FentaNYL Citrate
| Strength: | 600cm (L) |
Medication Description
Actiq Lozenge on a Handle 600 MCG Buccal
Medication Features
| Tier | 3 |
| PA Type | PA Applies |
| PA Group | Fentanyl Oral/Intranasal |
| ST | N |
| QL | Y |
| QL Amount | 120 |
| QL Days | 30 |
FentaNYL Citrate
| Strength: | 600cm (L) |
Actiq Lozenge on a Handle 600 MCG Buccal
| Tier | 3 |
| PA Type | PA Applies |
| PA Group | Fentanyl Oral/Intranasal |
| ST | N |
| QL | Y |
| QL Amount | 120 |
| QL Days | 30 |