| 00653241 | ACETAMINOPHEN & CAFFEINE & CODEINE PHOSPHATE | Teva-Lenoltec No.2 300mg & 15mg & 15mg Tab | TEV | 0.0889 | 0.0889 | YES | NO | YES |
| 00653276 | ACETAMINOPHEN & CAFFEINE & CODEINE PHOSPHATE | Teva-Lenoltec No.3 300mg & 15mg & 30mg Tab | TEV | 0.0933 | 0.0933 | YES | NO | YES |
| 02163934 | ACETAMINOPHEN & CAFFEINE & CODEINE PHOSPHATE | Tylenol with Codeine No. 2 (Not a Benefit) 300mg & 15mg & 15mg Tab | JAN | N/A | N/A | YES | NO | YES |
| 02163926 | ACETAMINOPHEN & CAFFEINE & CODEINE PHOSPHATE | Tylenol with Codeine No. 3 (Not a Benefit) 300mg & 15mg & 30mg Tab | JAN | N/A | N/A | YES | NO | YES |
| 00816027 | ACETAMINOPHEN & CODEINE PHOSPHATE | PMS-Acetaminophen With Codeine 160mg & 8mg/5mL O/L | PMS | 0.1074 | 0.1074 | YES | NO | YES |
| 02163942 | ACETAMINOPHEN & CODEINE PHOSPHATE | Tylenol With Codeine Elixir (Not a Benefit) 160mg & 8mg/5mL O/L | JAN | N/A | N/A | YES | NO | YES |
| 00666130 | ACETAMINOPHEN & CODEINE PHOSPHATE | Empracet-30 (Not a Benefit) 300mg & 30mg Tab | BWE | N/A | N/A | YES | NO | YES |
| 00608882 | ACETAMINOPHEN & CODEINE PHOSPHATE | Teva-Emtec-30 300mg & 30mg Tab | TEV | 0.1300 | 0.1300 | YES | NO | YES |
| 00621463 | ACETAMINOPHEN & CODEINE PHOSPHATE | Teva-Lenoltec No.4 300mg & 60mg Tab | TEV | 0.1685 | 0.1685 | YES | NO | YES |
| 02163918 | ACETAMINOPHEN & CODEINE PHOSPHATE | Tylenol with Codeine No. 4 (Not a Benefit) 300mg & 60mg Tab | JAN | N/A | N/A | YES | NO | YES |
| 00226327 | ACETYLSALICYLIC ACID & BUTALBITAL & CAFFEINE | Fiorinal (Off-Formulary Interchangeable) 330mg & 50mg & 40mg Cap | NOV | N/A | N/A | YES | NO | YES |
| 00608238 | ACETYLSALICYLIC ACID & BUTALBITAL & CAFFEINE | Ratio-Tecnal (Off-Formulary Interchangeable) 330mg & 50mg & 40mg Cap | RPH | 1.4687 | N/A | YES | NO | YES |
| 00176206 | ACETYLSALICYLIC ACID & BUTALBITAL & CAFFEINE & CODEINE PHOSPHATE | Fiorinal C1/2 (Off-Formulary Interchangeable) 330mg & 50mg & 40mg & 30mg Cap | NOV | N/A | N/A | YES | NO | YES |
| 00176192 | ACETYLSALICYLIC ACID & BUTALBITAL & CAFFEINE & CODEINE PHOSPHATE | Fiorinal C1/4 (Off-Formulary Interchangeable) 330mg & 50mg & 40mg & 15mg Cap | NOV | N/A | N/A | YES | NO | YES |
| 00608181 | ACETYLSALICYLIC ACID & BUTALBITAL & CAFFEINE & CODEINE PHOSPHATE | Ratio-Tecnal C1/2 (Off-Formulary Interchangeable) 330mg & 50mg & 40mg & 30mg Cap | RPH | 1.9285 | N/A | YES | NO | YES |
| 00608203 | ACETYLSALICYLIC ACID & BUTALBITAL & CAFFEINE & CODEINE PHOSPHATE | Ratio-Tecnal C1/4 (Off-Formulary Interchangeable) 330mg & 50mg & 40mg & 15mg Cap | RPH | 1.5749 | N/A | YES | NO | YES |
| 00779458 | CODEINE PHOSPHATE | Codeine (Not a Benefit) 15mg Tab | ROG | N/A | N/A | YES | NO | YES |
