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In short What it costs without insurance No cheap generic yet If you have Medicare If you have commercial insurance If you have no coverage Common questions SourcesEliquis (apixaban) has a manufacturer list price of $346 for a 30-day supply. Published cash-price estimates for 60 tablets of 5 mg range from about $345 to $512; these are not a local pharmacy quote. Savings depend on coverage and eligibility. Eligible commercially insured patients may pay as little as $10 with a manufacturer co-pay card, while uninsured patients can check coupons and assistance programs. Medicare pricing follows different rules.
What it costs without insurance
Bristol Myers Squibb lists Eliquis at $346 for a 30-day supply, as of January 2026. What pharmacies actually charge varies: Drugs.com quotes around $345 for 60 tablets of 5 mg (a typical month), while GoodRx puts the average cash price at $512.10 for the same fill and about $347.76 with its free coupon, when we checked on October 24, 2026. Coupon prices depend on your pharmacy and ZIP code and change over time, so comparing two or three pharmacies before each refill is real money: the spread can be more than $150 for the identical prescription.
No cheap generic yet
Generic apixaban has FDA approval, but GoodRx reports that US market availability is not expected until at least 2028. Approval is not the same as pharmacy availability, and launch timing can change. Ask a licensed US pharmacist about current availability rather than relying on an online seller's low-price claim.
If you have Medicare
Two 2026 changes matter here. First, Eliquis was in the first group of drugs with a Medicare negotiated price: CMS set a maximum fair price of $231 per 30-day supply, 56% below the reference price, effective January 1, 2026. Second, Part D now caps your total out-of-pocket drug spending at $2,100 for the year across all your prescriptions. BMS says Medicare patients pay $45 to $51 a month on average for Eliquis, and people with the Extra Help subsidy pay $0 to $12.65. Our guides to The $231 maximum fair price is not a guaranteed patient co-pay; your plan determines what you owe. The $2,100 cap applies to covered Part D drugs, not premiums or every medicine you buy. the 2026 Part D changes and Medicare Savings Programs and Extra Help walk through both.
If you have commercial insurance
Eligible commercially insured patients with an Eliquis co-pay may pay as little as $10 for a 30-day supply using an activated manufacturer card at a participating pharmacy. The annual benefit limit is $2,000, and the program lasts up to 24 months from activation, subject to continued eligibility and other terms. Activation and first use must occur by December 31, 2026. US residency requirements apply. The card is not available with Medicare, Medicaid, TRICARE or other government prescription coverage. BMS publishes different commercial-insurance averages of $33 and $37 in its indication-specific sections; neither is a quote for your plan. Ask the support program to review your benefits and card eligibility.
If you have no coverage
If you have no prescription coverage, compare pharmacy cash prices and ask the manufacturer about eligibility for a free first 30-day trial or temporary patient assistance. BMSPAF offers certain medicines free to eligible patients; approval is not automatic and requires an application. The separate Eliquis Direct-to-Patient program lists $345 for 60 tablets, with possible additional taxes or fees. It requires a valid prescription and eligibility review; Medicare Part D and Medicare Advantage prescription-plan members are excluded. Cash payments through that program do not count toward insurance deductibles or out-of-pocket maximums. Do not ration or stop a blood thinner on your own. If cost may make you skip doses, contact your prescriber or pharmacist before you run out. Affording medication. Patient assistance programs.
- Bristol Myers Squibb - Eliquis pricing information
- Drugs.com - Eliquis price guide
- GoodRx - How much is Eliquis without insurance?
- CMS - Negotiated prices fact sheet (initial price applicability year 2026)
- BMS Patient Assistance Foundation
- Eliquis Direct-to-Patient program terms
Common questions
Is there a generic version of Eliquis?
Generic apixaban is FDA-approved, but GoodRx reports that it is not expected on the US market until at least 2028. Approval does not establish current pharmacy availability, and launch timing may change. Check with a licensed US pharmacist.
How much is Eliquis per month without insurance?
BMS lists $346 for a 30-day supply as of January 2026. Drugs.com quotes about $345 for 60 tablets of 5 mg, while GoodRx lists a $512.10 average cash price and a coupon estimate as low as $347.76. These published estimates were checked October 24, 2026; your pharmacy, dose, quantity and location may change the price.
What did the Medicare negotiated price change?
CMS set a maximum fair price of $231 per 30-day supply for Eliquis, effective January 1, 2026. This is not a guaranteed patient co-pay: your Part D plan determines your cost. The 2026 annual out-of-pocket cap is $2,100 for covered Part D drugs, excluding premiums.
Can Pymander help with Eliquis costs?
Pymander can explain your coverage options, assistance programs and questions to ask your doctor or pharmacist. It is not a pharmacy and does not sell or fill medication.