DIN/PIN/NPN Detail

56:00 GASTROINTESTINAL DRUGS

56:40:00 MISCELLANEOUS G.I. DRUGS

Salofalk (5-AMINOSALICYLIC ACID)4g Rect Susp-Pk

DIN/PIN/NPN:02112809

Interchangeables:

NO

Manufacturer:

Axcan Pharma Inc.

Formulary Listing Date:

1996-10-01

Drug Benefit Price or Unit Price:

9.2100

Amount MOH Pays:

9.2100

Coverage Status:

General Benefit