PHENYTOIN

phenytoin sodium 30 mg capsule, 200
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: The condition must be stable for the prescriber to consider the listed maximum quantity of this medicine suitable for this patient.
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 400 # of repeats: 2 DPMQ: $92.94 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Dilantin Sodium
phenytoin sodium 30 mg capsule, 200
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: For prescribing by certain health practitioners
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: 2 DPMQ: $53.36 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Dilantin Sodium