MESALAZINE
mesalazine 1.2 g modified release tablet, 60
MESALAZINE (13487W)
13487W
Manner of administration:Oral
Restriction
Indication: Ulcerative colitis
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 4 | Max qty units: 240 | # of repeats: 5 | DPMQ: $339.04 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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