{"id":633050,"date":"2025-08-05T18:01:08","date_gmt":"2025-08-05T22:01:08","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=633050"},"modified":"2026-06-15T12:29:28","modified_gmt":"2026-06-15T16:29:28","slug":"does-blue-cross-blue-shield-cover-eliquis","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/does-blue-cross-blue-shield-cover-eliquis\/","title":{"rendered":"Does Blue Cross Blue Shield cover Eliquis?"},"content":{"rendered":"

Eliquis<\/span><\/a> is a name-brand prescription medication that\u2019s approved by the Food and Drug Administration (FDA) to prevent stroke and embolism in people with a certain type of arrhythmia (irregular heartbeat) called atrial fibrillation (AFib) and to treat and prevent blood clots. Known as a <\/span>factor Xa inhibitor<\/span><\/a>, Eliquis works by reducing the formation of blood clots, which can clog arteries and veins. There\u2019s no generic version of this <\/span>anticoagulant<\/span><\/a>, and a 30-day supply can cost hundreds of dollars without insurance. Fortunately, many Blue Cross Blue Shield insurance plans cover Eliquis.\u00a0\u00a0<\/span><\/p>\n

Does Blue Cross Blue Shield cover Eliquis?<\/span><\/h2>\n

We checked over 20 <\/span>formularies<\/span><\/a> and found that Blue Cross Blue Shield (BCBS) typically covers Eliquis in its commercial, federal employee, Medicare, and Medicaid plans.\u00a0<\/span><\/p>\n

All of the BCBS formularies we looked at cover Eliquis, although cost and coverage details may vary. Eliquis is usually labeled a Tier 2 or Tier 3 drug, and the copay and coinsurance increase for higher tiers. The specific copay amount or coinsurance percentage varies by plan.\u00a0<\/span><\/p>\n

Eliquis usually doesn\u2019t require <\/span>prior authorization<\/span><\/a> or <\/span>step therapy<\/span><\/a>, so you can often get the prescription without the insurance company\u2019s formal pre-approval process and without having to try other prescription medications first. However, most formularies impose <\/span>quantity limits<\/span><\/a> (QL) on Eliquis, meaning Blue Cross Blue Shield will only cover a certain number of tablets every 30, 60, or 90 days.\u00a0<\/span><\/p>\n

\u201cIn general, Eliquis is a widely prescribed anticoagulant and is often covered for common uses, such as atrial fibrillation, deep vein thrombosis, or pulmonary embolism,\u201d says <\/span>Edmond Hakimi, DO<\/span><\/a>, a dual-board-certified internal medicine physician and the medical director at Wellbridge. \u201cBut coverage can vary based on state, employer, and the exact formulary your plan follows.\u201d<\/span><\/p>\n

How much does Eliquis cost?<\/span><\/h2>\n

Without insurance, Eliquis costs<\/span><\/a> an average of $378 per 28, 5 mg tablets. This blood thinner is usually taken twice per day, so this price covers a 30-day supply. Drug prices fluctuate and vary by dosage, quantity, and pharmacy. Currently, there is no cost-saving generic version available for Eliquis.\u00a0<\/span><\/p>\n

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Save up to 80% on Eliquis with SingleCare<\/p>\n\t\t\t

Different pharmacies offer different prices for the same medication. SingleCare helps find the best price for you.<\/p>\n\t\t\t

\n\t\t\t\t
\n\t\t\t\t\tEliquis 5 mg (28 Tablets)\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\t23666 - Hampton, VA\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t
\n\t\t\t\"Kroger\t\t\t<\/div>\n\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t$155.92\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\ti<\/span>\n\t\t\t\t\tPrice with signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t
\n\t\t\t\tGet free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
\n\t\t\t
\n\t\t\t\"Harris\t\t\t<\/div>\n\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t$155.92\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t\ti<\/span>\n\t\t\t\t\tPrice with signup<\/a>\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t
\n\t\t\t\tGet free coupon<\/a>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\tSee Eliquis prices at all pharmacies<\/a>\n\t\t<\/div>\n\n\t\t<\/span>\u00a0<\/span><\/p>\n

How much does Eliquis cost with Blue Cross Blue Shield?<\/span><\/h2>\n

Blue Cross Blue Shield is made up of many different plans, and prescription drug prices vary by plan, so it\u2019s difficult to give an average cost of Eliquis with Blue Cross Blue Shield. That said, here are some sample plans that may help you get a ballpark estimate:<\/span><\/p>\n