Product Details

Duragesic

Fentanyl Transdermal System
25 mcg/Hr
Transdermal Patch


DIN/PIN/NPN

02275813

Manufacturer

Janssen Inc.

Formulary Listing Date

2010-04-23  

Unit Price

NA

Amount MOH Pays

NA

Coverage Status

Not a Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

Analgesics, Opiate Agonists (28:08:08): Narcotic analgesics can produce dependence and may be abused. Physical dependence, psychological dependence and tolerance may develop. Prescribers are cautioned about ordering these drugs for patients with a history of either emotional disturbances or drug abuse, including alcohol.

ATC Code

N02AB03

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02282941 Teva-Fentanyl 8.5600 8.5600
02327120 Sandoz Fentanyl Patch 8.5600 8.5600
02275813 Duragesic NA NA
01937383 Duragesic 25 NA NA
 

LU Clinical Criteria

NO  

Requirements

NA

EAP Criteria

  NO

Product Monograph

View Monograph