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On Medicare you generally can't use a Xarelto copay coupon — but the manufacturer's Patient Assistance Program and nonprofit foundation grants still can. Below are the routes that work with Medicare for blood clots & atrial fibrillation.

Xarelto Manufacturer Assistance

The company that makes Xarelto may provide it free or at low cost to people who qualify by income — including many Medicare beneficiaries.

Johnson & Johnson Patient Assistance Foundation

Manufacturer program

Provides eligible Johnson & Johnson / Janssen prescription products at no cost. Janssen CarePath offers added support.

Who may qualify: Income-based; generally for uninsured/underinsured patients. Medicare patients may qualify through the foundation.

Conditions: Blood clots / AFib, Heart & cardiovascular, Autoimmune (RA, Crohn's, psoriasis), Cancer

jjpaf.org →  ·  1-800-652-6227

Nonprofit Copay Grant Foundations

Disease-based charities that give grants you can use with Medicare for blood clots & atrial fibrillation. Funds open and close based on availability.

PAN Foundation

Nonprofit grant · 🟢 Fund open

Provides grants that cover copays, coinsurance, and other out-of-pocket medication costs. Can be used with Medicare.

Who may qualify: Diagnosis must match an open disease fund; income generally up to 400–500% of the federal poverty level. Funds open and close based on availability.

Conditions: Cancer, Autoimmune (RA, Crohn's, psoriasis), Heart & cardiovascular, Diabetes, Kidney disease, Asthma / COPD / lung, Bone / osteoporosis

panfoundation.org →  ·  1-866-316-7263

HealthWell Foundation

Nonprofit grant · 🟡 Verify availability

Covers copays, coinsurance, premiums, deductibles, and sometimes travel costs for a covered condition.

Who may qualify: Diagnosis must match an open fund; income generally up to 400–500% of the federal poverty level. Medicare beneficiaries are eligible.

Conditions: Cancer, Autoimmune (RA, Crohn's, psoriasis), Heart & cardiovascular, Diabetes, Kidney disease, Asthma / COPD / lung, Bone / osteoporosis

healthwellfoundation.org →  ·  1-800-675-8416

Good Days

Nonprofit grant · 🟡 Verify availability

Helps cover copays and treatment-related travel for high-cost medications and chronic diseases.

Who may qualify: Diagnosis-based with income limits; funds depend on availability. Open to people with Medicare.

Conditions: Cancer, Autoimmune (RA, Crohn's, psoriasis), Heart & cardiovascular, Kidney disease, Asthma / COPD / lung

mygooddays.org →  ·  1-877-968-7233

Patient Advocate Foundation Co-Pay Relief

Nonprofit grant · 🟢 Fund open

Provides copay grants and connects you with a case manager who can help navigate insurance and appeals.

Who may qualify: Diagnosis must match an open fund; income generally up to 400% of the federal poverty level. Available to Medicare beneficiaries.

Conditions: Cancer, Diabetes, Autoimmune (RA, Crohn's, psoriasis), Heart & cardiovascular, Asthma / COPD / lung, Kidney disease

copays.org →  ·  1-866-512-3861

Government Programs

Federal and state programs that lower your overall drug and Medicare costs.

Medicare Extra Help (Part D LIS)

Government program

Lowers or eliminates your Part D premium, deductible, and drug copays. Many people who qualify never apply.

Who may qualify: Based on limited income and resources. Apply free through Social Security; if you have Medicaid, SSI, or a Medicare Savings Program you may qualify automatically.

Apply at SSA.gov →  ·  1-800-772-1213

Medicare Savings Programs & Medicaid

Government program

Can pay your Part B premium and, by qualifying you, automatically grant Extra Help for drug costs.

Who may qualify: Income- and resource-based; administered by your state (Utah Department of Workforce Services / Medicaid). Limits are higher than many people expect.

Medicare.gov — get help with costs →  ·  1-866-435-7414

Search & Discount Tools

Free databases that list additional programs and discounts.

NeedyMeds

Search & discount

A free directory of patient assistance programs, manufacturer offers, diagnosis-based aid, and a drug discount card.

Who may qualify: Free to use for anyone; individual programs in the database set their own rules.

needymeds.org →  ·  1-800-503-6897

Medicine Assistance Tool (MAT)

Search & discount

Searches across hundreds of biopharmaceutical patient assistance programs to find ones for your medications.

Who may qualify: Free to use; results depend on each program's criteria.

medicineassistancetool.org →

RxAssist

Search & discount

A free, regularly updated list of company programs that provide free or low-cost medicines.

Who may qualify: Free to use; each listed program sets its own eligibility.

rxassist.org →

Assistance for Other Costly Drugs

Frequently Asked Questions

Can I use a Xarelto copay card if I have Medicare?
Usually no. Federal anti-kickback rules generally prohibit people with Medicare from using manufacturer copay coupons or savings cards for Xarelto. But you may still qualify for the manufacturer's Patient Assistance Program, which provides Xarelto free or at low cost based on income.
How do I get help paying for Xarelto?
Start with the Xarelto manufacturer assistance program, check whether a nonprofit foundation has an open fund for your condition, and apply for Medicare Extra Help if your income is limited. We can screen you and help you apply — free.
Is Xarelto covered by Medicare Part D?
Xarelto is often on Part D and Medicare Advantage drug formularies, frequently on a higher brand or specialty tier and sometimes with prior authorization. Coverage and cost vary by plan — we can check yours.
Is applying for Xarelto assistance free?
Yes. Every program here is free to apply for. Never pay a fee to enroll in Extra Help, a foundation grant, or a manufacturer assistance program — that's a red flag for a scam.

Sources

Talk to a local, licensed agent

Rocco DeLuca can walk you through your options — free, no pressure.

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