Xarelto and Cost: What You Need to Know

What is Xarelto’s price?

The price you pay for Xarelto can vary. The cost will depend on your treatment plan, 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.

Can I get help paying for Xarelto, such as coupons or a copay card?

If you need help covering the cost of Xarelto or understanding your insurance, check out these websites:

• NeedyMeds
• Medicine Assistance Tool

On these sites, you can find insurance information, details on drug assistance programs, and links to savings cards and other services.

The manufacturer of Xarelto offers the Xarelto withME savings card for people with commercial insurance. The program will provide you with a manufacturer’s coupon that you can present to your pharmacist to decrease the cost of Xarelto.

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.

FAQs about cost and Xarelto

Is Xarelto available as a generic drug?

Yes. In March 2025, the FDA approved the first generic version (rivaroxaban) of the 2.5 mg tablet. A generic drug is an exact copy of the active drug in a brand-name medication. Other strengths may still only be available as the brand-name drug Xarelto.

This generic medication is approved to help reduce the risk of major cardiovascular events and blood clots in adults with coronary artery disease (CAD) or peripheral artery disease (PAD).

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.

Also, 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.

Medical Perspective

In most cases, people can easily switch from one generic drug manufacturer to another generic manufacturer or a brand-name option. However, a few drugs require precise dosing.

Slight differences in active ingredients may also occur between manufacturers, and different batches from the same brand or generic manufacturer may also vary. However, the chances of serious issues with switching are quite small.

— Alan Carter, PharmD

Learn more about generic versus brand-name drugs.

_{Quotes represent the opinions of our medical experts. All content is strictly informational and should not be considered medical advice.}

How can I lower my long-term drug costs?

If you take Xarelto long term, you may be able to lower your costs in the following ways:

Talk with your doctor about switching to the generic version

If your doctor has prescribed Xarelto and you’re interested in switching to the generic version, rivaroxaban, talk with your doctor. They may have a preference for one version or the other. You’ll also need to check with your insurance provider, as it may prefer one or the other.

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. If you’re interested, 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 of 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.

What should my next steps be?

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. If you have health insurance, you’ll need to talk with your insurance provider to learn what 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 are available?
• Will my dosage of Xarelto affect the cost of the medication?
• What will my copay be for Xarelto?

Takeaway

Xarelto (rivaroxaban) varies in price depending on your health insurance, dosage, and the pharmacy you use.

Your doctor or insurance company may suggest switching to the newly approved generic version of Xarelto to reduce costs. Using a mail order pharmacy and buying in bulk may also help you pay less.

Your doctor and insurer can give you advice specific to your situation.