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
13463NMPNP	RIVAROXABAN rivaroxaban 15 mg tablet, 28 (PI, CMI)	2	56	5	$83.97	$31.60	$31.60
	Available brands
	Rivaroxaban-Tevaa
	Xareltoa
	iXarolaa

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
2691PMPNP	RIVAROXABAN rivaroxaban 15 mg tablet, 28 (PI, CMI)	1	28	5	$48.71	$31.60	$31.60
	Available brands
	Rivaroxaban-Tevaa
	Xareltoa
	iXarolaa