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Eliquis vs Xarelto

Side-by-side drug price comparison from Medicare Part D data

Reviewed by DrugPrice Editorial Team · Updated

Verdict

Xarelto costs 37% less per claim than Eliquis ($321.00 vs $510.00). Eliquis has a generic alternative available. Total Medicare spending: Eliquis at $16.6B vs Xarelto at $5.0B.

MetricEliquisXarelto
Avg Cost per Claim
Average cost Medicare pays per prescription claim
$510$321*
Total Medicare Spending
Total Medicare Part D spending on this drug
$16.6B$5.0B
Total Claims32,460,00015,680,000
Year-over-Year Change
Price change from prior year (lower is better for patients)
14.2%-1.2%*
Generic AvailableYesYes
ConditionBlood ClotsBlood Clots
Total Beneficiaries3,850,0001,920,000

Xarelto costs 37% less per claim than Eliquis ($321.00 vs $510.00). Eliquis has a generic alternative available. Total Medicare spending: Eliquis at $16.6B vs Xarelto at $5.0B.

Explore More

The side-by-side above pulls the CMS Medicare Part D Drug Spending data data for both Eliquis and Xarelto. What follows is the interpretation — which specific axes carry the most weight for Eliquis versus Xarelto, and which differences are large enough to influence a real decision.

For households or analysts using this comparison as a decision input, the right framing is usually not "which is better" in aggregate but "which is better for the specific decision in front of you." CMS Medicare Part D Drug Spending data captures the raw data; the framing depends on whether the question is investment, residency, planning, or research.

Source: CMS Medicare Part D Spending, 2026.