Dosage & Administration Drug label Samples Prior authorization Financial assistance

Xarelto

(rivaroxaban)

Xarelto 1 MG/mL Oral SuspensionXarelto 2.5 MG Oral Tablet

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Dosage & administration

* Nonvalvular Atrial Fibrillation: 15 or 20 mg, once daily with food ( 2.1)
* Treatment of DVT and/or PE: 15 mg orally twice daily with food for the first 21 days followed by 20 mg orally once daily with food for the remaining treatment ( 2.1)
* Reduction in the Risk of Recurrence of DVT and/or PE in patients at continued risk for DVT and/or PE: 10 mg once daily with or without food, after at least 6 months of standard anticoagulant treatment ( 2.1)
* Prophylaxis of DVT Following Hip or Knee Replacement Surgery: 10 mg orally once daily with or without food ( 2.1)
* Prophylaxis of VTE in Acutely Ill Medical Patients at Risk for Thromboembolic Complications Not at High Risk of Bleeding: 10 mg once daily, with or without food, in hospital and after hospital discharge for a total recommended duration of 31 to 39 days ( 2.1)
* CAD or PAD: 2.5 mg orally twice daily with or without food, in combination with aspirin (75–100 mg) once daily ( 2.1)
* Pediatric Patients: See dosing recommendations in the Full Prescribing Information ( 2.2)

drug label

Xarelto prescribing information

Contact Medical Science Liaison Report Adverse Event

samples

Request Xarelto samples

Online Sample Form

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prior authorization

Xarelto prior authorization resources

OTHERComplete Letter of Medical Necessity

OTHERCoverage Authorization Request

PDFAppeals Consideration Checklist

PDFAppeals Consideration Checklist - Spanish

OTHERLetter of Formulary Exception

PDFFormulary Exception Considerations Checklist

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financial assistance

Xarelto financial assistance options

Co-pay savings program

commercial only

Enroll in Patient Savings Program

Enroll in Patient Savings Program (Janssen Select - To address coverage gap for commercial & government insurance)

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Overview

Reduce patient OOP costs for drug (and occasionally for drug administration/infusion costs or drug-related test costs)

Patient benefit

A portion (or all) of patient OOP (deductible, copay), typically up to monthly and/or annual max

Patient eligibility

Patient must enroll or activate (may permit HCPs to enroll on patient’s behalf for HCP-administered drugs)
Generally, must have commercial insurance (rarely, may permit uninsured patients to use)
May never be used with government insurance

How to sign up

Cards may be downloadable digital cards or hard copies
Some pharmacos offer debit cards with pre-loaded copay benefit
Typically, available through multiple channels (e.g., rep to HCP to patient; pharmacy to patient; patient via website, Hub live agent, or copay vendor (live agent or IVR); patient and HCP via Hub enrollment form)
Some HCP-administered product programs permit HCPs to enroll on a patient’s behalf through via Hub form

Foundation programs

under insured

no insurance

goverment insurance

65+

J & J Patient Assistance Program Eligibility Check

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Overview

Charitable 501(c)(3) organizations provide direct cost-sharing and other support (e.g., travel, counseling) through disease-state funds to indigent patients on first-come first-served basis
These organizations may receive financial contributions from drug manaufacturers for particular disease-state funds that cannot provide funds directly to patients - the foundation must be independent/unaligned

Patient benefit

Patients apply for grants that cover a portion (or all) of their out-of-pocket costs (deductibles and co-pays) until the grant is exhausted

Patient eligibility

Patients must apply and meet eligibility criteria including income level (typically a multiple of federal poverty line), specific diagnosis, insurance status, etc.