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Drug Formulary Lookup - Search Results

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DIN Brand Name Generic Name Description Eligibility
Status
ATC Code
02112787  SALOFALK 5-AMINOSALICYLIC ACID 500MG  ECT Part 1 Benefit A07EC02
02112809  SALOFALK 5-AMINOSALICYLIC ACID 4GM/60GM  ENM Part 1 Benefit A07EC02
02242146  SALOFALK 5-AMINOSALICYLIC ACID 1000MG  SUP Part 1 Benefit A07EC02
02112760  SALOFALK 5-AMINOSALICYLIC ACID 500MG  SUP Part 1 Benefit A07EC02
02112795  SALOFALK 5-AMINOSALICYLIC ACID 2G/60G  SUS Part 1 Benefit A07EC02

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Data Last Updated: 3/14/2025 6:00:07 AM