HISTORY OF PRE-OP OPIOID USE PATIENT NUMBER INITIAL OPIOID PRESCRIBED AND QUANTITY OF TABLETS DISPENSED NUMBER OF REFILLS REQUESTED NAME AND QUANTITY OF TABLETS DISPENSED TOTAL NUMBER OF OPIOID TABLETS DISPENSED POST-
OPERATIVELY
No #157 Tramadol HCL 50 mg, 10 tablets 1 Tramadol HCL 50 mg, 15 tablets 25 tablets
Yes #163 Oxycodone HCL (IR) 5 mg, 10 tablets 2 Oxycodone HCL (IR) 5 mg, 10 tablets 30 tablets
Oxycodone HCL (IR) 5 mg, 10 tablets
Yes #170 Tramadol HCL 50 mg, 10 tablets 1 Tramadol HCL 50 mg, 10 tablets 20 tablets
No #175 Tramadol HCL 50 mg, 10 tablets 1 Tramadol HCL 50 mg, 20 tablets 30 tablets
No #178 Tramadol HCL 50 mg, 10 tablets 2 Refill #1-
Tramadol HCL 50 mg, 10 tablets
30 tablets
Refill #2-
Tramadol HCL 50 mg, 10 tablets
No #179 Tramadol HCL 50 mg, 10 tablets 1 Tramadol HCL 50 mg, 10 tablets 20 tablets
Yes #183 Tramadol HCL 50 mg, 10 tablets 1 Tramadol HCL 50 mg, 10 tablets 20 tablets