PHENYTOIN

phenytoin 30 mg/5 mL oral liquid, 500 mL
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: 2 # of repeats: 3 DPMQ: $40.04 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Dilantin
phenytoin 30 mg/5 mL oral liquid, 500 mL
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: 1 # of repeats: 3 DPMQ: $26.91 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Dilantin