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After my new onset AF was diagnosed last month, I was prescribed Pradaxa due to my 30 mile bike rides as my EP was concerned with falls as Pradaxa is the only one of the new blood thinners that is reversible.
After speaking with my insurance pharmacist, they recommended to talk with my doctor about switching to their “preferred” alternative medication Eliquis or Xarelto which has fewer bleeding events and side effects and costs less,than a third of Pradaxa.
I did speak to my EP about the switch and he reaffirmed the reason he prescribed Pradaxa (possible fall from bike) but acknowledged that none of his other AFib patients had had an issue using the alternative meds and he would make the switch if I wanted to.
I agreed to continue the Pradaxa and just refilled a 90 day supply (my copay is $458) but will consider switching to one of the alternatives on my next refill.
Can anyone justify the additional cost to continue with Pradaxa?
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