BALSALAZIDE
balsalazide sodium 750 mg capsule, 280
BALSALAZIDE (11351K)
11351K
Manner of administration:Oral
Restriction (Streamlined authority code: 16658)
Indication: Ulcerative colitis
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 280 | # of repeats: 5 | DPMQ: $158.76 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Colazide | |||||