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What Is the Cost of Xarelto?

The cost of Xarelto in Canada is significantly lower than in the US. Patients can order generic Xarelto 20 mg online through a trusted Canadian pharmacy, such as Canadian Pharmacy Service, for as low as $1.06 per tablet.

At Canadian Pharmacy Service, patients have access to brand and generic Xarelto at these affordable price points:

Generic Xarelto 20 mg:

  • $1.06/tablet ($95 for 90 tablets)
  • $1.43/tablet ($86 for 60 tablets)
  • $2.57/tablet ($77 for 30 tablets)

Brand-name Xarelto 20 mg:

  • $1.90/tablet ($160 for 84 tablets)
  • $2.50/tablet ($140 for 56 tablets)
  • $4.29/tablet ($120 for 28 tablets)

Ordering a larger quantity means paying more upfront but saving more per pill. Canadian Pharmacy Service also carries brand and generic Xarelto in 2.5 mg, 10 mg, and 15 mg dosage strengths.

Is a Xarelto coupon needed?

Patients who order Xarelto through an online Canadian pharmacy like Canadian Pharmacy Service don’t need a coupon, as the prices are already lower than those at most U.S. retail pharmacies.

Is there a patient assistance program available?

A Xarelto patient assistance program is available through Janssen CarePath, the official support program for Xarelto. With CarePath, eligible patients (usually those with commercial insurance) can reduce their out-of-pocket costs. Low-income patients may also qualify for financial aid, but eligibility depends on certain criteria.

Xarelto (rivaroxaban) is a prescription blood thinner used to prevent and treat serious blood clots. It belongs to a class of medications called direct oral anticoagulants (DOACs).

Xarelto is commonly prescribed to treat:

  • Atrial fibrillation
  • Deep vein thrombosis (DVT)
  • Pulmonary embolism (PE)
  • Reduce the risk of stroke or recurrence of clots.

Xarelto works by blocking a specific clotting factor in the blood known as Factor Xa. Inhibiting Factor Xa helps prevent the formation of harmful clots while allowing normal blood flow to occur. 

Unlike older anticoagulants like warfarin, Xarelto does not usually require routine blood monitoring or dietary restrictions, making it a convenient option for long-term use.

Xarelto Dosing and Directions

Xarelto is available in 2.5 mg, 10 mg, 15 mg, and 20 mg dosage strengths.

How to take Xarelto

Take Xarelto exactly as prescribed by your doctor. It is typically taken once daily with food, especially at higher doses, such as Xarelto 20 mg. Swallow the tablet whole with water.

Typical Xarelto dosage by condition:

For atrial fibrillation:

  • 20 mg once daily with the evening meal (or 15 mg for those with kidney issues)

For DVT or PE treatment:

  • 15 mg twice daily for 21 days, then 20 mg once daily

For DVT/PE prevention after knee or hip replacement:

  • 10 mg once daily for 12–35 days, depending on surgery

Important Xarelto dosing tips:

Always take Xarelto 15 mg or 20 mg with food to ensure proper absorption.

If you miss a dose, take it as soon as you remember. If it’s close to your next dose, skip the missed one; never double the dose.

Take your dose at the same time every day to maintain stable levels.

Do not adjust your dose or stop taking Xarelto without consulting your doctor. Stopping suddenly may increase your risk of blood clots or stroke.

Cautions and Side Effects of Xarelto

Before starting Xarelto, tell your doctor if you:

  • Have active bleeding or a history of serious bleeding disorders
  • Have severe liver or kidney problems
  • Are pregnant or breastfeeding
  • Take other blood thinners or medications that increase bleeding risk
  • Are scheduled for surgery or dental procedures

Always review your full medical history with your healthcare provider before taking Xarelto.

Common side effects of Xarelto include

  • Bleeding or easy bruising
  • Headache or dizziness
  • Nausea or upset stomach
  • Fatigue or weakness

These side effects are usually mild but should be monitored.

Serious side effects of Xarelto

  • Severe bleeding that won’t stop
  • Black or bloody stools
  • Coughing up blood or vomiting material that looks like coffee grounds
  • Signs of stroke: sudden numbness, confusion, or trouble speaking

Seek immediate medical help if you notice any of these symptoms.

Side effects of Xarelto in the elderly

Older adults may be at higher risk of bleeding, especially if they are also taking NSAIDs or other anticoagulants. Extra monitoring may be required.

Xarelto caution tips

Do not stop taking Xarelto without medical advice. Suddenly discontinuing this medication can increase your risk of a serious blood clot or stroke.

  • Tell all your doctors and dentists that you are taking Xarelto before any procedure.
  • Avoid alcohol—it increases the risk of stomach bleeding.
  • Use a soft toothbrush, electric razor, and avoid high-risk physical activities (like contact sports) to minimize injury and bleeding.
  • Always let your doctor know about any drug allergies, other medications, or prior strokes, bleeding, or surgeries.

Xarelto should only be used during pregnancy if clearly needed. Always consult your doctor if you are pregnant, planning to conceive, or breastfeeding.

