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Key takeaways
Xarelto is a prescription anticoagulant not covered by generic or over-the-counter options, making it costly for uninsured patients, averaging about $625.22 for a 30-day supply.
Nearly all insurance plans and Medicare Part D cover Xarelto as Tier 2/preferred coverage, but for those without insurance, alternatives and financial assistance programs are recommended.
Using a SingleCare coupon can reduce the out-of-pocket cost of Xarelto to approximately $386 per month, and prices for related drugs vary significantly across pharmacies.
Financial assistance for Xarelto without insurance can be sought through patient assistance programs, manufacturer savings, and comparing prices across pharmacies, with Medicaid and health insurance marketplace as potential insurance options.
Is Xarelto covered by insurance? | How much does Xarelto cost without insurance? | Comparison | How to get Xarelto without insurance
Xarelto (rivaroxaban) is a brand-name prescription anticoagulant, a drug that slows down blood clotting. Healthcare providers prescribe it either to people who have blood clots blocking a blood vessel or people who are at risk for forming blood clots because of hip or knee replacement surgery or other risk factors such as atrial fibrillation.
Xarelto is also prescribed to people with coronary artery disease to reduce the risk of stroke or heart attack. Most people will take 2.5 mg, 10 mg, 15 mg, or 20 mg tablets once or twice daily (not to exceed 30 mg total daily) based on the medical condition being treated. The treatment duration can also vary by condition, from a few days to as long as necessary. Generic or over-the-counter rivaroxaban is not available, so uninsured patients will have to purchase Xarelto at the full retail price.
RELATED: Xarelto dosage | Xarelto side effects
Is Xarelto covered by insurance?
Nearly all insurance plans and Medicare Part D prescription drug plans will cover Xarelto as Tier 2/preferred coverage.
How much does Xarelto cost without insurance?
The full price of a 30-day supply of Xarelto will depend on the dosage and the pharmacy but will average about $625.22 for a 30-day prescription, so people paying the full cash price can expect to spend $21 for each day of treatment. Using a SingleCare coupon at participating pharmacies can lower the price to about $13 a day. For people with private or employer-sponsored health insurance, the deductible will vary by insurance plan, but the average copay cost of Xarelto is $0 to $40.
People without insurance should ask the prescribing healthcare provider about alternatives to Xarelto. The healthcare provider may suggest other drugs that work just like Xarelto called direct factor Xa inhibitors such as Eliquis (apixaban). Unfortunately, these are also expensive, brand-name drugs without generic alternatives. Instead, ask about related anticoagulants such as Arixtra (fondaparinux), warfarin, Pradaxa (dabigatran), and Plavix (clopidogrel). These drugs all slow down blood clotting differently than Xarelto but are FDA-approved to treat some of the same medical conditions.
Compare Xarelto prices to related drugs |
|||
|---|---|---|---|
| Drug name | Price without insurance | SingleCare price | Savings options |
| Xarelto (rivaroxaban) |
$632 per 30, 20 mg tablets |
$386 per 30, 20 mg tablets |
See updated prices |
| Indirect factor Xa inhibitors | |||
| Arixtra (fondaparinux sodium) |
$560 per 5 single-dose 0.5 ml prefilled syringes at 2.5 mg/0.5 ml |
$76 per 5 single-dose 0.5 ml prefilled syringes at 2.5 mg/0.5 ml |
See updated prices |
| Other anticoagulants | |||
| Jantoven (warfarin sodium) |
$21 per 100, 5 mg tablets |
$3 per 100, 5 mg tablets |
See updated prices |
| Pradaxa (dabigatran) |
$273 per 60, 150 mg capsules |
$250 per 60, 150 mg capsules |
See updated prices |
| Plavix (clopidogrel bisulfate) |
$242 per 30, 75 mg tablets |
$6.72 per 30, 75 mg tablets |
See updated prices |
Prescription drug prices often change. These are the most accurate medication prices at the time of publishing.
How to get Xarelto without insurance
Without the support of health insurance coverage, the out-of-pocket costs for brand-name drugs like Xarelto can be very costly. There are places to find help in reducing that cost including patient assistance programs, manufacturer savings programs, and manufacturer coupons. These programs, though, are only open to eligible patients. Ask the prescriber if they have any information about financial assistance from Janssen, the manufacturer. Janssen offers the Janssen CarePath Savings Program for Xarelto. There are other and sometimes easier ways to afford drugs, and the first place to start is a SingleCare savings card.
1. Use a SingleCare coupon
The quickest way to save money on a Xarelto prescription is to get a free Xarelto coupon from SingleCare. With this coupon, the cost of a Xarelto can cost $386 rather than the retail price of approximately $625 per month. Simply bring the coupon or your SingleCare discount card to your chosen pharmacy to save on a Xarelto prescription.
2. Talk to a healthcare provider about other medications
Some types of prescription medications can be easily replaced by other, less expensive drugs. In general, however, anticoagulants don’t fall in that category. Prescribers follow well-established guidelines in what types of blood thinner to prescribe, at what dose, and for how long. Still, it’s a good idea to ask a healthcare provider for medical advice about pharmaceutical alternatives to Xarelto that may be more affordable.
3. Compare prices
Believe it or not, different pharmacies charge different prices for brand-name prescription drugs. The lowest prices are typically found at large retailer pharmacies. Some smaller independent pharmacies may be willing to match the low prices offered by discount pharmacies. Online mail-order pharmacies are another good source for prescription drug savings, but be careful to deal only with a reputable pharmacy.
4. Get help from your county or city
For people living in more populated areas, county and city governments can offer tremendous help in finding resources to get needed medications. There are community and charitable clinics that may be able to provide free or low-cost medications. There are also insurance programs that could provide low-cost or ultra-low-cost health insurance. You may not qualify for many of these clinics or programs, but they are worth knowing about if healthcare costs are a problem. The place to start is with your county’s or city’s department of health.
5. Consider Medicaid as an option
For people with low incomes, Medicaid is a government program that can provide free or low-cost health insurance. To be eligible, patients must be citizens or permanent residents of the United States and meet income qualifications. Each state has different eligibility requirements.
6. Shop for health insurance
Many people don’t know how affordable health insurance can be on the health insurance marketplace. The place to start is the health insurance marketplace.
