Last Updated on February 24, 2025
If you’re struggling with finding savings for Xarelto, you’re not alone. Many patients find this essential blood thinner difficult to afford. We hear from people all the time who are looking for ways to lower their medication costs, especially with Xarelto’s price nearing $600 per month for those without assistance.
The good news? There are savings programs available. The problem is that most people don’t know where to look. At NeedyMeds, we’ve been connecting patients with healthcare savings resources for over 20 years, and we know the best ways to save on Xarelto.
In this blog, we’ll walk you through the top savings programs, who qualifies, and how to get started. Whether you have commercial insurance, Medicare Part D, or no insurance at all, there may be an option to help reduce your out-of-pocket costs.
What is Xarelto?
Xarelto (rivaroxaban) is a direct oral anticoagulant used to prevent blood clots and reduce stroke risk. Doctors usallaly prescribe it to patients with the following condtions:
- Atrial fibrillation (AFib)
- Deep vein thrombosis (DVT)
- Pulmonary embolism (PE)
Unlike older blood thinners like warfarin, Xarelto doesn’t require frequent blood testing and has fewer dietary restrictions, making it easier to manage for many patients.
But the high cost of Xarelto puts it out of reach for many people, especially those in high-deductible health plans or the Medicare coverage gap.
Why is Xarelto so Expensive?
Several factors contribute to Xarelto’s high price:
- Patent Protection: Active drug patents protect brand name drugs from entering the generic market.
- Lack of Generic Competition: While some direct oral anticoagulants now have generic alternatives, Xarelto still does not, keeping prices high.
- Insurance Coverage Gaps: Patients with high-deductible plans or those in Medicare’s coverage gap may find themselves paying full price for Xarelto at certain times of the year.
Medicare will be able to negotiate drug prices thanks to The Inflation Reduction Act, and Xarelto is among those medications. However, lower prices won’t take effect until 2026, meaning patients need savings options now.
3 Ways To Save On Xarelto
For Patients With Commercial Insurance: Xarelto Savings Card
If you have commercial insurance, you may qualify for the Xarelto withMe Savings Card, which can significantly lower your out-of-pocket costs. If eligible, patients may pay as little as $10 per 30-day supply and save up to $3,400 per year on out-of-pocket costs.
This program is not available for those with Medicare, Medicaid, or other government insurance.
For Patients With Medicare Part D: Extra Help Subsidy
If you have Medicare Part D, you may qualify for the Extra Help Subsidy, also known as the Low-Income Subsidy (LIS). This program reduces prescription drug costs for those who meet income and resource requirements. If eligible, patients may only pay $11.20 per prescription.
We also highly encourage Medicare patients to reach out to their local State Health Insurance Program (SHIP) office for guidance and support on their plan.
For Uninsured Patients: The Johnson & Johnson Patient Assistance Program
Patients who don’t have insurance or have Medicare Part D but struggle to afford Xarelto may qualify for free medication through the Johnson & Johnson Patient Assistance Foundation (JJPAF).
To be eligible, applicants must live in the U.S., receive outpatient treatment from a U.S.-licensed healthcare provider, and meet specific income requirements. Uninsured individuals and Medicare Part D patients with financial hardship may apply.
The application process is simple. Patients must complete their section of the form with personal and financial details, while their healthcare provider fills out the prescription information. After completing the application, mail or fax it to the program.
If approved, patients receive Xarelto at no cost for up to 12 months, with the option to reapply.
Find Xarelto Savings Today
If you or someone you know is struggling to afford Xarelto, help is available.
At NeedyMeds, we connect patients with programs that lower the cost of prescription medications, including Xarelto. Visit our website to explore more patient assistance programs, discount options, and savings resources.
