Xarelto cost medicare?

Xarelto (rivaroxaban) is covered under Medicare Part D (prescription drug coverage) or a Medicare Advantage plan with drug coverage. It’s not typically covered by Part B because it’s an outpatient oral medication.

What you’ll likely pay
- Retail price (no insurance): roughly $600–$700 for a 30-day supply of common 20 mg tablets, though this varies by dose and pharmacy.
- With Medicare Part D: your out-of-pocket depends on your plan’s formulary and stage:
- Deductible phase, Initial Coverage, Coverage Gap (donut hole), and Catastrophic coverage all affect cost.
- Typical copays/coinsurance for rivaroxaban can range from about $20 to $100 per month, but some plans may be higher, especially if it’s on a specialty tier.
- In the catastrophic phase you’d pay about 5% of the price.
- Plans vary a lot, so your exact cost depends on your ZIP code, the specific Part D plan, and the dose/formulation you’re prescribed.

How to check your exact cost
- Use Medicare Plan Finder (medicare.gov) to compare Part D plans in your area. Enter your dose (e.g., rivaroxaban 20 mg daily) and your preferred pharmacy to see estimated copays.
- Check the formulary for your plan to confirm coverage and any prior-authorization or step-therapy requirements.
- If you have a Medicare Advantage plan with drug coverage, use the plan’s member portal or call the plan’s pharmacy help line for an estimate.

Ways to save
- If you qualify, Extra Help (low-income assistance) can reduce Part D costs.
- Some plans offer mail-order options or lower copays for maintenance medications.
- If cost is a barrier, talk with your prescriber about alternatives covered by your plan. Different DOACs (apixaban, dabigatran, etc.) may have different costs on your plan.

If you’d like, tell me:
- your ZIP code
- your exact dose (e.g., 20 mg once daily)
- your current Medicare plan (Part D or MA-DHP plan)

I can help you estimate your specific Medicare out-of-pocket cost for Xarelto.