Xarelto prices in Canada are significantly lower than U.S. retail prices, especially when ordered in larger quantities. Canadian pharmacies such as Canada Med Pharmacy offer multiple strengths of Xarelto and generic rivaroxaban, with the cost per tablet decreasing as quantity increases.

For comparison, U.S. retail pricing for brand-name Xarelto 20 mg is approximately $603 for 30 tablets, or $20.10 per tablet, while Canadian pricing is substantially lower.

Xarelto 20 mg price in Canada

Xarelto 15 mg price in Canada

Xarelto 10 mg price in Canada

Xarelto 2.5 mg price in Canada

Xarelto vs generic rivaroxaban 

In Canada, both brand-name Xarelto and generic rivaroxaban are approved and widely available. Generic rivaroxaban offers the same active ingredient and clinical effect at a substantially lower cost. 

Xarelto vs generic rivaroxaban price in Canada (10 mg)

In the United States, the FDA has approved generic rivaroxaban, but the availability of certain strengths may be limited due to patent, exclusivity, or distribution factors. In Canada, generic rivaroxaban is available, allowing Americans to access lower pricing through Canadian pharmacies such as Canada Med Pharmacy. 

What affects Xarelto cost in Canada

Several factors influence how much Xarelto costs in Canada:

• Dosage strength, such as 2.5 mg, 10 mg, 15 mg, or 20 mg
• Quantity ordered, with larger quantities lowering the cost per tablet
• Brand-name Xarelto versus generic rivaroxaban

Choosing a higher quantity or switching to generic rivaroxaban often results in the lowest overall cost.

• Visit Canada Med Pharmacy and use the search bar to find Xarelto or rivaroxaban.
• Select the dosage and quantity prescribed by your doctor, then click Add to Cart, and continue to checkout.
• Sign in to your account or create a new one. If you prefer to place your order by phone, you can call 1-877-248-1511.
• Upload a valid prescription during checkout or request that we contact your doctor or pharmacy.
• Confirm your order details and place your order.
• After your prescription is approved, your medication is shipped directly to your home.

Xarelto, also known as rivaroxaban, is a prescription blood thinner. It belongs to a group of medications called factor Xa inhibitors. These medications work by blocking factor Xa, a blood-clotting factor. By reducing clotting activity, Xarelto helps prevent dangerous blood clots from forming or getting bigger.

Because Xarelto affects blood clotting, serious bleeding can occur and may be life-threatening. Seek immediate medical attention if you experience uncontrolled bleeding.

Xarelto is used to prevent or treat several conditions, including:

• Deep vein thrombosis (DVT): DVT is a blood clot that usually forms in the legs. Xarelto may be used to treat DVT or to help prevent it from developing, especially after knee or hip replacement surgery or during hospital stays when movement is limited.

• Pulmonary embolism (PE): A PE happens when a blood clot travels to the lungs. Xarelto can be used to treat PE and to reduce the risk of future clots.

• Atrial fibrillation-related stroke risk: In people with nonvalvular atrial fibrillation, Xarelto is used to lower the risk of stroke caused by blood clots.

• Blood clot prevention during hospitalization: Xarelto may be prescribed to certain adults hospitalized for an acute illness who are at increased risk of developing blood clots and who do not have a high risk of bleeding.

When taken together with aspirin, Xarelto helps lower the risk of cardiovascular or thrombotic vascular events in people with coronary artery disease (CAD) or peripheral artery disease (PAD). 

Xarelto is a prescription medication. A doctor must evaluate your condition and provide a prescription before it can be used.

To learn how Xarelto works, visit our detailed Xarelto guide.

How to take Xarelto

Always take Xarelto exactly as prescribed by your doctor. Do not change your dose, how often you take it, or stop taking it unless your doctor tells you to.

