TRAMADOL HCL 150MG CAP,SA (23393)    VA PRODUCT (50.68)

Name Value
NAME TRAMADOL HCL 150MG CAP,SA
VA GENERIC NAME TRAMADOL
DOSAGE FORM CAP,SA
FDA MED GUIDE Tramadol_SA_Cap_(Generic)_(2022).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule IV
STRENGTH 150
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2021-06-15 00:00:00
UNITS MG
NATIONAL FORMULARY NAME TRAMADOL CAP,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 150MG SA CAP
VA PRODUCT IDENTIFIER T0808
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4031849
EFFECTIVE DATE/TIME
  • 2012-12-18 00:00:00
    STATUS:   ACTIVE
  • 2021-06-15 00:00:00
    STATUS:   INACTIVE
  • 2021-06-15 00:00:00
    STATUS:   INACTIVE
  • 2021-06-15 00:00:00
    STATUS:   INACTIVE