| NAME |
HYDROCODONE BITARTRATE 5MG/IBUPROFEN 200MG TAB |
| VA GENERIC NAME |
HYDROCODONE/IBUPROFEN |
| DOSAGE FORM |
TAB |
| FDA MED GUIDE |
Hydrocodone-Ibuprofen_(Vicoprofen)_(2016).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| FORMULARY DESIGNATOR |
PA-F |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY INDICATOR |
YES |
| CS FEDERAL SCHEDULE |
Schedule II |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| NATIONAL FORMULARY NAME |
HYDROCODONE/IBUPROFEN TAB |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
YES |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
HYDROCODONE 5/IBUPROFEN 200MG TAB |
| VA PRODUCT IDENTIFIER |
H0585 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4030381 |
| EFFECTIVE DATE/TIME |
-
- 2011-02-09 00:00:00
- STATUS: ACTIVE
|