• Follow all directions on your prescription label.
• Ask your doctor or pharmacist if anything is unclear.
• Take Xarelto by mouth with a glass of water.
• If you have trouble swallowing tablets, you can crush them and mix them with applesauce.
• Take your doses at the same time each day to keep a consistent level of medication in your body.
• Do not take Xarelto more often or in larger amounts than prescribed.
• Do not stop taking Xarelto without medical advice. Stopping suddenly can increase your risk of developing a blood clot.
• Refill your prescription before you run out so you do not miss doses.

How you take Xarelto may depend on why it was prescribed:

• After hip or knee replacement surgery, Xarelto may be taken with or without food.
• For atrial fibrillation, DVT, or PE, Xarelto should be taken with food.

Xarelto cautions

Always use Xarelto exactly as prescribed by your doctor. Do not change your dose or stop taking the medication unless your doctor tells you to do so.

Tell your doctor or pharmacist:

• If you are allergic to Xarelto or any other medications.
• If you have any existing medical conditions.
• If you are taking any prescription medications, over-the-counter drugs, supplements, or herbal products. Providing a complete medication and medical history helps reduce the risk of serious interactions or complications.
• If you are pregnant, planning to become pregnant, or breastfeeding.

Xarelto can increase your risk of bleeding. Contact your doctor right away if you notice signs of bleeding, including:

• Bleeding gums or frequent nosebleeds
• Heavy menstrual bleeding or abnormal vaginal bleeding
• Blood in your urine
• Bloody or black, tarry stools
• Coughing up blood
• Vomit that looks like coffee grounds
• Headaches, dizziness, or fainting

Also, be aware of the following:

• Do not stop taking Xarelto without first speaking with your doctor. Stopping the medication suddenly can increase your risk of developing a blood clot or having a stroke.
• You should not use Xarelto if you have an artificial heart valve.
• Some medications can increase your risk of bleeding when taken with Xarelto. Tell your doctor about all medicines you are currently taking or have recently used.
• Xarelto may cause a hematoma if you undergo a spinal tap or receive spinal anesthesia such as an epidural. Make sure any doctor treating you knows that you are taking Xarelto.

Xarelto Side Effects

Get emergency medical help right away if you notice signs of an allergic reaction, including:

• Hives
• Trouble breathing
• Swelling of the face, lips, tongue, or throat

Seek emergency care immediately if you have symptoms of a spinal blood clot, such as:

• Back pain
• Numbness or muscle weakness in your lower body
• Loss of bladder or bowel control

Some people may experience less serious side effects while taking Xarelto, including:

• Muscle pain
• Itching
• Pain in the arms or legs

This is not a complete list of side effects. Other side effects may occur. Contact your doctor for medical advice if you notice any symptoms that concern you while taking Xarelto.

Xarelto interactions

Xarelto works by blocking certain clotting factors in the blood. Because of how it affects blood clotting, some medications can alter Xarelto's effectiveness or increase the risk of side effects, especially bleeding.

• Antiplatelet medications: Taking Xarelto with antiplatelet drugs such as aspirin or clopidogrel can increase the risk of bleeding.

• Nonsteroidal anti-inflammatory drugs (NSAIDs): NSAIDs like ibuprofen or naproxen may also increase bleeding risk when taken with Xarelto.

• Anticonvulsants: Certain seizure medications, including phenytoin and carbamazepine, can reduce the effectiveness of Xarelto, which may increase the risk of blood clots.

• Antifungal medications: Antifungal drugs such as fluconazole or ketoconazole can raise the amount of Xarelto in the blood, increasing the risk of bleeding.

• Antidepressants: Some antidepressants, including fluoxetine and paroxetine, may increase bleeding risk.

Always tell your healthcare provider about every medication you take. This includes prescription drugs, over-the-counter medicines, vitamins, and supplements. Your provider can review potential interactions and determine whether any adjustments are needed to use Xarelto safely.

For more information on Xarelto food and drug interactions, visit our Xarelto interactions guide.

