Product Details

Tylenol with Codeine No. 3

Acetaminophen + Caffeine + Codeine Phosphate
300 mg + 15 mg + 30 mg
Tablet


DIN/PIN/NPN

02163926

Manufacturer

Janssen Inc.

Formulary Listing Date

1996-10-01  

Unit Price

NA

Amount MOH Pays

NA

Coverage Status

Not a Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

Analgesics, Opiate Agonists (28:08:08): Narcotic analgesics can produce dependence and may be abused. Physical dependence, psychological dependence and tolerance may develop. Prescribers are cautioned about ordering these drugs for patients with a history of either emotional disturbances or drug abuse, including alcohol.

ATC Code

N02AJ06

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02163926 Tylenol with Codeine No. 3 NA NA
00653276 Teva-Lenoltec No.3 0.0933 0.0933
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph