PHENYTOIN
Body System:
Manner of administration:Oral
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: $64.98 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Dilantin Infatabs | |||||
Body System:
Manner of administration:Oral
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: 2 | # of repeats: 3 | DPMQ: $39.80 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Dilantin | |||||
Body System:
Manner of administration:Oral
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: $115.66 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Dilantin Infatabs | |||||
Body System:
Manner of administration:Oral
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: $53.78 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Dilantin Sodium | |||||
Body System:
Manner of administration:Oral
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: $91.12 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Dilantin Sodium | |||||
Body System:
Manner of administration:Oral
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: $52.74 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Dilantin Sodium | |||||
Body System:
Manner of administration:Oral
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: $34.07 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Dilantin Sodium | |||||
Body System:
Manner of administration:Oral
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: 1 | # of repeats: 3 | DPMQ: $27.08 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Dilantin | |||||