rivaroxaban
NowPatient helps you obtain your rivaroxaban prescription for free or at low-cost. Drug savings programs are suitable for individuals who are insured, don't have insurance or are underinsured and can't afford your medicine.
Manufactured by various FDA-approved generic manufacturers.
*You can pay as little as $0 per fill using Drug Coupons or Patient Assistance Programs. Subject to applicability & eligibility requirements.
This content is intended for US audiences only
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rivaroxaban key facts
What dosages is rivaroxaban available in?
rivaroxaban is available as a 2.5 mg, 10 mg, 15 mg, and 20 mg oral tablet and a 1 mg/ml oral suspension.
What is rivaroxaban used for?
rivaroxaban is a direct-acting oral anticoagulant (DOAC) and is used for the following:
- Lowering the risk of stroke and blood clots in with atrial fibrillation (AFib) that isn’t caused by a heart valve problem
- Treating blood clots in the legs (deep vein thrombosis (DVT)) or lungs (pulmonary embolism (PE))
- Lowering the risk of blood clots from happening again in the legs (DVT) or lungs (PE) in certain people who are at high risk for clots
- Preventing blood clots in the legs (DVT) or lungs (PE) in people who’ve had recent hip or knee surgery, those who are hospitalized, or those who were recently released from the hospital and are at high risk for blood clots
- Lowering the risk of serious heart-related problems, such as heart attack or stroke, in people with coronary artery disease (CAD) when used together with aspirin
- Lowering the risk of blood flow issues, major amputations, serious heart problems, or stroke in people with peripheral artery disease (PAD) when used together with aspirin
- Treating blood clots and lowering the risk of blood clots from happening again after receiving at least 5 days of treatment with injectable blood thinner medications
Preventing blood clots in children ages 2 and older with a congenital heart disease (CHD) after a Fontan procedure
How does rivaroxaban work?
rivaroxaban is a direct-acting oral anticoagulant (DOAC) that works by stopping factor Xa, a protein that’s involved in the blood clotting process. When this protein is blocked, blood clots are less likely to form in your body. rivaroxaban can either treat or prevent these dangerous blood clots from forming, especially in people who are at higher risk for them.
How do I take rivaroxaban?
rivaroxaban is dosed as follows:
Adults:
- The dose and length of treatment for rivaroxaban will vary depending on your condition. Your dose might be lower if you have kidney problems
- Lowering the risk of a stroke in AFib: The typical dose is 20 mg by mouth once a day in the evening
- Treating DVT or PE: The typical dose is to start with 15 mg by mouth twice a day for 21 days, then switch to 20 mg once a day
- Lowering the risk of DVT or PE: The typical dose is 10 mg by mouth once a day, for at least 6 months with anticoagulant treatment
- Preventing DVT or PE in people with recent surgery or hospitalization:
- Hip replacement surgery: The typical dose is 10 mg by mouth once a day for 35 days.
- Knee replacement surgery: The typical dose is 10 mg by mouth once a day for 12 days.
- Hospitalization: The typical dose is 10 mg by mouth once a day starting in the hospital and continuing after discharge for a total of 31 to 39 days.
- Lowering the risk of serious heart-related problems in CAD and PAD: The typical dose is 2.5 mg twice daily by mouth, plus aspirin (75 to 100 mg) once a day by mouth.
Children:
- The dose is based on your child’s weight. Depending on your child’s weight and the condition that the medication is being used for, the dose is taken by mouth ranging from 1 to 3 times a day
Is it safe for me to take rivaroxaban?
rivaroxaban is a safe and effective treatment when used for FDA licensed indications. However, like all medications, they may give you unwanted side effects. You should always discuss potential side effects with your physician to ensure the medication is suitable and right for you. You should not use this medication in the following:
- Active pathological bleeding
- Severe hypersensitivity reaction to rivaroxaban
rivaroxaban Common Side Effects
Common side effects of rivaroxaban:
- Any bleeding
- Cough
- Vomiting
- Stomach virus
- Rash
rivaroxaban Serious Side Effects
Serious side effects are rare with rivaroxaban. Contact your healthcare provider immediately if you experience any of the following.
- Serious bleeding: black, red, or tarry stools, urine in the blood, vomiting blood, unexplained bruises, bruises that get bigger, bleeding that won’t stop
- Bleeding around the spine (spinal or epidural hematoma): back pain, weakness, difficulty walking, loss of bowel or bladder control, paralysis
Effects of other drugs, drug classes and over-the-counter products on rivaroxaban
The following medications may interact with rivaroxaban:
- Avoid combined P-gp and strong CYP3A inhibitors and inducers
- Anticoagulants: Avoid concomitant use
Who makes rivaroxaban?
Various FDA-approved generic manufacturers
Is rivaroxaban safe in pregnancy?
It is not known if rivaroxaban will harm your unborn baby. If you take rivaroxaban during pregnancy tell your doctor right away if you have any signs or symptoms of bleeding or blood loss.
The FDA's medical product safety reporting program for health professionals, patients and consumers.
Learn more about reporting side effects in the USDrug Savings Guide
A practical guide to saving money and receiving support with prescription costs
How can NowPatient help me to lower the cost of my rivaroxaban prescription?
After you create a FREE account with NowPatient, you will have access to 4 programs that can help lower the cost of your rivaroxaban prescription
Applicability to each program will be dependent on your insurance status.
How do the NowPatient rivaroxaban savings programs work?
After you have created your FREE account with NowPatient, you can access the various programs from your account dashboard. Each program has clear instructions on how to check your eligibility. You can see how the process works by clicking on the feature link below and seeing the ‘How it works’ steps.
Drug Coupon and Patient Assistance Programs require an eligibility quiz to be completed.
