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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