Product Details

Lixiana

Edoxaban
30 mg
Tablet

DIN/PIN/NPN

02458659

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

20:12:04 Direct Factor Xa Inhibitors

Therapeutic Note

NO

ATC Code

B01AF03

Interchangeable Products

DIN/ PIN/ NPN	Brand name	Unit Price	Amount MOH pays
02458659	Lixiana	2.9393	0.7348
02557282	Jamp Edoxaban	0.7348	0.7348
02553422	Sandoz Edoxaban	0.7348	0.7348
02554216	Teva-Edoxaban	0.7348	0.7348

LU Clinical Criteria

NO

EAP Criteria

NO

Product Monograph

View Monograph