MESALAZINE

MESALAZINE (10257W)

mesalazine 3 g modified release granules, 30 sachets
10257W
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: $99.92 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Salofalk

MESALAZINE (13518L)

mesalazine 3 g modified release granules, 30 sachets
13518L
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: $189.04 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Salofalk