| NAME |
HYDROCODONE 5MG/ACETAMINOPHEN 217MG/10ML SOLN,ORAL,10ML |
| VA GENERIC NAME |
ACETAMINOPHEN/HYDROCODONE |
| DOSAGE FORM |
SOLN,ORAL |
| FDA MED GUIDE |
Hydrocodone-Acetaminophen-7.5-325_per_15ml_Soln_(Generic)_(2018).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Schedule II |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| NATIONAL FORMULARY NAME |
ACETAMINOPHEN/HYDROCODONE SOLN,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| 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/APAP 217MG/10ML SOLN 10ML |
| VA PRODUCT IDENTIFIER |
H0643 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4032726 |
| EFFECTIVE DATE/TIME |
-
- 2013-09-24 00:00:00
- STATUS: ACTIVE
|