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Xarelto vs Entresto

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

Reviewed by DrugPrice Editorial Team · Updated

Verdict

Xarelto costs 15% less per claim than Entresto ($321.00 vs $379.00). Xarelto has a generic alternative available. Total Medicare spending: Xarelto at $5.0B vs Entresto at $4.8B.

MetricXareltoEntresto
Avg Cost per Claim
Average cost Medicare pays per prescription claim
$321*$379
Total Medicare Spending
Total Medicare Part D spending on this drug
$5.0B$4.8B
Total Claims15,680,00012,560,000
Year-over-Year Change
Price change from prior year (lower is better for patients)
-1.2%*18.3%
Generic AvailableYesNo
ConditionBlood ClotsHeart Failure
Total Beneficiaries1,920,0001,085,000

Xarelto costs 15% less per claim than Entresto ($321.00 vs $379.00). Xarelto has a generic alternative available. Total Medicare spending: Xarelto at $5.0B vs Entresto at $4.8B.

Explore More

The side-by-side above pulls the CMS Medicare Part D Drug Spending data data for both Xarelto and Entresto. What follows is the interpretation — which specific axes carry the most weight for Xarelto versus Entresto, 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.