anticoagulants and they're there for so some insurance was call cover one versus the other the first one on the market was called Pradaxa you've probably heard about that one most hospitals would you're gonna have access to that and many will have the other ones that have come out more recently so these are typically for patients with atrial fibrillation they have not been shown to be effective for people who have heart valve problems like a mechanical heart valve so it kind of depends on the reason that somebody's on coumadin if