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Does Medicare Cover Eliquis?

Clear answers on Eliquis coverage, the new negotiated price, and your costs from licensed specialists at 1-800-MEDIGAP.

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Quick answer

Yes. Medicare Part D plans generally cover Eliquis, the blood thinner, typically on a preferred-brand tier. As one of the first 10 negotiated drugs, its Medicare price dropped to a $231 negotiated 30-day price effective January 1, 2026, a 56% cut versus 2023.

Eliquis is one of America's most-used blood thinners and one of the first drugs with a Medicare-negotiated price. Here is what coverage and cost look like in 2026.

How does Medicare cover Eliquis?

Medicare Part D plans generally cover Eliquis (apixaban), an anticoagulant used to prevent strokes and blood clots, typically on a preferred-brand tier. Unlike weight-loss drugs, Eliquis treats approved medical conditions, so coverage is standard, though each plan sets its own tier and cost-sharing. Eliquis was also among the first 10 drugs in the Medicare Drug Price Negotiation Program, and its lower negotiated price took effect January 1, 2026. To confirm your plan covers Eliquis and see your tier, call 1-800-MEDIGAP at 1-800-633-4427 for a free check.

What does Eliquis cost on Medicare in 2026?

Under the Medicare Drug Price Negotiation Program, Eliquis carries a $231 negotiated price for a 30-day supply in 2026, about 56% lower than its 2023 price. What you actually pay still depends on your plan's deductible and tier cost-sharing, but all covered spending counts toward the 2026 Part D $2,100 annual out-of-pocket cap. After you hit $2,100, covered prescriptions cost nothing for the rest of the year. Because plans differ, a free review at 1-800-MEDIGAP can identify the lowest-cost plan for your medication list.

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Frequently asked questions

Is Eliquis covered by Medicare Part D?+

Yes. Medicare Part D plans generally cover Eliquis, typically on a preferred-brand tier, because it treats approved medical conditions like stroke and clot prevention. Your exact cost depends on your plan's deductible and tier cost-sharing.

What is the 2026 Medicare negotiated price for Eliquis?+

Eliquis was one of the first 10 drugs negotiated under the Medicare Drug Price Negotiation Program. Its negotiated price is $231 for a 30-day supply effective January 1, 2026, roughly 56% lower than the 2023 price. Your plan cost-sharing applies on top of this.

Why did Eliquis get cheaper on Medicare in 2026?+

The Inflation Reduction Act created the Medicare Drug Price Negotiation Program, and Eliquis was among the first 10 drugs negotiated. The negotiated price took effect January 1, 2026, lowering costs for the millions of Medicare enrollees who use it.

How much will I pay for Eliquis in 2026?+

Your cost depends on your plan's deductible and tier, but the new $231 negotiated 30-day price lowers the baseline, and all covered spending counts toward the 2026 $2,100 Part D out-of-pocket cap. After reaching $2,100, covered prescriptions cost nothing.

How do I find the cheapest plan for Eliquis?+

A licensed specialist at 1-800-MEDIGAP can compare Part D plan tiers and total annual cost for Eliquis and your other drugs for free. Call 1-800-633-4427 to find the lowest-cost plan for your prescriptions.

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Does Medicare Cover Eliquis? 2026 | 1-800-MEDIGAP