Alternatives to the High Cost of Eliquis: Generic, Xarelto, and More

Alternatives to the High Cost of Eliquis: Generic, Xarelto, and More

Eliquis (apixaban) is a widely prescribed blood thinner used to prevent and treat blood clots, but its high cost can be a significant burden for many patients. With brand-name Eliquis prices continuing to rise, many people are looking for more affordable alternatives. This guide explores cost-saving options, including generic apixaban, switching to Xarelto (rivaroxaban), and other alternatives that may help reduce expenses.

Why Is Eliquis So Expensive?

The high cost of Eliquis in the U.S. is due to several factors:

  • Patent Protections: Eliquis is still under patent protection in the U.S., preventing generic competition.

  • Lack of Generic Competition: While generic apixaban is available in some countries, it is not yet widely available in the U.S. at lower prices.

  • Insurance Coverage Gaps: Many insurance plans either do not cover Eliquis or have high co-pays, making it unaffordable for some patients.

  • Pharmaceutical Pricing Regulations: Unlike in some countries where drug prices are regulated, the U.S. allows pharmaceutical companies to set their own pricing, often leading to significant price variations.

As a result, many patients are searching for alternatives to lower their out-of-pocket costs.

Generic Apixaban: The Best Cost-Saving Alternative?

Apixaban, the active ingredient in Eliquis, is available as a generic medication in some countries. Generic versions of medications are required to be bioequivalent to the brand-name drug, meaning they work the same way in the body but at a lower cost.

Key Benefits of Generic Apixaban:

  • Costs significantly less than brand-name Eliquis

  • Works the same way as Eliquis, with the same effectiveness and safety profile

  • Available in the same strengths and dosing schedules

  • May be a preferred option for those paying out-of-pocket or whose insurance does not cover Eliquis

Patients should check with their healthcare provider about whether generic apixaban is a good alternative for them.

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Switching to Xarelto (Rivaroxaban): A Comparable Alternative

Xarelto (rivaroxaban) is another direct oral anticoagulant (DOAC) that works similarly to Eliquis. Some patients consider switching to Xarelto to save money or based on insurance coverage.

Eliquis vs. Xarelto: Key Differences

  • Dosing Schedule: Eliquis is taken twice daily, while Xarelto is a once-daily medication, which may be more convenient for some patients.

  • Food Requirements: Eliquis can be taken with or without food, while Xarelto must be taken with food at higher doses to ensure full absorption.

  • Bleeding Risk: Xarelto has been associated with a slightly higher risk of gastrointestinal bleeding compared to Eliquis.

  • Insurance Coverage & Cost: Some insurance plans may cover one medication over the other, making switching a potential cost-saving option.

Some patients may prefer Xarelto’s once-daily dosing, while others find Eliquis easier to tolerate. A doctor can help determine if switching from Eliquis to Xarelto is a safe and effective choice.

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Other Blood Thinner Options

For patients who cannot afford Eliquis or Xarelto, other oral anticoagulants may be options:

  • Warfarin (Coumadin): A long-standing blood thinner that requires frequent monitoring but is cheaper than newer options.

  • Pradaxa (Dabigatran): Another DOAC alternative that may be more affordable depending on insurance coverage.

  • Lovenox (Enoxaparin): An injectable blood thinner sometimes used short-term for clot prevention.

  • Savaysa (Edoxaban): A lesser-known alternative that may be covered under some insurance plans.

Each option has different benefits and risks, so medical supervision is necessary before making any changes.

Cost-Saving Tips for Blood Thinners

Even if switching medications is not an option, there are still ways to reduce the cost of Eliquis and other blood thinners:

  • Manufacturer Savings Programs: Many pharmaceutical companies offer discount programs or copay assistance to help reduce costs for eligible patients.

  • Prescription Discount Cards: Various programs and pharmacy discount cards can offer savings on prescription medications.

  • 90-Day Supplies: Some pharmacies offer discounts when purchasing a three-month supply instead of refilling monthly.

  • Shopping Around: Comparing prices at different pharmacies can lead to significant savings.

  • Patient Assistance Programs: Some nonprofit organizations provide financial aid to patients struggling to afford their medications.

Final Thoughts

The high cost of Eliquis has left many patients searching for affordable alternatives. Generic apixaban, switching to Xarelto, or considering other blood thinners may help reduce costs while maintaining effective blood clot prevention. Additionally, exploring manufacturer discounts, insurance adjustments, and pharmacy price comparisons can lead to further savings. Before making any changes, speak with your doctor to ensure the best option for your health needs.