| 00593435 | CODEINE PHOSPHATE | Teva-Codeine 15mg Tab | TEV | 0.0542 | 0.0542 | YES | NO | YES |
| 00593451 | CODEINE PHOSPHATE | Teva-Codeine 30mg Tab | TEV | 0.0966 | 0.0966 | NO | NO | YES |
| 02163780 | CODEINE SULFATE TRIHYDRATE & MONOHYDRATE | Codeine Contin 150mg CR Tab | PFP | 1.3990 | 1.3990 | NO | YES | YES |
| 02163748 | CODEINE SULFATE TRIHYDRATE & MONOHYDRATE | Codeine Contin 100mg CR Tab | PFP | 0.9320 | 0.9320 | NO | YES | YES |
| 02230302 | CODEINE SULFATE TRIHYDRATE & MONOHYDRATE | Codeine Contin 50mg CR Tab | PFP | 0.4660 | 0.4660 | NO | YES | YES |
| 02163799 | CODEINE SULFATE TRIHYDRATE & MONOHYDRATE | Codeine Contin 200mg CR Tab | PFP | 1.8650 | 1.8650 | NO | YES | YES |
| 02275848 | FENTANYL TRANSDERMAL SYSTEM | Duragesic (Off-Formulary Interchangeable) 75mcg/hr Trans Patch | JAN | N/A | N/A | YES | NO | YES |
| 02275821 | FENTANYL TRANSDERMAL SYSTEM | Duragesic (Not a Benefit) 50mcg/hr Trans Patch | JAN | N/A | N/A | YES | NO | YES |
| 02275813 | FENTANYL TRANSDERMAL SYSTEM | Duragesic (Not a Benefit) 25mcg/hr Trans Patch | JAN | N/A | N/A | YES | NO | YES |
| 02275856 | FENTANYL TRANSDERMAL SYSTEM | Duragesic (Off-Formulary Interchangeable) 100mcg/hr Trans Patch | JAN | N/A | N/A | YES | NO | YES |
| 01937413 | FENTANYL TRANSDERMAL SYSTEM | Duragesic 100 (Off-Formulary Interchangeable) 100mcg/hr Trans Patch | JNO | N/A | N/A | YES | NO | YES |
| 02280345 | FENTANYL TRANSDERMAL SYSTEM | Duragesic 12 (Off-Formulary Interchangeable) 12mcg/hr Trans Patch | JNO | N/A | N/A | YES | NO | YES |
| 01937383 | FENTANYL TRANSDERMAL SYSTEM | Duragesic 25 (Not a Benefit) 25mcg/hr Trans Patch | JNO | N/A | N/A | YES | NO | YES |
| 01937391 | FENTANYL TRANSDERMAL SYSTEM | Duragesic 50 (Not a Benefit) 50mcg/hr Trans Patch | JNO | N/A | N/A | YES | NO | YES |
| 01937405 | FENTANYL TRANSDERMAL SYSTEM | Duragesic 75 (Off-Formulary Interchangeable) 75mcg/hr Trans Patch | JNO | N/A | N/A | YES | NO | YES |
| 02327163 | FENTANYL TRANSDERMAL SYSTEM | Sandoz Fentanyl Patch (Off-Formulary Interchangeable) 100mcg/hr Trans Patch | SDZ | 28.1950 | N/A | YES | NO | YES |
| 02327155 | FENTANYL TRANSDERMAL SYSTEM | Sandoz Fentanyl Patch (Off-Formulary Interchangeable) 75mcg/hr Trans Patch | SDZ | 22.6500 | N/A | YES | NO | YES |
| 02327147 | FENTANYL TRANSDERMAL SYSTEM | Sandoz Fentanyl Patch 50mcg/hr Trans Patch | SDZ | 16.1100 | 16.1100 | YES | YES | YES |
| 02327112 | FENTANYL TRANSDERMAL SYSTEM | Sandoz Fentanyl Patch (Off-Formulary Interchangeable) 12mcg/hr Trans Patch | SDZ | 3.1980 | N/A | YES | NO | YES |
| 02327120 | FENTANYL TRANSDERMAL SYSTEM | Sandoz Fentanyl Patch 25mcg/hr Trans Patch | SDZ | 8.5600 | 8.5600 | YES | YES | YES |
