All *ANALGESICS - OPIOID*

Abstral Tablet Sublingual 100 MCG Sublingual
Abstral Tablet Sublingual 100 MCG Sublingual

fentaNYL Citrate

Tier: Non-Formulary
PA Type: PA Applies
PA Group: Fentanyl Oral/Intranasal
Abstral Tablet Sublingual 100 MCG Sublingual
Abstral Tablet Sublingual 100 MCG Sublingual

fentaNYL Citrate

Tier: Non-Formulary
PA Type: PA Applies
PA Group: Fentanyl Oral/Intranasal
Abstral Tablet Sublingual 100 MCG Sublingual
Abstral Tablet Sublingual 100 MCG Sublingual

fentaNYL Citrate

Tier: Non-Formulary
PA Type: PA Applies
PA Group: Fentanyl Oral/Intranasal
Abstral Tablet Sublingual 200 MCG Sublingual
Abstral Tablet Sublingual 200 MCG Sublingual

fentaNYL Citrate

Tier: Non-Formulary
PA Type: PA Applies
PA Group: Fentanyl Oral/Intranasal
Abstral Tablet Sublingual 200 MCG Sublingual
Abstral Tablet Sublingual 200 MCG Sublingual

fentaNYL Citrate

Tier: Non-Formulary
PA Type: PA Applies
PA Group: Fentanyl Oral/Intranasal
Abstral Tablet Sublingual 200 MCG Sublingual
Abstral Tablet Sublingual 200 MCG Sublingual

fentaNYL Citrate

Tier: Non-Formulary
PA Type: PA Applies
PA Group: Fentanyl Oral/Intranasal
Abstral Tablet Sublingual 300 MCG Sublingual
Abstral Tablet Sublingual 300 MCG Sublingual

fentaNYL Citrate

Tier: Non-Formulary
PA Type: PA Applies
PA Group: Fentanyl Oral/Intranasal
Abstral Tablet Sublingual 300 MCG Sublingual
Abstral Tablet Sublingual 300 MCG Sublingual

fentaNYL Citrate

Tier: Non-Formulary
PA Type: PA Applies
PA Group: Fentanyl Oral/Intranasal
Abstral Tablet Sublingual 300 MCG Sublingual
Abstral Tablet Sublingual 300 MCG Sublingual

fentaNYL Citrate

Tier: Non-Formulary
PA Type: PA Applies
PA Group: Fentanyl Oral/Intranasal
Abstral Tablet Sublingual 400 MCG Sublingual
Abstral Tablet Sublingual 400 MCG Sublingual

fentaNYL Citrate

Tier: Non-Formulary
PA Type: PA Applies
PA Group: Fentanyl Oral/Intranasal
Abstral Tablet Sublingual 400 MCG Sublingual
Abstral Tablet Sublingual 400 MCG Sublingual

fentaNYL Citrate

Tier: Non-Formulary
PA Type: PA Applies
PA Group: Fentanyl Oral/Intranasal
Abstral Tablet Sublingual 400 MCG Sublingual
Abstral Tablet Sublingual 400 MCG Sublingual

fentaNYL Citrate

Tier: Non-Formulary
PA Type: PA Applies
PA Group: Fentanyl Oral/Intranasal