DIN/PIN/NPN Detail |
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28:00 CENTRAL NERVOUS SYSTEM DRUGS | |
28:12:00 ANTICONVULSANTS | LU Criteria Text |
Phenytoin Sodium Injection USP (PHENYTOIN (DIPHENYLHYDANTOIN) SODIUM)50mg/mL Inj Sol (Preservative Free)
DIN/PIN/NPN:00780626
Interchangeables: | NO |
Manufacturer: | Sandoz Canada Inc. |
Formulary Listing Date: | 2017-02-28 |
Drug Benefit Price or Unit Price: | 6.0785 |
Amount MOH Pays: | 6.0785 |
Coverage Status: |
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