fentanyl citrate

100 mcg, 200 mcg, 400 mcg, 600 mcg, 800 mcg — Lozenge

Opioid Analgesics — Long Acting Opioids

Also known as: Actiq FENTANYL CITRATE SOLN 50MCG/ML fentanyl citrate soln 50mcg/ml, 100mcg/2ml, 250mcg/5ml, 500mcg/10ml, 1000mcg/20ml, 2500mcg/50ml; sosy 50mcg/ml FENTANYL CITRATE SOLN 5000MCG/100ML FENTORA fentanyl citrate soln 50mcg/ml, 100mcg/2ml,

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: PDF  ·  Formulary date: Apr 1, 2026  ·  Checked: 1 hour, 55 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
NC State Health Plan - 80/20 Plus PPO 2026 Not Covered None
NC State Health Plan - 70/30 Standard PPO 2026 Not Covered None
NC State Health Plan - HDHP 2026 Not Covered None
Source: Excel (XLSX)  ·  Formulary date: Jan 5, 2026  ·  Checked: 1 hour, 55 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
TRICARE Uniform Formulary 2026 Tier 3 - Non-Formulary QL
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