• Brand-name Xarelto 20 mg costs about $120 for 28 tablets in Canada (Canada Drug Warehouse), versus roughly $500 for a 30-day supply in the U.S. without insurance. 

• Generic rivaroxaban 20 mg costs about $77 for 30 tablets in Canada (Canada Drug Warehouse), making it a lower-cost alternative to brand-name Xarelto.

Xarelto 20 mg Cost Comparison: Canada vs. U.S.

Ordering Xarelto or generic rivaroxaban through Canada Drug Warehouse is consistently less expensive than paying U.S. retail cash prices. While prices vary by dose and quantity, Canadian pharmacy pricing for both brand-name Xarelto and generic rivaroxaban is reliably lower than U.S. out-of-pocket costs, making it a cost-effective option for patients without insurance coverage.

Price of Xarelto in Canada

Canadian pricing for Xarelto and its generic alternative, rivaroxaban, varies by dosage and quantity. The tables below compare brand-name and generic pricing at each dose, helping illustrate the per-tablet cost difference and potential savings when choosing the generic option.

Xarelto 2.5 mg Price Comparison (Canada Drug Warehouse)

For patients on long-term therapy, the 2.5 mg dose highlights meaningful cumulative savings with generic rivaroxaban.

Xarelto 10 mg Price Comparison (Canada Drug Warehouse)

The 10 mg dose shows a substantial price gap between brand-name Xarelto and generic rivaroxaban when comparing equivalent quantities.

Xarelto 15 mg Price Comparison (Canada Drug Warehouse)

At the 15 mg dose, generic rivaroxaban remains consistently less expensive per tablet than brand-name Xarelto.

Xarelto 20 mg Price Comparison (Canada Drug Warehouse)

This table compares brand-name Xarelto 20 mg with generic rivaroxaban 20 mg using the closest standard package sizes available.

Xarelto (rivaroxaban) is a prescription blood thinner used to treat and prevent blood clots. Rivaroxaban works by blocking Factor Xa, which helps prevent dangerous blood clots from forming.

Xarelto can be used for the following conditions:

• Deep vein thrombosis (DVT): Xarelto helps treat and prevent deep vein thrombosis, a condition in which blood clots form in the deep veins of the legs. It is commonly prescribed after hip or knee replacement surgery or during periods of limited mobility to reduce the risk of clotting.
• Pulmonary embolism (PE): Xarelto is indicated for pulmonary embolism, a serious condition caused by blood clots that travel to and block arteries in the lungs.
• Stroke prevention in atrial fibrillation: Xarelto lowers the risk of stroke and systemic embolism in people with non-valvular atrial fibrillation, a heart rhythm disorder that increases the likelihood of clot formation.
• Coronary artery disease (CAD) and peripheral artery disease (PAD): Xarelto is used to reduce the risk of major cardiovascular events, including heart attack, stroke, and blood clot-related complications, in people with coronary artery disease or peripheral artery disease.

To learn more about how Xarelto works, what it is used for, and how it helps prevent blood clots, read our detailed Xarelto overview guide. 

Is Generic Xarelto Available?

Yes. Generic Xarelto is called rivaroxaban, and it is available through Canada Drug Warehouse with a valid prescription.

Generic Xarelto availability by country:

• In the United States: The FDA has approved the generic version of Xarelto, called rivaroxaban. However, availability of certain generic strengths may be limited at U.S. retail pharmacies due to patent, exclusivity, or distribution factors.

• In Canada: Generic rivaroxaban is widely available and approved for use, offering the same active ingredient at significantly lower prices than brand-name Xarelto.

• Through Canada Drug Warehouse: Canada Drug Warehouse works with licensed fulfillment pharmacies so U.S. patients can order generic rivaroxaban with a valid prescription. 

To learn more about generic rivaroxaban availability and patent timelines, read our in-depth guide on rivaroxaban. 

How to take Xarelto

Take Xarelto exactly as prescribed by your doctor. Always read the patient information before starting treatment.

