Contracted Products [XARELTO 2.5MG TAB (BSP/AHI) RIVAROXABAN]

Contract Number	40
Brand Name	XARELTO 2.5MG TAB (BSP/AHI) RIVAROXABAN
Package Size	56'S
Formulary Category	C
Unit Price	3.03
Strength	2.5MG
Max. Reimbursable / Month	0
Drug Contract Start Date	2022-04-01
Drug Contract End Date	2024-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	0