{"id":50316,"date":"2022-03-31T15:02:05","date_gmt":"2022-03-31T19:02:05","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=50316"},"modified":"2026-04-17T11:42:22","modified_gmt":"2026-04-17T15:42:22","slug":"eliquis-assistance-for-medicare-patients","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/eliquis-assistance-for-medicare-patients\/","title":{"rendered":"How to get Eliquis cheaper on Medicare"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/eliquis\"><span style=\"font-weight: 400;\">Eliquis<\/span><\/a><span style=\"font-weight: 400;\"> (apixaban) is an <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/anticoagulants\/\"><span style=\"font-weight: 400;\">anticoagulant (blood thinner)<\/span><\/a><span style=\"font-weight: 400;\"> that\u2019s part of a class of drugs called direct factor Xa inhibitors. It works by neutralizing the effects of enzymes that form blood clots, which in turn helps reduce the chance of forming life-threatening blood clots and lowers the risk of stroke. <\/span><span style=\"font-weight: 400;\">Although it\u2019s an effective blood thinner, it can be expensive without insurance. Although Medicare Part D may cover Eliquis, the copay can be expensive. Fortunately, there are ways to reduce or eliminate the cost of this medication.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/eliquis-side-effects\/\"><b>Eliquis side effects<\/b><\/a><\/p>\n<h2 id=\"why-is-eliquis-so-expensive\"><span style=\"font-weight: 400;\">Why is Eliquis so expensive?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Eliquis is an expensive but effective direct oral anticoagulant (DOAC). According to <\/span><a href=\"https:\/\/mdmercy.com\/find-a-doctor\/alain-tanbe-md\"><span style=\"font-weight: 400;\">Alain Tanbe<\/span><\/a><span style=\"font-weight: 400;\">, MD, a fellowship-trained, board-certified vascular surgeon at The Vascular Center at Mercy Medical Center, Eliquis treats and prevents several vascular conditions. Eliquis is used to:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Treat a deep vein thrombosis (DVT) or pulmonary embolism (PE)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Treat certain heart conditions like atrial fibrillation (AFib)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Prevent blood clots mainly after orthopedic procedures<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Prevent or treat ischemic stroke<\/span><\/li>\n<\/ul>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/eliquis\/what-is\"><span style=\"font-weight: 400;\">Eliquis<\/span><\/a><span style=\"font-weight: 400;\"> may be prescribed as a long-term therapy or as a &#8220;bridge&#8221; therapy to help you recover from a recent surgery or procedure.<\/span><span style=\"font-weight: 400;\"> Because it&#8217;s often taken twice daily, the cost may be high and burdensome for many patients, including those on <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/what-is-medicare\/\"><span style=\"font-weight: 400;\">Medicare<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Another reason for its high cost is that there is <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/eliquis-generic\/\"><span style=\"font-weight: 400;\">no generic alternative<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h2 id=\"does-medicare-cover-eliquis\"><span style=\"font-weight: 400;\">Does Medicare cover Eliquis?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Medicare typically covers Eliquis, although coverage varies by plan and other factors.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Medicare has four different parts that cover different services:<\/span><\/p>\n<ul>\n<li><b>Medicare Part A<\/b><span style=\"font-weight: 400;\"> may cover Eliquis when administered in an inpatient setting, such as during a hospital stay.<\/span><\/li>\n<li><b>Medicare Part B<\/b><span style=\"font-weight: 400;\"> covers outpatient services and, therefore, does not cover Eliquis.<\/span><\/li>\n<li><b>Medicare Part C<\/b><span style=\"font-weight: 400;\"> will cover Eliquis if it is administered in an inpatient setting (see Part A above) or if the Part C plan includes prescription drug coverage and it is on the plan\u2019s formulary (see Part D below).<\/span><\/li>\n<li><b>Medicare Part D <\/b><span style=\"font-weight: 400;\">covers prescription medications that are taken at home. It is the most likely part of Medicare to cover your Eliquis prescription if it is included in your plan\u2019s drug formulary.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">In general, <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/medicare-part-d-plans\/\"><span style=\"font-weight: 400;\">Medicare Part D plans<\/span><\/a><span style=\"font-weight: 400;\">, also known as the prescription drug benefit, cover Eliquis. You&#8217;ll be responsible for your monthly premiums and yearly deductible, as well as copays for your prescription medicines.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For 2026, the maximum deductible for Part D coverage is $615. This means that you&#8217;re responsible for up to your first $615 in prescription drug costs before coverage becomes available. Your annual deductible is based on your income and could change each year.