Product Details

Dilantin

Phenytoin (Diphenylhydantoin) Sodium
100 mg
Capsule


DIN/PIN/NPN

00022780

Manufacturer

Upjohn Canada ULC

Formulary Listing Date

1996-10-01  

Unit Price

0.1042

Amount MOH Pays

0.0665

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
02460912 Phenytoin Sodium 0.0665 0.0665
00022780 Dilantin 0.1042 0.0665
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph