| Drug |
Examples of Brand Name |
Usual Adult Dose* |
Cost |
|
Opioid Analgesic Combination (Controlled Drug Schedule)
|
|
|
| Codeine/APAP (C-III) |
Tylenol #2 15/300, Tylenol #3 30/300, Tylenol #4 60/300; Liquid 12/120/5 mL (c-v) |
60 mg q 34 hours or 12 tab q4 hours; 15 mL q 4 hours |
$714/30s$610/120 mL |
| Codeine/aspirin (C-III) |
Empirin #3 30/325, Empirin #4 60/325 |
60 mg q 34 hours or 12 tab q 4 hours |
$58/30s |
| Hydrocodone/APAP (C-III) |
Lorcet-HD 5/500, Lorcet plus 7.5/650, Lorcet 10/650; Lortab 2.5/500, 5/500, 7.5/500; Vicodin 5/500, Vicodin ES 7.5/750, Vicodin HP 10/660; Lortab elixir 2.5/167/5 mL |
10 mg q 34 hours or 12 tab q 34 hours |
$1425/30s |
Hydrocodone/ibuprofen (C-III) |
Vicoprofen 7.5/200 |
1 tab q 46 hours |
$32.55/30s |
| Oxycodone/APAP (C-II) |
Percocet 2.5/325, 5/325, 7.5/500, 10/650; Roxicet 5/325, 5/500; Tylox 5/500 |
10 mg q 34 hours |
$624/30s |
| Oxycodone/aspirin (C-II) |
Percodan-Demi 2.5/325, Percodan 5/325 |
10 mg q 34 hours |
$717/30s |
| Propoxyphene napsylate/APAP (C-IV) |
Darvocet-N 50 50/325, Darvocet-N 100 100/650 |
100 mg q 4 hours |
$916/30s |
| Propoxyphene/APAP (C-IV) |
Wygesic 65/650 |
1 tab q 4 hours |
$69/30s |
| Other Step 2 Agents |
|
|
|
Tramadol |
Ultram 50 mg |
50100 mg q 46 hours |
$25/30s |
Tramadol/APAP |
Ultracet 37.5/325 |
12 tab q 46 hours |
$25/30s |