Xarelto is a brand-name prescription medication. The Food and Drug Administration (FDA) has approved it to treat or help prevent dangerous blood clots in the body. Xarelto is approved for use in adults and in children in specific cases.
For more information about Xarelto’s uses, refer to this article.
Here are some details about Xarelto:
- Drug forms:
- oral tablet
- liquid suspension
- Active ingredient: rivaroxaban
- Generic version: not available
Read on to learn about Xarelto and cost, as well as how to save money on prescriptions.
As with all drugs, the cost of Xarelto can vary. Factors that may affect the price you’ll pay include:
- your treatment plan
- your insurance coverage
- the pharmacy you use
- whether Xarelto has a savings program (see the “Financial and insurance assistance” section below)
To find out what the cost of Xarelto will be for you, talk with your doctor, pharmacist, or insurance provider.
Note: If you have insurance, your insurance company may require prior authorization before it covers Xarelto. This means the company and your doctor will discuss Xarelto in regard to your treatment. The insurance company will then determine whether the medication is covered. If a drug requires prior authorization but you start treatment without the prior approval, you could pay the full cost of the medication. You can ask your insurance company whether Xarelto requires prior authorization.
There’s no coupon card, copay card, manufacturer coupon, or Medicare coupon available for Xarelto. However, Janssen Pharmaceuticals, the manufacturer of Xarelto, has multiple savings programs to help with the cost of Xarelto.
For example, you may qualify for Xarelto copay assistance through a program called Janssen CarePath Savings Program. This program helps certain people who have private or commercial insurance save on out-of-pocket costs related to Xarelto.
If you have government-funded insurance such as Medicare or Medicaid, you are not eligible for the Janssen CarePath Savings Program. However, you may be eligible for a program called Janssen Select. This program helps cover the out-of-pocket costs for Xarelto of people in a “coverage gap,” such as the Medicare donut hole. To learn more about these programs, visit this website or call 888-927-3586.
If you do not have insurance or are having trouble affording your Xarelto treatment, you may qualify for a patient assistance program through the Johnson & Johnson Patient Assistance Foundation. This program can help either lower the cost or completely cover the cost of a drug for certain people. For details about this program or to see if you are eligible, visit the program website or call 800-652-6227.
Here are answers to some frequently asked questions about drug cost and Xarelto.
Does the price of Xarelto vary by strength: 2.5 mg, 10 mg, 15 mg, and 20 mg?
It’s possible for Xarelto’s price in the U.S. to vary by strength. Specifically, the price for the 2.5-mg strength may be lower than the price for the other strengths.
However, keep in mind that the price you pay for Xarelto will depend on several factors, including the pharmacy you use and your insurance coverage. To learn more, talk with your pharmacist or insurance provider. You can also view the “Xarelto price” section above.
What’s the cost of Xarelto without insurance?
The cost of Xarelto without insurance will vary based on a few factors, including the pharmacy you use and your treatment plan.
In general, costs for prescription drugs such as Xarelto are typically higher without insurance.
If you don’t have insurance, there are programs available that may help cover the cost of Xarelto. To learn more, see the “Financial and insurance assistance” section below.
Xarelto is only available as a brand-name drug. It doesn’t come in a generic version. A generic drug is an exact copy of the active drug in a brand-name medication. Generics tend to cost less than brand-name drugs.
WHY ARE COSTS DIFFERENT FOR BRAND-NAME DRUGS VS. GENERIC DRUGS?
Brand-name drugs can be expensive because of the research needed to test their safety and effectiveness. The manufacturer of a brand-name drug can sell it for up to 20 years. When the brand-name drug’s patent expires, multiple manufacturers can create generic versions. This marketplace competition may lead to lower costs for generics. Also, because generics contain the same active ingredients as brand-name drugs, they don’t require the same costly testing.
You can get help with the cost of Xarelto. If you need financial support to pay for the drug, or if you need help understanding your insurance coverage, resources are available. For example:
- A program called Janssen CarePath Savings Program is available for Xarelto. For more information and to find out if you’re eligible for support, call 888-927-3586 or visit the program website.
- A patient assistance program through the Johnson & Johnson Patient Assistance Foundation may offer financial assistance for Xarelto. For more information and to find out if you’re eligible for support, call 800-652-6227 or visit the program website.
- Some websites provide details about drug assistance programs, ways to make the most of your insurance coverage, and links to savings cards and other services. These websites include:
To learn more about saving money on prescription medications with or without insurance, check out this article.
If you take Xarelto long term, you may be able to lower its cost in the following ways.
Getting a 3-month supply
You may be able to get a 90-day supply of Xarelto. If approved by your insurance company, getting a 90-day supply of the drug could reduce your number of trips to the pharmacy and help lower the cost. If you’re interested in this option, check with your doctor, pharmacist, or insurance provider.
Using a mail-order pharmacy
Xarelto may be available through a mail-order pharmacy. Using this type of service may help lower the drug’s cost and allow you to receive your medication without leaving home. Some Medicare plans may help cover the cost of mail-order medications. You may also be able to get a 90-day supply of the drug via mail order.
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’re eligible for Janssen Select, the manufacturer of Xarelto may be able to deliver the drug using a mail-order pharmacy. Check out the program website to learn more.
Now that you’ve learned about cost and Xarelto, you may still have some questions. Talk with your doctor or pharmacist, who can provide personalized guidance about cost issues related to Xarelto. However, if you have health insurance, you’ll need to talk with your insurance provider to learn the actual cost you would pay for Xarelto.
Here are some other resources you may find helpful:
- Medicare drug coverage. To learn about Medicare coverage for Xarelto, see this article. You can also view these articles about Medicare Prescription Drug Plans, drug coupons and Medicare, and the Medicare drug list.
- More details. For details about other aspects of Xarelto, refer to this article.
- Information about your condition. To learn about heart disease, view our cardiovascular health hub and list of articles about heart disease and venous thromboembolism.
Disclaimer: Medical News Today 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.