What do you mean by Tier? If you are speaking in terms of drug coverage copayments, it varies from plan to plan's formulary. If you are asking if it is a controlled substance, it varies, from state to state right now. Some consider it a Schedule IV. This is what I found dated as of March 2013:
Tramadol is not listed as a federally controlled drug, but its class status changes from state to state. Arkansas, Tennessee, Illinois, New Mexico, Ohio, West Virginia, Kentucky, Wyoming, Mississippi, North Dakota, Oklahoma, and the US military also classify Tramadol as a schedule IV controlled substance. Other states might follow suite in the future considering Tramadol habit-forming properties. The suggested maximum dosage per day is 400mg via oral admission, and 600mg via parenteral admission.
- Tramadol Information for Consumers
- Tramadol Information for Healthcare Professionals (includes dosage details)
- Side Effects of Tramadol (detailed)
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