SULFASALAZINE

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

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
2093EMPNP	SULFASALAZINE sulfasalazine 500 mg tablet, 100 (PI, CMI)	2	200	5	$52.35	$31.60	$31.60
	Available brands
	Salazopyrin

space

SULFASALAZINE

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

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
2096HMPNP	SULFASALAZINE sulfasalazine 500 mg enteric tablet, 100 (PI, CMI)	2	200	5	$56.33	$31.60	$31.60
	Available brands
	Pyralin ENa
	Salazopyrin-ENa ^* Additional charge for this brand is $4.00B	2	200	5	$60.33	$31.60	$35.60

space

SULFASALAZINE SO

Products that are in a Supply Only state will be available for dispensing, but not for prescribing. PBS Prescriptions written prior to the Supply Only period are able to be dispensed using either the Supply Only product where available, or an equivalent product as specified on the PBS schedule.

Supply only

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

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
9208PMP	SULFASALAZINE sulfasalazine 500 mg tablet, 100 (PI, CMI)	2	200	11	$52.35	$31.60	$31.60
	Available brands
	Salazopyrin SO Products that are in a Supply Only state will be available for dispensing, but not for prescribing. PBS Prescriptions written prior to the Supply Only period are able to be dispensed using either the Supply Only product where available, or an equivalent product as specified on the PBS schedule. Supply only

space

SULFASALAZINE SO

Products that are in a Supply Only state will be available for dispensing, but not for prescribing. PBS Prescriptions written prior to the Supply Only period are able to be dispensed using either the Supply Only product where available, or an equivalent product as specified on the PBS schedule.

Supply only

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

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
9209QMP	SULFASALAZINE sulfasalazine 500 mg enteric tablet, 100 (PI, CMI)	2	200	11	$56.33	$31.60	$31.60
	Available brands
	Pyralin EN SO Products that are in a Supply Only state will be available for dispensing, but not for prescribing. PBS Prescriptions written prior to the Supply Only period are able to be dispensed using either the Supply Only product where available, or an equivalent product as specified on the PBS schedule. Supply onlya
	Salazopyrin-EN SO Products that are in a Supply Only state will be available for dispensing, but not for prescribing. PBS Prescriptions written prior to the Supply Only period are able to be dispensed using either the Supply Only product where available, or an equivalent product as specified on the PBS schedule. Supply onlya ^* Additional charge for this brand is $4.00B	2	200	11	$60.33	$31.60	$31.60

space

Legend
BBrand premium applies
aBrand equivalent a
MPMedical Practitioner
NPNurse Practitioner
SO

Products that are in a Supply Only state will be available for dispensing, but not for prescribing. PBS Prescriptions written prior to the Supply Only period are able to be dispensed using either the Supply Only product where available, or an equivalent product as specified on the PBS schedule.

Supply Only