Product Details

Mezera

5-Aminosalicylic Acid
1 g/Actuation
Foam Enema
14 Actuations in Canister + 14 Single-Use PVC Applicators

DIN/PIN/NPN

02474026

Manufacturer

Avir Pharma Inc.

Formulary Listing Date

2020-05-29  

Unit Price

103.8600

Amount MOH Pays

103.8600

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