The cheapest way to get Xarelto is to use a withMe Savings Card if you're an eligible commercially insured patient.
Although there is a limit to the savings per fill of Xarelto and a maximum benefit per calendar year shall also apply.
Using prescription medication discount coupons like through GoodRX can also help you save money on the Xarelto.
Xarelto is expensive because Xarelto is a brand name, next generation anticoagulant that has no widespread or low cost generic alternatives currently which allows manufacturers of Xarelto to set high prices, which can be over $500.00 per month.
The lack of competition as well as high demand for Xarelto drives up the cost of Xarelto.
Generic versions of Xarelto are also entering the market, but it's not currently widely available as a generic and Xarelto also has held a monopoly on it's specific drug formulation and allows for high and consistent and often increases in price.
There's also research and development which adds to the cost of the drug Xarelto, as research and development for medications is expensive and requires research as well as testing and even FDA approval.
There's also a generic Xarelto also known as rivaroxaban (2.5 mg) that is available and can significantly reduce costs for patients with CAD and PAD although the generic Xarelto is only currently for the smaller doses and larger doses still require the brand name of Xarelto.
The FDA approved the first generic of Xarelto or rivaroxaban in early 2025.
Although generics for Xarelto are not widely available yet for all doses.
And the higher doses of Xarelto like 10mg, 15mg and 20mg for DVT/PE treatment are still mostly the brand name versions and not generic yet.
The introduction of generics for Xarelto's has also led to substantial price drops.
The FDA approved the first generics for lower doses of Xarelto like 2.5 mg in early 2025 for conditions like peripheral artery disease and coronary artery disease.
The generic versions of Xarelto is also entering the market and also lowering costs significantly, but the higher doses of Xarelto are still brand name and higher in cost.
Xarelto is a prescription blood thinner also known as an anticoagulant, which reduces the risk of stroke in people with atrial fibrillation as well as treats deep vein thrombosis and pulmonary embolism and also prevents clots after having hip and knee replacement surgery.
Xarelto works by blacking the clotting protein Factor Xa.
Common side effects of Xarelto are bleeding, like nosebleeds, gastrointestinal bleeding and bruising.
As an anticoagulant, Xarelto can cause severe and potentially fatal bleeding.
And there's also a risk of blood clots in your spine if taking spinal anesthesia, which can cause long term paralysis when taking Xarelto.
You should also not stop taking Xarelto without medical supervision as it increases stroke and blood clot risk.
Xarelto can also interact with other anticoagulants, antiplatelets like aspirin, and certain strong inhibitors of CYP3A4 and P-gp, like ketoconazole or ritonavir.
Xarelto is also often taken once or twice a day, often with food.
The Xarelto tablets of 10 mg, 15 mg, and 20 mg should not be crushed, but they can be mixed with some applesauce if needed.