Product Details

Mezera

5-Aminosalicylic Acid
1 g
Suppository


DIN/PIN/NPN

02474018

Manufacturer

Avir Pharma Inc.

Formulary Listing Date

2019-08-30  

Unit Price

1.9076

Amount MOH Pays

1.9076

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