| NAME |
TRAMADOL HCL 200MG (EQV-ULTRAM ER) TAB,SA |
| VA GENERIC NAME |
TRAMADOL |
| DOSAGE FORM |
TAB,SA |
| FDA MED GUIDE |
Tramadol_SA_Tab_(Generic)_(2021).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Schedule IV |
| STRENGTH |
200 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
MG |
| NATIONAL FORMULARY NAME |
TRAMADOL TAB,SA |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
1x Possible Dosage |
| PACKAGE |
Both Inpatient and Outpatient |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2019-01-30 00:00:00
|
| PGX ELIGIBLE |
YES |
| PGX SUPPRESSED |
YES |
| VA PRINT NAME |
TRAMADOL HCL 200MG (EQV-ULTRAM ER)SA TAB |
| VA PRODUCT IDENTIFIER |
T1011 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4038129 |
| EFFECTIVE DATE/TIME |
-
- 2019-02-01 00:00:00
- STATUS: ACTIVE
|
