Alethro
Alethro›Drug index›Xarelto
Anticoagulant / Factor Xa

Xarelto costs $25–$95/month.

Xarelto (rivaroxaban) costs $20–$550/month depending on plan tier and deductible status, with manufacturer list price at approximately $550/month and the janssenCarePath Savings Program capping eligible commercially insured patients at $10/month.

Estimates only. Verify with your pharmacy and insurer before filling. Not medical, financial, or insurance advice.

Cost calculatorEstimates only · verify before filling
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$550
Manufacturer list
$0–$10/mo
With savings card
$25–$95
Typical with insurance
Tier 2
Most formularies
Where to fill

Xarelto prices by source

Manufacturer list (cash, no insurance)
Published list price · 30-day supply
$550
janssenCarePath
Eligible commercial-insured patients
$0–$10/mo
Check eligibility ↗
Costplus Drug Company
Brand-only; no generic available yet
Not stocked
Walmart $4 generic list
Brand-only; no generic available yet
Not eligible
GoodRx
Coupon-based pricing varies by pharmacy and ZIP
~$490

Sources: manufacturer published pricing · Costplus Drug Co. catalog · Walmart $4 list · GoodRx public pricing.

Commercial insurance

Your cost by plan

Tier from each carrier’s 2026 formulary — source documents linked on each plan card below. Use the calculator above for a personalized estimate based on your deductible state.

Blue Cross Blue Shield Employer PPO
Illinois Blue Choice PPO
Tier 2No PA
~$33/mo
See formulary ↗
Blue Cross Blue Shield Employer HMO
Texas Blue Advantage HMO
Tier 2No PA
~$41/mo
See formulary ↗
Aetna HDHP / HSA
Choice POS II HSA
Tier 2No PA
~$0/mo
See formulary ↗
UnitedHealthcare Employer PPO
Choice Plus PPO
Tier 2No PA
~$39/mo
See formulary ↗
Kaiser Permanente Employer HMO
Signature HMO
Tier 2No PA
~$28/mo
See formulary ↗
Cigna Employer PPO
Open Access Plus
Tier 2No PA
~$36/mo
See formulary ↗
Anthem Marketplace Silver
Silver 4500/40 Marketplace
Tier 2No PA
~$52/mo
See formulary ↗
Blue Shield of California Employer HMO
Access+ HMO
Tier 2No PA
~$33/mo
See formulary ↗
Anthem BCBS New York Employer HMO
Pathway HMO
Tier 2No PA
~$30/mo
Carrier page ↗
Florida Blue Marketplace HMO
myBlue HMO
Tier 2No PA
~$36/mo
Carrier page ↗
BCBS Michigan Employer PPO
Community Blue PPO
Tier 2No PA
~$36/mo
See formulary ↗
Independence Blue Cross Employer PPO
Personal Choice PPO
Tier 2No PA
~$39/mo
See formulary ↗
Humana Employer PPO
ChoiceCare PPO (Commercial)
Tier 2No PA
~$41/mo
Carrier page ↗
Ambetter (Centene) Marketplace Silver
Balanced Silver
Tier 2No PA
~$44/mo
See formulary ↗
Oscar Health Marketplace Bronze
Bronze Classic
Tier 2No PA
~$50/mo
Carrier page ↗
Kaiser Permanente Employer HMO
Mid-Atlantic HMO (MD/VA/DC)
Tier 2No PA
~$25/mo
Carrier page ↗
CareFirst BCBS Employer HMO
BlueChoice HMO (DC/MD/VA)
Tier 2No PA
~$33/mo
See formulary ↗
Savings program

janssenCarePath for Xarelto

What you pay

$0 – $10/mo
Subject to eligibility · 30-day supply

Eligibility

  • Commercial insurance covering Xarelto
  • Not eligible: Medicare, Medicaid, TRICARE, VA
  • US residents 18+
Enroll at janssenCarePath ↗
FAQ

Xarelto cost questions

How much does Xarelto cost with insurance?
Most commercially insured patients pay $20–$95/month for Xarelto after deductible, with Tier 2 plans averaging $20–$45/month and Tier 3 plans $45–$95. Use the calculator above for a plan-specific estimate.
What is the janssenCarePath card for Xarelto?
The janssenCarePath Savings Program caps eligible commercially insured patients at $10/month for Xarelto with no annual savings cap. Medicare and Medicaid patients are not eligible but may qualify for the Johnson & Johnson Patient Assistance Foundation.
Is there a generic for Xarelto?
Generic rivaroxaban is FDA-approved as of late 2024 but not yet widely available at retail pharmacies due to ongoing patent litigation. When available, generic prices are expected at $30–$60/month cash.
How does Xarelto compare to Eliquis?
Xarelto (rivaroxaban) and Eliquis (apixaban) are both factor Xa anticoagulants for atrial fibrillation and DVT prevention. Eliquis dosing is twice daily; Xarelto is once daily. Coverage and copay tiers can favor one over the other depending on your plan.
Why is Xarelto so expensive?
Xarelto is a brand-name anticoagulant still under patent in some indications. The ~$550/month list price reflects standard brand-drug pricing, with the manufacturer savings card designed to bring insured patient cost toward $10/month.
Does insurance cover Xarelto?
Most commercial plans cover Xarelto at Tier 2 or Tier 3. Prior authorization is uncommon but may apply for off-label indications. The insurance breakdown above shows verified coverage across our seven plans.
What conditions does Xarelto treat?
Xarelto is FDA-approved for stroke prevention in atrial fibrillation, treatment and prevention of deep vein thrombosis (DVT) and pulmonary embolism (PE), and cardiovascular risk reduction in coronary or peripheral artery disease.
What if my plan doesn't cover Xarelto?
Options include: requesting a formulary exception from your prescriber, switching to a covered factor Xa alternative like Eliquis, or paying cash with the janssenCarePath Savings Card. Compare your alternatives in the related-medications section below.
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Data sources

Source URLs for Xarelto have not yet been manually verified. Estimates above are modeled from public pricing patterns and manufacturer-published list prices.

  • • Manufacturer published pricing pages
  • • NADAC National Average Drug Acquisition Cost
  • • Carrier-published formulary tiers (where known)
  • • Cost Plus Drugs / mail-order public pricing
  • • FDA Orange Book (generic availability)
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Disclosure

Estimates only. Verify with your pharmacy and insurer before filling. Alethro is not medical, financial, or insurance advice.

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© 2026 ArcLine Ventures, LLC. Pricing estimates only — not medical advice.