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  1. You’re eligible to receive a free 30-day trial supply of XARELTO ® with a valid signed 30-day prescription. You can also use it with a XARELTO ® Starter Pack. One (1) use is allowed per lifetime.

  2. XARELTO ® is a prescription medicine used to: reduce the risk of stroke and blood clots in adults who have a medical condition called atrial fibrillation that is not caused by a heart valve problem. With atrial fibrillation, part of the heart does not beat the way it should.

  3. Eligible patients receive a free 30-day trial supply of XARELTO® with a valid signed 30-day prescription for any XARELTO® dose other than 10-mg tablet or 1 mg/mL oral suspension. The XARELTO withMe Trial Offer can be used with the XARELTO® Starter Pack.

  4. XARELTO withMe Coverage Gap Support may not be used with any other coupon, discount, prescription savings card, free trial, or other offer. Offer good only in the United States and Puerto Rico. Void where prohibited or limited by law.

  5. XARELTO withMe Trial Offer. Terms & Conditions. With the trial offer, you are able to try XARELTO® at no cost to see if it’s right for you. At the conclusion of the program, you and your healthcare provider decide whether to continue treatment.

  6. Find information on XARELTO withMe Savings Card and Coverage Gap support program requirements. See full Prescribing & Safety Info, including Boxed Warnings. The XARELTO® (rivaroxaban) official patient website.

  7. Patient: Present this Savings Card along with a signed prescription for XARELTO' (rivaroxaban). You must meet the Savings Card requirements every time you use the card.

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