DABIGATRAN

Source General Schedule
Body System BLOOD AND BLOOD FORMING ORGANS > ANTITHROMBOTIC AGENTS > ANTITHROMBOTIC AGENTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
9318KMPNP DABIGATRAN
dabigatran etexilate 75 mg capsule, 10 (PI, CMI)
2 20 1 $35.69 $31.60 $31.60
Available brands
Pradaxa
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DABIGATRAN

Source General Schedule
Body System BLOOD AND BLOOD FORMING ORGANS > ANTITHROMBOTIC AGENTS > ANTITHROMBOTIC AGENTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
9319LMPNP DABIGATRAN
dabigatran etexilate 110 mg capsule, 10 (PI, CMI)
2 20 1 $26.79 $28.24 $31.60
Available brands
Pradaxa
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DABIGATRAN

Source General Schedule
Body System BLOOD AND BLOOD FORMING ORGANS > ANTITHROMBOTIC AGENTS > ANTITHROMBOTIC AGENTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
9320MMPNP DABIGATRAN
dabigatran etexilate 75 mg capsule, 60 (PI, CMI)
1 60 0 $80.10 $31.60 $31.60
Available brands
ARX-Dabigatrana
Pradaxaa
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DABIGATRAN

Source General Schedule
Body System BLOOD AND BLOOD FORMING ORGANS > ANTITHROMBOTIC AGENTS > ANTITHROMBOTIC AGENTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
9321NMPNP DABIGATRAN
dabigatran etexilate 110 mg capsule, 60 (PI, CMI)
1 60 0 $53.39 $31.60 $31.60
Available brands
ARX-Dabigatrana
Dabigatran Sandoza
PHARMACOR DABIGATRANa
Pradaxaa
* Additional charge for this brand is $10.00B
1 60 0 $63.39 $31.60 $41.60
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DABIGATRAN

Source General Schedule
Body System BLOOD AND BLOOD FORMING ORGANS > ANTITHROMBOTIC AGENTS > ANTITHROMBOTIC AGENTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
9322PMPNP DABIGATRAN
dabigatran etexilate 75 mg capsule, 10 (PI, CMI)
2 20 0 $35.69 $31.60 $31.60
Available brands
Pradaxa
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DABIGATRAN

Source General Schedule
Body System BLOOD AND BLOOD FORMING ORGANS > ANTITHROMBOTIC AGENTS > ANTITHROMBOTIC AGENTS
Code & Prescriber Medicinal Product Pack
(Name, form & strength and pack size)
Max qty packs Max qty units No. of repeats DPMQ Max Safety Net General Patient Charge
9323QMPNP DABIGATRAN
dabigatran etexilate 110 mg capsule, 10 (PI, CMI)
2 20 0 $26.79 $28.24 $31.60
Available brands
Pradaxa
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  • Legend
  • BBrand premium applies
  • aBrand equivalent a
  • MPMedical Practitioner
  • NPNurse Practitioner