| 02282976 | FENTANYL TRANSDERMAL SYSTEM | Teva-Fentanyl (Off-Formulary Interchangeable) 75mcg/hr Trans Patch | TEV | 22.6500 | N/A | YES | NO | YES |
| 02282968 | FENTANYL TRANSDERMAL SYSTEM | Teva-Fentanyl 50mcg/hr Trans Patch | TEV | 16.1100 | 16.1100 | YES | YES | YES |
| 02282941 | FENTANYL TRANSDERMAL SYSTEM | Teva-Fentanyl 25mcg/hr Trans Patch | TEV | 8.5600 | 8.5600 | YES | YES | YES |
| 02311925 | FENTANYL TRANSDERMAL SYSTEM | Teva-Fentanyl (Off-Formulary Interchangeable) 12mcg/hr Trans Patch | TEV | 3.3200 | N/A | YES | NO | YES |
| 02282984 | FENTANYL TRANSDERMAL SYSTEM | Teva-Fentanyl (Off-Formulary Interchangeable) 100mcg/hr Trans Patch | TEV | 28.1950 | N/A | YES | NO | YES |
| 02359502 | HYDROMORPHONE HCL | Hydromorph Contin 4.5mg CR Cap | PFP | 0.8840 | 0.8840 | NO | NO | YES |
| 02359510 | HYDROMORPHONE HCL | Hydromorph Contin 9mg CR Cap | PFP | 1.4435 | 1.4435 | NO | NO | YES |
| 02125323 | HYDROMORPHONE HCL | Hydromorph Contin 3mg CR Cap | PFP | 0.7320 | 0.7320 | NO | NO | YES |
| 02125331 | HYDROMORPHONE HCL | Hydromorph Contin 6mg CR Cap | PFP | 1.0940 | 1.0940 | NO | NO | YES |
| 02125366 | HYDROMORPHONE HCL | Hydromorph Contin 12mg CR Cap | PFP | 1.9025 | 1.9025 | NO | NO | YES |
| 02243562 | HYDROMORPHONE HCL | Hydromorph Contin 18mg CR Cap | PFP | 2.7450 | 2.7450 | NO | NO | YES |
| 02125382 | HYDROMORPHONE HCL | Hydromorph Contin (Off-Formulary Interchangeable) 24mg CR Cap | PFP | 3.9820 | 3.9820 | NO | NO | YES |
| 02125390 | HYDROMORPHONE HCL | Hydromorph Contin (Off-Formulary Interchangeable) 30mg CR Cap | PFP | 4.7690 | 4.7690 | NO | NO | YES |
| 00627100 | HYDROMORPHONE HCL | Dilaudid (Not a Benefit) 2mg/mL Inj Sol-1mL Pk | PFP | N/A | N/A | YES | NO | YES |
| 00622133 | HYDROMORPHONE HCL | Dilaudid-HP (Not a Benefit) 10mg/mL Inj Sol-1mL Pk | PFP | N/A | N/A | YES | NO | YES |
| 02145901 | HYDROMORPHONE HCL | Hydromorphone 2mg/mL Inj Sol-1mL Pk | SDZ | 1.7830 | 1.7830 | YES | NO | YES |
| 02145928 | HYDROMORPHONE HCL | Hydromorphone HP-10 10mg/mL Inj Sol-1mL Pk | SDZ | 4.3460 | 4.3460 | YES | NO | YES |
| 00786535 | HYDROMORPHONE HCL | Dilaudid (Not a Benefit) 1mg/mL Oral Sol | PFP | N/A | N/A | YES | NO | YES |
| 01916386 | HYDROMORPHONE HCL | PMS-HYDROmorphone 1mg/mL Oral Sol | PMS | 0.0827 | 0.0827 | YES | NO | YES |
| 02364131 | HYDROMORPHONE HCL | Apo-Hydromorphone 4mg Tab | APX | 0.2240 | 0.2240 | YES | NO | YES |
| 02364158 | HYDROMORPHONE HCL | Apo-Hydromorphone 8mg Tab | APX | 0.3528 | 0.3528 | YES | NO | YES |
| 02364123 | HYDROMORPHONE HCL | Apo-Hydromorphone 2mg Tab | APX | 0.1417 | 0.1417 | YES | NO | YES |
| 02364115 | HYDROMORPHONE HCL | Apo-Hydromorphone 1mg Tab | APX | 0.0959 | 0.0959 | YES | NO | YES |
