
Xarelto (Rivaroxaban) is a prescription oral anticoagulant (blood thinner) used to reduce the risk of stroke and blood clots in patients with conditions like atrial fibrillation, deep vein thrombosis (DVT), and pulmonary embolism (PE). It works by inhibiting Factor Xa, a key enzyme involved in the blood clotting process, making it effective in preventing dangerous clot formation.
Xarelto is taken once daily and is commonly prescribed for long-term use in patients with chronic clotting risks or cardiovascular conditions. While effective, Xarelto can be expensive without insurance—but multiple options exist to lower the cost dramatically.
Key Takeaways
Online Pharmacies Offer Major Discounts: CIPA-certified pharmacies like Planet Drugs Direct and DrugMart offer Xarelto for $188–$189 per 84 tablets—equivalent to about $67 per 30 tablets—a savings of more than 85% compared to U.S. retail prices.
U.S. Pharmacies Charge $579–$636 Per Month Without Insurance: Retail chains such as CVS, Walgreens, Walmart, and Jewel-Osco charge $579 to over $635 for a 30-day supply of Xarelto if you're paying out of pocket.
Medicare Coverage Is Common, But Costs Vary: Most Medicare Part D plans cover Xarelto, but out-of-pocket expenses can range widely—from $30 to $150 per month, depending on your coverage phase (deductible, initial coverage, gap, or catastrophic).
Cheapest Online Pharmacies for Xarelto (Rivaroxaban)
Here are the cheapest online pharmacies where you can purchase Xarelto (Rivaroxaban) and get it shipped safely, right to your door.
Pharmacy | Prescription Required | Price Per 30 Tablets (Estimated) | Milligram | Website |
Planet Drugs Direct | Yes | $67.14 | 20mg | |
DrugMart | Yes | $67.50 | 20mg | |
Amazon Pharmacy | Yes | $525.47 | 20mg |
Prices as of April 30, 2025. Prices are subject to change based on quantity, milligram, and other details regarding your prescription needs.
U.S. Retail Prices for Xarelto (Rivaroxaban)
Retail pharmacy prices remain high for Xarelto (Rivaroxaban). Based on recent April 2025 data, the average cost for a 30-day supply at major local pharmacies includes:
CVS Pharmacy: $629.03
Walgreens: $635.92
Walmart: $626.79
Jewel-Osco: $579.15
How to Save on Xarelto (Rivaroxaban)
Here are some ways to save on Xarelto (Rivaroxaban).
1. Use the XARELTO withMe Savings Card (Commercial Insurance Only)
If you have commercial or employer-sponsored insurance, you may qualify for the XARELTO withMe Savings Card, which can reduce your copay to as little as $10 for up to a 90-day supply of Xarelto. Eligible patients can save up to the program’s annual maximum benefit, with limits applied per fill. This offer renews each calendar year and is subject to change without notice.
Learn more about the savings program.
Key benefits of the savings program include:
Up to 90-day supply for as little as $10 per fill
Potential to pay as little as $3.33/month if you fill a 90-day prescription
Annual savings up to $80 when switching from monthly to 90-day refills
Extended intervals between pharmacy visits
Additionally, eligible patients may also access the XARELTO withMe Trial Offer, which provides a free 30-day trial for new users with a valid prescription (excluding the 10mg tablet and oral suspension formats). This offer can only be used once and is available to patients regardless of insurance type—including commercial, Medicare, or no insurance at all.
2. Use Medicare Part D’s Coverage for Xarelto
Xarelto is covered by most Medicare Part D plans. While prices can vary, many users pay between $30 and $150 per month, depending on their plan and the coverage stage (deductible, initial, coverage gap, or catastrophic). Call your plan provider or use Medicare’s Plan Finder to confirm your exact cost.
3. Call Your Insurer to Confirm Coverage and Copay Savings
To avoid unexpected bills, always check with your health insurance plan:
Confirm that Xarelto is on your formulary
Ask if your pharmacy accepts the Janssen Copay Card or Xarelto withMe Savings Card (if you’re commercially insured)
4. Consider CIPA-Certified Online Pharmacies
Trusted international pharmacies such as Planet Drugs Direct and DrugMart offer up to 85% lower prices than major U.S. retailers. These sites are CIPA-certified and ship directly to U.S. patients with a prescription.
Ready to save up to 80% off your medication? Visit our page on Planet Drugs Direct.
Common Questions
Common questions and answers about Xarelto:
1. Is Xarelto covered by Medicare?
Yes. Xarelto is widely covered under Medicare Part D plans. It is a common medication for preventing strokes in patients with atrial fibrillation and treating or preventing blood clots.
2. How much would I expect to pay if I have Medicare coverage?
Depending on your Part D plan and where you are in the coverage cycle, expect to pay between $30 and $150 per month. Patients in the deductible or coverage gap (“donut hole”) phase may see higher costs.
3. How long am I required to be on my prescription and how much would that cost without Medicare Part D?
Xarelto is often prescribed as a long-term or lifelong therapy for clot prevention. Without insurance or Medicare Part D, the cash cost can exceed $500 per month, totaling $6,000+ annually. Using a CIPA-certified online pharmacy (like Planet Drugs Direct) may reduce your total yearly cost to under $800.
Rely on PlanetDrugsDirect.com to Buy Online Xarelto (Rivaroxaban)
As a trusted prescription referral service, we offer important benefits whenever you order online. Each of our partner pharmacies and/or government-approved dispensaries is committed to providing the best experience possible of any online prescription referral service on the internet. We offer:
Low prices
Quick turn-around times
Generic and brand-name medications
Unparalleled customer service
Sources
Janssen Pharmaceuticals, Inc. (2021, December). Xarelto (rivaroxaban) tablets, for oral use: Prescribing information. U.S. Food and Drug Administration. Retrieved from https://www.accessdata.fda.gov/drugsatfda_docs/label/2021/215859s000lbl.pdf
Centers for Medicare & Medicaid Services. (2025, April). Your guide to Medicare prescription drug coverage (Publication No. CMS-11109). Retrieved from https://www.medicare.gov/publications/11109-your-guide-to-medicare-prescription-drug-coverage.pdf