MESALAZINE

mesalazine 4 g/60 mL enema, 7 x 60 mL

MESALAZINE (14847K)

mesalazine 4 g/60 mL enema, 7 x 60 mL
14847K
Body System:
Manner of administration:Rectal
General Schedule
Authority Required (STREAMLINED)

Restriction (Streamlined authority code: 16656)

Indication: Mild to moderate ulcerative colitis
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 8 Max qty units: 8 # of repeats: 5 DPMQ: $655.84 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Salofalk