Dosing frequency depends on your condition:

• Once daily: Used for stroke prevention in atrial fibrillation, prevention of blood clots after hip or knee replacement surgery, and extended prevention of recurrent blood clots after initial treatment.
• Twice daily for 3 weeks, then once daily: Used for the treatment of active deep vein thrombosis or pulmonary embolism. After the first three weeks, the dose is typically reduced to once daily for continued treatment.

Food requirements:

• Xarelto 15mg and 20mg: Take with food
• Xarelto 10mg: May be taken with or without food

How to take the tablets:

• Swallow whole with water, or
• Crush and mix with applesauce, then consume immediately

Take Xarelto at the same time each day for best results. Do not change your dose without consulting your doctor.

Xarelto Side Effects

Common Xarelto side effects include:

• Headache
• Dizziness
• Back and muscle pain

Contact your doctor if you experience any of the following side effects of Xarelto:

• Symptoms of a blood clot, such as back pain, loss of bowel or bladder control, numbness, or muscle weakness in the lower body.
• Unusual or heavy bleeding that does not stop, including frequent nosebleeds, bleeding gums, or heavy menstrual bleeding.
• Excessive bleeding, swelling, pain, or new drainage from an injection wound.
• Coughing up blood or spitting up blood or vomit that looks like coffee grounds.
• Bloody, tarry stools or urine that appears pink, red, or brown.
• Symptoms of an allergic reaction, such as hives, difficulty breathing, or swelling of the face, lips, tongue, or throat. 

To learn more about common and serious Xarelto side effects, safety warnings, and what to watch for while taking this medication, read our detailed Xarelto side effects guide.

Cautions

Make sure to tell your doctor and pharmacist:

• If you have any drug allergies.
• Other prescription and non-prescription medications you are taking.
• If you have a history of liver or kidney disease, bleeding disorders, stomach or intestinal bleeding, brain bleeding, stroke, or other blood-related conditions.
• If you have had recent surgery, serious injury, or experience frequent falls.
• If you suffer from retinopathy, antiphospholipid syndrome, galactose intolerance, Lapp lactase deficiency, or glucose-galactose malabsorption.

Keep the following safety precautions in mind while taking Xarelto:

• Tell all doctors and dentists that you take Xarelto and inform your healthcare provider before any medical or dental procedures.
• Xarelto can increase the risk of stomach bleeding. Avoid heavy or daily alcohol use, as alcohol can further increase bleeding risk.
• Xarelto may cause easy bruising or bleeding. To reduce the risk of injury, use a soft toothbrush, shave with an electric razor, and handle sharp objects with care. Avoid activities with a high risk of injury, such as contact sports.
• Xarelto should only be used during pregnancy if clearly needed. Tell your doctor if you are pregnant, planning to become pregnant, or breastfeeding.

To learn more about Xarelto food interactions, drug interactions, and substances to avoid while taking this medication, read our comprehensive Xarelto food and drug interactions guide.

You can order Xarelto or generic rivaroxaban from Canada Drug Warehouse online or by phone with a valid prescription.

• Visit Canada Drug Warehouse and enter the medication name into the search bar.
• Select your prescribed dosage and quantity, then add the medication to your cart and continue to checkout.
• Sign in to your existing account or create a new one. If you prefer to place your order by phone, call 1-877-204-1506.
• Upload your valid prescription during checkout or request that we contact your doctor or pharmacy on your behalf.
• Confirm your order details and submit your request.
• Once approved, your medication is shipped directly to your home.

Can I order Xarelto from a Canadian pharmacy?

Yes, Americans can order Xarelto from Canada with a valid prescription. Both brand-name Xarelto and generic rivaroxaban are available through Canada Drug Warehouse. 

Do I need a prescription for Xarelto?

Yes, Xarelto (rivaroxaban) is a prescription medication in both the United States and Canada. You will need a valid prescription from a licensed healthcare provider to order Xarelto. Canada Drug Warehouse cannot dispense prescription medications without proper authorization from your doctor.

How much can I save by ordering from Canada?

