MESALAZINE

MESALAZINE (13361F)

mesalazine 500 mg modified release granules, 100 sachets
13361F
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: 4 Max qty units: 400 # of repeats: 5 DPMQ: $238.12 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Salofalk

MESALAZINE (8598M)

mesalazine 500 mg modified release granules, 100 sachets
8598M
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: 200 # of repeats: 5 DPMQ: $123.46 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Salofalk