FENTANYL TRANSDERMAL SYSTEM Ontario LU Codes and Criteria

Drug list

CENTRAL NERVOUS SYSTEM DRUGS › ANALGESICS OPIATE AGONISTS

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

12mcg/hrTrans Patch

LU689

QUICK SCAN

For the treatment of chronic pain in patients who have been stabilized on fentanyl and require the use of fentanyl 12mcg/hr patches for dose adjustment up or down to the lowest optimal opioid dose.

Complete Ontario criteria

For the treatment of chronic pain in patients who have been stabilized on fentanyl and require the use of fentanyl 12mcg/hr patches for dose adjustment up or down to the lowest optimal opioid dose.