Xarelto costs $500+ without insurance. Learn how to save with coupons, the Xarelto withMe card, Medicare pricing, patient assistance, and more in 2026.
Let's start with the number that keeps patients up at night: Xarelto costs approximately $500 to $650 per month without insurance. For a medication you may need to take every single day for the rest of your life, that adds up to $6,000 to $7,800 per year.
The good news? Almost nobody needs to pay that full amount. Between manufacturer savings programs, Medicare pricing changes, discount cards, and patient assistance programs, there are real ways to bring your Xarelto costs down dramatically — sometimes to $0.
In this guide, we'll walk through every major option available in 2026, with specific dollar amounts and practical steps.
Without any insurance or discounts, here's what you can expect to pay at the pharmacy counter:
These prices vary by pharmacy. Retail prices at chain pharmacies tend to be at the higher end, while independent pharmacies and warehouse clubs (like Costco) may offer slightly lower cash prices.
If you're paying cash or have a high-deductible insurance plan, discount cards are one of the fastest ways to save on Xarelto.
GoodRx is the most widely used prescription discount platform. In 2026, GoodRx shows generic Rivaroxaban 2.5 mg for as low as $45.37 per month. For brand-name Xarelto, GoodRx coupons can reduce the price by 10-20%, though the savings are more modest on expensive brand-name drugs.
SingleCare offers free coupons accepted at most pharmacies. Prices for Rivaroxaban and Xarelto vary by location, but savings of $50-$150 off the cash price are common.
Additional options include:
These discount cards cannot be combined with insurance — you use one or the other at the pharmacy counter. They work best for patients who are uninsured, in their deductible period, or whose insurance copay is higher than the discount card price.
This is the single best savings option for commercially insured patients.
The Xarelto withMe Savings Card, offered by Janssen Pharmaceuticals, can reduce your copay to as little as $0 per fill for eligible patients. Here's what you need to know:
If you have commercial insurance and are paying more than $0-$10 per month for Xarelto, you should absolutely look into this card.
For patients who are uninsured or underinsured and have limited income, the manufacturer offers free medication through patient assistance.
This program provides Xarelto at no cost to qualifying patients. Eligibility is based on:
How to apply:
If you're on Medicare Part D, 2026 brings significant savings for Xarelto:
Xarelto was one of the first 10 drugs selected for Medicare price negotiation. The result:
Starting in 2026, Medicare Part D includes a $2,000 annual cap on out-of-pocket prescription drug costs. Once you reach this limit, you pay nothing more for the rest of the year. For patients taking Xarelto and other medications, this cap provides a meaningful safety net.
Medicare now also offers the option to spread your out-of-pocket costs evenly across the year, rather than paying more during the deductible period. Ask your Part D plan about monthly payment options.
Many pharmacies and insurance plans offer a lower per-dose cost when you fill a 90-day supply instead of 30 days. Mail-order pharmacies especially tend to offer 90-day pricing that saves $20-$100 compared to three separate 30-day fills.
Prices for the same medication can vary by $50-$200 between pharmacies in the same zip code. Use tools like GoodRx, Medfinder, or your insurance plan's pharmacy finder to compare before you fill.
If you take Xarelto 2.5 mg (for coronary artery disease or peripheral artery disease), the generic Rivaroxaban 2.5 mg is available for as low as $45 per month with a GoodRx coupon. Ask your doctor if the generic is appropriate for your prescription.
You don't need a Costco membership to use their pharmacy (in most states). Costco and Sam's Club pharmacies often have competitive cash prices on brand-name and generic medications.
Many states offer their own prescription assistance programs for residents who meet certain income or age criteria. Check with your state's department of health or aging services to see what's available.
Xarelto is an expensive medication, but you have more options than you might think. Between the Xarelto withMe savings card, Medicare's negotiated price, patient assistance programs, and discount cards, most patients can significantly reduce what they pay — and some can get it for free.
The key is knowing which programs you qualify for and taking the time to enroll. Start with the Xarelto withMe card if you have commercial insurance, or call Janssen CarePath at 1-800-526-7736 if you need help figuring out your best option.
If you're also having trouble finding Xarelto in stock, check out our guides on finding Xarelto near you and the latest shortage update. And remember — never stop taking Xarelto to save money. Talk to your doctor first. There's always a safer option.
You focus on staying healthy. We'll handle the rest.
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