Product Details

Codeine Contin

Codeine Sulfate Trihydrate & Monohydrate
200 mg
CR Tablet


DIN/PIN/NPN

02163799

Manufacturer

Purdue Pharma

Formulary Listing Date

2002-04-04  

Unit Price

1.9580

Amount MOH Pays

1.9580

Coverage Status

Limited Use 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

R05DA04

Interchangeable Products

NO  

LU Clinical Criteria

LU Code Auth. Period Clinical Criteria
201 1 year

For the treatment of chronic pain in patients who cannot tolerate, or have failed treatment with a listed long-acting opioid.
 

EAP Criteria

NO

Product Monograph

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