Xarelto

Indicated For

venous thromboembolism prevention, stroke prevention in atrial fibrillation, DVT/PE treatment

About This Medication

# Johnson & Johnson Patient Assistance Foundation Patient Guide: How to Get Xarelto (rivaroxaban) at Low or No Cost The **Johnson & Johnson Patient Assistance Foundation** offers **Xarelto (rivaroxaban)** at no cost to eligible patients who are uninsured or underinsured and meet income requirements. This program, run by Janssen (a Johnson & Johnson company), helps U.S. residents access this important blood thinner medication without high out-of-pocket expenses. ## About Xarelto (rivaroxaban) **Xarelto** is a prescription anticoagulant, often called a blood thinner, used to prevent and treat blood clots. It reduces the risk of deep vein thrombosis (DVT), pulmonary embolism (PE), and stroke in people with conditions like atrial fibrillation or after hip/knee surgery. Unlike older blood thinners like warfarin, Xarelto doesn't require frequent blood tests and has fewer food interactions, making it convenient for many patients. Always take it exactly as prescribed by your doctor, and never stop without medical advice due to clot risks. ## Who Qualifies for the Program? This program is for U.S. residents (including territories) prescribed Xarelto by a U.S.-licensed doctor for outpatient use. You must lack adequate prescription coverage or face high costs. Key groups include: - **Uninsured patients** with limited income. - **Underinsured patients** with commercial, employer, Medicare, Medicaid, or TRICARE plans that don't fully cover costs. **Special note for Medicare Part D patients**: You're eligible only if you don't qualify for the Low-Income Subsidy (LIS) and spend more than 4% of your gross annual household income on prescription drugs. Provide proof like pharmacy reports or Explanation of Benefits (EOB). ## Income Eligibility Breakdown Income limits apply based on household size and Federal Poverty Level (FPL), typically up to 400-500% FPL depending on the medication—exact thresholds vary, so call (800) 652-6227 to confirm for Xarelto. A credit check (no impact on score) verifies income. Below is a general example table based on 2026 FPL guidelines (adjust for your year; program confirms exacts): | Household Size | Max Annual Income (up to ~400% FPL) | |----------------|-------------------------------------| | 1 (Individual) | ~$60,000 | | 2 (Couple) | ~$81,000 | | 3 | ~$102,000 | | 4 | ~$123,000 | *Notes*: Include all household dependents. Provide your most recent 1040/1040-SR tax return. Puerto Rico residents need additional financial docs like Form 482. ## Insurance Requirements - **Uninsured**: Fully eligible if income-qualified. - **Underinsured**: Commercial/employer plans OK if coverage gaps exist. Government plans (Medicare, Medicaid, TRICARE) accepted if they don't meet needs. - **Medicare Part D**: Must prove >4% income spent on drugs and no LIS eligibility (if ≤150% FPL). - No use with coupons, savings cards, or trials. Submit front/back of all insurance cards. The program checks coverage and may require denial proof. ## Step-by-Step Application Process 1. **Confirm Eligibility**: Call (800) 652-6227 or visit jnjwithme.com to check income/insurance fit. Download form from JanssenPatientAssistance.com or portal.jnjwithme.com. 2. **Gather Documents**: - Proof of income (1040 tax return). - Proof of residency (utility bill, etc.). - Valid Xarelto prescription. - Insurance info (cards, EOB for Medicare). 3. **Complete Form**: Fill Patient Enrollment Form (pages for patient, doctor, authorization). Doctor signs page 3. Review/sign consent/terms (online option at JJPatientAssistance.com/PA). 4. **Submit**: Fax to 1-833-512-0497 or mail (multiple methods). Include checklist items to avoid delays. 5. **Follow Up**: Call 833-742-0791 (M-F, 8am-8pm ET) for status. Notify within 30 days of income/insurance changes. ## Timeline and Delivery Processing takes 2-4 weeks if complete; incomplete apps delay. Once approved, **Xarelto ships free** to your home or doctor's office. Supply duration varies (often 3-12 months); **reauthorization required** annually or on changes—resubmit updated docs. ## Alternatives if Denied or Ineligible - **Other Assistance**: Simplefill.com helps apply; Janssen CarePath for savings cards (if insured). - **State Programs**: Check Medicaid or generic options. - **NeedyMeds.org** or RxAssist.org for comparables. - **Doctor Samples** or pharmacy discounts. - No biosimilars for Xarelto listed. ## Disclaimer This guide is for informational purposes based on program details as of 2026. Eligibility/rules change—verify with (800) 652-6227. Not medical/financial advice. Consult your doctor for treatment. Program meds can't be sold/traded. Johnson & Johnson disclaims liability for errors.

Program information last verified: March 25, 2026