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
12198BMPNP	MESALAZINE mesalazine 1 g suppository, 28 (PI, CMI)	1	28	1	$82.66	$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
12203GMPNP	MESALAZINE mesalazine 1 g modified release granules, 100 sachets (PI, CMI)	1	100	5	$106.50	$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
13355XMPNP	MESALAZINE mesalazine 1 g modified release granules, 100 sachets (PI, CMI)	2	200	5	$204.37	$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
13396CMPNP	MESALAZINE mesalazine 500 mg modified release tablet, 100 (PI, CMI)	4	400	5	$237.33	$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
13397DMPNP	MESALAZINE mesalazine 2 g modified release granules, 60 sachets (PI, CMI)	2	120	5	$249.81	$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

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	$249.81	$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

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	$265.25	$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
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