DIN/PIN/NPN Detail |
|
| 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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