Xarelto Medicare Coverage

Xarelto is a prescription medication that contains the active ingredient Rivaroxaban. It is taken twice daily anywhere from 3 months to indefinitely.

Xarelto is a blood thinner that inhibits factor Xa in the blood to inhibit platelets from creating blood clots.

There are minimal side effects with Xarelto, but patients may experience more bleeding than usual while taking this medication.  

How much does Xarelto cost with Medicare?

Xarelto coverage and costs may vary based on the specific plan you have, as well as what coverage stage you're in.

Contact your plan carrier or consult your plan formulary for more cost information.

Does Medicare cover Xarelto?

According to GoodRx, 99% of Medicare Advantage plans and Medicare Part D plans covered Xarelto in 2023.¹

• Medicare Advantage plans or Part D plans that cover Xarelto include copay amounts that can range widely from one plan to another. Plan members may also be responsible for meeting a deductible before the plan’s drug coverage kicks in.
  
  
• Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD). 89% of 2024 Medicare Advantage plans include prescription drug coverage.²
  
  
• Medicare prescription drugs plans each have their own formulary, or drug list, that details what prescription drugs are covered by the plan and how they are covered.

Drug coverage may vary based on plan availability. You may be able to find Medicare Advantage plan options in your area that cover Xarelto. We represent carriers such as Humana, UnitedHealthcare^®, Anthem Blue Cross and Blue Shield, Aetna, Cigna Healthcare, Wellcare, or Kaiser Permanente.

You can also compare Part D prescription drug plans available where you live and enroll in a Medicare prescription drug plan online when you visit MyRxPlans.com.

Additional information

You may bleed more easily while taking Xarelto. Be careful to avoid injury. A soft toothbrush and electric razor may help reduce bleeding.

If you have a hard fall, or hit your head call your doctor right away even if you feel okay.

If you start taking Xarelto, do not stop this medication without consulting your doctor. Stopping Xarelto before you are supposed to may raise the chance of blood clots.

While very rare, patients who have any type of spinal or epidural procedure are more likely to have bleeding problems around the spine while on this drug. This risk is raised in people who have other spinal problems, a certain epidural catheter or have had spinal surgery.

Xarelto is not recommended in patients with prosthetic heart valves or significant rheumatic heart disease.

This article is for informational purposes only. It is not healthcare advice, treatment, or diagnosis. It is not an endorsement of or recommendation for this medication. Speak to your doctor or healthcare provider about your specific healthcare needs, including your prescription medications. Only take medication as directed by your doctor.

Coverage and costs of prescription medications will vary by Medicare plan. Not all plans are available in all areas.

Written by Hayden Gharibyar, Pharm.D.