MESALAZINE
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: 2 | Max qty units: 120 | # of repeats: 4 | DPMQ: $154.02 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Asacol | |||||
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: 4 | DPMQ: $299.28 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Asacol | |||||