A friend of mine has to go off the Fentanyl patch 150 mcgs as her insurance company will no longer cover more than 3 boxes a month. There is no way to get 150 mcgs at less than 4 boxes (changing patches every 3 days). She was changing every two days, which is 6 boxes a month. We meet with her pain specialist on Wed. to explore her options. What would be comparable pain medications for her, and at what dose? She's been living with chronic pain for about 15 years now, and was doing well on the fentanyl patch with Oxycodone 5 mg for breakthrough pain (she's been on the patch for 10 years now). Thanks for your comments!