FENTANYL TRANSDERMAL SYSTEM Ontario LU Codes and Criteria

Drug list

CENTRAL NERVOUS SYSTEM DRUGS › ANALGESICS OPIATE AGONISTS

FENTANYL TRANSDERMAL SYSTEM (Duragesic · Duragesic 12 · Duragesic 25 · Duragesic 50 · Sandoz Fentanyl Patch · Teva-Fentanyl)

12mcg/hr25mcg/hr50mcg/hrTrans Patch

LU511

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

Complete Ontario criteria

For the treatment of chronic pain in patients who cannot tolerate, or have failed treatment with a long-acting opioid. Intolerance or failed treatment with a long-acting opioid will be subject to verification at the time of dispensing.