| NAME |
PHENYTOIN (DILANTIN) 50MG TAB,CHEWABLE,UD |
| VA GENERIC NAME |
PHENYTOIN |
| DOSAGE FORM |
TAB,CHEWABLE |
| FDA MED GUIDE |
Phenytoin_Chew_Tab_(Generic)_(2020).pdf |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
50 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
MG |
| NATIONAL FORMULARY NAME |
PHENYTOIN TAB,CHEWABLE |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
YES |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
PHENYTOIN (DILANTIN) 50MG CHEW TAB UD |
| VA PRODUCT IDENTIFIER |
P0532 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4034079 |
| EFFECTIVE DATE/TIME |
-
- 2015-01-20 00:00:00
- STATUS: ACTIVE
|
