DIHYDROCODEINE 16MG/ACETAMINOPHEN 320.5MG/CAFFEINE 30MG CAP (25278) VA PRODUCT (50.68)

Name	Value
NAME	DIHYDROCODEINE 16MG/ACETAMINOPHEN 320.5MG/CAFFEINE 30MG CAP
VA GENERIC NAME	ACETAMINOPHEN/CAFFEINE/DIHYDROCODEINE
DOSAGE FORM	CAP,ORAL
FDA MED GUIDE	Dihydrocodeine-Acetaminophen-Caffeine_(Trezix)_(2021).pdf
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 320.5 UNITS: MG CAFFEINE STRENGTH: 30 UNITS: MG DIHYDROCODEINE BITARTRATE STRENGTH: 16 UNITS: MG
CS FEDERAL SCHEDULE	Schedule III
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ACETAMINOPHEN/CAFFEINE/DIHYDROCODEINE CAP,ORAL
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	TREZIX 16MG/320.5MG/30MG CAP
VA PRODUCT IDENTIFIER	T0884
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4033973
EFFECTIVE DATE/TIME	2014-12-19 00:00:00 STATUS: ACTIVE