Xarelto (rivaroxaban)
Patient Assistance Program Guide — Johnson & Johnson Patient Assistance Foundation, Inc. (JJPAF)
Do You Qualify?
Income
Up to $45,180 for a single person
Insurance
Available to uninsured patients or those with insurance that does not provide coverage for Xarelto. Medicare Part D patients may qualify if they meet financial requirements and have exhausted other options.
Residency
U.S. resident with valid address in the United States or U.S. Territories
Income Limits (300% FPL)
Calculated at 300% of the 2025 FPL. JJPAF requires patients to meet this threshold for most Janssen products including Xarelto.
Based on 2025 HHS Federal Poverty Level guidelines.
# Getting Xarelto (Rivaroxaban) Free or at Low Cost Through JJPAF
Who Qualifies for the Johnson & Johnson Patient Assistance Foundation, Inc. (JJPAF)?
If you need Xarelto but cannot afford it, you may be able to get it at no cost through the Johnson & Johnson Patient Assistance Foundation, Inc. (JJPAF). This program provides free Xarelto to patients who meet income and insurance requirements. For a single-person household, your annual income must be at or below $45,180 to qualify. In terms of insurance, this program is designed for people who are uninsured or whose insurance does not cover Xarelto. If you have Medicare Part D, you may still qualify under certain conditions. Keep reading to find out if you are eligible and how to apply.
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About Xarelto (Rivaroxaban)
Xarelto (rivaroxaban) is a prescription blood thinner in a class of drugs called Factor Xa inhibitors, also known as anticoagulants. It is manufactured by Janssen and is FDA-approved to treat or reduce the risk of blood clots in several serious conditions, including non-valvular atrial fibrillation, deep vein thrombosis (DVT), pulmonary embolism (PE), coronary artery disease (CAD), and peripheral artery disease (PAD). Without insurance or financial assistance, Xarelto can cost several hundred dollars per month, putting it out of reach for many patients. There are currently no FDA-approved biosimilar or generic versions of Xarelto available in the United States, which means the brand-name price is the only option on the market.
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Income Eligibility: Full Breakdown
JJPAF uses income thresholds set at 300% of the 2025 Federal Poverty Level (FPL). The table below shows the maximum annual income allowed based on your household size:
| Household Size | Max Annual Income |
|---|---|
| 1 person | $45,180 |
| 2 persons | $61,320 |
| 3 persons | $77,460 |
| 4 persons | $93,600 |
Your income is typically verified using your most recent federal tax return (Form 1040), W-2 forms, or three months of recent pay stubs. If your household size is larger than four people, contact JJPAF directly at (800) 652-6227 to ask about your specific situation, as income limits increase with each additional household member.
If your income is above these limits, you will likely not qualify for the free medication program. However, you are not without options. Insured patients who earn too much for JJPAF may still be able to reduce their costs through the Xarelto savings card program (covered in the Alternatives section). Income is evaluated at the household level, so be sure to account for all sources of income in your home when determining whether you fall within the guidelines.
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Insurance Requirements Explained
Your insurance situation plays a big role in whether you qualify. Here is how different coverage types are handled:
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Step-by-Step: How to Apply
Follow these steps to apply for free Xarelto through JJPAF:
1. Gather your documents. You will need: proof of income (your most recent IRS Form 1040, W-2, or three months of pay stubs), a valid prescription for Xarelto from a licensed U.S. healthcare provider, and a completed application signed by both you and your doctor.
2. Choose how to apply. You can apply online, by phone, or by fax:
- Online: Visit https://www.jjpaf.org/ to complete the application digitally.
- Phone: Call (800) 652-6227 to speak with a program representative who can walk you through the process.
- Fax: Submit your completed application and documents by fax to (888) 526-5168.
3. Complete the application. The application has two sections — one for you (the patient) and one for your healthcare provider. Both sections must be filled out and signed before submission.
4. Submit your income documentation. Attach your proof of income to the application when you submit it.
5. Wait for a decision. JJPAF typically processes applications within 2 to 3 business days of receiving a complete submission.
6. Receive confirmation. Once approved, you will be notified of your enrollment status. Your medication will then be arranged for delivery.
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What to Expect: Timeline and Delivery
After you submit a complete application, JJPAF typically makes a decision within 2 to 3 business days. Once approved, your Xarelto will be shipped directly to your home address — you do not need to pick it up at a pharmacy or your doctor's office. You do not need to do anything at the time of delivery beyond being available to receive the package. Your enrollment in the program is not permanent. You will need to reauthorize your eligibility once per year to continue receiving medication at no cost. JJPAF will typically notify you when renewal is approaching. At that time, you will need to resubmit updated income documentation and have your provider confirm that you still need the medication.
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Alternatives If You Don't Qualify
If you do not meet the JJPAF requirements, there are still ways to lower your Xarelto costs:
1. Biosimilars: There are currently no FDA-approved biosimilar or generic versions of Xarelto available. This may change in the future, so ask your pharmacist for updates.
2. Xarelto Savings Card (for insured patients): If you have private insurance, you may be eligible for a manufacturer savings card that reduces your out-of-pocket cost at the pharmacy. Visit https://www.xarelto-us.com/xarelto-cost-support to learn more and enroll.
3. State Pharmaceutical Assistance Programs (SPAPs): Many states offer their own programs that help residents pay for prescription drugs. Eligibility and benefits vary by state. Contact your state health department or benefits office to ask what is available where you live.
4. NeedyMeds.org: This free online database lists hundreds of assistance programs, including disease-specific programs and state resources. Visit https://www.needymeds.org and search for Xarelto to find additional options that may apply to your situation.
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*This guide is for informational purposes only and does not constitute medical or legal advice. Eligibility determinations are made solely by Janssen. Program terms may change — verify current requirements at [https://www.xarelto-us.com/financial-support](https://www.xarelto-us.com/financial-support) before applying.*
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Documents You'll Need
If You Don't Qualify for the Assistance Program
Manufacturer Savings Card (for insured patients)
Janssen offers a savings card that may reduce your out-of-pocket cost if you have commercial insurance. Ask your prescriber or pharmacist for current savings card details.
Common Questions
JJPAF typically processes complete applications within 2 to 3 business days. Make sure your application includes all required documents — including proof of income and your provider's signed section — so there are no delays.
Yes. If you are approved, Xarelto is shipped directly to your home address. You do not need to visit a pharmacy or your doctor's office to pick it up.
You may qualify if you meet the income requirements and have exhausted other available options, such as Medicare Extra Help (also called the Low Income Subsidy). Medicare Part D coverage alone does not automatically disqualify you, but approval is not guaranteed.
Your enrollment must be renewed once per year. JJPAF will typically notify you when it is time to reauthorize. You will need to provide updated income documentation and have your healthcare provider confirm that you still require Xarelto.
No. As of now, there are no FDA-approved generic or biosimilar versions of Xarelto (rivaroxaban) available in the United States. If that changes, your pharmacist or prescriber can advise you on lower-cost alternatives.
Ready to Apply for Xarelto Assistance?
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