Read more about saving money on Xarelto with a Xarelto coupon and more. If you’ve been diagnosed with atrial fibrillation (AFib), your doctor has likely talked with you about how important anticoagulation is to prevent blood clotting and to reduce risk of stroke.
AFib can cause blood clots to form in the heart. A part of the clot can then break off, and subsequently enter your bloodstream, and travel through the body. If it gets stuck in a blood vessel in the brain, it can lead to a stroke. Patients with AFib are over 5 times more likely to suffer from a stroke then someone without atrial fibrillation.
Doctors frequently prescribe medications called anticoagulants or “blood thinners” to help reduce risk for stroke for patients with atrial fibrillation. It’s extremely important to take any medicine prescribed by your doctor consistently.
Xarelto is a very commonly used blood thinner for stroke risk reduction. I have prescribed it for many of my own patients. But like many newer medications, the costs can be too expensive for some patients and it can be tough to afford them if you have a limited income.
Fortunately, there are several options to save money on your Xarelto prescription.
What Is Xarelto?
Xarelto (rivaroxaban) is approved to help prevent blood clots caused by atrial fibrillation that isn’t caused by a heart valve problem.
Originally approved in November 2011, Xarelto has become one of the most prescribed blood thinners for stroke risk reduction in patients with atrial fibrillation.
Xarelto works by interfering with a specific enzyme made by the liver, called factor Xa, which is essential in the formation of blood clots. Xarelto thus reduces the body’s ability to make blood clots and reduces the risk for stroke due to AFib.
How Much Does Xarelto Cost per Month?
Like most medications, what you pay for Xarelto varies depending on what kind of health insurance you carry.
Cash Pay Price or No Insurance
The lowest GoodRx cash-pay price found was $471.94 for 30 tablets. The average retail cash-pay price of the most common version was $545.70 for a 30 days supply.
Commercial or Private Insurance
How much you actually spend out of pocket if you have commercial insurance will depend on your plan’s rules. Most patients with insurance from their employer or from another private insurance policy pay between $0 and $40 per month
The manufacturer, Janssen Pharmaceuticals, offers a Xarelto coupon card for patients with private insurance that can bring the cost down to $10 per fill, for up to a 90 day supply. Learn more about the Janssen CarePath Savings Program for commercial insurance here.
Almost every Medicare Part D and Medicare Advantage plan covers Xarelto. Most patients with Medicare pay between $0 and $76 per month for Xarelto.
Your co-pay cost will depend on which coverage stage you are in, and out of pocket costs may vary if you are in a coverage gap, also known as a donut hole.
Some Medicare plans have quantity limits on this drug. This means they restrict how much of the drug can be bought at one time. If you need more than the limit you may end up having to pay more.
Xarelto is usually listed as a Tier 3, preferred brand-name drug. See more resources for Medicare patient on Xarelto here.
Patients on Medicare may also be eligible for the Janssen Select Savings Plans if you are paying more than $85 per month for Xarelto. See more details on the Janssen Select Plan below.
How Can I Get Xarelto For Free?
All patients are eligible for a free 30 day trial of Xarelto. This is only eligible for use once per patient for a 30 day supply. Get more information about a Xarelto 30 day free card here.
Generic Versions of Xarelto
Using generic medications instead of brand names is an easy way to save money on your prescriptions.
Unfortunately there is no generic version of Xarelto at the time of this writing. The patents for the drug run until at least 2021, which would be 10 years after the original approval of the medication. However, many times patents are extended due to new indications for use of a medication. I would not expect a generic of Xarelto until at least 2023.
Save Money on Your Prescription With a Xarelto Coupon Card
If you are having trouble affording your medication, there are a number of options to get assistance. Janssen, the manufacturer of Xarelto, offers a Xarelto coupon card for patients with commercial insurance and a savings program for patients covered by Medicare or Medicaid.
Janssen CarePath Savings Program
The Janssen CarePath savings program allows eligible patients with commercial insurance to get a coupon card that can reduce the price of their medication to $10 per fill.
The program details and how to get your coupon card for Xarelto by phone, online, or text can be found here.
Janssen Select Program
If you are covered by government-funded health insurance like Medicare or Medicaid, or some other commercial plans, you could be eligible for the Janssen Select Program, particularly if you are being asked to pay more than $85 a month for a 30 days supply.
This program has no income limits. Patients in the program can have Xarelto shipped to them directly from a pharmacy for $85 per month.
Johnson & Johnson Patient Assistance Program
Jannsen Pharmaceuticals is a subsidiary of Johnson & Johnson. This means that uninsured patients taking drugs made by Jannsen (like Xarelto) are able to apply to the Johnson & Johnson patient assistance program.
This program is operated by an independent, non-profit organization that helps patients without insurance get access to drugs they otherwise couldn’t afford.
Eligible patients can receive their medication for free.