Contracted Products [PRADAX 150MG TAB (BOE) DABIGATRAN]

Contract Number	42
Brand Name	PRADAX 150MG TAB (BOE) DABIGATRAN
Package Size	60'S
Formulary Category	B
Unit Price	3.22
Strength	150MG
Max. Reimbursable / Month	60
Drug Contract Start Date	2026-04-01
Drug Contract End Date
Restrict To Ophthalmologist	No
Restrict To Pulmonologist	No
Status Description	Change status from C to
Max Repeats	6