Contracted Products [DILANTIN 100MG CAP (PFI/SBI) PHENYTOIN]

Contract Number	40
Brand Name	DILANTIN 100MG CAP (PFI/SBI) PHENYTOIN
Package Size	100'S
Formulary Category	A
Unit Price	0.36
Strength	100MG
Max. Reimbursable / Month	180
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	6