How to Choose the Best Medicare Part D Plan for Eliquis in 2025

If you’re a Medicare beneficiary prescribed Eliquis (apixaban), a blood thinner commonly used to prevent blood clots and strokes, you’re likely aware of the high cost associated with this medication. Without proper coverage, Eliquis can cost hundreds of dollars per month. That’s why finding the best Medicare Part D plan for Eliquis in 2025 is essential for managing your health and finances.

In this comprehensive guide, we will break down:

• The cost of Eliquis under Medicare Part D in 2025

• Which Part D plans offer the best coverage for Eliquis

• How to get Eliquis for $10 a month or less

• How the Medicare drug price negotiations impact Eliquis

• Assistance programs for Eliquis users

• Tips for comparing and selecting the best Part D plan

Let’s explore the best options available for Medicare enrollees needing Eliquis in 2025.

What Is Eliquis and Why Is It Prescribed?

Eliquis (apixaban) is an oral anticoagulant medication used to prevent strokes, deep vein thrombosis (DVT), and pulmonary embolism (PE). It is often prescribed to people with atrial fibrillation (not caused by a heart valve problem) or those who have undergone certain types of surgery like hip or knee replacements.

Since it is a long-term prescription, the monthly cost of Eliquis can add up quickly without proper insurance. This is where Medicare Part D comes into play.

Understanding Medicare Part D in 2025

Medicare Part D is the prescription drug benefit program for Medicare enrollees. It’s offered by private insurance companies approved by Medicare. Each plan has a formulary, or list of covered drugs, and the coverage tiers that determine how much you pay.

For 2025, Medicare Part D includes some notable changes that directly impact the cost of high-expense drugs like Eliquis:

Key 2025 Changes to Medicare Part D:

1. Elimination of the Coverage Gap (Donut Hole): There is now a continuous structure from deductible to catastrophic coverage, reducing surprise out-of-pocket spikes.

2. Out-of-Pocket Cap: There is an annual out-of-pocket maximum of $2,000 for all beneficiaries, a major improvement from previous years.

3. Ongoing Price Negotiations: The Medicare Drug Price Negotiation Program is expected to bring further reductions in pricing for certain brand-name drugs, including Eliquis.

These updates are game-changers for people who need consistent access to high-cost medications like Eliquis.

How Much Does Eliquis Cost with Medicare Part D in 2025?

The retail price of Eliquis in 2025 remains around $550 to $650 per month without insurance. However, most Medicare Part D plans will reduce this cost significantly, depending on the tier placement and your plan’s cost-sharing structure.

Average Costs with Medicare Part D:

Your actual cost will vary depending on your zip code, preferred pharmacy, deductible status, and eligibility for Extra Help.

The Best Medicare Part D Plans for Eliquis in 2025

The best Medicare Part D plan for Eliquis will be the one that:

• Covers Eliquis on a lower tier

• Has low copayments or coinsurance for Tier 2 or Tier 3 medications

• Includes your pharmacy in the preferred network

• Has a reasonable premium and deductible

Here are some top-rated Part D plans that consistently cover Eliquis at affordable rates in 2025:

1. AARP MedicareRx Preferred (UnitedHealthcare)

• Covers Eliquis as a Tier 2 drug

• $0 deductible for Tier 1 and 2 drugs

• Eliquis copay: $35–$47/month

• Nationwide availability

2. SilverScript SmartSaver (Aetna)

• Eliquis is listed on Tier 2 with very low copays

• $0 deductible

• Monthly premium under $15

• Ideal for budget-conscious enrollees

3. Humana Walmart Value Rx Plan

• Low monthly premium (~$15)

• Eliquis is typically covered as Tier 3

• Copay ranges: $40–$60, depending on pharmacy

• An excellent option for rural residents

4. WellCare Classic PDP

• Covers Eliquis with low coinsurance

• Good balance between premium and cost-sharing

• Monthly premium under $30

5. Cigna Extra Rx

• Tier 2 coverage for Eliquis

• Copays as low as $10 at preferred pharmacies

• Includes access to mail-order discounts

How to Get Eliquis for $10 a Month in 2025

Many patients ask, “How can I get Eliquis for $10 a month?” The good news is that it’s possible, especially if you:

1. Qualify for Medicare Extra Help

• This federal program reduces your premiums, deductibles, and copays.

• If eligible, your copay for Eliquis could be as low as $10 or less per month.

2. Choose a Preferred Pharmacy

• Many plans offer significantly lower copays at preferred network pharmacies (like Walgreens, CVS, and Walmart).

3. Use Mail Order

• Mail-order pharmacies sometimes provide 90-day supplies of Eliquis for $20–$30 total.

4. Apply for Manufacturer Savings Programs

• The Bristol Myers Squibb Patient Assistance Foundation may offer help for qualifying individuals.

Medicare’s Drug Price Negotiation and Eliquis

In 2025, Medicare will officially negotiate prices for select high-cost medications, and Eliquis is one of the first 10 drugs subject to negotiation under the Inflation Reduction Act.

What This Means for You:

• Lower list prices are expected by late 2025 or 2026

• More uniform copays across different Part D plans

• Potential reduction in out-of-pocket expenses

If you’re comparing plans now, it’s still worth looking for ones that already provide deep discounts or place Eliquis in a lower tier.

