TRAMADOL HCL 37.5MG/ACETAMINOPHEN 325MG TAB,UD (24876) VA PRODUCT (50.68)

Name	Value
NAME	TRAMADOL HCL 37.5MG/ACETAMINOPHEN 325MG TAB,UD
VA GENERIC NAME	TRAMADOL/ACETAMINOPHEN
DOSAGE FORM	TAB
FDA MED GUIDE	Tramadol-Acetaminophen_(Generic)_(2022).pdf
FORMULARY DESIGNATOR	PA-F
FORMULARY DESIGNATOR TEXT	Provided as combination or components
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 325 UNITS: MG TRAMADOL HYDROCHLORIDE STRENGTH: 37.5 UNITS: MG
NATIONAL FORMULARY INDICATOR	YES
CS FEDERAL SCHEDULE	Schedule IV
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	TRAMADOL/ACETAMINOPHEN 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	YES
VA PRINT NAME	TRAMADOL 37.5/ACETAMINOPHEN 325MG TAB UD
VA PRODUCT IDENTIFIER	T0868
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4033515
EFFECTIVE DATE/TIME	2014-07-18 00:00:00 STATUS: ACTIVE