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HYDROCODONE/ IBUPROFEN TAB

Clinical Criteria Summary

Continuity of Care

  • Veteran is transitioning care from the Department of Defense to VHA
  • Must also meet one of the following Additional Inclusion Criteria:
  • The medication is safe and clinically appropriate as determined by a VA prescriber using shared decision making
  • The medication is indicated for tapering the dose or slowly discontinuing therapy as determined by a VA prescriber using shared decision making

Non-Continuity of Care

  • Inadequate response, contraindication or intolerance to hydrocodone/acetaminophen combination product and clinical need for hydrocodone containing product

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