@jnance030 I have Factor 5 Leiden clotting gene and am on Eliquis, which is also crazy expensive. Thank goodness, at the hospital they gave me a coupon for the first month for free. It was going to be $514. The next month I paid $249, and next month $114, and now it is more manageable at $52 a month, since I met the $355 deductible. There are programs that can help with the cost, but looked like I couldn't take advantage of any. My hematologist told me that I am going to have to be on it the rest of my life. I had a gigantic blood clot in my left leg and needed surgery to remove it. And that is when my doctor ran the Factor 5 test on me. I have read that Eliquis has fewer bleeding risks that Xarelto. Maybe ask your doc about it.