Product Details
MS Contin
Morphine Sulfate200 mg
SR Tablet
DIN/PIN/NPN
02014327
Manufacturer
Purdue Pharma
Formulary Listing Date
1996-10-01
Unit Price
7.2600
Amount MOH Pays
4.5738
Coverage Status
Off-Formulary Interchangeable Exceptional Access Program Product
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
N02AA01
Interchangeable Products
DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
---|---|---|---|
02302802 | Teva-Morphine SR | 4.5737 | 4.5737 |
02478897 | Sandoz Morphine SR | 4.5738 | 4.5738 |
02014327 | MS Contin | 7.2600 | 4.5738 |
LU Clinical Criteria
NOEAP Criteria
Therapeutic Class | Reimbursement Criteria |
---|---|
High Dose Opioids – Telephone Request Service (TRS) Drugs | Effective January 31, 2017, meperidine 50mg tabs and the higher strengths of long-acting opioids including: morphine SR 200mg tabs; hydromorphone CR 24mg and 30 mg caps and fentanyl 75mcg/hr and 100mcg/hr patches were delisted from the ODB Formulary. Access to the higher strengths of long-acting opioids is currently maintained for patients requiring palliative care through the ODB program’s:
Standard Approval Duration: 12 months Renewals are considered with same criteria as above. A new consult from a PCFA-registered prescriber must be provided for each renewal. |