Is rivaroxaban a cost-effective anticoagulation therapy compared with warfarin?

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Bottom lineYes. For the treatment of atrial fibrillation, patients given rivaroxaban have similar or lower total costs than patients given warfarin (including medications, laboratory costs, hospitalizations, outpatient/emergency visits, and transportation) over the short term (SOR: B, consistent cohort studies). Rivaroxaban is also likely cost effective after 16 years compared with warfarin for treatment of nonvalvular atrial fibrillation (NVAF) (SOR: B, cost-effectiveness simulation). For treatment of venous thromboembolism (VTE), there is a 98% likelihood that rivaroxaban is cost saving compared with warfarin (SOR: B, cost-effectiveness simulation).

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