Why is Xarelto so expensive?

Prescription Discount Drugs

Xarelto is a prescribed medication that helps prevent blood clots, strokes, and atrial fibrillation. It is a costly medicine to afford, costing over $500 for a typical monthly supply. Let’s know why is Xarelto so expensive, why it is prescribed, and how you can get it at a lower cost.

It is the third most commonly prescribed anticoagulant. Coumadin (jantoven, warfarin), Pradaxa, and Eliquis are examples of other anticoagulants. These medications, often known as blood thinners, serve to avoid blood clots that can lead to deep vein thrombosis, pulmonary embolism, angina, stroke, and heart attack.

People with coronary artery disease are given Xarelto to minimize their risk of stroke or heart attack. Treatment times can range from a few days to as long as is required, depending on the ailment.

When is Xarelto Prescribed:

When is Xarelto Prescribed
When is Xarelto Prescribed

A person with a history of blood clots or who is at risk of developing them may be prescribed this medicine or other blood thinners by their doctor.

It is FDA-approved for the following uses:

  • Deep vein thrombosis treatment or prevention (DVT)
  • Pulmonary embolism treatment or prevention (PE)
  • Lowering the risk of stroke in patients who have been diagnosed with atrial fibrillation (AF)
  • Lowering the risk of blood clots in people who have had them before, or who have coronary artery disease or peripheral artery disease.

Xarelto Side Effects:

Xarelto Side Effects
Xarelto Side Effects

Some commonly known side effects include:

  • Complications of bleeding
  • Itching
  • Fainting
  • Pain in the arms or legs
  • Muscle pain
  • Muscle spasm
  • Anxiousness
  • Depression
  • Sleeping problems
  • Dizziness

What anti inflammatory can I take with Xarelto?

Some drugs may alter how rivaroxaban functions. There may be detrimental impacts as a result. While taking rivaroxaban, you may consume paracetamol.

While using rivaroxaban, avoid consuming aspirin or ibuprofen unless your doctor has given the all-clear. They make bleeding more likely. Why is Xarelto so expensive and What anti inflammatory can I take with Xarelto are some of the questions you must ask your pharmacists.

What medications should not be taken with Xarelto?

What medications should not be taken with Xarelto
What medications should not be taken with Xarelto

Medications can interact and have severe side effects. For further information, speak with your healthcare team, such as your doctor or pharmacist. Before beginning to take rivaroxaban, inform your doctor if you are currently taking any of the following medications:

  • medicines to treat bacterial or fungal infections, such as fluconazole, erythromycin, clarithromycin, or rifampicin; 
  • medications to treat HIV, such as ritonavir; medications to treat epilepsy, such as carbamazepine, phenytoin, or phenobarbital.
  • any other anticoagulant, such as warfarin or enoxaparin; non-steroidal anti-inflammatory drugs (NSAIDs), such

Combining Xarelto and non-steroidal anti-inflammatory medicines may not be safe (NSAIDs). These are a specific class of painkiller. NSAIDS are frequently used to alleviate pain and inflammation. An interaction might happen. When taking Xarelto together with an NSAID, bleeding risk can rise.

Which is better Eliquis or Xarelto?

Which is better Eliquis or Xarelto
Which is better Eliquis or Xarelto

Two brand-name drugs used to treat various clotting problems include Xarelto and Eliquis. Both medications are factor Xa inhibitors, a type of pharmaceutical known as oral anticoagulants. They function by inhibiting factor Xa, which creates thrombin, an essential component of clot formation. The drugs reduce the development of clots by inhibiting factor Xa.

According to studies, Xarelto and Eliquis are used to treat acute venous thromboembolism (VTE). Both medications have comparable efficacy, although Eliquis might be safer. More severe and mild bleeding happened in the Xarelto-treated patients.

In terms of cost effectiveness Eliquis is covered under medical Insurance and the cost for 30 days medicine cost around $620 whereas Xarelto is mostly costly as compared to Eliquis. It cost around $700 for 30 days tablets.

It is also observed that the generic medications for Eliquis will be accessible and available prior to Xarelto which also relates to why is Xarelto so expensive.

