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

Contract Number	41
Brand Name	XARELTO 15MG TAB (BSP) RIVAROXABAN (C)
Package Size	14'S
Formulary Category	C
Unit Price	6.0696
Strength	15MG
Max. Reimbursable / Month	30
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
Status Description
Max Repeats	0