| 02275813 | FENTANYL TRANSDERMAL SYSTEM | Duragesic (Not a Benefit) 25mcg/hr Trans Patch | JAN | N/A | N/A | YES | NO | YES |
| 02275856 | FENTANYL TRANSDERMAL SYSTEM | Duragesic (Off-Formulary Interchangeable) 100mcg/hr Trans Patch | JAN | N/A | N/A | YES | NO | YES |
| 02275848 | FENTANYL TRANSDERMAL SYSTEM | Duragesic (Off-Formulary Interchangeable) 75mcg/hr Trans Patch | JAN | N/A | N/A | YES | NO | YES |
| 02275821 | FENTANYL TRANSDERMAL SYSTEM | Duragesic (Not a Benefit) 50mcg/hr Trans Patch | JAN | N/A | N/A | YES | NO | YES |