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In short What it costs without insurance The generic: approved vs available If you have Medicare If you have commercial insurance If you have no coverage Common questions SourcesBrand-name Xarelto (rivaroxaban) costs about $606 to $616 for a 30-tablet month without insurance. Generic rivaroxaban is FDA-approved, but the pharmacies and price services we checked list it only for the 2.5 mg strength so far. Medicare's negotiated maximum fair price took effect January 1, 2026, eligible commercially insured patients may pay as little as $10 per fill with the manufacturer's savings card, and J&J's patient assistance program covers Xarelto for eligible patients. What you pay depends on your coverage, strength, pharmacy and eligibility.
What it costs without insurance
Xarelto prevents and treats blood clots and lowers risk for people with certain heart or artery conditions. Most strengths are taken once a day, so 30 tablets make a typical one-month supply. Without insurance, Drugs.com quotes about $606 for 30 tablets of the 10, 15 or 20 mg strengths, and GoodRx lists a retail price around $616 for the most common form, when we checked on October 27, 2026. These are published estimates, not a quote from your pharmacy: cash prices vary by pharmacy, strength, quantity and ZIP code, so comparing two or three pharmacies before each refill can be real money.
The generic: approved vs available
Generic rivaroxaban is FDA-approved for every Xarelto strength: several manufacturers won approvals for 10, 15 and 20 mg tablets in May 2025, and 2.5 mg tablets were approved earlier in 2025, according to Drugs.com's generic availability page. But FDA approval does not guarantee pharmacy availability, because patents or exclusivity can delay a launch. As of October 27, 2026, the pharmacies and price services we checked (Drugs.com, GoodRx and Cost Plus Drugs) list generic prices only for the 2.5 mg strength, taken twice daily: Drugs.com quotes it at about $223 for 30 tablets, GoodRx lists coupon prices around $36 for 60 tablets, and Cost Plus Drugs lists it in stock at $13.91 to $31.74 for a 30- to 90-count fill including its $5 dispensing fee and excluding shipping. That is one pharmacy's catalog price, not a checkout guarantee, and other pharmacies may differ. Ask your prescriber or a licensed US pharmacist whether your prescribed strength is available as a generic.
If you have Medicare
Two 2026 changes matter here. First, Xarelto was in the first group of drugs with a Medicare negotiated price: CMS set a negotiated maximum fair price of $197 per 30-day supply, 62% below the $517 reference price, effective January 1, 2026. That price is not a guaranteed patient co-pay; your Part D plan determines what you owe. Second, Part D now caps your total out-of-pocket drug spending at $2,100 for the year across all covered Part D drugs, excluding premiums. Our guides to the 2026 Part D changes and Medicare Savings Programs and Extra Help walk through both.
If you have commercial insurance
Johnson & Johnson advertises the Xarelto withMe savings card: eligible patients may pay as little as $10 per fill. The card is only for people using commercial or private insurance who still pay an out-of-pocket cost; it is not for people with Medicare, Medicaid or other government-funded coverage, there is a limit to savings per fill, and the terms expire at the end of each calendar year. Confirm the current terms with the program before counting on the price.
If you have no coverage
If you have no prescription coverage, first ask your pharmacist whether your prescribed strength is available as a generic; the services we checked list generic prices only for 2.5 mg today. Otherwise compare pharmacy cash and coupon prices for the brand. The Johnson & Johnson Patient Assistance Program lists Xarelto tablets and oral suspension among covered medicines, provides them at no cost to eligible patients, and sets 2026 income eligibility at or below 300% of the federal poverty level; it requires an enrollment form, part of which your healthcare provider completes, and approval is not automatic. Do not stop or ration a blood thinner on your own. If cost may make you skip doses, contact your prescriber or pharmacist before you run out. Our guides to affording medication and patient assistance programs list more routes.
Common questions
Is there a generic version of Xarelto?
Generic rivaroxaban is FDA-approved for all Xarelto strengths, with several 10, 15 and 20 mg approvals in May 2025, but approval does not guarantee pharmacy availability. As of October 27, 2026, the price services we checked list generic prices only for the 2.5 mg strength: GoodRx coupon prices around $36 for 60 tablets, and Cost Plus Drugs lists a 30-count fill at $13.91 including its dispensing fee, excluding shipping. Ask a licensed US pharmacist whether your prescribed strength is available as a generic.
How much is Xarelto per month without insurance?
Drugs.com quotes the brand at about $606 for 30 tablets, a typical month for the once-daily strengths, and GoodRx lists a retail price around $616, checked October 27, 2026. Your pharmacy, strength, quantity and location may change the price.
What did the Medicare negotiated price change?
CMS set a negotiated maximum fair price of $197 per 30-day supply for Xarelto, 62% below the $517 reference price, 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 Xarelto 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.