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 $145.21 $31.60 $31.60
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 $145.21 $31.60 $31.60
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 $409.29 $31.60 $31.60
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 $81.05 $31.60 $31.60
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 $81.05 $31.60 $31.60
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 $81.05 $31.60 $31.60
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 $409.29 $31.60 $31.60
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 $409.29 $31.60 $31.60
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 $409.29 $31.60 $31.60
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 $409.29 $31.60 $31.60
Available brands
Abstral
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