FAQs

How much does Xarelto cost in Canada without insurance?

The cost of Xarelto in Canada depends on whether you choose the generic or brand-name version and the quantity ordered.

Generic Xarelto 20 mg (rivaroxaban):

  • $1.06/tablet ($95 for 90 tablets)
  • $1.43/tablet ($86 for 60 tablets)
  • $2.57/tablet ($77 for 30 tablets)

Brand-name Xarelto 20 mg:

  • $1.90/tablet ($160 for 84 tablets)
  • $2.50/tablet ($140 for 56 tablets)
  • $4.29/tablet ($120 for 28 tablets)

Ordering through an online Canadian pharmacy like Canadian Pharmacy Service provides significant savings compared to average U.S. retail prices, even without a Xarelto coupon.

Is there a generic version of Xarelto available in Canada?

Yes, the generic version of Xarelto, known as rivaroxaban, is approved and available in Canada. It is clinically equivalent to the brand-name medication and offers a lower-cost alternative for patients seeking more affordable treatment options.

What are the differences between Xarelto and Eliquis?

Dosing frequency:

Xarelto is taken once daily, while Eliquis is typically taken twice daily.

Common uses:

Both are used for atrial fibrillation, DVT, and PE, but individual recommendations may vary by patient.

Side effects:

Both drugs carry a bleeding risk, but Eliquis may have a slightly lower rate of gastrointestinal bleeding.

Cost:

The costs of Xarelto and Eliquis are similar, especially when you save through an online Canadian pharmacy. The actual price may vary depending on the dosage, quantity, and whether you choose the brand-name or generic version. Both medications have generic options available, so it’s worth comparing prices to find the most cost-effective choice for your needs.

Monitoring: 

Neither drug requires routine blood monitoring, unlike warfarin.

How do I order Xarelto online?

  1. Visit a licensed Canadian pharmacy site like Canadian Pharmacy Service
  2. Create an account
  3. Complete payment through a secure checkout process 
  4. Submit your order
  5. Upload a valid prescription from your doctor
  6. Your prescription will be reviewed, filled by a licensed pharmacy, and shipped discreetly to your door.

Are there coupons or discounts available for Xarelto in Canada?

While Xarelto coupons are more common in the U.S. through programs like Janssen CarePath, Canadian pharmacy pricing is often lower by default. At Canadian Pharmacy Service, patients may not need a coupon to access competitive prices. Always check for available savings or seasonal promotions directly on the pharmacy site.

What strength of Xarelto should I take?

Xarelto is commonly available in 2.5 mg, 10 mg, 15 mg, and 20 mg tablet strengths. The appropriate dose depends on your condition—such as atrial fibrillation or DVT—and your overall health. Always follow your doctor’s instructions for dosing.

Who should not take Xarelto?

Do not take Xarelto if you:

  • Have active bleeding or a history of bleeding disorders
  • Suffer from severe liver or kidney disease
  • Are pregnant or breastfeeding without your doctor’s approval
  • Are taking other anticoagulants (unless directed by your doctor)
  • Have recently had major surgery or injuries

Can I take Xarelto with food or other medications?

Xarelto should be taken with food when using the 15 mg or 20 mg strengths to ensure proper absorption. The 10 mg dose can be taken with or without food. Avoid combining Xarelto with medications like NSAIDs, aspirin, or blood thinners unless directed by your healthcare provider, as this increases the risk of bleeding. 

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Alida

May 28, 2025

A GREAT CHOICE! It took me several days to choose a pharmacy I felt comfortable with and, after searching for days several days, I knew I found the right Pharmacy for me. The staff was so friendly, all my questions were answered to my liking, and when I called I got a real person every time and their attention to every person and detail made me very happy. I placed my first order and just received it. It arrived 14 days after I ordered it and I live in New York City! How’s that for service? I gave a 5 star review, but it should be a 10!!

Alida

May 18, 2025

I am so impressed with Canadian Pharmacy Service. They are professional, friendly, knowledgeable and helpful. I received my first order recently and it was not only on time, but the package was like a present. I will be spreading the word about this wonderful Pharmacy.

Albert V

February 25, 2025

Your services were recommended by a relative. They did much research comparing various companies wisely selecting your organization. My experience has been very positive. Your diligent staff has been prompt, knowledgeable and professional in handling my inquiries and concerns while establishing initial services. Look forward to continued excellent service.

Molly

February 14, 2025

I found Canadian Pharmacy Service after my husband was prescribed an expensive drug. After much research I called and someone walked me through the process. It was really much easier than I thought. Everyone is very professional and explained everything. They call to see if you are ready for your next shipment and will even call your doctor when your prescription needs to be refilled. Would definitely recommend.

Lee

October 26, 2022

Delivery was great!

Lin C

October 13, 2022

You have always been exemplary in service.

A valid Prescription is required to be mailed or faxed to complete this order. I acknowledge that I will need to be contacted to complete a health profile before my order is shipped.

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