| 00125121 | HYDROMORPHONE HCL | Dilaudid 4mg Tab | PFP | 0.2240 | 0.2240 | YES | NO | YES |
| 00705438 | HYDROMORPHONE HCL | Dilaudid 1mg Tab | PFP | 0.0959 | 0.0959 | YES | NO | YES |
| 00786543 | HYDROMORPHONE HCL | Dilaudid 8mg Tab | PFP | 0.3528 | 0.3528 | YES | NO | YES |
| 00125083 | HYDROMORPHONE HCL | Dilaudid 2mg Tab | PFP | 0.1417 | 0.1417 | YES | NO | YES |
| 00885444 | HYDROMORPHONE HCL | PMS-HYDROmorphone 1mg Tab | PMS | 0.0959 | 0.0959 | YES | NO | YES |
| 00885436 | HYDROMORPHONE HCL | PMS-HYDROmorphone 2mg Tab | PMS | 0.1417 | 0.1417 | YES | NO | YES |
| 00885401 | HYDROMORPHONE HCL | PMS-HYDROmorphone 4mg Tab | PMS | 0.2240 | 0.2240 | YES | NO | YES |
| 00885428 | HYDROMORPHONE HCL | PMS-HYDROmorphone 8mg Tab | PMS | 0.3528 | 0.3528 | YES | NO | YES |
| 02319446 | HYDROMORPHONE HCL | Teva-Hydromorphone 8mg Tab | TEV | 0.3528 | 0.3528 | YES | NO | YES |
| 02319438 | HYDROMORPHONE HCL | Teva-Hydromorphone 4mg Tab | TEV | 0.2240 | 0.2240 | YES | NO | YES |
| 02319403 | HYDROMORPHONE HCL | Teva-Hydromorphone 1mg Tab | TEV | 0.0959 | 0.0959 | YES | NO | YES |
| 02319411 | HYDROMORPHONE HCL | Teva-Hydromorphone 2mg Tab | TEV | 0.1417 | 0.1417 | YES | NO | YES |
| 02244290 | METHADONE HCL | Metadol-D 10mg/mL Oral Concentrate | PAL | 0.1500 | 0.1500 | NO | NO | YES |
| 02394596 | METHADONE HCL | Methadose 10mg/mL Oral Concentrate (Cherry Flavour) | MAL | 0.0525 | 0.0525 | YES | NO | YES |
| 02495872 | METHADONE HCL | Odan-Methadone 10mg/mL Oral Concentrate (Cherry Flavour) | ODN | 0.0525 | 0.0525 | YES | NO | YES |
| 02495783 | METHADONE HCL | Jamp Methadone Oral Concentrate 10mg/mL Oral Concentrate (Unflavoured) | JPC | 0.0525 | 0.0525 | YES | NO | YES |
| 02394618 | METHADONE HCL | Methadose 10mg/mL Oral Concentrate (Unflavoured) | MAL | 0.0525 | 0.0525 | YES | NO | YES |
| 02495880 | METHADONE HCL | Odan-Methadone 10mg/mL Oral Concentrate (Unflavoured) | ODN | 0.0525 | 0.0525 | YES | NO | YES |
| 02019965 | MORPHINE SULFATE | M-Eslon 100mg ER Cap | ETH | 2.2554 | 2.2554 | NO | NO | YES |
| 02177749 | MORPHINE SULFATE | M-Eslon 15mg ER Cap | ETH | 0.3941 | 0.3941 | NO | NO | YES |
| 02019949 | MORPHINE SULFATE | M-Eslon 30mg ER Cap | ETH | 0.5875 | 0.5875 | NO | NO | YES |
| 02019957 | MORPHINE SULFATE | M-Eslon 60mg ER Cap | ETH | 1.0457 | 1.0457 | NO | NO | YES |
| 02019930 | MORPHINE SULFATE | M-Eslon 10mg ER Cap | ETH | 0.3416 | 0.3416 | NO | NO | YES |
| 00392561 | MORPHINE SULFATE | Morphine Sulfate 15mg/mL Inj Sol Amp | SDZ | 2.0940 | 2.0940 | YES | NO | YES |
| 00392588 | MORPHINE SULFATE | Morphine Sulfate 10mg/mL Inj Sol Amp | SDZ | 2.3860 | 2.3860 | NO | NO | YES |
| 02242484 | MORPHINE SULFATE | Morphine Sulfate Injection USP 2mg/mL Inj Sol Amp | SDZ | 2.2510 | 2.2510 | NO | NO | YES |
