Product Details

Pentasa

5-Aminosalicylic Acid
1 g/100 mL
Enema


DIN/PIN/NPN

02153521

Manufacturer

Ferring Inc.

Formulary Listing Date

1996-12-19  

Unit Price

6.8600

Amount MOH Pays

6.8600

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