Source	General Schedule
Body System	BLOOD AND BLOOD FORMING ORGANS > ANTITHROMBOTIC AGENTS > ANTITHROMBOTIC AGENTS

Note

Authority Required (STREAMLINED)

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
12192QMPNP	RIVAROXABAN rivaroxaban 2.5 mg tablet, 60 (PI, CMI)	1	60	5	$48.80	$31.60	$31.60
	Available brands
	Rivaroxaban-Tevaa
	Xareltoa

Source	General Schedule
Body System	BLOOD AND BLOOD FORMING ORGANS > ANTITHROMBOTIC AGENTS > ANTITHROMBOTIC AGENTS

Note

Authority Required (STREAMLINED)

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
12197YMP	RIVAROXABAN rivaroxaban 2.5 mg tablet, 60 (PI, CMI)	1	60	5	$48.80	$31.60	$31.60
	Available brands
	Rivaroxaban-Tevaa
	Xareltoa

Source	General Schedule
Body System	BLOOD AND BLOOD FORMING ORGANS > ANTITHROMBOTIC AGENTS > ANTITHROMBOTIC AGENTS

Note

Authority Required (STREAMLINED)

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
13366LMPNP	RIVAROXABAN rivaroxaban 2.5 mg tablet, 60 (PI, CMI)	2	120	5	$84.15	$31.60	$31.60
	Available brands
	Rivaroxaban-Tevaa
	Xareltoa