FENTANYL
Source | Palliative Care |
Body System | NERVOUS SYSTEM > ANALGESICS > OPIOIDS |
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|
|
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 | $443.09 | $31.60 | $31.60 |
Available brands | |||||||
Fentora |
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 | $76.67 | $31.60 | $31.60 |
Available brands | |||||||
Fentora |
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 | $443.09 | $31.60 | $31.60 |
Available brands | |||||||
Fentora |
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 | $284.71 | $31.60 | $31.60 |
Available brands | |||||||
Fentora |
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 | $76.67 | $31.60 | $31.60 |
Available brands | |||||||
Fentora |
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 | $284.71 | $31.60 | $31.60 |
Available brands | |||||||
Fentora |
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 | $284.71 | $31.60 | $31.60 |
Available brands | |||||||
Fentora |
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, 9 (PI, CMI) |
1 | 9 | 0 | $89.74 | $31.60 | $31.60 |
Available brands | |||||||
Actiq |
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, 9 (PI, CMI) |
1 | 9 | 0 | $89.74 | $31.60 | $31.60 |
Available brands | |||||||
Actiq |
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, 30 (PI, CMI) |
2 | 60 | 0 | $514.13 | $31.60 | $31.60 |
Available brands | |||||||
Actiq |
- Legend
- PPalliative care items
- MPMedical Practitioner
- NPNurse Practitioner