Xarelto savings guide

In this article:

• How much does Xarelto cost?
• Does insurance cover Xarelto?
• Does Medicare cover Xarelto?
• Does Medicaid cover Xarelto?
• How to save money on Xarelto
• Is there a cheaper alternative to Xarelto?

In this article

• How much does Xarelto cost?
• Does insurance cover Xarelto?
• Does Medicare cover Xarelto?
• Does Medicaid cover Xarelto?
• How to save money on Xarelto
• Is there a cheaper alternative to Xarelto?

Xarelto (rivaroxaban) is a prescription medication that’s approved to treat and prevent various conditions related to blood clots, including deep vein thrombosis (DVT) and pulmonary embolism (PE), in adults and, in some cases, children. As a name-brand medication, Xarelto can be costly without insurance or discounts. Fortunately, there are several ways to save money on Xarelto.

How much does Xarelto cost?

Without insurance or discounts, Xarelto costs an average of $805 for 60, 2.5 mg tablets. This is typically a one-month supply for those who take it twice daily. Fortunately, Xarelto is available in a generic version that may be more accessible. Generic Xarelto (rivaroxaban) costs an average of $695 per month without insurance or discounts.

Does insurance cover Xarelto?

Yes, most insurance plans cover Xarelto or its generic, rivaroxaban. Janssen Pharmaceuticals, the manufacturer of Xarelto, claims that over 99% of people with commercial insurance or a Medicare Part D plan have Xarelto coverage. 

The amount you owe at the pharmacy varies from plan to plan. However, many insurance companies list Xarelto as a Tier 2 drug, which tends to be more affordable than higher-tier prescriptions but more expensive than Tier 1 drugs. 

Does Medicare cover Xarelto?

Yes, many Medicare Part D plans cover Xarelto. Everyone pays different out-of-pocket costs according to the terms of their Part D plan and formulary. 

Typically, you’ll need to pay the full cost of a medication until you reach your health plan’s deductible. Then you can start paying a copay or coinsurance. Once you reach the catastrophic coverage phase or the annual out-of-pocket cap, you’ll usually pay less for Xarelto. Coverage resets each calendar year on Jan. 1.

Does Medicaid cover Xarelto?

Many state Medicaid programs cover Xarelto or the generic version, but coverage varies from state to state. You may have to pay coinsurance or a copay for Xarelto, and the cost varies based on its status as a preferred or non-preferred drug. The standard Xarelto tablets are usually listed as preferred, while the oral suspension may be listed as a non-preferred option, which could mean higher costs or no coverage.

How to save money on Xarelto

There are several ways to save money on Xarelto regardless of your insurance coverage. These offers typically can’t be combined, so it’s worth considering which one will save you the most money each year. 

1. Free Xarelto coupons

Using a SingleCare prescription discount card at a participating pharmacy could save you hundreds of dollars on Xarelto. Currently, Xarelto costs about $805 for 60, 2.5 mg tablets of brand-name Xarelto. A SingleCare coupon for Xarelto could lower that price to $516. In comparison, you could pay $48 for 60, 2.5 mg tablets of generic Xarelto (rivaroxaban) instead. 

SingleCare cards are free to download and use. Here’s how it works:

1. Navigate to the Xarelto coupon page on the SingleCare app or website. 
2. Enter your ZIP code.
3. Browse Xarelto discount prices at pharmacies near you.
4. Click or tap the “Get free coupon” button to generate a unique coupon.
5. Print, email, text, or save the coupon for easy access.
6. If needed, tell your healthcare provider to send your Xarelto prescription to your chosen pharmacy.
7. Present your Xarelto coupon to the pharmacist during checkout to receive your discount.

SingleCare coupons can’t be combined with health insurance, so they’re best for people who either don’t have insurance, have an insurance plan that doesn’t cover brand-name or generic Xarelto, or whose copay or coinsurance costs more than the lowest price with SingleCare.