How long does it take Xarelto to work?

The drug Xarelto (rivaroxaban) is a specific inhibitor of the enzyme factor Xa (FXa), which is essential for the production of compounds that cause blood clotting. Xarelto lowers the risk of blood clots via acting on FXa. After taking Xarelto, blood coagulation is inhibited within one to two hours  Two to four hours after taking a pill, the effects reach their peak.

It begins to reduce blood clotting within the first few hours of taking  the first dose of medication.If you stop taking this medication its effects on clotting begins to wear off within 24 hours for most of the people.

Xarelto Dosage:

The different dosages available for are 2.5 milligrams (mg) 10 milligrams (mg) 15 milligrams (mg) 20milligrams (mg) once or twice daily as directed by a physician based on the condition being treated. The recommended dose is 10 mg taken orally once daily with or without food. 

Xarelto Generic:

Xarelto Generic
Xarelto Generic

It was costly to afford as there was no generic medicine available till 2019 when patent rights were reserved. But since 2021 Rivaroxaban is available in Xarelto generic form.

Rivaroxaban is also used to treat deep vein thrombosis and pulmonary embolism, as well as to lower the chance of these disorders recurring, as well as to lower the risk of blood clots forming in the legs and lungs in persons who have recently had knee or hip replacement surgery.

Why is Xarelto so expensive, you don’t need to think about it now since Xarelto generic is available in the market now.

How does Xarelto work:

Xarelto belongs to the Factor Xa inhibitor class of medicines. Factor Xa inhibitors are anticoagulants that stop clotting factor Xa from working (a protein in the blood that helps to stop bleeding). It prevents blood clots from forming or worsening by blocking the enzyme Xa.

Xarelto Coupon:

It is so expensive in the market but getting a coupon to use at the online pharmacy is another wonderful approach to reducing the cost of Xarelto. You can use the discount coupon code XAR15, and save an extra $15 on your prescription via our online pharmacy store.

Depending on the coupon, you may be able to save a little or a lot of money on every prescription. Even if you can’t find a coupon for your medicine, don’t be scared to look at it on our prescription discount coupon page. Why is Xarelto so expensive Why is Xarelto so expensive, you don’t need to think about it now since Xarelto Coupon is available in the OffshoreCheapMeds now.

Xarelto alternatives:

Xarelto alternatives
Xarelto alternatives

Why is Xarelto so expensive, is not he question of the hour now, since its alternatives are available. While there is a generic alternative named Rivaroxaban. Make sure to check with your doctor to determine whether these options are appropriate for you:

  • Coumadin is a blood thinner (warfarin, jantoven). Coumadin is a common anticoagulant with two inexpensive generic equivalents, warfarin and jantoven, that can cost as little as $4 for a month’s supply. It’s inexpensive and cost-effective medicine. Coumadin can increase your risk of bleeding and bruising, so it’s important to get regular blood tests to make sure it’s working.
  • Anticoagulants in general. Both Pradaxa and Eliquis are still only available in the brand form, with no generic alternatives. They may, however, be less expensive than Xarelto, especially if your prescription insurance covers them.

Online Pharmacy Store:

You might have tried everything and still can’t afford Xarelto. Your hunt for a reputable online pharmacy to place your order is over at OffshoreCheapMeds. Of course, you’ll save time by not having to drive to and from the drugstore.

Still wondering Why is Xarelto so expensive!! You can buy your prescription safely from OffshoreCheapMeds, a trustworthy online pharmacy. You’ll be able to order anything online and take advantage of lower drug pricing in other countries.

How much does Xarelto cost?

How much does Xarelto cost
How much does Xarelto cost

Why is Xarelto so expensive? The complete cost of a 30-day supply will vary depending on the dosage and pharmacy, but it will average around $625.22 for a 30-day prescription, meaning that customers paying full cash may expect to spend $21 per day of therapy. Any eligible coupon might bring the cost down to around $13 per day at participating pharmacies.

People without insurance can inquire about its alternatives from their prescribing healthcare physician. The healthcare practitioner may recommend Eliquis or other direct factor Xa inhibitors, or the generic form of medication that works similarly to Xarelto (apixaban).

