Xarelto (Rivaroxaban) is an oral prescription anticoagulant (blood thinner) used to prevent and treat blood clots, reduce the risk of stroke in patients with atrial fibrillation (AFib not caused by a heart valve problem), and treat deep vein thrombosis (DVT) and pulmonary embolism (PE). It works by inhibiting factor Xa, an enzyme essential for blood clot formation. Xarelto is typically taken once daily with food.
Without insurance, Xarelto can be significantly less expensive when purchased from licensed international pharmacies compared to U.S. retail prices.
Key Takeaways
Online Pharmacies Offer Significant Savings: CIPA-certified international pharmacies list Xarelto 20 mg tablets for as low as $2.24 per tablet—over 85% less than typical U.S. retail prices.
U.S. Pharmacies Charge Over $20 per Tablet: Retail pharmacy prices for brand-name Xarelto in the U.S. average between $604.88 and $621.99 for 30 tablets.
Generic Rivaroxaban is available in some countries: U.S. patients may save by purchasing internationally where generics are available.
Cheapest Online Pharmacies for Xarelto (Rivaroxaban)
U.S. Retail Prices for Xarelto (Rivaroxaban) – 30 Tablets
Pharmacy | Price per Tablet | Total Price |
Walgreens | $20.16 | $604.88 |
CVS Pharmacy | $20.73 | $621.99 |
CVS Inside Target | $20.73 | $621.99 |
How to Save on Xarelto (Rivaroxaban)
1. Use Medicare Part D or Commercial Insurance
Xarelto is covered by most Medicare Part D and commercial insurance plans, but it is usually placed on a higher formulary tier, which can mean higher copays or coinsurance.
2. Consider International Pharmacies
Licensed Canadian, UK, and New Zealand pharmacies often offer Xarelto or generic rivaroxaban at significantly lower prices, especially for patients paying out of pocket.
3. Manufacturer Assistance Programs
Janssen CarePath offers copay support for commercially insured patients, potentially reducing costs to as little as $10 per month. Patients on Medicare or Medicaid are not eligible for manufacturer copay cards but may qualify for nonprofit assistance.
Common Questions About Xarelto (Rivaroxaban)
1. Is Xarelto covered by Medicare?
Yes. Most Medicare Part D and Advantage plans include Xarelto, but patient costs vary by plan stage and formulary tier.
2. Is there a generic for Xarelto?
Yes, rivaroxaban is the generic form of Xarelto, but brand-only pricing still applies in the U.S. until more generic versions become available domestically.
3. How much will Xarelto cost per year?
Purchase Method | Monthly Estimate | Annual Estimate |
CIPA Online Pharmacy (Planet Drugs Direct) | ~$66.00 | ~$792.00 |
CIPA Online Pharmacy (DrugMart) | ~$66.21 | ~$794.52 |
Amazon Pharmacy (brand) | ~$573.20 | ~$6,878.40 |
Walgreens (brand) | ~$604.88 | ~$7,258.56 |
CVS Pharmacy (brand) | ~$621.99 | ~$7,463.88 |
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