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	$129.70	$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	$101.99	$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
11210BMPNP	MESALAZINE mesalazine 800 mg enteric tablet, 90 (PI, CMI)	1	90	5	$79.44	$31.60	$31.60
	Available brands
	Asacol

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
11554DMPNP	MESALAZINE mesalazine 1 g enteric tablet, 60 (PI, CMI)	2	120	5	$138.08	$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
12198BMPNP	MESALAZINE mesalazine 1 g suppository, 28 (PI, CMI)	1	28	5	$83.46	$31.60	$31.60
	Available brands
	Pentasa

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
12203GMPNP	MESALAZINE mesalazine 1 g modified release granules, 100 sachets (PI, CMI)	1	100	5	$107.30	$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
12463YMPNP	MESALAZINE mesalazine 1.6 g enteric tablet, 60 (PI, CMI)	2	120	4	$154.02	$31.60	$31.60
	Available brands
	Asacol

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
13247FMPNP	MESALAZINE mesalazine 1.2 g modified release tablet, 120 (PI, CMI)	1	120	5	$173.91	$31.60	$31.60
	Available brands
	MESALZa

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
13355XMPNP	MESALAZINE mesalazine 1 g modified release granules, 100 sachets (PI, CMI)	2	200	5	$205.16	$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
13356YMPNP	MESALAZINE mesalazine 1.2 g modified release tablet, 120 (PI, CMI)	2	240	5	$339.04	$31.60	$31.60
	Available brands
	MESALZa

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
13361FMPNP	MESALAZINE mesalazine 500 mg modified release granules, 100 sachets (PI, CMI)	4	400	5	$238.12	$31.60	$31.60
	Available brands
	Salofalk

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
13362GMPNP	MESALAZINE mesalazine 500 mg enteric tablet, 100 (PI, CMI)	4	400	5	$238.12	$31.60	$31.60
	Available brands
	Salofalk

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
13394YMPNP	MESALAZINE mesalazine 1 g enteric tablet, 60 (PI, CMI)	4	240	5	$267.40	$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
13395BMPNP	MESALAZINE mesalazine 1.6 g enteric tablet, 60 (PI, CMI)	4	240	4	$299.28	$31.60	$31.60
	Available brands
	Asacol

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
13396CMPNP	MESALAZINE mesalazine 500 mg modified release tablet, 100 (PI, CMI)	4	400	5	$238.12	$31.60	$31.60
	Available brands
	Pentasa

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
13397DMPNP	MESALAZINE mesalazine 2 g modified release granules, 60 sachets (PI, CMI)	2	120	5	$250.60	$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
13398EMPNP	MESALAZINE mesalazine 1 g modified release granules, 100 sachets (PI, CMI)	2	200	5	$223.18	$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

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
13422KMPNP	MESALAZINE mesalazine 800 mg enteric tablet, 90 (PI, CMI)	2	180	5	$146.66	$31.60	$31.60
	Available brands
	Asacol

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
13423LMPNP	MESALAZINE mesalazine 250 mg enteric tablet, 100 (PI, CMI)	2	200	5	$77.08	$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
13456FMPNP	MESALAZINE mesalazine 4 g modified release granules, 30 sachets (PI, CMI)	2	60	5	$250.60	$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
13460KMPNP	MESALAZINE mesalazine 1.5 g modified release granules, 60 sachets (PI, CMI)	2	120	5	$194.02	$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
13487WMPNP	MESALAZINE mesalazine 1.2 g modified release tablet, 60 (PI, CMI)	4	240	5	$339.04	$31.60	$31.60
	Available brands
	MEZTASa
	Mesalazine 1.2 TAKEDAa
	Mezavanta

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
13518LMPNP	MESALAZINE mesalazine 3 g modified release granules, 30 sachets (PI, CMI)	2	60	5	$194.02	$31.60	$31.60
	Available brands
	Salofalk

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
13576MMPNP	MESALAZINE mesalazine 1 g modified release tablet, 60 (PI, CMI)	4	240	5	$266.04	$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
14838YMPNP	MESALAZINE mesalazine 2 g/60 mL enema, 7 x 60 mL (PI, CMI)	8	8	5	$422.40	$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
14840CMPNP	MESALAZINE mesalazine 1 g/application foam, 14 applications (PI, CMI)	8	8	5	$487.52	$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
14843FMPNP	MESALAZINE mesalazine 1 g suppository, 30 (PI, CMI)	2	60	5	$190.16	$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
14847KMPNP	MESALAZINE mesalazine 4 g/60 mL enema, 7 x 60 mL (PI, CMI)	8	8	5	$655.84	$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
14848LMPNP	MESALAZINE mesalazine 1 g/100 mL enema, 7 x 100 mL (PI, CMI)	8	8	5	$422.40	$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
14850NMPNP	MESALAZINE mesalazine 1 g suppository, 28 (PI, CMI)	2	56	5	$155.10	$31.60	$31.60
	Available brands
	Pentasa

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
1611TMPNP	MESALAZINE mesalazine 250 mg enteric tablet, 100 (PI, CMI)	1	100	5	$45.43	$31.60	$31.60
	Available brands
	Mesasal

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
2214MMPNP	MESALAZINE mesalazine 500 mg modified release tablet, 100 (PI, CMI)	2	200	5	$123.46	$31.60	$31.60
	Available brands
	Pentasa

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
2287JMPNP	MESALAZINE mesalazine 2 g modified release granules, 60 sachets (PI, CMI)	1	60	5	$129.70	$31.60	$31.60
	Available brands
	Pentasa

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
3413PMPNP	MESALAZINE mesalazine 1 g modified release tablet, 60 (PI, CMI)	2	120	5	$137.42	$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	5	$100.16	$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	$123.46	$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	$115.98	$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	5	$215.60	$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	5	$332.32	$31.60	$31.60
	Available brands
	Salofalk

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
8731MMPNP	MESALAZINE mesalazine 500 mg enteric tablet, 100 (PI, CMI)	2	200	5	$123.46	$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	5	$215.60	$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	5	$248.16	$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	$101.99	$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	$173.92	$31.60	$31.60
	Available brands
	MEZTASa
	Mesalazine 1.2 TAKEDAa
	Mezavanta