Drugs available on Contract - [MESAGUT 400MG TAB (ARP) MESALAZINE], []

Contract Number	42
Brand Code	6561D
Brand Name	MESAGUT 400MG TAB (ARP) MESALAZINE
Active Ingredient	MESALAZINE
Trade Name	MESAGUT
Package Size	30'S
Formulary Category	BQ
Pkg Price	12.97
Unit Price	0.43
Strength	400MG
Unit Description	TAB
Max. Reimbursable Quantity / Month	0
Package Description	BLIS
Manufacturer Code	ARP
Manufacturer Name	ARISTOPHARMA LTD
Agent Code	AHI
Agent Name	ARMSTRONG HEALTHCARE INC
Benefit
Benefit Cat Code
Drug Contract Start Date	2026-04-01
Drug Contract End Date
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
SIGCode
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	5632
Therapeutic Desc	GI PROKINETIC AGENTS
Status Description
Default Route	ORAL
Max Repeats	0
Therapeutic Head	GI PROKINETIC AGENTS
Amend Date