Document ID: chunk:federal_register_of_legislation:F2025C00215:schedule:3:p1
Version: federal_register_of_legislation:F2025C00215
Segment Type: schedule
Provision Reference: sch 3 (pt 1/4)
Character Range: 12309–18951

Schedule 3—Pharmaceutical benefits for which a dangerous drug fee applies
Note: See subsection 7(3).

Pharmaceutical benefits for which a dangerous drug fee applies
Column 1                                                        Column 2
Listed drug                                                     Form
Alprazolam                                                      Tablet 250 micrograms
Alprazolam                                                      Tablet 500 micrograms
Alprazolam                                                      Tablet 1 mg
Buprenorphine                                                   Injection (modified release) 8 mg in 0.16 mL pre‑filled syringe
Buprenorphine                                                   Injection (modified release) 16 mg in 0.32 mL pre‑filled syringe
Buprenorphine                                                   Injection (modified release) 24 mg in 0.48 mL pre‑filled syringe
Buprenorphine                                                   Injection (modified release) 32 mg in 0.64 mL pre‑filled syringe
Buprenorphine                                                   Injection (modified release) 64 mg in 0.18 mL pre‑filled syringe
Buprenorphine                                                   Injection (modified release) 96 mg in 0.27 mL pre‑filled syringe
Buprenorphine                                                   Injection (modified release) 100 mg in 0.5 mL pre‑filled syringe
Buprenorphine                                                   Injection (modified release) 128 mg in 0.36 mL pre‑filled syringe
Buprenorphine                                                   Injection (modified release) 160 mg in 0.45 mL pre‑filled syringe
Buprenorphine                                                   Injection (modified release) 300 mg in 1.5 mL pre‑filled syringe
Buprenorphine                                                   Tablet (sublingual) 400 micrograms (as hydrochloride)
Buprenorphine                                                   Tablet (sublingual) 2 mg (as hydrochloride)
Buprenorphine                                                   Tablet (sublingual) 8 mg (as hydrochloride)
Buprenorphine                                                   Transdermal patch 5 mg
Buprenorphine                                                   Transdermal patch 10 mg
Buprenorphine                                                   Transdermal patch 15 mg
Buprenorphine                                                   Transdermal patch 20 mg
Buprenorphine                                                   Transdermal patch 25 mg
Buprenorphine                                                   Transdermal patch 30 mg
Buprenorphine                                                   Transdermal patch 40 mg
Buprenorphine with naloxone                                     Film (soluble) 2 mg (as hydrochloride)‑0.5 mg (as hydrochloride)
Buprenorphine with naloxone                                     Film (soluble) 8 mg (as hydrochloride)‑2 mg (as hydrochloride)
Codeine                                                         Tablet containing codeine phosphate hemihydrate 30 mg
Dexamfetamine                                                   Tablet containing dexamfetamine sulfate 5 mg
Fentanyl                                                        Lozenge 200 micrograms (as citrate)
Fentanyl                                                        Lozenge 400 micrograms (as citrate)
Fentanyl                                                        Lozenge 600 micrograms (as citrate)
Fentanyl                                                        Lozenge 800 micrograms (as citrate)
Fentanyl                                                        Tablet (orally disintegrating) 100 micrograms (as citrate)
Fentanyl                                                        Tablet (orally disintegrating) 200 micrograms (as citrate)
Fentanyl                                                        Tablet (orally disintegrating) 400 micrograms (as citrate)
Fentanyl                                                        Tablet (orally disintegrating) 600 micrograms (as citrate)
Fentanyl                                                        Tablet (orally disintegrating) 800 micrograms (as citrate)
Fentanyl                                                        Tablet (sublingual) 100 micrograms (as citrate)
Fentanyl                                                        Tablet (sublingual) 200 micrograms (as citrate)
Fentanyl                                                        Tablet (sublingual) 300 micrograms (as citrate)
Fentanyl                                                        Tablet (sublingual) 400 micrograms (as citrate)
Fentanyl                                                        Tablet (sublingual) 600 micrograms (as citrate)
Fentanyl                                                        Tablet (sublingual) 800 micrograms (as citrate)
Fentanyl                                                        Transdermal patch 1.28 mg
Fentanyl                                                        Transdermal patch 2.063 mg
Fentanyl                                                        Transdermal patch 2.1 mg
Fentanyl                                                        Transdermal patch 2.55 mg
Fentanyl                                                        Transdermal patch 4.125 mg
Fentanyl                                                        Transdermal patch 4.2 mg
Fentanyl                                                        Transdermal patch 5.10 mg
Fentanyl                                                        Transdermal patch 7.65 mg
Fentanyl                                                        Transdermal patch 8.25 mg
Fentanyl                                                        Transdermal patch 8.4 mg
Fentanyl                                                        Transdermal patch 10.20 mg
Fentanyl                                                        Transdermal patch 12.375 mg
Fentanyl                                                        Transdermal patch 12.6 mg
Fentanyl                                                        Transdermal patch 16.5 mg
Fentanyl                                                        Transdermal patch 16.8 mg
Hydromorphone                                                   Injection containing hydromorphone hydrochloride 2 mg in 1 mL
Hydromorphone                                                   Injection containing hydromorphone hydrochloride 10 mg in 1 mL
Hydromorphone                                                   Oral