MORPHINE

morphine sulfate pentahydrate 200 mg modified release tablet, 28

MORPHINE (4349X)

morphine sulfate pentahydrate 200 mg modified release tablet, 28
4349X
Body System:
Manner of administration:Oral
Repatriation Pharmaceutical Benefits
Restricted Benefit

Restriction

Indication: Chronic severe disabling pain
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 28 # of repeats: 0 DPMQ: - Max safety net: - General Patient Charge: -
Available brands
MS Contin DPMQ: $121.89 Max safety net: $7.70 General Patient Charge: $7.70