| 00850330 | MORPHINE SULFATE | Morphine Sulfate Injection USP (Not a Benefit) 15mg/mL Inj Sol Amp | HOS | N/A | N/A | YES | NO | YES |
| 00617288 | MORPHINE SULFATE | Morphine HP-50 50mg/mL Inj Sol-1mL Pk | SDZ | 6.8195 | 6.8195 | NO | NO | YES |
| 00591467 | MORPHINE SULFATE | Statex 1mg/mL O/L | PAL | 0.0200 | 0.0200 | NO | NO | YES |
| 00591475 | MORPHINE SULFATE | Statex 5mg/mL O/L | PAL | 0.0803 | 0.0803 | NO | NO | YES |
| 02184451 | MORPHINE SULFATE | Kadian 100mg SR Cap | BGP | 2.8660 | 2.8660 | NO | NO | YES |
| 02184443 | MORPHINE SULFATE | Kadian 50mg SR Cap | BGP | 1.6431 | 1.6431 | NO | NO | YES |
| 02184435 | MORPHINE SULFATE | Kadian 20mg SR Cap | BGP | 0.8686 | 0.8686 | NO | NO | YES |
| 02242163 | MORPHINE SULFATE | Kadian 10mg SR Cap | BGP | 0.4471 | 0.4471 | NO | NO | YES |
| 02014327 | MORPHINE SULFATE | MS Contin (Off-Formulary Interchangeable) 200mg SR Tab | PFP | 6.9145 | 4.5738 | YES | NO | YES |
| 02014319 | MORPHINE SULFATE | MS Contin 100mg SR Tab | PFP | 3.7085 | 1.5395 | YES | NO | YES |
| 02014300 | MORPHINE SULFATE | MS Contin 60mg SR Tab | PFP | 2.4360 | 1.2180 | YES | NO | YES |
| 02014297 | MORPHINE SULFATE | MS Contin 30mg SR Tab | PFP | 1.3815 | 0.6580 | YES | NO | YES |
| 02015439 | MORPHINE SULFATE | MS Contin 15mg SR Tab | PFP | 0.9140 | 0.4145 | YES | NO | YES |
| 02244792 | MORPHINE SULFATE | Sandoz Morphine SR 60mg SR Tab | SDZ | 1.2180 | 1.2180 | YES | NO | YES |
| 02244790 | MORPHINE SULFATE | Sandoz Morphine SR 15mg SR Tab | SDZ | 0.4145 | 0.4145 | YES | NO | YES |
| 02244791 | MORPHINE SULFATE | Sandoz Morphine SR 30mg SR Tab | SDZ | 0.6580 | 0.6580 | YES | NO | YES |
| 02478889 | MORPHINE SULFATE | Sandoz Morphine SR 100mg SR Tab | SDZ | 1.5395 | 1.5395 | YES | NO | YES |
| 02478897 | MORPHINE SULFATE | Sandoz Morphine SR (Off-Formulary Interchangeable) 200mg SR Tab | SDZ | 4.5738 | 4.5738 | YES | NO | YES |
| 02302764 | MORPHINE SULFATE | Teva-Morphine SR 15mg SR Tab | TEV | 0.4145 | 0.4145 | YES | NO | YES |
| 02302799 | MORPHINE SULFATE | Teva-Morphine SR 100mg SR Tab | TEV | 1.5395 | 1.5395 | YES | NO | YES |
| 02302780 | MORPHINE SULFATE | Teva-Morphine SR 60mg SR Tab | TEV | 1.2180 | 1.2180 | YES | NO | YES |
| 02302772 | MORPHINE SULFATE | Teva-Morphine SR 30mg SR Tab | TEV | 0.6580 | 0.6580 | YES | NO | YES |
| 02302802 | MORPHINE SULFATE | Teva-Morphine SR (Off-Formulary Interchangeable) 200mg SR Tab | TEV | 4.5737 | 4.5737 | YES | NO | YES |
| 02014238 | MORPHINE SULFATE | MS-IR 20mg Tab | PFP | 0.4260 | 0.4260 | NO | NO | YES |
| 02014254 | MORPHINE SULFATE | MS-IR 30mg Tab | PFP | 0.5470 | 0.5470 | NO | NO | YES |
