Xarelto and Cost: What You Need to Know
If you’re looking at treatment options to prevent or treat blood clots, you may want to learn more about Xarelto (rivaroxaban).
Xarelto is a prescription drug.
- 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
- Some adults have a higher risk of DVT or PE.
- Adults who have had hip or knee replacements should not have DVT or PE.
- 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
- Children have a higher risk of VTE occurring again.
- prevent blood blots in certain children with congenital heart disease
Xarelto is a powder that you swallow and then drink as a liquid mixture.
You can read about 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.
Talk to your doctor, insurance provider, or pharmacy about how much you will pay for Xarelto.
If you need help understanding your insurance, check out these websites.
You can find information on insurance, drug assistance programs, and links to savings cards on these sites.
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 a drug, talk to your doctor or pharmacist. They can help you figure out the best savings programs.
There are answers to some frequently asked questions.
Does the Xarelto tablet strength (2.5 tablets, 10 tablets., 15 tablets, 20 tablets.) affect the price of the drug?
The price of the drug may be affected by the strength of the tablets. It may be more expensive if the drug is a higher strength.
There are four strengths for Xarelto tablets.
- 2.5 grams.
- 5 tablets
- 10 tablets.
- 20 tablets.
Before starting treatment with Xarelto, you should talk to your doctor or pharmacy about the price of the tablets and whether or not your insurance covers them. You should check with your local pharmacy about the price you will pay. If you need help paying for Xarelto, you can look at the section 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 be different.
- The strength of the tablets you are prescribed.
- How often do you take it?
- The length of your treatment.
Before starting treatment with Xarelto, you should talk to your doctor or pharmacist about how much the drug will cost without insurance. The section above titled “Can I get help paying for Xarelto, such as coupons or a copay card?” is for resources that may help with the cost of Xarelto.
The drug is a brand name. It is not currently available in a generic version. A generic drug is a copy of the active drug in a brand-name medication.
Generic drugs are cheaper 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 make sure that brand-name drugs are safe and effective. The drugs can be expensive if they are tested. The manufacturer of a drug can sell it for 20 years. Generic versions can be created by other drug manufacturers. The market can lead to lower prices for generics. Generic drugs have the same active ingredients as brand-name drugs, so they don’t need to be studied again. This can lead to lower costs.”
If you take a long term drug like Xarelto, you can lower your costs.
- 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 the drug, you should talk to your doctor or pharmacist. They may be able to give you a better idea of what you will pay. If you have health insurance, you need to talk to your insurer to find out the actual cost of Xarelto.
You can ask your doctor or insurance provider questions.
- “What other treatment options may be available if I can’t afford Xarelto?”
- Will my medication cost more if I have a higher dose?
- What will my copay be?
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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.