PHENOBARBITAL

phenobarbital 30 mg tablet, 200
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Epilepsy
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 1 Max qty units: 200 # of repeats: 4 DPMQ: $19.40 Max safety net: $20.88 General Patient Charge: $23.67
Available brands
Phenobarb