fentaNYL Citrate
| Strength: | 100cm (L) |
Medication Description
Abstral Tablet Sublingual 100 MCG Sublingual
Medication Features
| Tier | Non-Formulary |
| PA Type | PA Applies |
| PA Group | Fentanyl Oral/Intranasal |
| ST | N |
| QL | Y |
| QL Amount | 120 |
| QL Days | 30 |
fentaNYL Citrate
| Strength: | 100cm (L) |
Abstral Tablet Sublingual 100 MCG Sublingual
| Tier | Non-Formulary |
| PA Type | PA Applies |
| PA Group | Fentanyl Oral/Intranasal |
| ST | N |
| QL | Y |
| QL Amount | 120 |
| QL Days | 30 |