Product Details
Mezera
5-Aminosalicylic Acid1 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
98.0000
Amount MOH Pays
98.0000
Coverage Status
General Benefit