Product Details

Pentasa

5-Aminosalicylic Acid
1 g
Suppository


DIN/PIN/NPN

02153564

Manufacturer

Ferring Inc.

Formulary Listing Date

1996-12-19  

Unit Price

2.5467

Amount MOH Pays

2.5467

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

A07EC02

Interchangeable Products

NO  

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph