MESALAZINE

MESALAZINE (10254Q)

mesalazine 4 g modified release granules, 30 sachets
10254Q
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

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: 30 # of repeats: 5 DPMQ: $129.70 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Pentasa

MESALAZINE (13456F)

mesalazine 4 g modified release granules, 30 sachets
13456F
Body System:
Manner of administration:Oral
General Schedule
Restricted Benefit

Restriction

Indication: Ulcerative colitis
Quantities & Cost
Max qty packs Max qty units # of repeats DPMQ Max safety net General Patient Charge
Max qty packs: 2 Max qty units: 60 # of repeats: 5 DPMQ: $250.60 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Pentasa