sfRowasa Sulfite-Free Formulation
Generic: mesalamine
- Manufacturer
- Meda
- NDC
- 0037-0022
- RxCUI
- 206798
- Route
- RECTAL
- ICD-10 indication
- K51.3
Affordability Check
How much will you actually pay for sfRowasa Sulfite-Free Formulation?
In 30 seconds, see every legitimate way to afford sfRowasa Sulfite-Free Formulation — Medicare copay, manufacturer copay card, Patient Assistance Program, grants, or cash.
About sfRowasa Sulfite-Free Formulation
What is this medication? sfRowasa is a sulfite-free rectal suspension containing mesalamine, which belongs to a class of drugs known as aminosalicylates. This medication is specifically used to treat active mild to moderate distal ulcerative colitis, proctosigmoiditis, and proctitis. It works by delivering the active ingredient directly to the lining of the lower gastrointestinal tract to reduce inflammation and irritation in the colon and rectum.
The medication functions by inhibiting the production of certain chemicals in the body that cause redness and swelling in the digestive tract. This helps to alleviate common symptoms such as rectal bleeding, abdominal pain, and the urgent need for bowel movements. Because this version is sulfite-free, it provides a safer option for individuals who are allergic or sensitive to sulfite preservatives often found in other liquid medications.
Copay & patient assistance
Detailed copay and financial assistance information is not publicly available for this medication at this time. Please consult your pharmacist or the manufacturer's official patient support program for more details.
External links go directly to the manufacturer's portal. RxCopays does not receive compensation for referrals.
Compare pricing elsewhere
RxCopays doesn't sell drugs or take referral fees. Here are the transparent-pricing directories we recommend checking alongside your insurance formulary.
Cost Plus Drug Company
Mark Cuban's transparent-pricing pharmacy — manufacturer cost + 15% markup + $5 dispensing fee. No insurance needed. Search alphabetically for mesalamine.
Browse Cost Plus medications →
GoodRx
Compare local pharmacy prices with GoodRx coupons. Use the price with your insurance or without — whichever is cheaper.
Lookup sfRowasa Sulfite-Free Formulation →
NeedyMeds
Independent nonprofit directory of patient assistance programs, copay cards, and charity co-pay foundations.
Search for mesalamine →
RxAssist
PAP directory maintained by Volunteers in Health Care at Brown University. Free, no ads.
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Conditions we've indexed resources for
Click a condition to see copay cards, grants, and PA rules specific to it. For the full list of FDA-approved indications, see Prescribing information above.
Medicare Part D coverage
How sfRowasa Sulfite-Free Formulation appears across Medicare Part D plan formularies nationally. Source: CMS monthly Prescription Drug Plan file (2026-08-31).
Covered by plans
0%
17 of 5,499 plans
Most common tier
Tier 4
On 67% of covering formularies
Prior authorization required
0%
of covering formularies
| Tier | Formularies on this tier | Share |
|---|---|---|
| Tier 1 (preferred generic) | 1 | 33% |
| Tier 4 (non-preferred brand) | 2 | 67% |
Step therapy: 0% of formularies
Quantity limits: 0% of formularies
Coverage breadth: 3 of 65 formularies
How to read this:plans on the same formulary share tier + PA rules. Your specific plan's copay depends on (a) the tier above, (b) your plan's cost-share for that tier, (c) whether you're in the initial coverage phase or past the 2026 $2,000 out-of-pocket cap. For your exact plan, check its Summary of Benefits or log in to your Medicare.gov account. Copay cards don't apply to Medicare (federal law).
Prior authorization & coverage
| Payer | PA | Step therapy | Copay tier |
|---|---|---|---|
— Medicare Part D | — | — | — |
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How this page is sourced
- Drug identity verified against openFDA NDC Directory.
- Label text (when shown) originates from NLM DailyMed.
- Copay and assistance URLs verified periodically; if you hit a broken link, tell us.