Product Details
Dilantin-125 Suspension
Phenytoin (Diphenylhydantoin)25 mg/mL
Oral Liquid
DIN/PIN/NPN
00023450
Manufacturer
Upjohn Canada ULC
Formulary Listing Date
1996-10-01
Unit Price
0.0697
Amount MOH Pays
0.0444
Coverage Status
General Benefit
ODB Formulary Therapeutic Classification
Therapeutic Note
NO
ATC Code
N03AB02
Interchangeable Products
| DIN/ PIN/ NPN | Brand name | Unit Price | Amount MOH pays |
|---|---|---|---|
| 02250896 | Taro-Phenytoin | 0.0444 | 0.0444 |
| 00023450 | Dilantin-125 Suspension | 0.0697 | 0.0444 |
LU Clinical Criteria
NORequirements
NA