Product Details

Mezera

5-Aminosalicylic Acid
1 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

101.8220

Amount MOH Pays

101.8220

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