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you do not have Part D coverage, you can add it during <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/medicare-open-enrollment\/\"><span style=\"font-weight: 400;\">Open Enrollment<\/span><\/a><span style=\"font-weight: 400;\"> or during a Special Enrollment Period, but a <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/medicare-part-d-penalty\/\"><span style=\"font-weight: 400;\">late enrollment penalty<\/span><\/a><span style=\"font-weight: 400;\"> may apply in some instances.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/medicare-part-d-penalty\/\"><b>How to avoid the Medicare Part D penalty?<\/b><\/a><\/p>\n<h2 id=\"how-much-does-eliquis-cost-with-medicare\"><span style=\"font-weight: 400;\">How much does Eliquis cost with Medicare?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The <a href=\"https:\/\/www.singlecare.com\/prescription\/eliquis#Price-History\">average retail price<\/a> of Eliquis is about <span class=\"scdp scdp-unc-price\">$254.44<\/span> for 28, 5 mg tablets. However, those on Medicare can access a discounted rate through their Part D plan. How much you\u2019ll pay for Eliquis with Medicare Part D depends on why it is prescribed. <\/span><a href=\"https:\/\/www.eliquis.bmscustomerconnect.com\/vte\/price\"><span style=\"font-weight: 400;\">According to the manufacturer<\/span><\/a><span style=\"font-weight: 400;\">, patients with DVT\/PE pay an average of $44 per month, and patients with AFib not caused by a heart valve problem pay an average of $54 per month. However, coverage varies by plan, and some may require prior authorization or step therapy.\u00a0<\/span><\/p>\n<h3 id=\"prior-authorization-for-eliquis\"><span style=\"font-weight: 400;\">Prior authorization for Eliquis<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Since Eliquis is expensive and a brand-name-only drug, your healthcare provider may have to submit the proper paperwork to your plan prior to your pharmacy dispensing it. This is known as a <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/prior-authorization\/\"><span style=\"font-weight: 400;\">prior authorization<\/span><\/a><span style=\"font-weight: 400;\">, which requires your plan to &#8220;pre-approve&#8221; the medication before you can begin taking it. Once your plan approves Eliquis, you should be able to get your medication and pay your Medicare Part D copay.<\/span><\/p>\n<h3 id=\"step-therapy-for-eliquis\"><span style=\"font-weight: 400;\">Step therapy for Eliquis<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Your plan may also require you to first try one or more other medications before seeking coverage for Eliquis. This is known as <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/step-therapy\/\"><span style=\"font-weight: 400;\">step therapy<\/span><\/a><span style=\"font-weight: 400;\">. Step therapy ensures that you&#8217;ve tried cheaper alternative medications before moving on to newer treatments.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The pharmacy will notify your healthcare provider if prior authorization or step therapy is required. You can also see if step therapy is required by reviewing your specific plan using the <\/span><a href=\"https:\/\/www.medicare.gov\/plan-compare\/#\/?lang=en&amp;year=2022\"><span style=\"font-weight: 400;\">Medicare plan finder tool<\/span><\/a><span style=\"font-weight: 400;\">. Your healthcare provider will then submit the proper documents to request that your insurance company cover the medication. Prior authorization may take several days, so you may need to be patient before receiving coverage and starting treatment.<\/span><\/p>\n<h2 id=\"how-to-get-eliquis-for-cheaper-on-medicare\"><span style=\"font-weight: 400;\">How to get Eliquis for cheaper on Medicare<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Eliquis assistance for Medicare patients exists in the form of the <\/span><a href=\"https:\/\/www.medicare.gov\/basics\/costs\/help\/drug-costs\"><span style=\"font-weight: 400;\">Medicare Extra Help program<\/span><\/a><span style=\"font-weight: 400;\">. Those who qualify for Medicare Extra Help may \u200cpay as little as $0 per month but no more than $12.65 per month for Eliquis. The Extra Help program is available to those on Medicare who have limited income and resources.<\/span><\/p>\n<h2 id=\"other-ways-to-save-on-eliquis\"><span style=\"font-weight: 400;\">Other ways to save on Eliquis<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There are <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/eliquis-savings\/\"><span style=\"font-weight: 400;\">other ways you can save money on Eliquis<\/span><\/a><span style=\"font-weight: 400;\">. Some of these options, such as manufacturer copay cards and coupons, are short-term savings tools. But there are also some long-term strategies \u200cto consider. For example, you can talk to your healthcare provider about <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/eliquis-alternatives\/\"><span style=\"font-weight: 400;\">Eliquis alternatives<\/span><\/a><span style=\"font-weight: 400;\"> that may be more affordable. Keep in mind that a <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/news\/eliquis-generic-apixaban\/\"><span style=\"font-weight: 400;\">generic version of Eliquis<\/span><\/a><span style=\"font-weight: 400;\"> will be available in November 2026, which should be more affordable.