Ask your MD if you can go on Dabigatran. It is available as a generic. It is as effective as Eliquis, but has potentially more side effects (more GI irritation (reflux, stomach pain), it is more sensitive to dehydration, and it requires more "kidney awareness"). Last time I looked, you can get 60 of 150mg (one months supply) for $24.00 at "Cost Plus Drugs". I have not tried it yet, but I will probably switch to it when my last insurance-aided Eliquis purchase runs out. I keep looking for alternatives for being on these meds the rest of my life, but I haven't found one yet.