FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10600XMPNP FENTANYLP
fentanyl 200 microgram sublingual tablet, 10 (PI, CMI)
2 20 0 $160.62 $40.30 $40.30
Available brands
Abstral
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10601YMPNP FENTANYLP
fentanyl 100 microgram sublingual tablet, 10 (PI, CMI)
2 20 0 $160.62 $40.30 $40.30
Available brands
Abstral
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10602BMPNP FENTANYLP
fentanyl 100 microgram sublingual tablet, 30 (PI, CMI)
2 60 0 $462.14 $40.30 $40.30
Available brands
Abstral
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10603CMPNP FENTANYLP
fentanyl 400 microgram sublingual tablet, 10 (PI, CMI)
1 10 0 $87.51 $40.30 $40.30
Available brands
Abstral
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10604DMPNP FENTANYLP
fentanyl 600 microgram sublingual tablet, 10 (PI, CMI)
1 10 0 $87.51 $40.30 $40.30
Available brands
Abstral
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10606FMPNP FENTANYLP
fentanyl 300 microgram sublingual tablet, 10 (PI, CMI)
1 10 0 $87.51 $40.30 $40.30
Available brands
Abstral
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10607GMPNP FENTANYLP
fentanyl 200 microgram sublingual tablet, 30 (PI, CMI)
2 60 0 $462.14 $40.30 $40.30
Available brands
Abstral
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10608HMPNP FENTANYLP
fentanyl 400 microgram sublingual tablet, 30 (PI, CMI)
2 60 0 $462.14 $40.30 $40.30
Available brands
Abstral
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10610KMPNP FENTANYLP
fentanyl 300 microgram sublingual tablet, 30 (PI, CMI)
2 60 0 $462.14 $40.30 $40.30
Available brands
Abstral
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10611LMPNP FENTANYLP
fentanyl 800 microgram sublingual tablet, 30 (PI, CMI)
2 60 0 $462.14 $40.30 $40.30
Available brands
Abstral
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10612MMPNP FENTANYLP
fentanyl 800 microgram sublingual tablet, 10 (PI, CMI)
1 10 0 $87.51 $40.30 $40.30
Available brands
Abstral
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10613NMPNP FENTANYLP
fentanyl 600 microgram sublingual tablet, 30 (PI, CMI)
2 60 0 $462.14 $40.30 $40.30
Available brands
Abstral
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10684HMPNP FENTANYLP
fentanyl 100 microgram orally disintegrating tablet, 28 (PI, CMI)
2 56 0 $431.88 $40.30 $40.30
Available brands
Fentora
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10697BMPNP FENTANYLP
fentanyl 200 microgram orally disintegrating tablet, 4 (PI, CMI)
2 8 0 $72.90 $40.30 $40.30
Available brands
Fentora
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10698CMPNP FENTANYLP
fentanyl 200 microgram orally disintegrating tablet, 28 (PI, CMI)
2 56 0 $431.88 $40.30 $40.30
Available brands
Fentora
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10713WMPNP FENTANYLP
fentanyl 600 microgram orally disintegrating tablet, 28 (PI, CMI)
2 56 0 $431.88 $40.30 $40.30
Available brands
Fentora
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10722HMPNP FENTANYLP
fentanyl 600 microgram orally disintegrating tablet, 4 (PI, CMI)
2 8 0 $72.90 $40.30 $40.30
Available brands
Fentora
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10723JMPNP FENTANYLP
fentanyl 800 microgram orally disintegrating tablet, 4 (PI, CMI)
2 8 0 $72.90 $40.30 $40.30
Available brands
Fentora
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10729QMPNP FENTANYLP
fentanyl 100 microgram orally disintegrating tablet, 4 (PI, CMI)
2 8 0 $72.90 $40.30 $40.30
Available brands
Fentora
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10737DMPNP FENTANYLP
fentanyl 400 microgram orally disintegrating tablet, 28 (PI, CMI)
2 56 0 $431.88 $40.30 $40.30
Available brands
Fentora
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10738EMPNP FENTANYLP
fentanyl 800 microgram orally disintegrating tablet, 28 (PI, CMI)
2 56 0 $431.88 $40.30 $40.30
Available brands
Fentora
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
10739FMPNP FENTANYLP
fentanyl 400 microgram orally disintegrating tablet, 4 (PI, CMI)
2 8 0 $72.90 $40.30 $40.30
Available brands
Fentora
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FENTANYL

Source General Schedule
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
5265DMPNP FENTANYL
fentanyl 12 microgram/hour patch, 5 (PI, CMI)
1 5 0 $22.86 $24.09 $28.62
Available brands
Denpaxa
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FENTANYL

Source General Schedule
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
5277RMPNP FENTANYL
fentanyl 25 microgram/hour patch, 5 (PI, CMI)
1 5 0 $25.16 $26.39 $30.92
Available brands
Denpaxa
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FENTANYL

Source General Schedule
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
5278TMPNP FENTANYL
fentanyl 50 microgram/hour patch, 5 (PI, CMI)
1 5 0 $34.18 $35.41 $39.94
Available brands
Denpaxa
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FENTANYL

Source General Schedule
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
5279WMPNP FENTANYL
fentanyl 75 microgram/hour patch, 5 (PI, CMI)
1 5 0 $41.51 $40.30 $40.30
Available brands
Denpaxa
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FENTANYL

