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Drug Formulary Lookup - Search Results

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DIN Brand Name Generic Name Description Eligibility
Status
ATC Code
02153521  PENTASA 5-AMINOSALICYLIC ACID 1GM/100ML  ENM Part 1 Benefit A07EC02
02153556  PENTASA 5-AMINOSALICYLIC ACID 4GM/100ML  ENM Part 1 Benefit A07EC02
02099683  PENTASA 5-AMINOSALICYLIC ACID 500MG  SRT Part 1 Benefit A07EC02
02153564  PENTASA 5-AMINOSALICYLIC ACID 1GM  SUP Part 1 Benefit A07EC02
02399466  PENTASA MESALAZINE 1G  TAB Part 1 Benefit A07EC02

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Data Last Updated: 3/13/2025 6:00:07 AM