Does Medicare Cover Eliquis?

Drug Coverage · Heart & Blood

Eliquis (apixaban) is used for blood clots and stroke prevention in AFib.

Does Medicare cover Eliquis?

Yes — Part D plans widely cover Eliquis. Covered for approved uses such as reducing stroke risk in atrial fibrillation and treating or preventing blood clots (DVT/PE). Commonly on a preferred brand tier.

Which part of Medicare covers it?

Part D. These are self-administered prescriptions, so they fall under your Part D drug plan (or the drug coverage built into a Medicare Advantage plan), not Part B.

Typical formulary tier

Preferred brand (often Tier 3). Your exact tier — and copay — depend on the plan you choose, which is why matching the formulary to your medications matters.

Prior authorization & plan rules

Prior authorization is uncommon but possible on some plans. Eliquis is also one of the drugs selected for future Medicare price negotiation.

If it isn’t covered (or costs too much)

If your copay is high, compare plans and ask about the manufacturer’s savings resources.

• Help paying for Eliquis — assistance programs and grants.
• Compare Part D plans that cover Eliquis on a better tier.
• How drug tiers work · Extra Help for lower-income beneficiaries.

Related medications

• Does Medicare cover Xarelto? — rivaroxaban

Related Medicare guides

• All drug coverage · Part D plans · how drug tiers work.
• Medicare costs · Glossary · Medicare Help Center.

Get a Real Answer for Your Plan — Free

Coverage and cost depend on your specific plan and diagnosis. Call us free at 435-219-5120 (TTY: 711) with your medication list, and we’ll tell you exactly what Eliquis costs on your plan — and whether a different plan would cover it better. No cost, no pressure.