Why is Xarelto so expensive:

Why is Xarelto so expensive
Why is Xarelto so expensive

There are several factors to contribute to why is Xarelto so expensive , the majority of which are outside your control:

  • No price limitations: Medicine costs in the United States are not regulated. Medications in the United States cost more than 2.5 times what they do in other countries. Pharma companies can charge whatever they want for their products. You don’t have much of an option as a consumer other than to pay for the prescription. Since Xarelto helps prevent blood clots, it could mean the difference between life and death. While you may be able to go without other drugs, for certain patients, not taking Xarelto could be fatal.
  • Patent Protection: Xarelto was approved by the US Food and Drug Administration (FDA) in 2011, and it was still patent protected till 2021. Therefore, not much generic medicine is still available on the market. The government does not regulate prices, the corporation can charge significantly more than is necessary
  • Administrative Cost: Another factor that raises Xarelto prices in the United States is the healthcare industry’s bureaucracy. Working on administrative responsibilities costs money for businesses. Pharmaceutical firms must make a profit to survive, therefore as their expenses rise, so will their prices. Patients and insurance companies will bear the additional cost. If the additional expense is passed on to your insurance company, your deductible or premium may be increased.
  • The Supply Chain: Aside from administrative work, You must account for the pharmaceutical business, its staff, the pharmacy, and your insurance provider. A pharmaceutical benefit manager is sometimes included in the supply chain (PBM). All of these factors can increase the cost of medication for you, the patient. You do not influence the supply chain, unfortunately. You can’t swap brands because only one company can manufacture and sell Xarelto.

All of these variables can lead medicine prices to soar, even if the business has recouped its research investment. This explains Why is Xarelto so expensive.

How to save money on Xarelto:

How to save money on Xarelto
How to save money on Xarelto

If you are wondering why is Xarelto so expensive and need to take this medicine, you don’t have to accept the first price that someone offers you. You can compare Xarelto costs to find a decent deal whether you take a tiny or large dose.

You may still have to pay a significant sum for the prescription. However, investing in your health does not have to be costly.

  • Shop Around: Even if you have a preferred drugstore for medicines, you should consider visiting others. Your current pharmacy may not be giving you the greatest price on this medication or any of your other prescriptions. Examine the pricing of Xarelto and other medications you take at our pharmacy. To give yourself more possibilities, compare at least a few pharmacies in your neighborhood.
  • Opt for a 90-day supply: Switching from a 30-day to a 90-day supply of your medication is another method to save money. The cost of each dose might be reduced by ordering your medicine in bulk. While you will have to pay more each time, you will save money in the long run. That can be convenient if you know you’ll be taking the prescription for a long time and will need refills. Getting a 90-day supply might also help you save time. If your pharmacy is far away, you may save hours each year by not having to visit as frequently.
  • Review your Insurance: Consider whether and how well your existing health insurance covers Xarelto. Your charges will rise if your insurance plan no longer covers the medicine. As a result, make sure you enroll in a plan that covers this medicine as well as prescription pharmaceuticals in general. However, you should not be responsible for the entire expense of the medication. If you have a choice in your insurance, compare plans and the drugs they cover to make sure you don’t miss out on coverage. You may not have much of a say in the firm if you receive insurance.

Keep these important points in mind and you never have to wonder why is Xarelto so expensive.

Lowest Price for Xarelto (Rivaroxaban)

Xarelto (Rivaroxaban) Price Shop
Xarelto (Rivaroxaban) 2.5mg $10.67 for 30 Tablet Buy
Xarelto (Rivaroxaban) 10mg $19.61 for 30 Tablet Buy
Xarelto (Rivaroxaban) 15mg $20.38 for 30 Tablet Buy
Xarelto (Rivaroxaban) 20mg $20.89 for 30 Tablet Buy
Best Xarelto Cost


Xarelto is a prescription anticoagulant medication with the generic name Rivaroxaban. Since there is Rivaroxaban generic available, You can choose our online pharmacy i.e OffshoreCheapMeds and you can buy Xarelto at the lowest prices.


Does Xarelto make you tired?

