Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS > INTESTINAL ANTIINFLAMMATORY AGENTS

Note

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
10254QMPNP	MESALAZINE mesalazine 4 g modified release granules, 30 sachets (PI, CMI)	1	30	5	$128.90	$31.60	$31.60
	Available brands
	Pentasa

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS > INTESTINAL ANTIINFLAMMATORY AGENTS

Note

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
10257WMPNP	MESALAZINE mesalazine 3 g modified release granules, 30 sachets (PI, CMI)	1	30	5	$101.19	$31.60	$31.60
	Available brands
	Salofalk

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS > INTESTINAL ANTIINFLAMMATORY AGENTS

Note

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
1611TMPNP	MESALAZINE mesalazine 250 mg enteric tablet, 100 (PI, CMI)	1	100	5	$44.63	$31.60	$31.60
	Available brands
	Mesasal

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS > INTESTINAL ANTIINFLAMMATORY AGENTS

Note

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
2214MMPNP	MESALAZINE mesalazine 500 mg modified release tablet, 100 (PI, CMI)	2	200	5	$122.65	$31.60	$31.60
	Available brands
	Pentasa

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS > INTESTINAL ANTIINFLAMMATORY AGENTS

Note

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
2287JMPNP	MESALAZINE mesalazine 2 g modified release granules, 60 sachets (PI, CMI)	1	60	5	$128.90	$31.60	$31.60
	Available brands
	Pentasa

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS > INTESTINAL ANTIINFLAMMATORY AGENTS

Note

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
3413PMPNP	MESALAZINE mesalazine 1 g modified release tablet, 60 (PI, CMI)	2	120	5	$136.61	$31.60	$31.60
	Available brands
	Pentasa

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS > INTESTINAL ANTIINFLAMMATORY AGENTS

Note

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
5461KMPNP	MESALAZINE mesalazine 1 g suppository, 30 (PI, CMI)	1	30	1	$99.36	$31.60	$31.60
	Available brands
	Salofalk

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS > INTESTINAL ANTIINFLAMMATORY AGENTS

Note

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
8598MMPNP	MESALAZINE mesalazine 500 mg modified release granules, 100 sachets (PI, CMI)	2	200	5	$122.65	$31.60	$31.60
	Available brands
	Salofalk

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS > INTESTINAL ANTIINFLAMMATORY AGENTS

Note

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
8599NMPNP	MESALAZINE mesalazine 1 g modified release granules, 100 sachets (PI, CMI)	1	100	5	$115.18	$31.60	$31.60
	Available brands
	Salofalk

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS > INTESTINAL ANTIINFLAMMATORY AGENTS

Note

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
8616LMPNP	MESALAZINE mesalazine 2 g/60 mL enema, 7 x 60 mL (PI, CMI)	4	4	1	$214.81	$31.60	$31.60
	Available brands
	Salofalk

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS > INTESTINAL ANTIINFLAMMATORY AGENTS

Note

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
8617MMPNP	MESALAZINE mesalazine 4 g/60 mL enema, 7 x 60 mL (PI, CMI)	4	4	1	$331.53	$31.60	$31.60
	Available brands
	Salofalk

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS > INTESTINAL ANTIINFLAMMATORY AGENTS

Note

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
8731MMPNP	MESALAZINE mesalazine 500 mg enteric tablet, 100 (PI, CMI)	2	200	5	$122.65	$31.60	$31.60
	Available brands
	Salofalk

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS > INTESTINAL ANTIINFLAMMATORY AGENTS

Note

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
8753QMPNP	MESALAZINE mesalazine 1 g/100 mL enema, 7 x 100 mL (PI, CMI)	4	4	1	$214.81	$31.60	$31.60
	Available brands
	Pentasa

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS > INTESTINAL ANTIINFLAMMATORY AGENTS

Note

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
8768LMPNP	MESALAZINE mesalazine 1 g/application foam, 14 applications (PI, CMI)	4	4	1	$247.33	$31.60	$31.60
	Available brands
	Salofalk

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS > INTESTINAL ANTIINFLAMMATORY AGENTS

Note

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
9206MMPNP	MESALAZINE mesalazine 1.5 g modified release granules, 60 sachets (PI, CMI)	1	60	5	$101.19	$31.60	$31.60
	Available brands
	Salofalk

Source	General Schedule
Body System	ALIMENTARY TRACT AND METABOLISM > ANTIDIARRHEALS, INTESTINAL ANTIINFLAMMATORY/ANTIINFECTIVE AGENTS > INTESTINAL ANTIINFLAMMATORY AGENTS

Note

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
9353GMPNP	MESALAZINE mesalazine 1.2 g modified release tablet, 60 (PI, CMI)	2	120	5	$173.11	$31.60	$31.60
	Available brands
	Mesalazine 1.2 TAKEDAa
	Mezavanta