OXYCODONE HCL 5MG/IBUPROFEN 400MG TAB (22561)    VA PRODUCT (50.68)

Name Value
NAME OXYCODONE HCL 5MG/IBUPROFEN 400MG TAB
VA GENERIC NAME OXYCODONE/IBUPROFEN
DOSAGE FORM TAB
FDA MED GUIDE Oxycodone-Ibuprofen_(Generic)_(2017).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule II
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME OXYCODONE/IBUPROFEN TAB
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 YES
PGX SUPPRESSED NO
VA PRINT NAME OXYCODONE HCL 5MG/IBUPROFEN 400MG TAB
VA PRODUCT IDENTIFIER O0306
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4030868
EFFECTIVE DATE/TIME
  • 2011-08-08 00:00:00
    STATUS:   ACTIVE