Last updated: March 2026
How Much Does Rivaroxaban (Xarelto) Cost?
Cost Breakdown by Type
| Type / Procedure | Without Insurance | With Insurance |
|---|---|---|
| Xarelto 20mg Tablet (30ct) | $500 – $550 | $30 – $90 |
| Xarelto 15mg Tablet (30ct) | $500 – $550 | $30 – $90 |
| Xarelto 10mg Tablet (30ct) | $450 – $530 | $30 – $80 |
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 — covered with prior authorization; once-daily dosing preferred by some patients
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
Xarelto costs $500 to $550 per month without insurance. Manufacturer savings programs may help reduce out-of-pocket costs.
Both are DOACs for blood clot prevention. Xarelto (rivaroxaban) is taken once daily while Eliquis (apixaban) is taken twice daily. Studies suggest Eliquis may have slightly lower bleeding risk.
The main risk is bleeding. Unlike warfarin, there is a specific reversal agent (andexanet alfa) for rivaroxaban. Do not stop Xarelto without medical guidance as this increases stroke risk.