You can save up to 95% when you order Xarelto from Canada compared to U.S. retail prices. For example, a 90-day supply of generic rivaroxaban 20 mg costs approximately $95 through Canada Drug Warehouse, while the same quantity of brand-name Xarelto in the U.S. can cost up to $1500.

What is the cheapest way to get Xarelto in Canada?

The cheapest way to get Xarelto in Canada is to order generic rivaroxaban instead of brand-name Xarelto. Generic rivaroxaban contains the same active ingredient and is therapeutically equivalent but costs significantly less. Ordering a larger quantity, such as 60 or 90 tablets, further reduces the cost per tablet and provides additional savings.

How much is Xarelto in Canada for a 30-day supply?

In Canada, the cost of Xarelto for a 30-day supply varies by dose and tablet count but is generally much lower than U.S. cash prices. Brand-name Xarelto typically costs between $78 and $120 per month, while the generic version, rivaroxaban, is available at a lower price point for the same strength.

What is the cheapest price for Xarelto 20mg?

The cheapest price for Xarelto 20mg is the generic rivaroxaban version. At Canada Drug Warehouse, you can get 90 tablets of generic rivaroxaban 20 mg for $95.00 ($1.06 per tablet), compared to brand-name Xarelto 20 mg at $160.00 for 84 tablets ($1.90 per tablet). The largest quantity orders provide the best per-tablet pricing. 

Does insurance cover Xarelto?

Many insurance plans in the United States cover Xarelto, but coverage varies by plan. Even with insurance, copays can be high. Some patients find that ordering from Canada, even without using insurance, costs less than their U.S. insurance copay. Check with your insurance provider about coverage details and compare costs.

Can I get Xarelto without insurance?

Yes, you can purchase Xarelto without insurance through Canada Drug Warehouse. The prices here are available to all customers regardless of insurance status. Many patients without insurance save significantly by ordering from Canada, with prices starting at $47 for a 30-day supply of generic rivaroxaban 10 mg.

Is there a Xarelto generic alternative? 

Yes, a generic alternative to Xarelto is available. The generic version, rivaroxaban, is therapeutically equivalent to brand-name Xarelto and offers the same effectiveness at a significantly lower cost. Canada Drug Warehouse offers generic rivaroxaban in all available strengths (2.5mg, 10mg, 15mg, and 20mg), with prices around 40% less than brand-name Xarelto.

Is generic rivaroxaban as effective as brand-name Xarelto?

Yes, generic rivaroxaban is therapeutically equivalent to brand-name Xarelto. Generic medications must meet the same strict quality, safety, and efficacy standards as brand-name drugs. The active ingredient (rivaroxaban) is identical in both versions.

Can I switch between brand-name Xarelto and generic rivaroxaban?

You can switch between brand-name Xarelto and generic rivaroxaban, but you should always consult your doctor first. While the medications are equivalent, your doctor may want to monitor your response when switching between them. Never make changes to your medication without medical guidance.

How does Xarelto work?

Xarelto is an anticoagulant, often called a blood thinner (though it doesn't actually thin the blood). It works by blocking Factor Xa, a specific clotting protein in your blood. By interrupting this part of the clotting process, Xarelto prevents dangerous blood clots from forming.

Unlike some older blood thinners, rivaroxaban doesn't require regular blood tests or frequent dose adjustments, making it more convenient for many patients.

What strengths of Xarelto are available?

Xarelto is available in four strengths: 2.5mg, 10mg, 15mg, and 20mg tablets. Your doctor will prescribe the appropriate strength based on your condition and treatment needs. All strengths are available in both brand-name Xarelto and generic rivaroxaban formulations through Canada Drug Warehouse.

What should I do if I miss a dose of Xarelto?

If you miss a dose of Xarelto, take it as soon as you remember on the same day. Then continue with your regular dosing schedule. If you don't remember until the next day, skip the missed dose and take your next scheduled dose at the regular time. Never take two doses at once to make up for a missed dose. Contact your doctor if you have questions about missed doses.