Transmucosal Immediate Release Fentanyl (TIRF)
Risk Evaluation and Mitigation Strategy

Prescriber Patient Pharmacies Distributors TIRF Products  
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Resources for Pharmacists

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     TIRF REMS Access Education Program Materials and Knowledge Assessment
     NDC listing for TIRF REMS Access Program
     Product List for TIRF REMS Access Program


Outpatient Pharmacies - Retail, mail order, and institutional pharmacies that dispense for outpatient use.
For the purpose of enrollment, there are 3 types of outpatient pharmacies:
     Independent Outpatient Pharmacy
     Chain Outpatient Pharmacy
     Closed System Outpatient Pharmacy

     TIRF REMS Access Program Frequently Asked Questions - Outpatient Pharmacy FAQs Section


Independent Outpatient Pharmacy - Retail, mail order, or institutional outpatient pharmacies having an authorized pharmacy representative that is responsible for ensuring enrollment and training of the pharmacy staff within an individual outpatient pharmacy. Each store will individually enroll in the TIRF REMS Access program as a single pharmacy location.

     TIRF REMS Access Program - An Overview for Independent Outpatient Pharmacies
     TIRF REMS Access Program - Independent Outpatient Pharmacy Enrollment Form


Chain Outpatient Pharmacy - Retail, mail order or institutional outpatient pharmacies having a chain headquarters that is responsible for ensuring enrollment and training of the pharmacy staff of all associated outpatient pharmacies. The chain headquarters will enroll multiple locations (i.e.: chain stores) in the TIRF REMS Access program.

     TIRF REMS Access Program - An Overview for Chain Outpatient Pharmacies
     TIRF REMS Access Program - Chain Outpatient Pharmacy Enrollment Form


Closed System Outpatient Pharmacy - Institutional or mail order outpatient pharmacies that use a pharmacy management system that does not support the process of electronically transmitting validation and claim information.

     TIRF REMS Access Program - An Overview for Closed System Outpatient Pharmacies


Inpatient Pharmacies

     TIRF REMS Access Program - An Overview for Inpatient Pharmacies
     TIRF REMS Access Program - Inpatient Pharmacy Enrollment Form
     TIRF REMS Access Program Frequently Asked Questions - Inpatient Pharmacy FAQs Section

Full Prescribing Information and Medication Guide


     ABSTRAL® Full Prescribing Information and Medication Guide

     ACTIQ® Full Prescribing Information and Medication Guide

     FENTORA® Full Prescribing Information and Medication Guide

     ONSOLIS® Full Prescribing Information and Medication Guide - Currently not available

     LAZANDA® Full Prescribing Information and Medication Guide

     SUBSYS® Full Prescribing Information and Medication Guide

     Oral Transmucosal Fentanyl Citrate Lozenge Full Prescribing Information and Medication Guide (Par Pharmaceutical Companies, Inc.)

     Oral Transmucosal Fentanyl Citrate Lozenge Full Prescribing Information and Medication Guide (Mallincrodt, Inc.)

     Oral Transmucosal Fentanyl Citrate Lozenge Full Prescribing Information and Medication Guide (Anesta Corp.)

For assistance, please call the TIRF REMS Access program at 1-866-822-1483.