How much does Eliquis cost with Medicare in New Jersey?

Eliquis (apixaban) is a factor Xa inhibitor (a direct oral anticoagulant). Doctors prescribe it to lower stroke risk in atrial fibrillation and to treat or prevent deep vein thrombosis and pulmonary embolism. It is the most widely filled brand on our prescription pages: 127,614 New Jersey Part D members received it in 2024 from 13,322 different prescribers. Your own price depends on your plan's deductible and the tier Eliquis sits on.

Eliquis under Medicare Part D: New Jersey, national and 2026 price figures

Eliquis	Amount
New Jersey Part D members who filled Eliquis (2024)	127,614
New Jersey gross cost per 30-day fill (2024)	$531.21
New Jersey patient share per 30-day fill (2024)	$44.96
Medicare negotiated price, 30 days (2026)	$231
Discount from the 2023 list price of $521	56%
Americans with Part D who used Eliquis (2023)	3,928,000
One year alone, standard design (2026)	$1,154.25
Most common tier on renewing Part D plans for 2027 (national)	Tier 3 (4,287 of 4,748 plans)

Source: CMS fact sheet: negotiated prices for initial price applicability year 2026.

Eliquis and the 2026 negotiated price

Eliquis carried the largest Part D bill of the first ten negotiated drugs: $18.3 billion in gross spending for 3,928,000 enrollees in 2023, according to CMS. The negotiated price of $231 is 56% below the 2023 list price of $521. You can already see it in the national claims data: average gross spending per apixaban claim fell from $912.31 across 2025 to $399.01 in the first quarter of 2026.

Bristol Myers Squibb notes on its own pricing page that the government price does not set what a member pays. Your plan does that, through its deductible and tier.

Reading the New Jersey figures

Across New Jersey in 2024, apixaban accounted for 1,084,211 thirty-day fills and $575,944,261 in gross cost, and members themselves covered $48,745,652 of it, roughly one dollar in twelve. Those figures predate the yearly out-of-pocket limit that began in 2025.

The $44.96 average blends people with Extra Help, who paid a few dollars, with people still inside a deductible, who paid full price. Treat it as a midpoint, never as a quote for your own plan.

When will generic apixaban arrive?

FDA approved the first two generic versions of Eliquis on December 23, 2019, yet you cannot buy them in the United States. After a 2021 appeals court ruling upheld the Eliquis patents, Bristol Myers Squibb reported to the SEC that the earliest generic makers are permitted to launch apixaban is April 1, 2028, subject to further appeals. CMS lists no removal for Eliquis, so the negotiated price still applies for 2027.

A worked year of Eliquis on the standard design

Suppose your plan uses the full $615 deductible and 25% coinsurance that Medicare.gov describes, and the pharmacy price is the $231 negotiated price. January and February cost $231 each. March costs $172.50, which finishes the deductible. April through December cost $57.75 each. The year totals $1,154.25, comfortably under the $2,100 cap, so the cap only matters if you take other costly brands too.

For 2027, with the $700 maximum deductible and the same price, the year would come to about $1,218. In Camden County, 3 of the 34 Medicare Advantage plans with drug coverage set a $0 drug deductible for 2027, which lowers the early months.

Smoothing the bill and finding help

The Medicare Prescription Payment Plan lets you pay $0 at the counter and receive a monthly bill instead. Starting in January, the first bill would be about $19.25 rather than $231, and February's about $40.25. It spreads cost; it does not reduce it.

The Eliquis co-pay card requires that you have no prescription coverage through a state or federal program, so it does not work with Part D. Extra Help does: for 2026 it is open to single people with income up to $23,940, and brand-name copays for 2027 are no more than $14.40.

Eliquis on New Jersey plans, and PAAD

Plans rarely hide Eliquis: 4,287 of the 4,748 renewing Part D plans nationwide keep it on tier 3 for 2027, and 309 moved it to a lower tier than in 2026, per CMS formulary files. If you use Original Medicare, New Jersey has 11 stand-alone drug plans for 2027, and 7 of them use the full $700 deductible, so the deductible months above apply to most of them.

New Jersey's PAAD program changes the picture for people who qualify: residents 65 or older, or 18 to 64 on Social Security disability, with 2026 income under $54,943 single or $62,390 married pay $7 for each PAAD-covered brand-name prescription. Twelve monthly Eliquis fills at that copay come to $84. PAAD members must also be in a Part D plan (NJ Division of Aging Services, 1-800-792-9745).

Related questions

Sources

1. CMS Medicare Part D Prescribers by Geography and Drug, 2024 (New Jersey) Centers for Medicare & Medicaid Services
2. CMS fact sheet: negotiated prices for initial price applicability year 2026 Centers for Medicare & Medicaid Services
3. CMS Medicare Quarterly Part D Spending by Drug Centers for Medicare & Medicaid Services
4. Medicare.gov: How much does Medicare drug coverage cost? Centers for Medicare & Medicaid Services
5. FDA: 2019 First Generic Drug Approvals U.S. Food and Drug Administration
6. Bristol Myers Squibb third quarter 2021 results (SEC Form 8-K, Exhibit 99.1) Bristol Myers Squibb (U.S. Securities and Exchange Commission filing)
7. Bristol Myers Squibb: Eliquis price and co-pay card terms Bristol Myers Squibb
8. Medicare.gov: Medicare Prescription Payment Plan, before using this payment option Centers for Medicare & Medicaid Services
9. Medicare.gov: Help with drug costs (Extra Help) Centers for Medicare & Medicaid Services
10. CMS Monthly Prescription Drug Plan Formulary and Pharmacy Network Information (CY2026 and CY2027 basic drugs formulary), with the CMS 2027 plan crosswalk Centers for Medicare & Medicaid Services
11. CMS CY2027 landscape, New Jersey stand-alone Part D plans (PDP region 04) Centers for Medicare & Medicaid Services
12. New Jersey Division of Aging Services: Pharmaceutical Assistance to the Aged and Disabled (PAAD) New Jersey Department of Human Services, Division of Aging Services

Please note: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.Garden State Medicare Solutions is not connected with or endorsed by the United States government or the federal Medicare program. Medicare has neither endorsed nor reviewed this information.