Xarelto (Rivaroxaban) Rx Price Comparison: US vs Canada — Save Up to 55% in Canada

At the US pharmacies in our data, the lowest listed discount-card price for Rivaroxaban is around $32.71. Prices vary by pharmacy, dosage, and pack size, so use the table above to compare specific options near you.

Yes — Cost Plus Drugs lists Rivaroxaban at roughly $0.334 per unit, a published price with no membership card or coupon involved. See the three-price comparison above for how that stacks up against discount-card pharmacies.

Canadian pharmacy listings in our data show Rivaroxaban priced from about $0.150 per tablet (converted to USD), before shipping. Pack size and pharmacy both affect the final total — see the Canada pricing table for specifics.

Drug pricing is set separately in each country through different negotiation, regulatory, and distribution systems, so the same medication can legitimately carry different price tags on either side of the border. In this case, our data shows the Canadian price coming in lower — but that isn't true for every drug, so it's worth checking each medication individually rather than assuming.

The active ingredient in Xarelto is rivaroxaban. A generic version of rivaroxaban is available, but currently only for the 2.5 mg tablet strength. Patients who require higher doses for their treatment must use the brand-name Xarelto, as generic alternatives for those strengths are not yet on the market.

Since treatment with Xarelto can be long-term, managing cost is important for many patients. Strategies include: exploring pharmacy savings programs; checking the manufacturer's patient assistance program; verifying your health insurance plan's formulary for Xarelto coverage; investigating eligibility for state Medicaid programs; comparing different Medicare Part D plans; and discussing alternative anticoagulant medications with your healthcare provider.

Generic warfarin (formerly sold as Coumadin) is a widely available and typically low-cost alternative anticoagulant. However, it requires regular blood monitoring and carries a different risk profile. Other medications in the same class as Xarelto, called factor Xa inhibitors (like apixaban or edoxaban), might be covered by your insurance, but they are currently only available as brand-name drugs and may not offer significant cost savings. Consulting with your doctor and insurance provider is essential to explore suitable and affordable options.