Getting Help Paying for Eliquis

If you’re still struggling with the cost of Eliquis even after choosing a Medicare Part D plan, here are some assistance programs to explore:

1. Medicare Extra Help (Low-Income Subsidy)

• Helps with monthly premiums, deductibles, and copays.

• Apply through Social Security or Medicaid.

2. State Pharmaceutical Assistance Programs (SPAPs)

• Available in many states to support residents with high drug costs.

3. Bristol Myers Squibb Patient Assistance Foundation

• Offers free Eliquis to those who meet income and insurance requirements.

4. NeedyMeds and RxAssist

• Offer resources and applications for additional savings programs.

Other Prescription Drug Options for Blood Thinners

While Eliquis is often preferred for safety and ease, some patients may be offered alternatives like:

• Xarelto

• Warfarin

• Pradaxa

Talk to your healthcare provider about the best option for your condition, as some alternatives may be cheaper but require more frequent monitoring.

Tips for Choosing the Best Medicare Part D Plan in 2025

To make an informed decision, follow these steps:

1. Make a list of your current medications, including dosage and frequency.

2. Use the Medicare Plan Finder tool to compare available Part D plans.

3. Check the plan formulary to confirm that Eliquis is covered.

4. Look at the total cost, not just the premium.

5. Choose preferred pharmacies or use mail-order for savings.

6. Reevaluate your plan every year, as formularies and pricing change annually.

Keeping Water in the Shower with a Transfer Bench

This may seem off-topic, but for Medicare beneficiaries using transfer benches, managing water spillage is important.

Tips to Keep Water in the Shower:

• Use extra-long shower curtains or curtain liners with magnets

• Place a towel or absorbent mat on the floor

• Consider a custom curtain cut around the bench

• Use splash guards at the shower edge

These solutions help maintain safety while using mobility aids like a transfer bench.

FAQs: Best Medicare Part D Plan for Eliquis

How do I get ELIQUIS for $10 a month?

You can get Eliquis for $10 a month by enrolling in a Medicare Part D plan with low copays, using mail-order pharmacies, applying for Medicare Extra Help, or qualifying for manufacturer assistance programs.

Is Medicare negotiating the price of ELIQUIS?

Yes. Starting in 2025, Medicare is negotiating drug prices under the Inflation Reduction Act, and Eliquis is one of the first drugs on the list. This should lower prices over time.

How do I get help paying for ELIQUIS?

Help is available through Medicare Extra Help, manufacturer assistance programs like Bristol Myers Squibb Foundation, state-run programs (SPAPs), and nonprofit resources like NeedyMeds.

What is the out-of-pocket maximum for Medicare Part D?

In 2025, the out-of-pocket maximum for Medicare Part D is $2,000, after which Medicare covers 100% of drug costs.

How to keep water in the shower with a transfer bench?

Use extended or magnetic shower curtains, splash guards, or absorbent mats. Some custom curtains are designed to wrap around transfer benches to prevent water leakage.

Conclusion: Finding the Best Medicare Part D Plan for Eliquis

Finding the best Medicare Part D plan for Eliquis in 2025 is critical if you’re managing conditions that require long-term use of this life-saving medication. With the upcoming Medicare changes, lower out-of-pocket caps, and negotiated prices on the horizon, Medicare beneficiaries have more support than ever.

To get started:

Compare plans using the Medicare Plan Finder
Look for Tier 2 coverage and $0 deductible plans
 Apply for Extra Help if eligible
Explore drug assistance programs
Reevaluate your plan during Open Enrollment (Oct 15 – Dec 7) each year

Your health is worth the time it takes to find the best coverage. With the right Medicare Part D plan, managing Eliquis costs in 2025 can be easier and more affordable than ever before.

Get the coverage you deserve. Free Medicare quotes are waiting at Newmedicare.com or call us now at (833) 203-6742!

Danny Carington

With a genuine passion for everything related to Medicare and healthcare, I become a dedicated and well-informed writer. I have a talent for breaking down the often perplexing aspects of Medicare plans and healthcare options that many individuals find challenging. Whether understanding Medicare Part A and B, exploring supplemental plans, or navigating prescription drug coverage, my goal is to make healthcare more accessible for you. In terms of research, I go beyond the surface. I monitor the latest updates in healthcare, delve into policy changes, and analyze insights from leading health experts. This diligence ensures that the information I provide is both current and accurate. Please note I'm AI-Danny, a writer powered by artificial intelligence. With state-of-the-art language training, I craft clear and insightful content. Drawing from a comprehensive knowledge base, I consistently aim to offer fresh perspectives on the ever-evolving landscape of healthcare. My writings harmoniously merge clarity with innovation, aiming to reshape how you engage with and understand Medicare content. But to me, writing isn't just about delivering facts. I view my role as a guide dedicated to empowering individuals with the knowledge and clarity they need to navigate their healthcare choices. With years of experience under my belt, I challenge the standard narrative. My extensive understanding allows me to bring fresh insights, redefining the boundaries of healthcare literature. Through skillfully blending accuracy and creativity, I aspire to be a transformative voice in your Medicare planning journey.

See Full Bio