20mg · 30-count · Blood Thinners · Brand: Xarelto
| Pharmacy | Cash Price | Per-30-Day Equiv. |
|---|---|---|
| Costco Cheapest | $480.00 | $480.00 |
| Walmart | $509.00 | $509.00 |
| Target | $512.00 | $512.00 |
| Kroger | $514.00 | $514.00 |
| CVS | $529.99 | $529.99 |
| Rite Aid | $532.00 | $532.00 |
| Walgreens | $538.00 | $538.00 |
Rivaroxaban is prescribed to prevent blood clots, stroke, and other cardiovascular events. It is sold under the brand name Xarelto. A standard supply is 30 20mg.
Pharmacy pricing is not regulated in the United States, so retailers set their own cash prices. Large retailers like Walmart and Costco typically offer lower prices on generics because they use prescriptions as a traffic driver. Chain pharmacies like CVS and Walgreens tend to charge significantly more.
Anticoagulants vary dramatically in price. Older drugs like warfarin have cheap generics, while newer DOACs (Eliquis, Xarelto) remain expensive without insurance.
Rivaroxaban (sold under the brand name Xarelto) belongs to the same broad drug class as apixaban: direct oral anticoagulants, or DOACs. Like other DOACs, it's prescribed to reduce the risk of stroke and blood clots without the routine blood-monitoring that older anticoagulants such as warfarin require — one reason it and Eliquis have both become common alternatives to warfarin despite the higher cash price.
Shop around. The cheapest pharmacy (Costco at $480.00) charges significantly less than the most expensive option ($538.00). A quick call can save you real money.
Use a discount card. Services like GoodRx, SingleCare, and WellRx can sometimes negotiate prices lower than retail cash. The estimated GoodRx low for Rivaroxaban is around $350.00.
Xarelto's manufacturer has historically offered a copay savings card for eligible patients with commercial insurance, which can reduce the out-of-pocket cost well below both the cash price and a typical specialty-tier copay. As with most manufacturer programs, eligibility is generally limited to patients with private or employer coverage — those on Medicare or Medicaid typically don't qualify, due to federal anti-kickback rules governing government health programs. Confirm current terms directly on the manufacturer's website or with your prescriber's office, since program details change and RxCostCheck doesn't track them here.
Coverage depends on your specific plan and formulary. Most blood thinners medications are covered under standard health insurance, typically in Tier 1 or Tier 2. If your copay is higher than the cash price above, it may be cheaper to pay out of pocket — ask your pharmacist to compare. Because DOACs like this one are newer and considerably more expensive than warfarin, many insurance plans require prior authorization or step therapy — showing you tried or couldn't take warfarin — before approving coverage.
Prices represent estimated retail cash prices for Rivaroxaban 20mg (30-count) as of 2026. Actual prices may vary. RxCostCheck does not collect or sell your health data. Learn more →
How much does Rivaroxaban cost without insurance?
Without insurance, Rivaroxaban 20mg (30-count) ranges from $480.00 at Costco to $538.00. With a GoodRx discount card, the price can be as low as $350.00.
Where is the cheapest place to fill Rivaroxaban?
Costco typically offers the lowest cash price at $480.00 for 30 20mg.
Is there a generic for Rivaroxaban?
As of 2026, Rivaroxaban (Xarelto) does not have an FDA-approved generic. Ask your doctor about therapeutic alternatives.
What if my insurance doesn't cover Rivaroxaban at all?
Ask your prescriber whether a covered therapeutic alternative in the same drug class exists, or ask your pharmacist about a formulary exception or medical-necessity appeal — some plans will cover an otherwise-excluded drug once that documentation is on file. In the meantime, the cash and discount-card pricing shown above is usually the fastest fallback.
Does a 90-day supply of Rivaroxaban cost less than three 30-day fills?
Often, yes — many pharmacies and insurance plans price a 90-day fill at a lower effective per-dose cost than separate 30-day fills, and some mail-order pharmacy benefits are built specifically around 90-day supplies. Ask your pharmacist or insurer whether a 90-day option is available for this medication before assuming the count shown above is your only choice.
Compare All Drug Prices
Use our full tool to compare 100+ medications across 7 pharmacy chains.
Compare All Drugs →