Source General Schedule
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
5280XMPNP FENTANYL
fentanyl 100 microgram/hour patch, 5 (PI, CMI)
1 5 0 $48.03 $40.30 $40.30
Available brands
Denpaxa
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
5401GMPNP FENTANYLP
fentanyl 200 microgram lozenge on handle, 9 (PI, CMI)
1 9 0 $96.65 $40.30 $40.30
Available brands
Actiq
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
5402HMPNP FENTANYLP
fentanyl 400 microgram lozenge on handle, 9 (PI, CMI)
1 9 0 $96.65 $40.30 $40.30
Available brands
Actiq
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
5403JMPNP FENTANYLP
fentanyl 600 microgram lozenge on handle, 9 (PI, CMI)
1 9 0 $96.65 $40.30 $40.30
Available brands
Actiq
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
5404KMPNP FENTANYLP
fentanyl 800 microgram lozenge on handle, 9 (PI, CMI)
1 9 0 $96.65 $40.30 $40.30
Available brands
Actiq
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
5405LMPNP FENTANYLP
fentanyl 1200 microgram lozenge on handle, 9 (PI, CMI)
1 9 0 $96.65 $40.30 $40.30
Available brands
Actiq
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
5406MMPNP FENTANYLP
fentanyl 1600 microgram lozenge on handle, 9 (PI, CMI)
1 9 0 $96.65 $40.30 $40.30
Available brands
Actiq
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
5407NMPNP FENTANYLP
fentanyl 200 microgram lozenge on handle, 30 (PI, CMI)
2 60 0 $575.66 $40.30 $40.30
Available brands
Actiq
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
5408PMPNP FENTANYLP
fentanyl 400 microgram lozenge on handle, 30 (PI, CMI)
2 60 0 $575.66 $40.30 $40.30
Available brands
Actiq
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
5409QMPNP FENTANYLP
fentanyl 600 microgram lozenge on handle, 30 (PI, CMI)
2 60 0 $575.66 $40.30 $40.30
Available brands
Actiq
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
5410RMPNP FENTANYLP
fentanyl 800 microgram lozenge on handle, 30 (PI, CMI)
2 60 0 $575.66 $40.30 $40.30
Available brands
Actiq
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
5411TMPNP FENTANYLP
fentanyl 1200 microgram lozenge on handle, 30 (PI, CMI)
2 60 0 $575.66 $40.30 $40.30
Available brands
Actiq
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FENTANYL

Source Palliative Care
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
5412WMPNP FENTANYLP
fentanyl 1600 microgram lozenge on handle, 30 (PI, CMI)
2 60 0 $575.66 $40.30 $40.30
Available brands
Actiq
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FENTANYL

Source General Schedule
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
5437EMPNP FENTANYL
fentanyl 12 microgram/hour patch, 5 (PI, CMI)
1 5 0 $22.86 $24.09 $28.62
Available brands
Dutran 12a
Fenpatch 12a
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FENTANYL

Source General Schedule
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
5438FMPNP FENTANYL
fentanyl 25 microgram/hour patch, 5 (PI, CMI)
1 5 0 $25.16 $26.39 $30.92
Available brands
Dutran 25a
Fenpatch 25a
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FENTANYL

Source General Schedule
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
5439GMPNP FENTANYL
fentanyl 50 microgram/hour patch, 5 (PI, CMI)
1 5 0 $34.18 $35.41 $39.94
Available brands
Dutran 50a
Fenpatch 50a
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FENTANYL

Source General Schedule
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
5440HMPNP FENTANYL
fentanyl 75 microgram/hour patch, 5 (PI, CMI)
1 5 0 $41.51 $40.30 $40.30
Available brands
Dutran 75a
Fenpatch 75a
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FENTANYL

Source General Schedule
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
5441JMPNP FENTANYL
fentanyl 100 microgram/hour patch, 5 (PI, CMI)
1 5 0 $48.03 $40.30 $40.30
Available brands
Dutran 100a
Fenpatch 100a
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FENTANYL

Source General Schedule
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
8878GMPNP FENTANYL
fentanyl 12 microgram/hour patch, 5 (PI, CMI)
1 5 0 $22.86 $24.09 $28.62
Available brands
APO-Fentanyla
Durogesic 12a
Fentanyl Sandoza
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FENTANYL

Source General Schedule
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
8891YMPNP FENTANYL
fentanyl 25 microgram/hour patch, 5 (PI, CMI)
1 5 0 $25.16 $26.39 $30.92
Available brands
APO-Fentanyla
Durogesic 25a
Fentanyl Sandoza
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FENTANYL

Source General Schedule
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
8892BMPNP FENTANYL
fentanyl 50 microgram/hour patch, 5 (PI, CMI)
1 5 0 $34.18 $35.41 $39.94
Available brands
APO-Fentanyla
Durogesic 50a
Fentanyl Sandoza
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FENTANYL

Source General Schedule
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
8893CMPNP FENTANYL
fentanyl 75 microgram/hour patch, 5 (PI, CMI)
1 5 0 $41.51 $40.30 $40.30
Available brands
APO-Fentanyla
Durogesic 75a
Fentanyl Sandoza
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FENTANYL

Source General Schedule
Body System NERVOUS SYSTEM > ANALGESICS > OPIOIDS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
8894DMPNP FENTANYL
fentanyl 100 microgram/hour patch, 5 (PI, CMI)
1 5 0 $48.03 $40.30 $40.30
Available brands
APO-Fentanyla
Durogesic 100a
Fentanyl Sandoza
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  • PPalliative care items
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner