Product Details

Xarelto

Rivaroxaban
20 mg
Tablet


DIN/PIN/NPN

02378612

Manufacturer

Bayer Inc., Health Care Division

Formulary Listing Date

2012-07-27  

Unit Price

2.8700

Amount MOH Pays

0.7175

Coverage Status

General Benefit

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

B01AF01

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02378612 Xarelto 2.8700 0.7175
02470519 Apo-Rivaroxaban 0.7175 0.7175
02512076 PMS-Rivaroxaban 0.7175 0.7175
02472422 Reddy-Rivaroxaban 0.7175 0.7175
02482258 Sandoz Rivaroxaban 0.7175 0.7175
02483823 Taro-Rivaroxaban 0.7175 0.7175
02507226 Teva-Rivaroxaban 0.7175 0.7175
02541491 Rivaroxaban 0.7175 0.7175
02516314 Jamp Rivaroxaban 0.7175 0.7175
 

LU Clinical Criteria

NO  

EAP Criteria

Therapeutic Class Reimbursement Criteria
Unclassified EAP Drugs

These drugs are not currently listed in the Exceptional Access Program Reimbursement Criteria for Frequently Requested Drugs – August 8, 2023 Edition

Physicians may wish to contact the EAP directly by phone at 416-327-8109 or 1-866-811-9893 or by email at EAPFeedback.MOH@ontario.ca to see if an unlisted drug product and/or indication may be considered for EAP funding.

Product Monograph

View Monograph