Xarelto Availability in 2026: What's Really Going On?

If you take Xarelto (Rivaroxaban) and have heard rumors about a shortage, or if you've personally struggled to fill your prescription, you're looking for clear answers. Misinformation spreads fast, especially when it involves a medication millions of Americans depend on every day.

Here's what we know right now about Xarelto availability in 2026 — the facts, not the rumors.

Is Xarelto Still in Shortage?

The answer depends on which formulation you're talking about:

• Xarelto tablets (2.5 mg, 10 mg, 15 mg, 20 mg): Not formally listed on the FDA drug shortage database. However, many patients report intermittent difficulty finding their specific strength at individual pharmacies.
• Xarelto oral suspension (1 mg/mL): This liquid formulation has been listed on the FDA drug shortage list and may have limited availability. This formulation is primarily used for patients who cannot swallow tablets.

So while Xarelto tablets aren't technically "in shortage" at the federal level, real-world availability can still be hit-or-miss depending on where you live and which pharmacy you use.

Why Is Xarelto Hard to Find?

Several overlapping factors are making Xarelto harder to find at your local pharmacy in 2026:

Increased Demand from Medicare Price Changes

Starting January 1, 2026, Medicare's negotiated price for Xarelto dropped to $197 per month — down from a list price of approximately $517. This was one of the first 10 drugs negotiated under the Inflation Reduction Act (IRA). While this is a huge win for patients, the lower price has brought more Medicare patients onto Xarelto, driving up overall demand.

Limited Generic Competition

In March 2025, the FDA approved the first generic Rivaroxaban — but only for the 2.5 mg tablet, manufactured by Lupin and Taro. The most commonly prescribed strengths (10 mg, 15 mg, and 20 mg) still have no generic equivalent. That means one manufacturer — Janssen — supplies nearly all the Xarelto tablets in the country.

Supply Chain Pressures

Ongoing pharmaceutical supply chain challenges continue to affect how quickly medications move from manufacturer to distributor to pharmacy. Even without a formal shortage, distribution bottlenecks can leave individual pharmacies temporarily out of stock.

Pharmacy Inventory Management

Large chain pharmacies manage inventory through automated systems that may not always anticipate local demand spikes. Smaller pharmacies may not keep large quantities of expensive brand-name drugs on hand. Both situations can leave patients without their medication at the moment they need it.

How Much Does Xarelto Cost in 2026?

Cost is a major concern for Xarelto patients. Here's a breakdown of what you might pay:

• Cash price (no insurance): Approximately $500-$650 per month for 30 tablets
• With a GoodRx coupon: Generic Rivaroxaban (2.5 mg only) as low as $45 per month; brand-name Xarelto discounts vary
• Medicare Part D (negotiated price): $197 per month starting 2026
• Commercial insurance: Copays typically $10-$75 per month depending on your plan
• Xarelto withMe Savings Card: Eligible commercially insured patients may pay as little as $0 per fill

For a detailed breakdown, see our full guide: How to Save Money on Xarelto in 2026.

New Options and Developments for 2026

Several developments are making the Xarelto landscape better for patients this year:

Medicare Drug Price Negotiation

The $197 per month negotiated price represents a 62% savings for Medicare Part D enrollees compared to the previous list price. Combined with the new $2,000 annual out-of-pocket cap on Part D drugs, many Medicare patients are seeing significantly lower costs.

Generic Expansion (Slowly)

While only the 2.5 mg generic is available now, additional generic strengths are expected in the coming years as patents expire and more manufacturers enter the market. This will eventually bring prices down further and improve availability.

More Pharmacy Options

Mail-order pharmacies, specialty pharmacies, and real-time availability tools like Medfinder are giving patients more ways to find their medication than ever before.

How to Find Xarelto in Stock Right Now

If you need Xarelto and your pharmacy doesn't have it, here's what to do:

1. Search on Medfinder — Check real-time availability at pharmacies in your area
2. Try independent pharmacies — They often have better stock of brand-name medications
3. Ask your pharmacist to order it — Most can get it within 1-2 business days
4. Consider mail-order — Larger inventories and home delivery for 90-day supplies
5. Call your doctor — They may have samples or can help you find a pharmacy with stock

For more detailed strategies, read: How to Find Xarelto in Stock Near You.

What About Alternatives?

If availability or cost issues persist, your doctor may discuss switching to another anticoagulant. Options include Eliquis (Apixaban), Pradaxa (Dabigatran), Savaysa (Edoxaban), or Warfarin. Each works differently and has its own pros and cons.

Read our full comparison: Alternatives to Xarelto if You Can't Fill Your Prescription.

Final Thoughts

The Xarelto situation in 2026 is complicated but manageable. Tablets are not in a formal shortage, but real-world availability varies. The good news is that prices are coming down for Medicare patients, generic options are slowly expanding, and tools like Medfinder make it easier than ever to find your medication.

The most important thing? Stay on your medication. Xarelto has a boxed warning about the risks of stopping too soon — including stroke and blood clots. If you're having trouble finding or affording it, reach out to your doctor, use the resources in this article, and don't give up.