OXYCODONE HCL 5MG/ACETAMINOPHEN 500MG TAB (2490)    VA PRODUCT (50.68)

Name Value
NAME OXYCODONE HCL 5MG/ACETAMINOPHEN 500MG TAB
VA GENERIC NAME ACETAMINOPHEN/OXYCODONE
DOSAGE FORM TAB
FDA MED GUIDE Oxycodone_Acetaminophen_IR_(Generic)_(2016).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule II
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2015-01-22 00:00:00
DSS NUMBER 6
NATIONAL FORMULARY NAME ACETAMINOPHEN/OXYCODONE 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 NO
PGX SUPPRESSED NO
VA PRINT NAME OXYCODONE 5MG/ACETAMINOPHEN 500MG TAB
VA PRODUCT IDENTIFIER O0083
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4003071
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE