TRAMADOL

tramadol hydrochloride 100 mg/mL oral liquid, 10 mL

TRAMADOL (5150C)

tramadol hydrochloride 100 mg/mL oral liquid, 10 mL
5150C
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Severe pain
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 1 # of repeats: 0 DPMQ: $20.13 Max safety net: $21.61 General Patient Charge: $24.40
Available brands
Tramal