You may feel fatigued ( lack of energy) after taking this medicine.

How long to hold Xarelto before surgery?

It should be stopped at least 24 hours before the surgery. The increased risk of bleeding should be evaluated against the necessity of intervention when choosing whether a procedure should be delayed until 24 hours after the last dose of this medicine.

Is Xarelto an anticoagulant?

Yes, it is an anticoagulant (blood thinner) that prevents blood from clotting. Bruising is more likely to occur with Xarelto treatment, and bleeding may take longer to stop.

Does Xarelto cause hair loss?

No, hair loss is not a reported side effect.

What happens if you accidentally take two Xarelto?

If you take more rivaroxaban, Xarelto or Edoxaban than your doctor advised, call your doctor or an anticoagulant clinic for help. You risk bleeding if you take too much.

Can blood thinners cause gastrointestinal bleeding?

Many blood-thinning drugs cause gastrointestinal bleeding as a side effect.

How long does Xarelto stay in your system?

The whole blood-thinning impact of XARELTO takes between two and four hours to begin, and it leaves your system more quickly within around 20- 45 hours of administration.

Why does Xarelto cause lower back pain?

After starting medication, the majority of Xarelto’s side effects normally go away within a few days to a few weeks. Muscle discomfort and spasms are one of Xarelto’s most common side effects, especially in the lower back and limbs. A spinal epidural hematoma, a buildup of blood in the epidural space, may cause lower back discomfort in patients using Xarelto. This condition compresses the spinal cord and causes intense pain that may result in paralysis.

In addition to lower back pain, a spinal epidural hematoma can cause symptoms like urine incontinence, numbness, tingling, or weakness in the limbs. In such cases and worsening of such symptoms one should immediately  talk with your doctor.

When will Xarelto go Generic?

There isn’t a generic equivalent of Xarelto yet in the USA, which makes it an expensive prescription drug. When the first Xarelto generic will be accessible is still unknown with assurance. There is no projected date for when generic Xarelto will be available.

The earliest a generic version of Xarelto will be offered for purchase in the USA is 2024, when the drug’s patents are anticipated to expire. It’s feasible for the manufacturer to get permission to extend the patent, which frequently happens, so it’s impossible to say with certainty when the first generic will be available and it answers why is Xarelto so expansive.

When to stop Xarelto before surgery?

First and foremost, it’s vitally important to let your doctor or surgeon and the rest of your healthcare team know whether you’re using a blood thinner. Additionally, they must to be informed that you are undergoing a planned surgery. At least 24 hours before to the surgery, stop taking Xarelto.

The increased risk of bleeding should be evaluated against the necessity of intervention when determining whether a procedure should be postponed until 24 hours after the last dose of Xarelto. Your medical team may decide to temporarily cease your blood thinner before the surgery if the procedure has a significant risk of bleeding.

What happens if you accidentally take two Xarelto?

Xarelto overdose symptoms might include unexpected or prolonged bleeding, such as nosebleeds, unusual  gums bleeding. Heavy bleeding during the menstrual cycle. Excessive or abnormal bruising, nosebleeds, increased or abnormal bruising, blood in the stool, urine, or vomit are all signs of overdose that patients may show externally.

How long should I take Xarelto for a blood clot?

Xarelto can be used to treat pulmonary embolism and deep vein thrombosis (DVT) (PE). A deep vein thrombosis, or DVT, commonly develops in the lower leg or thigh. A lung blood clot is known as PE. The typical Xarelto dosage for this use is 15 mg twice daily for 21 days.

How to stop bleeding while taking Xarelto?

Your doctor might administer an injection of the medication Andexxa to you if you experience significant bleeding. This medication prevents your body from producing blood clots by counteracting the effects of Xarelto. In patients using medicines like Xarelto, it is used to treat severe, uncontrolled, or life-threatening bleeding.

Why is Xarelto So expensive?

Xarelto (rivaroxaban) is a frequently prescribed drug that aids in blood clot prevention. However, due to the fact that this medication is only available under the brand name,and no generic form is available it is frequently rather expensive. A 30-day supply of Xarelto costs over $600 on average at retail.