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Is a Xarelto generic available?

Discover how generic Xarelto compares to the brand name in price, insurance coverage, and available alternatives
Bottle of spilled pills. Is there a Xarelto generic?

Key takeaways

  • The generic version of Xarelto is called rivaroxaban, but it is not yet widely available in all strengths.

  • Many pharmacies stock generic rivaroxaban 2.5 mg tablets and oral suspension. The other strengths are available in the brand name. 

  • Generic rivaroxaban is a fraction of the cost of Xarelto with a prescription discount card, and it works the same way and is just as effective.

Xarelto (rivaroxaban) is a brand-name anticoagulant medication (commonly referred to as a blood thinner) and Factor Xa inhibitor. It’s available in tablet and oral suspension (liquid) form. Xarelto treats and prevents blood clots. Adults who have had deep vein thrombosis (DVT), a pulmonary embolism, hip replacement surgery, or knee surgery are some populations who may take this prescription medication. Brand-name Xarelto is expensive without insurance, which may lead some people to seek generic options. Generic rivaroxaban has been approved in multiple strengths. However, availability may vary. 

Is there a generic for Xarelto?

Yes, a generic version of Xarelto was approved by the U.S. Food and Drug Administration in 2025. As of February 2026, pharmacies can typically order and dispense the 2.5 mg tablets and the oral suspension in generic form. Other tablet strengths (10 mg, 15 mg, and 20 mg) have received FDA approval but may not yet be available. Since availability could change at any time, it’s best to check with your pharmacy for the most up-to-date stocking information. 

  Xarelto generic availability

Generic name Rivaroxaban
FDA approval date of generic version 2025 
Is there a generic available for sale in the U.S.? Yes, the 2.5 mg and the oral suspension (liquid) are available in generics. Other dosages have been approved in generic form, but may not yet be available in pharmacies.

What are the differences between generic and brand-name Xarelto?

Generic drugs are considered equal substitutes and are bioequivalent to their brand-name counterparts. This means that the generic drug has the same active ingredient, works the same way, and provides the same clinical benefit as the brand. If your pharmacy dispenses generic Xarelto (rivaroxaban), you can be assured that it will work the same. Some generics may differ in their inactive ingredients, such as fillers or dyes, but this does not affect how the drug works. 

How much does generic Xarelto cost?

The price difference between rivaroxaban and Xarelto is significant. Let’s discuss the price difference for 60 tablets. Generic rivaroxaban, without insurance, typically costs around $695 for 60, 2.5 mg tablets. With a SingleCare prescription discount card, it can cost as little as $48. However, for Xarelto, the cost may be $805 without insurance, and around $516 with a SingleCare coupon.

   Brand vs. generic Xarelto prices

Cost details Brand-name Xarelto Xarelto generic (rivaroxaban)
Average cost without insurance $805 for 60, 2.5 mg tablets of Xarelto $695 for 60, 2.5 mg tablets of generic rivaroxaban
SingleCare’s lowest price $516 for 60, 2.5 mg tablets of Xarelto $48 for 60, 2.5 mg tablets of generic rivaroxaban at CVS
Free coupons Xarelto coupons Rivaroxaban coupons

Prescription drug prices often change. These are the most accurate medication prices at the time of publishing in ZIP code 23666 as of Feb. 23, 2026. The listed price without insurance references the price of brand-name drugs (unless otherwise specified). The listed SingleCare price references the price of generic drugs if available.

Is Xarelto covered by insurance?

Many commercial insurance plans, Medicare Part D, and Medicaid plans cover brand-name Xarelto or generic rivaroxaban (when available). Coverage and out-of-pocket costs vary. You can check with your specific insurance plan to find out more about cost and coverage, or check the most current formulary.   

How do you get Xarelto covered by insurance?

Your healthcare provider can send your Xarelto prescription to your preferred pharmacy. The pharmacy will submit the claim to your insurance and tell you if brand-name Xarelto or generic rivaroxaban (if available) is covered, and what your cost would be. 

If your specific dosage is available in generic, the pharmacy may substitute generic rivaroxaban unless your prescriber specifically requests the brand-name product (i.e., by noting “do not substitute”). If, however, your strength is only available in brand name, the pharmacy will submit the claim for brand-name Xarelto. 

You can also check the Xarelto manufacturer’s website for additional savings options and eligibility requirements. 

Generic alternatives to Xarelto

If Xarelto isn’t an option for whatever reason, other medications can serve as viable treatment options. Some common Xarelto alternatives include the following, with the brand-name drugs mentioned first and their generics in parentheses: 

The best alternative will depend on individual factors, such as the condition being treated and other medical conditions you have. Your healthcare provider can review alternatives with you and give you medical advice on the best drug for you, as well as the best way to make the switch seamlessly.

Expert takeaway

“In my experience, many patients take strengths of Xarelto, such as 20 mg, that are not yet available in generic form,” says Karen Berger, Pharm.D., member of the SingleCare Medical Board. “However, when generic rivaroxaban is available across all strengths, it is expected to be just as safe and effective as the brand.” 

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