Acetaminophen 300 mg + Codeine 60 mg Combination Tablet (Generic for Tylenol #4)

Added onJanuary 20, 2025

Updated onSeptember 14, 2025

ByHealth Pals

Coverage Level – 100%

Copay – $0

Limitations – No more than 30 days’ supply

Restrictions – Health Pals Mail Order Pharmacy Network

Comments – N/A

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