Xarelto vs Cosentyx
Side-by-side drug price comparison from Medicare Part D data
Verdict
Xarelto costs 91% less per claim than Cosentyx ($321.00 vs $3616.00). Xarelto has a generic alternative available. Total Medicare spending: Xarelto at $5.0B vs Cosentyx at $3.1B.
| Metric | Xarelto | Cosentyx |
|---|---|---|
| Avg Cost per Claim Average cost Medicare pays per prescription claim | $321* | $3,616 |
| Total Medicare Spending Total Medicare Part D spending on this drug | $5.0B | $3.1B |
| Total Claims | 15,680,000 | 864,000 |
| Year-over-Year Change Price change from prior year (lower is better for patients) | -1.2%* | 8.9% |
| Generic Available | Yes | Yes |
| Condition | Blood Clots | Autoimmune Diseases |
| Total Beneficiaries | 1,920,000 | 120,000 |
Xarelto costs 91% less per claim than Cosentyx ($321.00 vs $3616.00). Xarelto has a generic alternative available. Total Medicare spending: Xarelto at $5.0B vs Cosentyx at $3.1B.
Explore More
Comparing Xarelto and Cosentyx on U.S. Medicare prescription-drug pricing requires lining up the underlying CMS Medicare Part D Drug Spending data data side by side. The table above runs the comparison on the canonical fields; the narrative below identifies the factor or factors that drive the most meaningful difference between the two.
Practical use of the comparison: read the data above, then drill into the individual Xarelto and Cosentyx detail pages for the underlying breakdown. A pairwise comparison answers the relative question; the per-entity pages answer the absolute question.
Source: CMS Medicare Part D Spending, 2026.