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

1.9097

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

56:40:00 Miscellaneous G.I. Drugs

Therapeutic Note

NO

ATC Code

A07EC02

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
02242146	Salofalk	2.7754	1.9097
02562367	ZDS–Mesalamine Suppositories	1.9097	1.9097

LU Clinical Criteria

NO

Requirements

EAP Criteria

NO

Product Monograph

View Monograph