Approved Formulary
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Approved Formulary
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acetaminophen-oxyCODONE

acetaminophen-oxyCODONE
  • Formulary Duration Restrictions Limited to 7 days without TLC approval.
  • Cell Status NFISA
  • Exceptions / Designators Max order duration is 30 days per policy.
Brand names: ROXICET
Form Strength  
TABLET, ORAL 325 mg-5 mg


Last updated: Aug. 23, 2021


Class II

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