Xarelto(rivaroxaban)
Xarelto 1 MG/mL Oral Suspension

Dosage & Administration

Get Your Patient on Xarelto

See your patient's specific prior authorization requirements including coverage restrictions and step therapies
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Request Xarelto Samples

Online Sample Form
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Xarelto Prior Authorization Resources

Most recent state uniform prior authorization forms

Verified: Sep 24, 2024Arizona - Uniform Prior Authorization Form
Verified: Sep 24, 2024Colorado - Uniform Prior Authorization Form
Verified: Sep 24, 2024Hawaii - Uniform Prior Authorization Form
Verified: Sep 24, 2024Illinois - Uniform Prior Authorization Form
Verified: Sep 24, 2024Indiana - Uniform Prior Authorization Form
Verified: Sep 24, 2024Louisiana - Uniform Prior Authorization Form
Verified: Sep 24, 2024Minnesota - Uniform Prior Authorization Form
Verified: Sep 24, 2024New Hampshire - Uniform Prior Authorization Form
Verified: Sep 24, 2024New Mexico - Uniform Prior Authorization Form
Verified: Sep 24, 2024Oregon - Uniform Prior Authorization Form
Verified: Sep 24, 2024Texas - Uniform Prior Authorization Form
Verified: Oct 05, 2024Washington - Uniform Prior Authorization Form
Verified: Oct 05, 2024Wisconsin - Uniform Prior Authorization Form
Appeals Consideration Checklist
Appeals Consideration Checklist - Spanish
Coverage Authorization Request
Formulary Exception Considerations Checklist
Formulary Exception Considerations Checklist
Letter of Formulary Exception
Complete Letter of Medical Necessity

Xarelto Financial Assistance Options

Copay savings program

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

Foundation programs

J & J Patient Assistance Program Eligibility Check
Learn More

Xarelto PubMed™ News

Xarelto Patient Education

To share resource; ask patient to:
1.Pull out phone
2.Open camera
3.Scan QR code with camera
4.Tap link

Patient toolkit

About Xarelto: All Indications
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Xarelto: Nonvalvular Atrial Fibrillation
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Stories: Nonvalvular Atrial Fibrillation
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Doctor Discussion Guide: Nonvalvular Atrial Fibrillation
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Xarelto: Peripheral Artery Disease (PAD)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Doctor Discussion Guide: Peripheral Artery Disease (PAD)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Xarelto: Coronary Artery Disease (CAD)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Stories: Coronary Artery Disease (CAD)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Doctor Discussion Guide: Coronary Artery Disease (CAD)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Xarelto: Deep Vein Thrombosis (DVT)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Stories: Deep Vein Thrombosis (DVT)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Doctor Discussion Guide: Deep Vein Thrombosis (DVT)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Xarelto: Pulmonary Embolism (PE)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Patient Stories: Pulmonary Embolism (PE)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Doctor Discussion Guide: Pulmonary Embolism (PE)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Xarelto: DVT Prophylaxis After Hip/Knee Replacement Surgery
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Xarelto: DVT/PE Prophylaxis in Non-Surgical Hospitalization
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Xarelto: Pediatric DVT/PE
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
About Xarelto: Pediatric Post Fontan
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

Xarelto FAQs