Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required

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	$146.34	$31.60	$31.60
	Available brands
	Abstral

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required

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	$146.34	$31.60	$31.60
	Available brands
	Abstral

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required

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	$410.42	$31.60	$31.60
	Available brands
	Abstral

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required

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	$82.17	$31.60	$31.60
	Available brands
	Abstral

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required

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	$82.17	$31.60	$31.60
	Available brands
	Abstral

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required

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	$82.17	$31.60	$31.60
	Available brands
	Abstral

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required

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	$410.42	$31.60	$31.60
	Available brands
	Abstral

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required

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	$410.42	$31.60	$31.60
	Available brands
	Abstral

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required

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	$410.42	$31.60	$31.60
	Available brands
	Abstral

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required

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	$410.42	$31.60	$31.60
	Available brands
	Abstral

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required

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	$82.17	$31.60	$31.60
	Available brands
	Abstral

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required

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	$410.42	$31.60	$31.60
	Available brands
	Abstral

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required

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	$444.20	$31.60	$31.60
	Available brands
	Fentora

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required

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	$77.80	$31.60	$31.60
	Available brands
	Fentora

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required

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	$444.20	$31.60	$31.60
	Available brands
	Fentora

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required

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	$285.82	$31.60	$31.60
	Available brands
	Fentora

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required

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	$77.80	$31.60	$31.60
	Available brands
	Fentora

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required

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	$285.82	$31.60	$31.60
	Available brands
	Fentora

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required

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	$285.82	$31.60	$31.60
	Available brands
	Fentora

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required

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
12474MMPNP	FENTANYLP fentanyl 75 microgram/hour patch, 5 (PI, CMI)	2	10	0	$52.42	$31.60	$31.60
	Available brands
	APO-Fentanyla
	Fentanyl Sandoza

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required

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
12477QMPNP	FENTANYLP fentanyl 50 microgram/hour patch, 5 (PI, CMI)	2	10	0	$43.48	$31.60	$31.60
	Available brands
	APO-Fentanyla
	Fentanyl Sandoza

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required

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
12504DMPNP	FENTANYLP fentanyl 25 microgram/hour patch, 5 (PI, CMI)	2	10	0	$32.46	$31.60	$31.60
	Available brands
	APO-Fentanyla
	Fentanyl Sandoza

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required

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
12509JMPNP	FENTANYLP fentanyl 100 microgram/hour patch, 5 (PI, CMI)	2	10	0	$60.40	$31.60	$31.60
	Available brands
	APO-Fentanyla
	Fentanyl Sandoza

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required

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
12541CMPNP	FENTANYLP fentanyl 12 microgram/hour patch, 5 (PI, CMI)	2	10	0	$29.64	$31.12	$31.60
	Available brands
	APO-Fentanyla
	Fentanyl Sandoza

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required

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, 9 (PI, CMI)	1	9	0	$90.86	$31.60	$31.60
	Available brands
	Actiq

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required

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, 9 (PI, CMI)	1	9	0	$90.86	$31.60	$31.60
	Available brands
	Actiq

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required

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, 30 (PI, CMI)	2	60	0	$515.24	$31.60	$31.60
	Available brands
	Actiq

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required

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, 30 (PI, CMI)	2	60	0	$515.24	$31.60	$31.60
	Available brands
	Actiq

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required

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, 30 (PI, CMI)	2	60	0	$378.04	$31.60	$31.60
	Available brands
	Actiq

Source	Palliative Care
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required

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, 30 (PI, CMI)	2	60	0	$378.04	$31.60	$31.60
	Available brands
	Actiq

Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required (STREAMLINED)

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	$24.46	$25.94	$29.39
	Available brands
	APO-Fentanyla
	Fentanyl Sandoza

Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required (STREAMLINED)

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	$25.87	$27.35	$30.80
	Available brands
	APO-Fentanyla
	Fentanyl Sandoza

Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required (STREAMLINED)

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	$31.38	$31.60	$31.60
	Available brands
	APO-Fentanyla
	Fentanyl Sandoza

Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required (STREAMLINED)

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	$35.85	$31.60	$31.60
	Available brands
	APO-Fentanyla
	Fentanyl Sandoza

Source	General Schedule
Body System	NERVOUS SYSTEM > ANALGESICS > OPIOIDS

Caution

Note

Authority Required (STREAMLINED)

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	$39.84	$31.60	$31.60
	Available brands
	APO-Fentanyla
	Fentanyl Sandoza