| 00594652 | MORPHINE SULFATE | Statex 5mg Tab | PAL | 0.1251 | 0.1251 | NO | NO | YES |
| 00594644 | MORPHINE SULFATE | Statex 10mg Tab | PAL | 0.1934 | 0.1934 | NO | NO | YES |
| 02231934 | OXYCODONE HCL | Oxy.IR (Off-Formulary Interchangeable) 5mg Tab | PFP | N/A | N/A | YES | NO | YES |
| 02240131 | OXYCODONE HCL | Oxy.IR (Off-Formulary Interchangeable) 10mg Tab | PFP | N/A | N/A | YES | NO | YES |
| 02240132 | OXYCODONE HCL | Oxy.IR (Off-Formulary Interchangeable) 20mg Tab | PFP | N/A | N/A | YES | NO | YES |
| 02319977 | OXYCODONE HCL | PMS-Oxycodone (Off-Formulary Interchangeable) 5mg Tab | PMS | 0.2333 | 0.2333 | YES | NO | YES |
| 02319985 | OXYCODONE HCL | PMS-Oxycodone (Off-Formulary Interchangeable) 10mg Tab | PMS | 0.3451 | 0.3451 | YES | NO | YES |
| 02319993 | OXYCODONE HCL | PMS-Oxycodone (Off-Formulary Interchangeable) 20mg Tab | PMS | 0.6001 | 0.6001 | YES | NO | YES |
| 00789739 | OXYCODONE HCL | Supeudol (Off-Formulary Interchangeable) 5mg Tab | SDZ | 0.2333 | 0.2333 | YES | NO | YES |
| 02262983 | OXYCODONE HCL | Supeudol (Off-Formulary Interchangeable) 20mg Tab | SDZ | 0.6001 | 0.6001 | YES | NO | YES |
| 00443948 | OXYCODONE HCL | Supeudol (Off-Formulary Interchangeable) 10mg Tab | SDZ | 0.3451 | 0.3451 | YES | NO | YES |
| 02324628 | OXYCODONE HCL & ACETAMINOPHEN | Apo-Oxycodone/Acet 5mg & 325mg Tab | APX | 0.1285 | 0.1285 | YES | NO | YES |
| 01916548 | OXYCODONE HCL & ACETAMINOPHEN | Endocet 5mg & 325mg Tab | BQU | 0.1285 | 0.1285 | YES | NO | YES |
| 01916475 | OXYCODONE HCL & ACETAMINOPHEN | Percocet (Not a Benefit) 5mg & 325mg Tab | BQU | N/A | N/A | YES | NO | YES |
| 02307898 | OXYCODONE HCL & ACETAMINOPHEN | Sandoz Oxycodone/Acetaminophen 5mg & 325mg Tab | SDZ | 0.1285 | 0.1285 | YES | NO | YES |
| 00608165 | OXYCODONE HCL & ACETAMINOPHEN | Teva-Oxycocet 5mg & 325mg Tab | TEV | 0.1285 | 0.1285 | YES | NO | YES |
| 01916572 | OXYCODONE HCL & ACETYLSALICYLIC ACID | Percodan (Not a Benefit) 5mg & 325mg Tab | BQU | N/A | N/A | YES | NO | YES |
| 00608157 | OXYCODONE HCL & ACETYLSALICYLIC ACID | Ratio-Oxycodan 5mg & 325mg Tab | RPH | 0.4599 | 0.4599 | YES | NO | YES |
| 02450445 | TRAMADOL HCL | Taro-Tramadol ER (Off-Formulary Interchangeable) 300mg ER Tab | TAR | 1.2854 | N/A | YES | NO | YES |
| 02450437 | TRAMADOL HCL | Taro-Tramadol ER (Off-Formulary Interchangeable) 200mg ER Tab | TAR | 0.9244 | N/A | YES | NO | YES |
| 02450429 | TRAMADOL HCL | Taro-Tramadol ER (Off-Formulary Interchangeable) 100mg ER Tab | TAR | 0.7853 | N/A | YES | NO | YES |
| 02296411 | TRAMADOL HCL | Tridural (Off-Formulary Interchangeable) 300mg ER Tab | PAL | N/A | N/A | YES | NO | YES |
| 02296381 | TRAMADOL HCL | Tridural (Off-Formulary Interchangeable) 100mg ER Tab | PAL | N/A | N/A | YES | NO | YES |
