TRAMADOL HCL 5MG/ML SOLN,ORAL (30520)    VA PRODUCT (50.68)

Name Value
NAME TRAMADOL HCL 5MG/ML SOLN,ORAL
VA GENERIC NAME TRAMADOL
DOSAGE FORM SOLN,ORAL
FDA MED GUIDE Tramadol_Sol_(Generic)_(2020).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule IV
STRENGTH 5
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG/ML
NATIONAL FORMULARY NAME TRAMADOL SOLN,ORAL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2020-11-05 00:00:00
    COPAY END DATE:   2022-02-23 00:00:00
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2022-02-24 00:00:00
PGX ELIGIBLE YES
PGX SUPPRESSED YES
VA PRINT NAME TRAMADOL HCL 5MG/ML ORAL SOLN
VA PRODUCT IDENTIFIER T1078
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4039819
EFFECTIVE DATE/TIME
  • 2020-11-05 00:00:00
    STATUS:   ACTIVE
  • 2020-11-05 00:00:00
    STATUS:   ACTIVE
  • 2020-11-05 00:00:00
    STATUS:   ACTIVE