OXYCODONE 10MG/ACETAMINOPHEN 300MG/5ML SOLN,ORAL (30906) VA PRODUCT (50.68)

Name	Value
NAME	OXYCODONE 10MG/ACETAMINOPHEN 300MG/5ML SOLN,ORAL
VA GENERIC NAME	ACETAMINOPHEN/OXYCODONE
DOSAGE FORM	SOLN,ORAL
FDA MED GUIDE	Oxycodone_Acetaminophen_Soln_(Prolate)_(2019).pdf
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 300 UNITS: MG/5ML OXYCODONE HYDROCHLORIDE STRENGTH: 10 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Schedule II
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ACETAMINOPHEN/OXYCODONE SOLN,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2021-03-18 00:00:00 COPAY END DATE: 2021-12-01 00:00:00 COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2021-12-02 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	OXYCODONE 10MG/APAP 300MG/5ML ORAL SOLN
VA PRODUCT IDENTIFIER	O0426
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4040245
EFFECTIVE DATE/TIME	2021-03-18 00:00:00 STATUS: ACTIVE 2021-03-18 00:00:00 STATUS: ACTIVE 2021-03-18 00:00:00 STATUS: ACTIVE