How much is Xarelto in Canada?

Xarelto is significantly cheaper in Canada than in the U.S. cash price market. The exact cost depends on the dosage, quantity ordered, and whether you choose brand-name Xarelto or generic rivaroxaban. 

Xarelto 20 mg price in Canada

For comparison, Xarelto 20 mg in the U.S. costs about $603 for 30 tablets, or roughly $20.10 per tablet (based on estimated U.S. retail pricing; actual prices vary by pharmacy).

What is the generic for Xarelto (rivaroxaban)?

The generic version of Xarelto is rivaroxaban. It contains the same active ingredient and works the same way as brand-name Xarelto.

In the United States, the FDA has approved generic rivaroxaban, but the availability of certain strengths may be limited due to patent considerations, exclusivity arrangements, or distribution factors. 

As a result, many U.S. patients are still prescribed and dispensed brand-name Xarelto. 

In Canada, generic rivaroxaban is widely available, allowing Americans to access lower prices by ordering through online Canadian pharmacies such as Canada Med Pharmacy.

Can I buy Xarelto from Canada?

Yes. Americans can buy Xarelto or generic rivaroxaban from Canada with a valid prescription. Many U.S. patients purchase their medication from online Canadian pharmacies to access lower prices.

Is it safe to buy Xarelto from Canada?

Buying Xarelto from Canada can be safe when you order from a reputable pharmacy. For added safety, look for pharmacies that are members of the Canadian International Pharmacy Association (CIPA). These pharmacies follow strict requirements for prescription verification, medication sourcing, and patient safety.

Where can I buy rivaroxaban online in Canada?

Rivaroxaban can be purchased online through Canadian pharmacies such as Canada Med Pharmacy, which requires a valid prescription and ships medication directly to patients. Pharmacies affiliated with CIPA are commonly recommended for added safety and transparency.

What affects Xarelto’s price in Canada?

Several factors influence the cost of Xarelto in Canada:

• Dosage strength, such as 2.5 mg, 10 mg, 15 mg, or 20 mg
• Brand name Xarelto versus generic rivaroxaban
• Quantity ordered, with larger orders lowering the per tablet cost

Is a prescription required? 

Yes. A valid doctor’s prescription is required to purchase Xarelto or generic rivaroxaban in both Canada and the United States. 

Do you need a Xarelto coupon to order?

Coupons are not needed when ordering from Canada. Canadian pharmacy prices are already much lower than U.S. cash prices, so additional discount cards or manufacturer coupons are unnecessary.

What happens if I miss a dose of Xarelto?

What to do depends on how often you take Xarelto.

• If you take Xarelto once daily: Take the missed dose as soon as you remember. If it is almost time for your next scheduled dose, skip the missed dose and take the next dose as planned. Do not take two doses at the same time.

• If you take Xarelto twice daily: Take the missed dose as soon as you remember. In this situation, two tablets may be taken at the same time. The following day, return to taking one tablet twice daily as directed.

What happens if I overdose on Xarelto?

An overdose of Xarelto can increase the risk of serious bleeding. Contact your local poison control center right away if you think you took too much Xarelto. If someone you know collapses, has a seizure, has trouble breathing, or cannot be awakened, seek emergency medical care immediately.

Where should I keep my Xarelto?

Xarelto should be stored at room temperature and kept out of reach of children. Any unused medication should be discarded after the expiration date.

What should I avoid while using Xarelto?

Because Xarelto affects blood clotting, it is important to avoid situations that could lead to injury. Activities with a high risk of falls or trauma can increase the chance of internal bleeding, which may not be immediately visible. 

Take extra care when using sharp objects and consider using an electric razor instead of a blade. Be gentle when brushing or flossing your teeth, and report any injuries, unusual bruising, or red spots on the skin to your healthcare provider.

If participating in sports or regular physical activity is important to you, talk with your doctor about ways to reduce your bleeding risk while using Xarelto.