How to Get a Xarelto Prescription Online
A telehealth visit with a licensed US provider can get you a Xarelto prescription or refill sent straight to your pharmacy — no waiting room required.
What is Xarelto and Who Needs It?
Xarelto is the brand name for rivaroxaban, a direct oral anticoagulant (DOAC) made by Janssen Pharmaceuticals. It works by blocking factor Xa, a clotting protein in the blood, reducing the risk of dangerous blood clots forming or growing.
Doctors prescribe Xarelto for several conditions, including nonvalvular atrial fibrillation (AFib), deep vein thrombosis (DVT), pulmonary embolism (PE), and prevention of clots after hip or knee replacement surgery. Roughly 1 in 11 Americans with AFib takes a DOAC like Xarelto as part of their long-term management plan.
Unlike older blood thinners such as warfarin, Xarelto does not require routine INR blood-test monitoring or major dietary changes, making it easier to manage for many patients.
How the Online Prescription Process Works
Getting a Xarelto prescription through a telehealth visit is a straightforward process. Here is what to expect:
- Book a visit: Connect with a licensed provider through Rx.com's telehealth partner. Most patients are seen within a few hours.
- Complete your intake: You'll answer questions about your medical history, current medications, and the condition being treated. Have your most recent lab results or records handy if available.
- Provider review: A licensed US physician or nurse practitioner reviews your intake. For blood thinners, they may request recent labs or records from your primary care doctor before prescribing.
- Prescription sent: If appropriate, the prescription is sent electronically to your chosen pharmacy, often within 24 hours.
- Pick up and save: Use a free Xarelto coupon from Rx.com to compare cash prices at pharmacies near you before you go.
💡 New patient vs. established patient
Telehealth providers can evaluate new patients for Xarelto, but many will request records confirming a prior diagnosis (e.g., AFib or DVT) before initiating a DOAC. For established patients seeking a refill, the process is usually faster.
Getting a Xarelto Refill Online
If you are already on Xarelto and need a refill, online visits are especially convenient. Most telehealth platforms allow refill requests for ongoing anticoagulation therapy as long as your diagnosis is documented and there are no contraindications.
You should mention any changes since your last visit: new medications, recent bleeding episodes, upcoming surgeries, or changes in kidney function. Your provider will review these before approving the refill.
⚠️ Do not stop Xarelto without a provider's guidance
Stopping an anticoagulant abruptly can significantly increase your stroke or clot risk. If cost is the reason you are considering stopping, compare pharmacy prices with a free Rx.com coupon first — the difference between pharmacies can be over $120 per month.
How Much Does Xarelto Cost Without Insurance?
Xarelto is a brand-name drug with limited generic competition, so the cash price remains high — typically in the range of $520–$590 for a 30-day supply of the 20 mg dose. Prices vary significantly by pharmacy and ZIP code, which is why comparing matters.
| Dose | Typical Cash Price (30-day) | With Rx.com Coupon |
|---|---|---|
| 10 mg (DVT prevention) | ~$480–$540 | Compare at rx.com/drug/xarelto |
| 15 mg (DVT/PE treatment) | ~$510–$570 | Compare at rx.com/drug/xarelto |
| 20 mg (AFib / PE) | ~$520–$590 | Compare at rx.com/drug/xarelto |
A generic version of rivaroxaban was approved by the FDA and is gradually becoming available. Ask your pharmacist or provider whether a generic is in stock at your pharmacy — prices are substantially lower when available.
Xarelto vs. Other Blood Thinners
Xarelto is one of several anticoagulants your provider might consider. Understanding the differences helps you have a more informed conversation at your visit.
| Drug | Active Ingredient | Dosing | INR Monitoring |
|---|---|---|---|
| Xarelto | Rivaroxaban | Once daily (most indications) | No |
| Eliquis | Apixaban | Twice daily | No |
| Pradaxa | Dabigatran | Twice daily | No |
| Warfarin | Warfarin | Once daily (variable) | Yes — regular tests |
| Trulicity (not a blood thinner) | Dulaglutide | Weekly | No |
Is online prescribing right for your Xarelto refill?
Check the column that fits your situation:
✅ Good candidate for telehealth
- Established patient needing a routine refill
- Stable condition with recent labs on file
- No recent bleeding episodes or major surgeries
- Can share prior records with the provider
🏥 See a provider in person
- New clot, stroke symptoms, or active bleeding
- Recently started a new medication with interaction risk
- Upcoming surgery requiring bridging decisions
- Significant kidney function changes
Safety Information to Discuss With Your Provider
Xarelto carries a black-box warning for premature discontinuation and bleeding risk. Before your telehealth visit, make a list of:
- All current medications and supplements (fish oil, NSAIDs, and many others interact with anticoagulants)
- Any recent falls, injuries, or unexplained bruising
- Your most recent kidney function labs (Xarelto is cleared by the kidneys)
- Any planned procedures or dental work
🚨 Seek immediate care for these symptoms
Unusual or uncontrollable bleeding, pink or brown urine, red or black stools, coughing up blood, or sudden severe headache — these require emergency evaluation, not a telehealth visit.
Frequently Asked Questions
Can a telehealth provider prescribe Xarelto for the first time?
Yes, in most states. However, many providers will request documentation of your diagnosis (e.g., an AFib diagnosis from a cardiologist or an imaging report showing DVT) before initiating Xarelto for a new patient. Come prepared with records.
Does a Xarelto online prescription cost extra?
The telehealth visit itself typically costs $50–$99 for an asynchronous visit or $75–$150 for a live video consult, depending on the platform. This is separate from the medication cost. Many insurance plans cover telehealth at standard copay rates.
How do I save money on Xarelto?
Compare cash prices at pharmacies near you using a free Rx.com coupon at rx.com/drug/xarelto. Prices can vary by more than $120 between nearby pharmacies. If a generic rivaroxaban is available at your pharmacy, it will be substantially cheaper than the brand.
Can I use a Xarelto coupon with Medicare?
A free Rx.com discount coupon is used instead of insurance, so Medicare patients can use it during coverage gaps or if their plan's copay is higher than the cash discount price. It cannot be combined with Medicare at the same transaction.
How long does a telehealth Xarelto prescription take?
Most platforms process requests within a few hours to one business day. Asynchronous (messaging-based) visits are often faster than scheduled video calls for straightforward refills.
What if my provider wants lab work before prescribing?
Some providers will order labs through national lab networks (Quest, LabCorp) that you can complete at a nearby location. Results are typically available within 24–48 hours, after which the provider will finalize the prescription.
Is Xarelto available as a generic?
Yes — generic rivaroxaban has FDA approval and availability is expanding. Ask at your pharmacy or search on Rx.com to see if a generic is priced and in stock near you.
Ready to Get Your Xarelto Prescription Online?
Connect with a licensed US provider today — fast, convenient, and sent straight to your pharmacy.