Sorry to sound macabre, but you could die if you don’t fill and adhere to your healthcare practitioner’s prescription for Xarelto (ravaroxaban). It is an anticoagulant, a medication that lowers the rate of blood clots and thereby lowers the risk of stroke. Especially if you were diagnosed with Atrial Fibrillation, a condition characterized by problems associated with irregular heart rate or rhythm, it’s likely that you were prescribed an anticoagulant, such as Xarelto, Pradaxa, or Warfarin. I’m talking about Xarelto because it’s a relatively new brand name drug, which is not available as a generic, and some people who need it might not be able to afford it. It is not necessarily the best anticoagulant out there for you. Alternative medications are available and in use.
If you don’t have insurance or your insurance does not cover Xarelto, then you could face the out-of-pocket costs, which are about $1,176 for a three-month supply of the 20mg pill. If you can afford that then consider yourself lucky. For those who cannot, you could try a Xarelto patient assistance program. Alternatively, ask your doctor or other healthcare provider, and do your own research about another anti-coagulant, such as Pradaxa and Warfarin, that could work for you.
If you do not qualify for a patient assistance program, and your healthcare provider insists on Xarelto, there are verified international online pharmacies that sell brand name Xarelto at a very low price. In fact, the lowest cost international option runs you $2.08/pill, which is $187.20 for 90 tablets. That’s a savings of 84% or almost $1,000 over three months, $4,000 over the course of a year, versus the cash price at some U.S. pharmacies.
For those interested in where your medications come from: the Xarelto 20mg you buy in the U.S. is manufactured in Puerto Rico, according to the U.S. label. Our research shows that the lowest cost international option for Xarelto was manufactured in Germany by Bayer Pharma AG.
I started this post noting the mortality risks of not taking prescribed medications. I’d like to now return to this public health issue not in order to inflame or dramatize but to remind consumers and health officials about the public crisis of high drug prices. Strokes often cause death. Not taking your prescribed anticoagulant can increase your chance of having a stroke. Thirty-five million Americans don’t fill a prescription each year due to high prices; if Xarelto was one of these medicines, then its high price may have prevented people from obtaining it. Some of those people, unfortunately, may have had strokes and passed away. The point here is to not ignore your healthcare provider’s prescription and advice. Follow-up quickly and fill your prescription. If you can’t afford it, then pursue all available options.