Product Details

Salofalk

5-Aminosalicylic Acid
1000 mg
Suppository


DIN/PIN/NPN

02242146

Manufacturer

Axcan Pharma Inc.

Formulary Listing Date

2005-09-27  

Unit Price

2.7754

Amount MOH Pays

2.7754

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

A07EC02

Interchangeable Products

NO  

LU Clinical Criteria

NO  

Requirements


EAP Criteria

  NO

Product Monograph

View Monograph