Blood thinners like Eliquis, Xarelto, and Pradaxa are highly effective medications — but they can be expensive without the right savings strategy. The good news is that there are several legitimate ways to significantly reduce your cost. Here is a practical guide.
Option 1: Eliquis (Apixaban)
Eliquis is manufactured by Bristol Myers Squibb and Pfizer. If you have commercial (private) insurance, there is a strong co-pay assistance program available.
Eliquis Co-pay Card — Commercial Insurance
Eligible commercially insured patients can pay as little as $10 per 30-day supply using the Eliquis Co-pay Card. The program has a maximum annual benefit of $2,000 and is valid through December 31, 2026. First-time patients may also be eligible for a free 30-day trial supply.
Not eligible: Patients on Medicare, Medicaid, or other government-funded insurance programs.
To enroll or activate your card, visit the Eliquis savings page or call 1-855-ELIQUIS (354-7847).
eliquis.bmscustomerconnect.com/savings →
Eliquis 360 Direct-to-Patient — Uninsured or Underinsured
If you do not have insurance that covers Eliquis, or if your out-of-pocket cost through insurance is higher than the program price, you may be eligible to purchase Eliquis directly through the Eliquis 360 Support Program at more than 40% off the retail list price. This program is not available to Medicare or Medicaid patients.
Bristol Myers Squibb Patient Assistance Foundation — Low Income / Uninsured
For patients who are uninsured and meet income requirements, the BMS Patient Assistance Foundation may provide Eliquis at no cost. You will need to apply with the help of your prescribing physician.
Option 2: Xarelto (Rivaroxaban)
Xarelto is manufactured by Janssen (Johnson & Johnson). A co-pay savings program is available for commercially insured patients.
XARELTOwithMe Savings Card — Commercial Insurance
Eligible commercially insured patients may pay as little as $10 per fill for a 30- to 90-day supply, with a maximum annual program benefit of $3,400. First-time patients may also qualify for a free 30-day trial supply.
Not eligible: Patients on Medicare, Medicaid, TRICARE, VA, or other government programs.
Johnson & Johnson Patient Assistance Program — Uninsured / Low Income
If you are uninsured or your insurance does not fully cover Xarelto and you meet income requirements, you may be eligible to receive Xarelto free of charge for up to one year through the J&J Patient Assistance Program.
Option 3: Pradaxa (Dabigatran) — Generic via GoodRx
Pradaxa now has a generic version available — dabigatran etexilate — which is significantly cheaper than the brand-name version. Using a free GoodRx coupon, you may be able to get a 30-day supply of generic dabigatran for approximately $45-55 at many pharmacies, compared to over $400 for the brand-name Pradaxa.
Follow the steps below. The illustrated panels show exactly what you will see on the GoodRx website.
ⓘ Always search for dabigatran (the generic), not "Pradaxa" (the brand). The generic is significantly cheaper.
ⓘ Prices vary by location. CVS is often the cheapest but always compare your local options — enter your own zip code to see the most accurate prices for your area.
Option 4: Warfarin (Coumadin)
Warfarin is a very inexpensive generic medication available at virtually every pharmacy. If you are on warfarin and tolerate it well, the cost is generally not a barrier — a 30-day supply typically costs only a few dollars at most pharmacies, with or without insurance.
Option 5: Cost Plus Drugs (Mark Cuban)
Mark Cuban's Cost Plus Drug Company (costplusdrugs.com) sells generic medications at dramatically reduced prices by cutting out pharmacy middlemen. Generic rivaroxaban (the generic form of Xarelto) is available directly through their website and delivered to your door — no insurance needed, no coupons, no membership.
A 30-day supply of generic rivaroxaban is currently available for approximately $36 at Cost Plus Drugs — compared to over $600 for brand-name Xarelto at a traditional pharmacy.
ⓘ Cost Plus Drugs sells direct to patients — no insurance required, no coupon needed. Medications ship to your door by mail.
ⓘ Confirm your specific dose is available before transferring your prescription. If your dose shows as out of stock, use GoodRx for the generic instead.
Cost Plus Drugs is a licensed U.S. pharmacy — this is a fully legal, straightforward way to get your medication. No coupons, no insurance hassles, no trip to the pharmacy. Your medication arrives at your door at a fraction of the traditional cost. Visit costplusdrugs.com to get started.
A note on Canadian pharmacies
You may have heard about ordering medications from Canadian online pharmacies at significantly lower prices. It is important to understand the legal and safety landscape before considering this option.
Our recommendation: Given the availability of robust manufacturer savings programs for Eliquis and Xarelto, and the low cost of generic dabigatran via GoodRx, we recommend exhausting domestic options first. If you are still struggling with cost, please speak directly with Dr. Luni's office so we can help you navigate the best option for your situation.
If you are prescribed an anticoagulant and are having difficulty affording it, please tell us. Do not stop or skip doses without speaking to your doctor first — the stroke risk from stopping anticoagulation in AFib is real and significant.