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Are there any dilaudid pills,that are really small,white and the imprint is I believe it saysS4195?

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28 May 2013

There is a generic Dilaudid (hydromorphone) tablet made by Roxane which is very close to the description you have given.

Pill imprint 54 196 4 has been identified as Hydromorphone Hydrochloride 4 mg.
https://www.drugs.com/imprints/54-196-4-15304.html

Description: Hydromorphone Hydrochloride Tablets, USP, are supplied as white to off-white, round tablets. The 4 mg tablet is debossed with "4" on one side and "54 196" on the other side.

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