MESALAZINE

MESALAZINE (13460K)

mesalazine 1.5 g modified release granules, 60 sachets
13460K
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: 120 # of repeats: 5 DPMQ: $194.02 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Salofalk

MESALAZINE (9206M)

mesalazine 1.5 g modified release granules, 60 sachets
9206M
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: 60 # of repeats: 5 DPMQ: $101.99 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Salofalk