The same blood thinner, 20 mg once a day — priced from official databases in six places, with generic rivaroxaban where it is sold.
Researched with AI assistance; every figure is checked against the primary source cited on this page before publishing. How we work →
Xarelto 20 mg, one tablet a day, so 30 days = 30 tablets. Each country's own official price; where the official pack has 28 tablets or the source gives a price per tablet, we convert to 30 tablets (our calculation: pack price ÷ tablets × 30). US dollars at European Central Bank reference rates of October 30, 2026. We could not verify a current US list price from the maker, so we show the 2023 list price reported by CMS.
XARELTO (RIVAROXABAN) 20 MG · 30 DAYS = 30 TABLETS
Price by country, November 2026
Packs of 28 converted to 30 tablets (our calculation). Germany has no statutory price ceiling for rivaroxaban 20 mg; the US has no generic 20 mg in the national pharmacy-price survey.
| Country | Official price | 30 days in US dollars | What a patient typically pays |
|---|---|---|---|
| 🇺🇸 United States (Medicare) | $197 negotiated price per 30-day supply, Jan 1 – Dec 31, 2026; 2023 list price $517 (CMS) | $197 | Depends on the Part D plan |
| 🇺🇸 United States (pharmacy cost) | $19.53935 per 20 mg tablet (CMS NADAC, Oct 28, 2026) | $586 | Depends on insurance |
| 🇬🇧 United Kingdom | £50.40 for 28 tablets (NHS price); generic rivaroxaban £0.96 for 28 (Drug Tariff, from Oct 1, 2026) | $72 · generic $1.38 | £9.90 per item in England; free in Scotland, Wales and Northern Ireland |
| 🇫🇷 France | €23.25 for 28 tablets; generic €13.25 for 30 (official prices excluding dispensing fee) | $28 · generic $15 | 35% of the price unless a complementary insurer covers it (65% reimbursed) |
| 🇨🇭 Switzerland | CHF 33.40 for 28 tablets (public price); generics CHF 32.00 for 28 | $43 · generic $42 | 10% share after the annual deductible |
| 🇦🇹 Austria | €41.35 for 28 tablets; generic rivaroxaban (Zentiva) €8.60 for 28 tablets (social-insurance prices excl. VAT) | $49 · generic $10 | €7.55 prescription fee per pack; Xarelto needs insurer approval first, generics do not |
| 🇳🇱 Netherlands | €34.65 for 28 tablets (average pharmacy price) | $41 | Reimbursed under conditions; counts toward the annual deductible |
| 🇩🇪 Germany | No statutory price ceiling (Festbetrag) for rivaroxaban 20 mg — the list covers only 2.5 mg | — | €5–€10 co-payment per pack (10%, min. €5, max. €10) |
We compare prices; we do not recommend where to buy medicine. Whether to take or switch an anticoagulant is a decision for your doctor.
The $517 is the 2023 list price CMS used as its reference. The $197 is the price Medicare negotiated under the Inflation Reduction Act; it took effect on January 1, 2026, 62% below that list price, according to CMS. CMS's maximum-fair-price file of November 2, 2026 ends that price on December 31, 2026 and marks Xarelto as deselected. The $586 is the national average that pharmacies paid to buy 30 tablets in late October 2026 (NADAC). Pharmacies that dispense Xarelto to Medicare patients are refunded the difference by the drug maker afterward (CMS).
Europe's official lists already carry generic 20 mg tablets: £0.96 for 28 in the NHS Drug Tariff, €13.25 for 30 in France, CHF 32.00 for 28 in Switzerland. The US national pharmacy-price survey (NADAC, October 28, 2026) shows a generic only for the 2.5 mg tablet.
The German statutory price-ceiling (Festbetrag) list of November 1, 2026 still includes rivaroxaban only at 2.5 mg. On January 13, 2026, the Federal Joint Committee opened a consultation on a reference-price group for direct oral anticoagulants. Insured patients pay the usual co-payment of 10% of the price, at least €5 and at most €10 per pack; from 2027 the limits rise to €7.50 and €15.
Medicare pays a negotiated $197 for a 30-day supply of Xarelto from January 1 to December 31, 2026; the 2023 list price was $517 (CMS). US pharmacies pay about $586 for 30 tablets of 20 mg (CMS NADAC, October 28, 2026). Official prices for brand Xarelto elsewhere: €23.25 for 28 tablets in France, €34.65 in the Netherlands, CHF 33.40 in Switzerland and £50.40 in the UK — roughly $28 to $72 for 30 tablets at ECB rates.
Yes in Europe. The UK's Drug Tariff lists generic rivaroxaban 20 mg at £0.96 for 28 tablets (from October 1, 2026), France at €13.25 for 30 and Switzerland at CHF 32.00 for 28. In the US, the national pharmacy-price survey (NADAC, October 28, 2026) lists a generic only for the 2.5 mg tablet, not for 20 mg.
The $197 is Medicare's negotiated price for a 30-day supply. NADAC (about $586 for 30 tablets) measures what pharmacies pay to acquire the drug; under the negotiation program the drug maker refunds pharmacies the difference afterwards (CMS), so the two numbers measure different things.
No, according to CMS's maximum-fair-price file of November 2, 2026: the $197 price for Xarelto runs from January 1 to December 31, 2026 and the drug is marked as deselected. What Medicare patients pay in 2027 will depend on their Part D plan.
In England each prescription item costs £9.90. France reimburses 65% of the official price. In Germany statutory insurance covers it with a co-payment of 10% of the price, at least €5 and at most €10 per pack. In Switzerland insured patients pay a 10% share after their deductible, and in the Netherlands it is reimbursed under conditions and counts toward the annual deductible. In the US it depends on the insurance plan.
Germany has no statutory price ceiling (Festbetrag) for rivaroxaban 20 mg: the list of November 1, 2026 still includes only the 2.5 mg tablet. In January 2026 the Federal Joint Committee (G-BA) opened a consultation on a reference-price group for direct oral anticoagulants. We found no current official pharmacy price that is freely published, so we show none.
Wellness Vision does not sell medicine, recommend pharmacies or suppliers, or take payments from drug makers. Every price above comes from the official source cited; conversions and per-30-tablet figures are our own calculations, shown with their formula. This is a cost comparison, not medical advice.
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