Search Results
You can sort your results in ascending / descending order by clicking on the column headings, with the exception of Therapeutic Notes.
Products found: 6
New Search
DIN/ PIN/ NPN
Generic Name
Brand Name, Strength & Dosage Form
MFR
Drug Benefit Price or Unit Price
Amount MOH Pays
Interchangeable
Limited Use
Therapeutic Notes
02468891
DABIGATRAN ETEXILATE
Apo-Dabigatran (Off-Formulary Interchangeable) 75mg Cap
APX
1.6443
N/A
YES
NO
NO
02468905
DABIGATRAN ETEXILATE
Apo-Dabigatran 110mg Cap
APX
1.2540
1.2540
YES
NO
NO
02468913
DABIGATRAN ETEXILATE
Apo-Dabigatran 150mg Cap
APX
1.2540
1.2540
YES
NO
NO
02358808
DABIGATRAN ETEXILATE
Pradaxa 150mg Cap
BOE
1.7310
1.2540
YES
NO
NO
02312433
DABIGATRAN ETEXILATE
Pradaxa (Off-Formulary Interchangeable) 75mg Cap
BOE
N/A
N/A
YES
NO
NO
02312441
DABIGATRAN ETEXILATE
Pradaxa 110mg Cap
BOE
1.7310
1.2540
YES
NO
NO
Back to Top
New Search