Product Details

Lixiana

Edoxaban
60 mg
Tablet


DIN/PIN/NPN

02458667

Manufacturer

Servier Canada Inc.

Formulary Listing Date

2019-04-30  

Unit Price

2.9393

Amount MOH Pays

0.7348

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

B01AF03

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02458667 Lixiana 2.9393 0.7348
02557290 Jamp Edoxaban 0.7348 0.7348
02553430 Sandoz Edoxaban 0.7348 0.7348
02554224 Teva-Edoxaban 0.7348 0.7348
 

LU Clinical Criteria

NO  

EAP Criteria

NO

Product Monograph

View Monograph