SULFASALAZINE

sulfasalazine 500 mg enteric tablet, 100

SULFASALAZINE (2096H)

sulfasalazine 500 mg enteric tablet, 100
2096H
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: For prescribing by certain health practitioners
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 200 # of repeats: 5 DPMQ: $57.14 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Pyralin EN
Salazopyrin-EN
*Additional charge for this brand is $4.00
 DPMQ: $61.14 Max safety net: $25.00 General Patient Charge: $29.00