My Drug Center

Is Patient Assistance Available for Xarelto?

Thursday 30 November 2023
6 minute(s) read

Table of Contents

I. Understanding Xarelto and Its Cost

II. What Is Patient Assistance?

III. Xarelto Patient Assistance Programs

IV. Alternative Ways to Save on Xarelto

V. Why Canadian Pharmacies are the Best Alternative

VI. Say Goodbye to the Stress of Paying for Xarelto

Navigating the healthcare landscape can be challenging, especially when it comes to managing the costs of prescription medications like Xarelto. This is particularly true for individuals living in the United States, where drug prices are high and assistance can be hard to access. Xarelto patient assistance programs are no exception—but they do exist, and this guide will cover them in detail.

What follows is an overview of the cost of Xarelto, options for financial support, and non-U.S. alternatives to help patients save when assistance is not available.

Quick Takeaways:

  • The average retail price of Xarelto is $500-600+ in the United States.
  • Xarelto patient assistance programs are available in the U.S., but they can be hard to access and often come with income or insurance limitations.
  • Canadian online pharmacies offer more than 60% cost savings on Xarelto prescriptions.
  • Ordering Xarelto from a Canadian pharmacy is safe, legal, affordable, and convenient.

Understanding Xarelto and Its Cost

Xarelto is a widely-prescribed anticoagulant medication that plays a vital role in treating and preventing blood clots and strokes. Its treatment usage spans multiple conditions, including deep vein thrombosis (DVT), pulmonary embolism (PE), and reducing the risk of stroke in patients with atrial fibrillation. While there’s no doubt that Xarelto is medically necessary for many, its cost can pose a significant burden.

In the United States, even with insurance, the cost of Xarelto is a financial challenge for many individuals who are prescribed the medication. Without insurance, paying for Xarelto is often impossible. Even with discounts and coupons, the lowest retail price of Xarelto at U.S. pharmacies is well above $500.

List of Xarelto’s retail prices at U.S. pharmacies, all of which are well above $500


This high cost drives many individuals to explore patient assistance programs that can subsidize some of the cost and make Xarelto more affordable for them.

What Is Patient Assistance?

Patient Assistance Programs (PAPs) are initiatives designed to help patients who struggle to afford their medications. These programs are often provided by pharmaceutical companies, non-profit organizations, or government agencies. PAPs may offer medications at a reduced cost or even for free, depending on the patient's financial situation, insurance status, and other qualifying criteria.

They serve as a critical resource, particularly for high-cost medications like Xarelto. By reducing the financial burden, PAPs ensure patients have access to necessary treatments without the added stress of unmanageable expenses. Understanding and accessing these programs can significantly alleviate the financial strain for patients and their families, ensuring continuity of care and adherence to prescribed treatment plans.

Xarelto Patient Assistance Programs

For those seeking financial relief from the high cost of Xarelto, several patient assistance programs are available to consider:

Janssen Savings Programs for Xarelto

Janssen is one of the pharmaceutical companies that originally developed Xarelto, and today they offer savings programs that can help subsidize the cost for certain individuals. However, they do require certain criteria to be met. For example, Janssen’s Carepath Program requires commercial insurance, while some of its other prescription assistance programs are only for those under certain income levels. [2]

State Pharmaceutical Assistance Programs

Some states offer programs to assist with the cost of medications like Xarelto. Unfortunately, the onus is on the patient to do much of the research for these programs on their own. These programs also usually have an income requirement that must be met.

In addition, accessing these programs can take time and require a lengthy application process that includes sharing details about income, finances, residency, and overall health status. You can search on the Medicare site for programs you might be eligible to use. [3]

Alternative Ways to Save on Xarelto

Apart from patient assistance programs, there are other strategies to reduce the cost of Xarelto that are available in the U.S. These include:

  • Insurance Coverage: Check with your insurance provider for coverage details. Most plans cover some of the cost associated with Xarelto, although you’ll still pay co-pays and deductibles out of pocket. On most insurance plans, Xarelto is a Tier 3 preferred drug, but refer to your plan’s formulary to confirm.
  • Copay Cards: Janssen also offers a Xarelto copay card for eligible patients that can help reduce out-of-pocket costs.
  • Pharmacy Shopping: Compare prices at different pharmacies. Costs can vary significantly between retailers, and you can save by shopping around. Consider using an online pharmacy comparison tool to help.
  • Bulk Purchases: Buying a 90-day supply (instead of 30-day) can reduce the total cost of Xarelto.
  • Negotiate Prices: Some pharmacies may match lower prices found elsewhere.

By exploring these alternatives, patients can potentially find more budget-friendly options to manage the cost of their Xarelto prescription from a U.S. pharmacy.

Why Canadian Pharmacies are the Best Alternative

While there are Xarelto patient assistance programs available in the U.S., you can see that they’re often limited to certain individuals and/or require legwork on the part of the patient that can be challenging or even impossible depending on ability and resources.

To avoid this complexity in achieving cost savings on Xarelto, many patients are instead choosing to order their prescription from an online Canadian pharmacy. Ordering medicine from Canada is safe and legal when the medication is FDA-approved and the patient has a valid prescription.

Even for patients with insurance, the lower cost of Xarelto from Canadian pharmacies can outweigh the subsidy provided by insurance or Xarelto patient assistance programs.

Consider again that $500-600+ retail cost of Xarelto we saw earlier in this article. That was for a 30-day supply of the medication at a 20mg dosage. At My Drug Center, patients can order nearly triple the quantity of the same dosage for just $180—that’s more than 60% cost savings (or more, depending on where you buy Xarelto in the U.S.) per 90-day supply.

Screenshot of the Xarelto ordering page on My Drug Center’s website, showing that it costs significantly less than even the lowest U.S. retail price

Plus, you can order the generic version of Xarelto (Rivaroxaban) at even greater cost savings—just $104 per 90-day supply of 20mg pills.

Say Goodbye to the Stress of Paying for Xarelto

When it comes to fulfilling your Xarelto subscription, access and continuity is paramount. Under no circumstances should patients be worried about trying to spread their medication longer than intended, skipping prescriptions to save money, or sacrificing financially in other areas just to stay healthy.

Accessing the medications you need should be a given, and at My Drug Center, we make sure that’s the case. To access Xarelto safely and affordably, visit the My Drug Center website or contact us by phone to start your order.

DISCLAIMER: The information in the article is not meant to be used for treatment or diagnosis. It is designed for general awareness and for information purposes only. Always consult a medical professional for your specific healthcare needs.