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Your <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/can-i-use-singlecare-and-medicare\/\"><span style=\"font-weight: 400;\">SingleCare prescription discount card<\/span><\/a><span style=\"font-weight: 400;\"> can help you save up to 80% on medications like Eliquis and other anticoagulants.<\/span> <span style=\"font-weight: 400;\">Anyone in the U.S. can use <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/eliquis\"><span style=\"font-weight: 400;\">free Eliquis coupons<\/span><\/a><span style=\"font-weight: 400;\"> at participating pharmacy locations nationwide, regardless of insurance or Medicare status, but they cannot be combined with insurance or Medicare. A supply of 28, 5 mg tablets of Eliquis costs an average of <span class=\"scdp scdp-sc-price\">$158.45<\/span> with SingleCare, depending on your choice of pharmacy. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Always seek medical advice from your healthcare provider before discontinuing Eliquis or switching to a new medication. <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Eliquis (apixaban) is an anticoagulant (blood thinner) that\u2019s part of a class of drugs called direct factor Xa inhibitors. It works by neutralizing the effects of enzymes that form blood clots, which in turn helps reduce the chance of forming life-threatening blood clots and lowers the risk of stroke. Although it\u2019s an effective blood thinner, [&hellip;]<\/p>\n","protected":false},"author":133,"featured_media":50319,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2,4589],"tags":[9650,737,15,4350],"coauthors":[20704],"class_list":["post-50316","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-company","category-drug-info","tag-blood-thinners","tag-heart-health","tag-medicare","tag-prescription-savings","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>How to get Eliquis cheaper on Medicare<\/title>\n<meta name=\"description\" content=\"If you can&#039;t afford Eliquis on Medicare, you can look into Medicare Extra Help or use a prescription discount card. A generic Eliquis will be available in 2026.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.singlecare.com\/blog\/eliquis-assistance-for-medicare-patients\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How to get Eliquis cheaper on Medicare\" \/>\n<meta property=\"og:description\" content=\"Try these savings tips instead\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.singlecare.com\/blog\/eliquis-assistance-for-medicare-patients\/\" \/>\n<meta property=\"og:site_name\" content=\"The Checkup\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/singlecare\" \/>\n<meta property=\"article:published_time\" content=\"2022-03-31T19:02:05+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-04-17T15:42:22+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2022\/03\/eliquis-assistance-medicare.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Lindsay Modglin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:description\" content=\"Try these savings tips instead\" \/>\n<meta name=\"twitter:creator\" content=\"@SingleCare\" \/>\n<meta name=\"twitter:site\" content=\"@SingleCare\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Lindsay Modglin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/eliquis-assistance-for-medicare-patients\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/eliquis-assistance-for-medicare-patients\\\/\"},\"author\":{\"name\":\"Christie Falzone\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#\\\/schema\\\/person\\\/5ff7c7bb5ce0c66a6962ecf7c8d7941e\"},\"headline\":\"How to get Eliquis cheaper on Medicare\",\"datePublished\":\"2022-03-31T19:02:05+00:00\",\"dateModified\":\"2026-04-17T15:42:22+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/eliquis-assistance-for-medicare-patients\\\/\"},\"wordCount\":986,\"publisher\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/eliquis-assistance-for-medicare-patients\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/03\\\/eliquis-assistance-medicare.png\",\"keywords\":[\"Blood thinners\",\"Heart health\",\"Medicare\",\"Prescription savings\"],\"articleSection\":[\"Company\",\"Drug Info\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/eliquis-assistance-for-medicare-patients\\\/\",\"url\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/eliquis-assistance-for-medicare-patients\\\/\",\"name\":\"How to get Eliquis cheaper on Medicare\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/eliquis-assistance-for-medicare-patients\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/eliquis-assistance-for-medicare-patients\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.singlecare.com\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/03\\\/eliquis-assistance-medicare.png\",\"datePublished\":\"2022-03-31T19:02:05+00:00\",\"dateModified\":\"2026-04-17T15:42:22+00:00\",\"description\":\"If you can't afford Eliquis on Medicare, you can look into Medicare Extra Help or use a prescription discount card. 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