If you’re looking at treatment options to prevent or treat blood clots, you may want to learn more about Xarelto (rivaroxaban).
Specifically, Xarelto is a prescription drug that’s used to:
- lower the risk of stroke or blood clots in adults who have nonvalvular atrial fibrillation
- treat deep vein thrombosis (DVT) in adults
- treat pulmonary embolism (PE) in adults
- decrease the risk of DVT or PE in certain adults
- prevent DVT or PE in adults who’ve had hip or knee replacements
- prevent venous thromboembolism (VTE) in certain adults who are hospitalized
- decrease the risk of serious heart problems such as heart attack or stroke in adults with coronary artery disease
- reduce the risk of blood clots in certain adults with peripheral artery disease
- treat VTE or reduce the risk of VTE occurring again in children
- prevent blood blots in certain children with congenital heart disease
Xarelto comes as a tablet that you swallow and as a powder that’s mixed into a suspension (a type of liquid mixture) that you drink.
Keep reading for details on Xarelto and cost and how to save money on prescriptions.
Note: For more details on Xarelto, see this in-depth article.
The price you pay for Xarelto can vary. Your cost may depend on your treatment plan, your insurance coverage (if you have it), and the pharmacy you use.
To find out how much you’ll pay for Xarelto, talk with your doctor, pharmacist, or insurance provider.
If you need help covering the cost of Xarelto or understanding your insurance, check out these websites:
On these sites, you can find insurance information, details on drug assistance programs, and links to savings cards and other services.
If you have questions about how to pay for your prescription, talk with your doctor or pharmacist. A program called Janssen CarePath Savings Program may also be available for Xarelto. This is a copay assistance program, which can decrease your copay of Xarelto if you have commercial insurance. This program will provide you with a manufacturer coupon that you can present to your pharmacist to decrease your cost of Xarelto.
The manufacturer of Xarelto offers another program called Janssen Select for people during gaps in insurance (called coverage gaps). Although Janssen CarePath Savings Program can’t be used for people with Medicare plans, Janssen Select can help if you are in the Medicare Part D coverage gap (called the “donut hole”).
If you have questions about getting help paying for Xarelto, talk with your doctor or pharmacist. They can help determine the best savings programs based on your situation.
Below are answers to some frequently asked questions about Xarelto and cost.
Does the Xarelto tablet strength (2.5 mg, 10 mg, 15 mg, 20 mg) affect the price of the drug?
It’s possible that the tablet strength of Xarelto may affect the price of the drug. In some cases, when a drug is a higher strength, it may be more expensive.
Xarelto tablets are available in four strengths:
- 2.5 milligrams (mg)
- 5 mg
- 10 mg
- 20 mg
Before starting treatment with Xarelto, talk with your doctor or pharmacist about the pricing of the tablet strength you’re prescribed and whether your insurance covers it. Prices in the U.S. may be different from other countries, so you should see your local pharmacy about the price you’ll pay. If you need help paying for Xarelto, see the section above called “Can I get help paying for Xarelto, such as coupons or a copay card?”
How much does Xarelto cost without insurance?
The cost of Xarelto without insurance may depend on many factors, including:
- the tablet strength of Xarelto you’re prescribed
- how often you take Xarelto
- the length of your treatment
Before starting treatment with Xarelto, talk with your doctor or pharmacist about how much the drug may cost without insurance. For resources that may help with the cost of Xarelto, see the section above called “Can I get help paying for Xarelto, such as coupons or a copay card?”
Xarelto only comes as a brand-name drug. It’s not currently available in a generic version. A generic drug is an exact copy of the active drug in a brand-name medication.
Generics tend to cost less than brand-name drugs.
Why is there such a difference in the cost of brand-name drugs vs. generic drugs?
Years of research and testing are needed to ensure that brand-name drugs are safe and effective. This testing can make the drugs expensive. The manufacturer of a brand-name drug can sell the drug for up to 20 years. After that, other drug manufacturers can create generic versions. This competition in the market can lead to lower costs for generics. And because generics have the same active ingredients as brand-name drugs, they don’t need to be studied again. This can also lead to lower generic costs.
If you take Xarelto long term, you may be able to lower your costs in the following ways:
- Look into getting a 90-day supply of your medication. You may be able to get a 90-day supply of Xarelto if approved by your insurance company. This could reduce your number of trips to the pharmacy and help lower the cost of Xarelto. If you’re interested in getting a 90-day supply of this drug, talk with your doctor, pharmacist, or insurance provider.
- Use a mail-order pharmacy to get your medication. Using a mail-order pharmacy might help lower your cost for Xarelto. Plus, you could get your medication without leaving home. Some Medicare plans may help cover the cost of mail-order drugs. You may also be able to get a 90-day supply of the drug through mail order.
In addition, you may get copay assistance through Xarelto’s manufacturer. They offer a Janssen CarePath Savings Program, which may help lower your copay. They also offer Janssen Select to help during gaps in insurance (called coverage gaps). If you don’t have health insurance, talk with your doctor or pharmacist. They may be able to suggest online pharmacy options that could work for you.
If you still have questions about the cost of Xarelto, talk with your doctor or pharmacist. They may be able to give you a better idea of what you’ll pay for this drug. But if you have health insurance, you’ll need to talk with your insurance provider to learn the actual cost you’d pay for Xarelto.
Examples of questions you may want to ask your doctor or insurance provider include:
- If I can’t afford Xarelto, what other treatment options may be available?
- Will my dosage of Xarelto affect the cost of the medication?
- What will my copay be for Xarelto?
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Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.