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Products found: 4
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DIN/ PIN/ NPN
Generic Name
Brand Name, Strength & Dosage Form
MFR
Drug Benefit Price or Unit Price
Amount MOH Pays
Inter- change- able
Limited Use
Thera- peutic Notes
02480808
RIVAROXABAN
Xarelto 2.5mg Tab
BAH
1.4200
0.3550
YES
NO
NO
02378612
RIVAROXABAN
Xarelto 20mg Tab
BAH
2.8700
0.7175
YES
NO
NO
02378604
RIVAROXABAN
Xarelto 15mg Tab
BAH
2.8700
0.7175
YES
NO
NO
02316986
RIVAROXABAN
Xarelto 10mg Tab
BAH
2.8700
0.7175
YES
NO
NO
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