Contracted Products [XARELTO 15MG TAB (BSP/AHI) RIVAROXABAN]

Contract Number	40
Brand Name	XARELTO 15MG TAB (BSP/AHI) RIVAROXABAN
Package Size	14'S
Formulary Category	C
Unit Price	6.07
Strength	15MG
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