MESALAZINE

mesalazine 500 mg modified release tablet, 100

MESALAZINE (13396C)

mesalazine 500 mg modified release tablet, 100
13396C
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Ulcerative colitis

Restriction

Indication: Crohn disease
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 4 Max qty units: 400 # of repeats: 5 DPMQ: $238.12 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Pentasa