FENTANYL
fentanyl 25 microgram/hour patch, 5
FENTANYL (12504D)
12504D
Body System:
Manner of administration:Transdermal
Restriction
Indication: Severe disabling pain
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 10 | # of repeats: 0 | DPMQ: $37.54 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
|
|
|||||
|
|
|||||