FENTANYL
fentanyl 12 microgram/hour patch, 5
FENTANYL (12541C)
12541C
Body System:
Manner of administration:Transdermal
Restriction
Indication: Severe disabling pain
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 10 | # of repeats: 0 | DPMQ: $33.62 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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