Are the NowPatient rivaroxaban savings programs suitable for everyone, regardless of insurance status?
No. Each program has its own eligibility and applicability requirements. The table below shows if a program is available to you, based on your insurance status.
| Rx Advantage Card* for rivaroxaban | Canadian Prescription Savings* for rivaroxaban | rivaroxaban Drug Coupon* | rivaroxaban Patient Assistance Program* | |
| Insured (federal, state or government) | Available | Available | Not Available | Available If Offered by Pharmaceutical Company |
| Insured (Commercial or Private) | Available | Available | Available If Offered by Pharmaceutical Company | Available If Offered by Pharmaceutical Company |
| Uninsured | Available | Available | Not Available | Available If Offered by Pharmaceutical Company |
| Insured but without pharmacy benefit or drug coverage | Available | Available | Not Available | Available If Offered by Pharmaceutical Company |
*This is not insurance.
Are the NowPatient drug savings programs suitable for brand and generic versions of rivaroxaban?
No. Each program has applicability requirements. Please see below
| Rx Advantage Card* for rivaroxaban | Canadian Prescription Savings* for rivaroxaban | rivaroxaban Drug Coupon* | rivaroxaban Patient Assistance Program* | |
| Brand | Yes | Yes | Yes, If Offered by Pharmaceutical Company | Yes, If Offered by Pharmaceutical Company |
| Generic | Yes | Yes | No | No |
*This is not insurance.
If you have Medicare Part D or Medicare Advantage and none of the rivaroxaban savings options are applicable or affordable for me, what can you do?
If you are insured with Medicare and the rivaroxaban drug savings options are not applicable to you and still remain unaffordable, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.
The government site is easy to use and after you have selected your state, it will navigate you to the appropriate contact point to make the application. State Medicaid programs may cover the full cost of your medication.
People who qualify for both Medicare and Medicaid are called ‘dual eligibles’.
If you are denied Medicaid for rivaroxaban, and you are still unable to afford your copay or co-insurance element (for example if you are in the coverage gap or Donut Hole) then you may be eligible for a federal support program like Low Income Subsidy. To be eligible for Low Income Subsidy, you need to be a resident in one of the 50 States or the District of Columbia. You can check eligibility online at SSA Medicare D Extra Help. You can also call Social Security at 1-800-772-1213 (TTY 1-800-325-0778).
I am uninsured or underinsured and none of the rivaroxaban prescription saving options are applicable or affordable for me, what can I do?
If you are uninsured or underinsured (for example, rivaroxaban is not covered by your plan) and the drug savings options are not applicable or still unaffordable, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.
The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application. State Medicaid programs may cover the full cost of your medication.
If you are denied and all else fails, and if you have been prescribed rivaroxaban for an FDA-approved indication, you can call the pharmaceutical company to see if they have any other assistance programs.
I am commercially or privately insured and none of the rivaroxaban prescription saving options are applicable or affordable for me, what can I do?
If your medication is not covered by your plan, you can appeal your insurance company’s decision. Sometimes, a formal appeal can result in the drug being covered if it is deemed medically necessary.
If you cannot afford your copay contribution, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.
However, being privately insured might complicate your eligibility for Medicaid, as having private insurance may be considered in the financial eligibility assessment.
The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application. If you qualify, state Medicaid may cover the full cost of your medication.
If I have federal, state or commercial insurance and none of the rivaroxaban prescription saving options are applicable or affordable for me, are there any other support organisations that can help me with my co-insurance or copay contributions?
If you have already tried Medicaid and received a denial letter or if you are insured with Medicare and have been denied Low-Income Subsidy, then you can try one of the following organizational support programs:
1. Patient Access Network Foundation (PAN) assistance for rivaroxaban
If you are having trouble paying for your rivaroxaban medication due to unaffordable copays or deductibles, the Patient Access Network Foundation (PAN), may be able to assist you. To qualify for PAN assistance for rivaroxaban you will need to meet one or all of the following criteria:
- Your income is below 400% of the federal poverty level
- rivaroxaban is prescribed for an approved FDA indication
- You live in and receive treatment in the United States or U.S. territories, even if you do not have U.S. citizenship
- You have Medicare insurance coverage that covers rivaroxaban
- If rivaroxaban is listed on PAN’s list of covered medications
You can check the Patient Access Network Foundation Website for more information.
2. HealthWell Foundation Copay Program for rivaroxaban
If you are having trouble paying for your rivaroxaban medication due to unaffordable copays or deductibles, the HealthWell Foundation Copay Program may be able to assist you. To qualify for assistance for rivaroxaban you will need to meet the following criteria:
- You live in and are being treated in the United States
- You are insured and your plan covers rivaroxaban
- If rivaroxaban is listed on the HealthWell Foundation’s list of covered medications
You can check the HealthWell Foundation Website for more information.
3. Patient Advocate Foundation Co-Pay Relief Program for rivaroxaban
Patient Advocate Foundation’s Co-Pay Relief program exists to help reduce the financial distress you or your family may face when paying for your rivaroxaban treatment. If you qualify and can demonstrate the need, the foundation will provide you with direct payment covering co-pays, co-insurance, and deductibles. To qualify for assistance for rivaroxaban you will need to meet the following criteria:
- You must be currently insured and have coverage for rivaroxaban
- You must have a confirmed diagnosis and treatment plan
- You must reside and receive treatment in the United States
- Your Income must fall at or below 300% or 400% of the Federal Poverty Guideline (FPG) with consideration for the Cost of Living Index (COLI) and number in the household
- Applications can also be completed by contacting the program sponsor, toll-free at 866-512-3861.
You can check the Patient Advocate Foundation Website for more information.
Medical Disclaimer
NowPatient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information on this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.
The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.
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