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
11633GMPNP	RIVAROXABAN rivaroxaban 10 mg tablet, 30 (PI, CMI)	1	30	5	$53.50	$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
13521PMPNP	RIVAROXABAN rivaroxaban 10 mg tablet, 30 (PI, CMI)	2	60	5	$93.55	$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
9467GMPNP	RIVAROXABAN rivaroxaban 10 mg tablet, 30 (PI, CMI)	1	30	0	$53.50	$31.60	$31.60
	Available brands
	Rivaroxaban-Tevaa
	Xareltoa
	iXarolaa