Product Details

Hydromorph Contin

Hydromorphone HCl
24 mg
CR Capsule


DIN/PIN/NPN

02125382

Manufacturer

Purdue Pharma

Formulary Listing Date

1998-12-31  

Unit Price

4.3022

Amount MOH Pays

4.3022

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

N02AA03

Interchangeable Products

NO  

LU Clinical Criteria

NO  

Requirements

NA

EAP 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:

  1. Palliative Care Facilitated Access (PCFA) mechanism, for prescribers (physicians or nurse practitioners) who are registered PCFA prescribers with their professional associations; AND
  2. Exceptional Access Program (EAP) Telephone Request Service (TRS) for physicians who are not PCFA prescribers, according to specific criteria.
    i) Use of the high-strength opioid must be for a patient considered to have a progressive life-limiting illness requiring palliative care.
    ii) The use of the high-strength opioid can be for pain or for symptom management.
    iii) Prescriber must have a consult from a PCFA-registered prescriber with OMA; CPSO of the PCFA-registered prescriber or NPAO or RNAO; license numbers must be provided.

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.

Product Monograph

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