How do I save money on a 90-day supply of Xarelto? I don't have insurance.

Written by Gabriel Levitt, MA | Reviewed by a licensed U.S. pharmacist | Posted April 09, 2019 | Updated November 16, 2020

In the United States, the current average retail price of a three-month supply of Xarelto 20 mg is around $1,600. Even with discounts and coupons available online, the price may still be out of reach for many, especially those patients without insurance. We hope the information below helps you afford Xarelto and get some financial relief.

Unfortunately, there still isn’t a generic version of Xarelto available in the United States or at online pharmacies verified in the PharmacyChecker Verification Program. We can’t expect a generic version until, at the soonest, 2020 when the patent for Xarelto expires.

The least expensive option may be to purchase a 90-day supply of brand-name Xarelto internationally from a licensed pharmacy in Canada or other countries where drug prices are much lower than in the U.S.

What is Xarelto (rivaroxaban)?

Taking Xarelto as prescribed by your doctor can lower your risk of stroke. Xarelto (rivaroxaban) is a blood thinner that treats and prevents blood clots. It is prescribed for the treatment of deep vein thrombosis, which specifically affects the lungs (pulmonary embolism). Xarelto is also used for people with atrial fibrillation (a heart rhythm disorder) to lower the risk of stroke caused by a blood clot.

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How to Save Money on Your Xarelto Prescription

Talk to Your Doctor About Drug Prices

Ask your health care provider for an alternative prescription used for the same indication as Xarelto that your insurance plan may cover or is less expensive. This could include alternative medications for blood clots, such as warfarin, Pradaxa, or Eliquis.

Xarelto Patient Assistance

If you are eligible, a patient assistance program could help you afford Xarelto. The applications are available in Adobe PDF format and should be mailed directly to the provider of the Xarelto patient assistance program. We provide users with a search tool for patient assistance programs on our website. Review the information carefully to see if you qualify:

U.S. Prescription Discount Card at U.S. Pharmacies

PharmacyChecker offers discount cards for use at your local pharmacy. If you would rather shop at your local U.S. pharmacy (Costco, Walgreens, Rite Aid, etc.), scroll to the bottom of the Xarelto price comparison page and enter your ZIP Code to compare discounts in your area. When you choose a pharmacy, click the big purple price button. Then, click "Print This Card" and you are all set to obtain your discount at the pharmacy of your choice.

Compare Xarelto (rivaroxaban) Costs Locally and Internationally

When comparing Xarelto (rivaroxaban) prices on, you can filter results by choosing the strength and price per pill. To order your medication, you must click your chosen verified pharmacy's logo and order through their website.

Online pharmacies in the PharmacyChecker Verification Program may dispense up to a 3-months' (90 days) supply pursuant to a valid prescription for which the prescriber permits a 3-months' supply.

Be aware that while every year millions of Americans order and receive their prescription drugs from abroad, technically, it is prohibited under federal law. The U.S. government has never prosecuted individuals for doing so to fill their own prescriptions for non-controlled medication.

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Blood Thinner Medication Savings through Online Pharmacies Located in Other Countries

If you and your doctor decide another blood thinner medication may be right for you, you can still take advantage of international savings.

Warfarin Savings

Warfarin is the generic version of Coumadin. We are comparing the price of the generic version because it is much more expensive to purchase the generic in the U.S. than internationally. Patients can find warfarin 5 mg as low as $0.14 per tablet at a verified international pharmacy. That's a 77% discount vs. warfarin sold in the U.S.

Pradaxa Savings

You can also compare prices on our website to find Pradaxa 150 mg as low as $0.98 per tablet at a verified international pharmacy. That's an 89% discount vs. Pradaxa sold in the U.S.

Eliquis Savings

Eliquis 5 mg is available from an international pharmacy for as low as $1.02 per tablet. That's almost 90% off the price in the U.S.

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What is the difference between Canadian & American Xarelto?

Candian vs. American Xarelto: Similarities

In both the U.S. and Canada, Xarelto is a licensed product of Bayer, and although pharmacies in our program sell Xarelto distributed by Bayer, we cannot guarantee that Bayer made it. That's because sometimes drug companies make their own medication, and in other cases, they work with a contract manufacturer. Xarelto sold in Canada is manufactured by Bayer Inc., and Xarelto sold in the U.S. is manufactured by Janssen Ortho, LLC in Puerto Rico, U.S., or Bayer Pharma AG in Germany. See the approved package insert for American Xarelto. Both Xarelto in Canada and the United States contain the same active ingredient: rivaroxaban.

Candian vs. American Xarelto: Differences

In the U.S., Xarelto 20 mg tablets are available as triangle-shaped, dark red film-coated tablets with a triangle pointing down above a "20" marked on one side and "Xa" on the other side. 

According to Health Canada Product Information, Xarelto 20 mg tablets sold in Canada (Drug Information Number (DIN) 02378612) are available as film-coated, round, biconvex, brown-red immediate-release tablets of 6 mm diameter for oral use. Each tablet has the Bayer Cross on one side and a "20" with a triangle on the other side.

We have included photos below to provide a visual and help you identify the differences between the tablets distributed in the U.S. and Canada.

Xarelto 20 mg American

 Xarelto sold in the United States, manufactured by Janssen Ortho.

 Canadian Xarelto tablets 20 mg

 Canadian Xarelto 20 mg bottle 

Xarelto sold in Canada, manufactured by Bayer Inc. Mississauga, Ontario

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Where are my blood thinner medications manufactured?

According to PharmacyChecker research, 70% of brand-name medication sold in the U.S. is manufactured outside of the U.S.

PharmacyChecker research: 70% of Popular Brand Name Drugs Sold in U.S. Pharmacies Are Imported; Cost Up to 87% Less in Canada

This packaging of Xarelto 20 mg sold in the United States shows that it is made in Germany.

xarelto manufactured in germany

Packaging of Warfarin 5 mg sold in the United States (below) shows that it is made in India. We’ve also found packaging indicating it’s made in Israel and New York.
 Warfarin manufactured in India
This packaging of Pradaxa 150 mg sold in the United States shows that it is made in Italy.

Pradaxa made in Italy

This packaging of Eliquis 5 mg sold in the United States shows that it is made in Ireland.

Eliquis manufacturing

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Read more on Ask PharmacyChecker

Why are drug prices so different at different pharmacies?

Why are brand-name drugs so expensive?

Is medicine in Canada cheaper?

Do you have questions or concerns about ordering your blood thinner medications online? We’re here to help.

Comment below or ask a question by logging in to My PharmacyChecker.

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Compare drug prices among reputable online pharmacies

I noticed that PharmacyChecker does not mention any Mexican pharmacies. Are they safe for purchasing Xarelto?
Hi there! Currently, there are no online pharmacies in Mexico that are accredited and monitored by PharmacyChecker. A licensed pharmacy in Mexico, with the requisite prescription requirements, and subject to inspection, could potentially qualify for the PharmacyChecker Verification Program -- we just haven't had an applicant that meets our standards. You may be interested in this Ask PharmacyChecker post:
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