2. Medicare savings

If you qualify for Medicare and find it difficult to pay for Part D premiums, copays, and coinsurance, consider applying for the Extra Help program. Medicare Extra Help is a low-income subsidy (LIS) that can help reduce the cost of Medicare Part D for eligible patients. With Extra Help, name-brand prescriptions like Xarelto cost up to $12.65 each, and generic medications like rivaroxaban cost up to $5.10 each in 2026. After your total out-of-pocket expenses (including subsidized expenses paid by Extra Help) reach $2,100, prescriptions cost $0 for the rest of the year. Extra Help also drops your monthly Part D premiums to $0. 

3. Xarelto savings card

Insured patients with commercial health insurance may qualify for a manufacturer’s savings card called Xarelto withMe. This card provides a 90-day supply of Xarelto for as little as $10. There are monthly and annual limits to how much you can save with the card, so it’s worth considering whether you’ll save more with the Xarelto manufacturer coupon or with a SingleCare discount.

To be eligible for the Xarelto withMe savings card, you must have the following:

• A valid prescription for Xarelto 
• Commercial (non-government) health insurance
• A copay of more than $0 or coinsurance of more than 0%
• Qualifying medical conditions (see below)

If you’re taking a 10 mg Xarelto tablet because of recent hip or knee replacement surgery or because you’ve been discharged from the hospital for a non-surgical event, you’re not eligible to use the Xarelto withMe savings card.

4. Johnson & Johnson Patient Assistance Program

If you’re ineligible for Medicare Extra Help or Xarelto withMe, consider applying for the Johnson & Johnson Patient Assistance Program (PAP). The Johnson & Johnson PAP is open to people with no insurance, whether that’s commercial or government insurance, who live in the U.S. and are being treated on an outpatient basis by a U.S.-licensed healthcare provider. Income limits vary by household size. You must spend at least 4% of your household income on prescription drugs in order to qualify for the program.

5. Xarelto free trial

You can sign up for a free 30-day trial of Xarelto with a valid 30-day prescription for doses other than 10 mg tablets and 1 mg/mL oral suspensions. You may redeem the Xarelto free trial offer only once, but there are no insurance requirements. A sign-up form is available on the manufacturer’s website. 

Is there a cheaper alternative to Xarelto?

Yes, there are direct oral anticoagulants (DOACs) that may be more affordable than Xarelto and can be used for similar conditions like DVT, PE, atrial fibrillation, and coronary artery disease. 

“If the cost of Xarelto is too high, some cheaper alternatives that I would recommend are warfarin, generic rivaroxaban, or Pradaxa (dabigatran etexilate mesylate),” says Kyle Hoedebecke, MD, a board-certified physician based in Spring, Texas. “Pradaxa is also available as a generic and should have a lower cost for copay,” he says, adding that it also has a lower risk of bleeding than Xarelto. The lowest cost of dabigatran etexilate mesylate (generic Pradaxa) with a SingleCare coupon is $48 per 60, 150 mg capsules.

“Warfarin is an older anticoagulant drug that is usually available at a low cost as a generic drug and can be the most affordable option if the patient is paying for their medication out of pocket and without insurance,” Dr. Hoedebecke says. Warfarin costs as low as $4 per 30, 5 mg tablets with a SingleCare coupon.

Generic rivaroxaban, while certainly more affordable than name-brand Xarelto, is only available in 2.5 mg tablets because other doses are still protected by patents. There is no meaningful difference between generic and name-brand Xarelto. With a SingleCare coupon, rivaroxaban costs as low as $48 for 60, 2.5 mg tablets. 

If you’re struggling to pay for Xarelto, use SingleCare to compare discount prices at participating pharmacies, and talk to your healthcare provider about low-cost Xarelto alternatives. There may be a blood thinner that’s easier on your wallet but just as effective for your health. 

The SingleCare prices in this article are the most accurate at the time of publishing in ZIP code 23666 as of March 5, 2026. Prices vary by pharmacy. Visit our Xarelto coupon page for updated Xarelto prices near you.