| NAME |
BENZHYDROCODONE 6.12MG/ACETAMINOPHEN 325MG TAB |
| VA GENERIC NAME |
ACETAMINOPHEN/BENZHYDROCODONE |
| DOSAGE FORM |
TAB |
| FDA MED GUIDE |
Benzhydrocodone-APAP_(Generic)_(2021).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Schedule II |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| NATIONAL FORMULARY NAME |
ACETAMINOPHEN/BENZHYDROCODONE TAB |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2019-02-21 00:00:00
- COPAY END DATE: 2019-03-06 00:00:00
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2019-03-07 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
BENZHYDROCODONE 6.12/ACETAMINO 325MG TAB |
| VA PRODUCT IDENTIFIER |
B0880 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4038171 |
| EFFECTIVE DATE/TIME |
-
- 2019-02-22 00:00:00
- STATUS: ACTIVE
|