| 02296403 | TRAMADOL HCL | Tridural (Off-Formulary Interchangeable) 200mg ER Tab | PAL | N/A | N/A | YES | NO | YES |
| 02426153 | TRAMADOL HCL | Apo-Tramadol (Off-Formulary Interchangeable) 50mg Tab | APX | 0.6386 | N/A | YES | NO | YES |
| 02479672 | TRAMADOL HCL | Auro-Tramadol (Off-Formulary Interchangeable) 50mg Tab | AUR | 0.6386 | N/A | YES | NO | YES |
| 02507005 | TRAMADOL HCL | Jamp Tramadol (Off-Formulary Interchangeable) 50mg Tab | JPC | 0.6386 | N/A | YES | NO | YES |
| 02518759 | TRAMADOL HCL | Jamp Tramadol HCl (Off-Formulary Interchangeable) 50mg Tab | JPC | 0.6386 | N/A | YES | NO | YES |
| 02480859 | TRAMADOL HCL | Mar-Tramadol (Off-Formulary Interchangeable) 50mg Tab | MAR | 0.6386 | N/A | YES | NO | YES |
| 02493764 | TRAMADOL HCL | Sandoz Tramadol (Off-Formulary Interchangeable) 50mg Tab | SDZ | 0.6386 | N/A | YES | NO | YES |
| 02349469 | TRAMADOL HCL | Ultram (Off-Formulary Interchangeable) 50mg Tab | JAN | N/A | N/A | YES | NO | YES |
| 02336790 | TRAMADOL HCL & ACETAMINOPHEN | Apo-Tramadol/Acet (Off-Formulary Interchangeable) 37.5mg & 325mg Tab | APX | 0.6264 | N/A | YES | NO | YES |
| 02439050 | TRAMADOL HCL & ACETAMINOPHEN | Auro-Tramadol/Acetaminophen (Off-Formulary Interchangeable) 37.5mg & 325mg Tab | AUR | 0.6264 | N/A | YES | NO | YES |
| 02383209 | TRAMADOL HCL & ACETAMINOPHEN | Co Tramadol/Acet (Off-Formulary Interchangeable) 37.5mg & 325mg Tab | COB | 0.6264 | N/A | YES | NO | YES |
| 02388308 | TRAMADOL HCL & ACETAMINOPHEN | Jamp-Acet-Tramadol (Off-Formulary Interchangeable) 37.5mg & 325mg Tab | JPC | 0.6264 | N/A | YES | NO | YES |
| 02388324 | TRAMADOL HCL & ACETAMINOPHEN | Mar-Tramadol/Acet (Off-Formulary Interchangeable) 37.5mg & 325mg Tab | MAR | 0.6264 | N/A | YES | NO | YES |
| 02389800 | TRAMADOL HCL & ACETAMINOPHEN | Mint-Tramadol/Acet (Off-Formulary Interchangeable) 37.5mg & 325mg Tab | MIN | 0.6264 | N/A | YES | NO | YES |
| 02469650 | TRAMADOL HCL & ACETAMINOPHEN | NRA-Tramadol/ACET (Off-Formulary Interchangeable) 37.5mg & 325mg Tab | NRA | 0.6264 | N/A | YES | NO | YES |
| 02401657 | TRAMADOL HCL & ACETAMINOPHEN | PMS-Tramadol-Acet (Off-Formulary Interchangeable) 37.5mg & 325mg Tab | PMS | 0.6264 | N/A | YES | NO | YES |
| 02388197 | TRAMADOL HCL & ACETAMINOPHEN | Taro-Tramadol/Acet (Off-Formulary Interchangeable) 37.5mg & 325mg Tab | SPC | 0.6264 | N/A | YES | NO | YES |
| 02347180 | TRAMADOL HCL & ACETAMINOPHEN | Teva-Tramadol/Acetaminophen (Off-Formulary Interchangeable) 37.5mg & 325mg Tab | TEV | 0.6264 | N/A | YES | NO | YES |
| 02264846 | TRAMADOL HCL & ACETAMINOPHEN | Tramacet (Off-Formulary Interchangeable) 37.5mg & 325mg Tab | JAN | N/A | N/A | YES | NO | YES |