Does Medicare Cover Xarelto?
Yes — Part D plans generally cover Xarelto.
Drug Coverage · Heart & Blood
Xarelto (rivaroxaban) is used for blood clots and stroke prevention.
Does Medicare cover Xarelto?
Yes — Part D plans generally cover Xarelto. Covered for approved uses like stroke prevention in AFib and treating/preventing blood clots. Tier and copay vary by plan.
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
Brand tier (often Tier 3). Your exact tier — and copay — depend on the plan you choose, which is why matching the formulary to your medications matters.
| Drug | Used for | Covered by Medicare? | Typical formulary tier |
|---|---|---|---|
| Eliquis (apixaban) | blood clots and stroke prevention in AFib | Yes | Preferred brand (often Tier 3) |
| Xarelto (rivaroxaban) | blood clots and stroke prevention | Yes | Brand tier (often Tier 3) |
| Entresto (sacubitril/valsartan) | chronic heart failure | Yes | Brand tier (often Tier 3) |
| Repatha (evolocumab) | high cholesterol / cardiovascular risk (a PCSK9 inhibitor) | Yes, with conditions | Brand or specialty tier — varies by plan |
Prior authorization & plan rules
Some plans use prior authorization or step therapy versus other anticoagulants. Xarelto is also slated for Medicare price negotiation.
If it isn’t covered (or costs too much)
Compare plans for the best tier placement; manufacturer savings may help.
- Help paying for Xarelto — assistance programs and grants.
- Compare Part D plans that cover Xarelto on a better tier.
- How drug tiers work · Extra Help for lower-income beneficiaries.
Related medications
- Does Medicare cover Eliquis? — apixaban
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 Xarelto costs on your plan — and whether a different plan would cover it better. No cost, no pressure.
Frequently Asked Questions
Does Medicare cover Xarelto?
Which part of Medicare covers Xarelto?
What if my plan doesn’t cover Xarelto?
Sources
- Medicare.gov — drug coverage (Part D) — Medicare.gov
Talk to a local, licensed agent
Rocco DeLuca can walk you through your options — free, no pressure.