One refill can look completely different from what you’re used to.

I know that feeling, picking up your Vicodin and seeing a pill that’s yellow instead of the usual white oval, and instantly thinking, “Wait… is this right?”

It’s smart to question it. Knowing exactly what your Vicodin should look like isn’t just for peace of mind; it can actually keep you safe from mix-ups or fake medication.

I’ll walk you through how to identify your pills confidently, so you’ll never have to worry again.

What is Vicodin?

Vicodin is one of the most commonly prescribed pain medications in the United States. It’s what doctors call a “combination drug” because it contains two active ingredients:

• Hydrocodone: An opioid pain reliever
• Acetaminophen: The same ingredient found in Tylenol, which promotes pain relief

Doctors typically prescribe Vicodin for moderate to severe pain, such as after surgery, dental procedures, or injuries. It’s effective, but it’s also a controlled substance because hydrocodone can be habit-forming.

Physical Appearance of Vicodin Pills

Before identifying your medication, it’s important to know what Vicodin typically looks like. Let’s start by understanding its size and shape:

1. Size and Shape

Vicodin pills come in several different sizes and shapes, depending on the manufacturer and dosage strength:

• Oval/Capsule-shaped: This is the classic Vicodin shape you’ll see most often
• Round: Less common but still legitimate
• Oblong: Similar to oval but more rectangular

The pills are generally small to medium-sized, about the size of a typical aspirin or slightly larger. Higher-dose pills tend to be bigger than lower-dose ones.

Pro Tip: If you have a pill that’s unusually large or small compared to what you normally receive, double-check with your pharmacist. It might be a different manufacturer or strength.

2. Color Variations

Here’s where things get interesting: Vicodin pills can come in several colors:

Most Common Colors

• White: The classic color you’ll see most often
• Off-white or cream: Very common, especially in generic versions
• Light yellow: Less common but legitimate

Don’t panic if your Vicodin looks a different color than usual.

Different manufacturers use different colors, and your pharmacy might have switched suppliers. However, if the color seems completely off (like bright blue or green), that’s a red flag.

3. Pill Markings and Imprints

This is the most important part of identifying any medication, including Vicodin. Every legitimate prescription pill in the U.S. must have unique markings called imprints.

These aren’t just decorations; they’re like fingerprints for medications. The FDA requires specific imprints that identify exactly what the pill is, who made it, and what strength it contains.

Common Vicodin Imprints Include:

• “VICODIN” with numbers (on brand-name versions)
• Number combinations like “35 92” or “176”
• Letter-number combinations like “M365” or “IP110”
• Manufacturer codes combined with dosage numbers

Example: A white, oval pill with “IP 110” on one side contains 10mg hydrocodone and 325mg acetaminophen.

4. Dosage Differences

Vicodin comes in several different strengths, and the appearance often changes with the dosage:

How to Identify Vicodin Easily

So you have a pill and want to make sure it’s legitimate Vicodin? Here’s what to do:

Step 1: Check the Imprint

Look for clear markings on both sides of the pill. Write down exactly what you see: numbers, letters, symbols, everything.

Step 2: Use a Pill Identifier Tool

Several reliable options exist:

• Drugs.com Pill Identifier (free and comprehensive)
• WebMD Pill Identifier

Step 3: Verify with a Professional

When in doubt, ask your pharmacist. They can identify pills quickly and accurately. Most pharmacists are happy to help; it’s part of keeping you safe.

Step 4: Cross-Reference

If you’re using the medication as prescribed, compare your pill to previous bottles you’ve received. Significant changes in appearance warrant a quick check.

Important Safety Warnings to Keep in Mind

Before we wrap up, here are some crucial safety points that you should take care of:

• Never Take Unknown Pills: This can’t be emphasized enough. Unknown medications can interact dangerously with other drugs or cause severe allergic reactions.
• Beware of Counterfeit Medications: Fake Vicodin pills are increasingly common and may contain dangerous substances like fentanyl. Always get medications from licensed pharmacies.
• Check Expiration Dates: Even if a pill looks right, expired medications can be ineffective or harmful.
• Store Properly: Keep Vicodin in its original bottle with all labeling intact. This prevents confusion and ensures you always know what you’re taking.

Final Thoughts

Yes, Vicodin pills can look surprisingly different between refills, and that’s completely normal.

But now you’re armed with the knowledge to tell the difference between a legitimate manufacturer change and something that should raise red flags.

Don’t ever feel embarrassed about double-checking your medication. You now know the key signs to look for, the imprints, the colors, the shapes, and when to seek help.

Ready to put this knowledge to use? Take a moment to examine your current pills using the steps we covered.