PHENYTOIN

Source General Schedule
Body System NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
1249RMPNP PHENYTOIN
phenytoin 50 mg chewable tablet, 200 (PI, CMI)
1 200 2 $65.17 $31.60 $31.60
Available brands
Dilantin Infatabs
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PHENYTOIN

Source General Schedule
Body System NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
1873NMPNP PHENYTOIN
phenytoin sodium 30 mg capsule, 200 (PI, CMI)
1 200 2 $52.56 $31.60 $31.60
Available brands
Dilantin Sodium
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PHENYTOIN

Source General Schedule
Body System NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
1874PMPNP PHENYTOIN
phenytoin sodium 100 mg capsule, 200 (PI, CMI)
1 200 2 $33.31 $31.60 $31.60
Available brands
Dilantin Sodium
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PHENYTOIN

Source General Schedule
Body System NERVOUS SYSTEM > ANTIEPILEPTICS > ANTIEPILEPTICS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
2692QMPNP PHENYTOIN
phenytoin 30 mg/5 mL oral liquid, 500 mL (PI, CMI)
1 1 3 $26.11 $27.51 $30.96
Available brands
Dilantin
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  • Legend
  • MPMedical Practitioner
  • NPNurse Practitioner