCL 100MG 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 100
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 YES
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 100MG SA TAB
VA PRODUCT IDENTIFIER T0617
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4025560
EFFECTIVE DATE/TIME
  • 2006-09-05 00:00:00
    STATUS:   ACTIVE
  • 2019-05-16 00:00:00
    STATUS:   INACTIVE