Last updated: March 2026
How Much Does Dabigatran (Pradaxa) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| 150mg Capsules (30-day) | $400 – $550 | $25 – $80 |
| 75mg Capsules (30-day) | $350 – $500 | $20 – $70 |
What Affects the Cost
- Brand-name vs. generic availability
- Insurance formulary tier placement
- Pharmacy choice (retail vs. mail-order vs. Costco)
- Manufacturer savings cards and coupons
- Dosage and quantity prescribed
- Geographic location
Insurance Coverage
Typical coverage: Tier 3 brand; copay cards available; no generic yet in US
Most insurance plans use a tiered formulary: Tier 1 (generic) $0-$15 copay, Tier 2 (preferred brand) $25-$75, Tier 3 (non-preferred brand) $50-$150, Tier 4 (specialty) $100-$500+. Prior authorization may be required for certain medications. Step therapy may require trying cheaper alternatives first.
How to Save Money
- Always ask for generic when available — saves 50-90%
- Use GoodRx, RxSaver, or similar discount cards
- Costco pharmacy is open to non-members and often has lowest prices
- Mark Cuban's Cost Plus Drugs offers transparent low pricing
- Manufacturer patient assistance programs provide free medication to qualifying patients
- HSA/FSA funds can cover medication costs tax-free
Related Procedures & Costs
Frequently Asked Questions
Pradaxa costs $350 to $550 per month without insurance. Manufacturer copay cards can reduce the cost to $0 to $25 for insured patients.
Dabigatran prevents stroke in atrial fibrillation and treats/prevents deep vein thrombosis and pulmonary embolism.
Yes, idarucizumab (Praxbind) can reverse dabigatran's effects in emergencies, which is an advantage over some other blood thinners.