Sutter Health Plus
Duragesic-12 (fentanyl)
Drugs for Pain and Fever : Arthritis and Pain Drugs
  • Quantity Limit: limit maximum 30 EA PER 30 day(s)
  • Quantity Limit: limit maximum 20 mL PER 1 day(s)
  • Prior Authorization: Neurogenic Orthostatic Hypotension:
    Documented Diagnosis: Yes
    Age Requirement: >= 18
    Duration: 14 Day(s)
    Reauthorization Required: Yes

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