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Every price names its source
No sponsorships, referrals or clinic partnerships
EpiPen, insulin & Ozempic prices refreshed October 2026
Cost comparison only — not medical advice
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Drug Prices

Eliquis Price by Country: $346 in the US, €59 in France

The same blood thinner, the same 5 mg tablet — priced from official databases in seven places, with what patients actually pay.

November 2026 · Updated November 6, 2026 · By Wellness Vision 5 min read 13 sources

Researched with AI assistance; every figure is checked against the primary source cited on this page before publishing. How we work →

Key Takeaways

  • $346 list, $231 for Medicare. Bristol Myers Squibb lists a 30-day supply at $346 (as of January 2026); Medicare's negotiated price, in force since January 1, 2026, is $231 — down from a $521 list price in 2023 (CMS).
  • Europe: about $66 to $104 for the same month. Official prices for 60 tablets of Eliquis 5 mg, converted at ECB rates: France $66, the Netherlands $75, the UK $76, Switzerland $104 (our calculation for packs of 56 and per-tablet prices).
  • Generic apixaban changes the picture in the UK. The NHS Drug Tariff pays £2.08 for 56 generic tablets — about $3 for a month.
  • Most patients don't pay the list price. US patients pay $48 a month on average, according to the maker; England charges £9.90 per item; Germany a €5–€10 co-payment.

Eliquis Price by Country (November 2026)

Eliquis 5 mg, the standard dose taken twice a day, so 30 days = 60 tablets. Each country's own official price; where the official pack has 56 tablets or the source gives a price per tablet, we convert to 60 tablets (our calculation: pack price ÷ tablets × 60). US dollars at European Central Bank reference rates of October 30, 2026. The price types differ — list price, negotiated price, pharmacy acquisition cost, retail price — and are labelled.

30 days = 60 tablets of 5 mg. US: BMS list price (January 2026), CMS negotiated price (2026), CMS NADAC (October 28, 2026). UK: NHS dm+d and Drug Tariff (October 2026). France: BDPM official price excluding dispensing fee (September 29, 2026). Switzerland: BAG public price. Netherlands: Zorginstituut average price per tablet (to November 1, 2026). Converted at ECB rates of October 30, 2026; packs of 56 and per-tablet prices scaled to 60 tablets (our calculation).
CountryOfficial price30 days in US dollarsWhat a patient typically pays
🇺🇸 United States (list)$346 per 30-day supply (Bristol Myers Squibb, Jan 2026)$346$48 a month on average, depending on insurance (maker's figure)
🇺🇸 United States (Medicare)$231 negotiated price per 30-day supply, since Jan 1, 2026 (CMS)$231Depends on the Part D plan
🇺🇸 United States (pharmacy cost)$5.52144 per tablet (CMS NADAC, Oct 28, 2026)$331—
🇬🇧 United Kingdom£53.20 for 56 tablets (NHS price); generic apixaban £2.08 for 56 (Drug Tariff, from Oct 1, 2026)$76 · generic $3£9.90 per item in England; free in Scotland, Wales and Northern Ireland
🇫🇷 France€58.95 for 60 tablets (official price excluding dispensing fee)$6635% of the price unless a complementary insurer covers it (65% reimbursed)
🇨🇭 SwitzerlandCHF 80.10 for 56 tablets (public price)$10410% share after the annual deductible
🇦🇹 Austria€77.55 for 60 tablets (social-insurance price excl. VAT; effective price may be lower under a price model)$87€7.55 prescription fee per pack; insurer approval needed first
🇳🇱 Netherlands€1.12 per tablet (average pharmacy price)$75Fully reimbursed; counts toward the annual deductible
🇩🇪 GermanyNo statutory price ceiling (Festbetrag) for apixaban—€5–€10 co-payment per pack (10%, min. €5, max. €10)

We compare prices; we do not recommend where to buy medicine. Whether to take or switch an anticoagulant is a decision for your doctor.

What the Numbers Mean

Three US prices, three different things

The $346 list price is what Bristol Myers Squibb charges wholesalers, also called the wholesale acquisition cost. The $231 is the price Medicare negotiated under the Inflation Reduction Act; it took effect on January 1, 2026, 56% below the 2023 list price of $521, according to CMS. CMS's price file of November 2, 2026 adjusts the price for inflation to $237.25 from January 1, 2027. The $331 is the national average that pharmacies paid to buy 60 tablets in late October 2026 (NADAC). Pharmacies that dispense it to Medicare patients are refunded the difference by the drug maker afterwards (CMS), so NADAC does not show what Medicare ends up paying.

Europe sets prices by law — and pays less

France, Switzerland, the Netherlands and the UK publish an official price for the same 5 mg tablet. Converted to 60 tablets at ECB rates, they range from about $66 in France to $104 in Switzerland — about 19% to 30% of the US list price (our calculation: $66 ÷ $346 and $104 ÷ $346). Generic apixaban is listed in the UK and the Netherlands; the UK's Drug Tariff price of £2.08 for 56 tablets is a fraction of the brand.

Germany: no price ceiling yet

Apixaban is not on the German statutory price-ceiling (Festbetrag) list of October 15, 2026. On January 13, 2026, the Federal Joint Committee opened a consultation on forming a reference-price group for direct oral anticoagulants, the first step toward such a ceiling. Insured patients pay the usual co-payment of 10% of the price, at least €5 and at most €10 per pack; from 2027 the limits rise to €7.50 and €15.

Frequently Asked Questions

How much does Eliquis cost in the US compared with other countries?

Bristol Myers Squibb lists a 30-day supply of Eliquis at $346 (as of January 2026), and Medicare has paid a negotiated $231 for a 30-day supply since January 1, 2026 (CMS). US pharmacies pay about $331 for 60 tablets (CMS NADAC, October 2026). Official prices elsewhere: €58.95 for 60 tablets in France, £53.20 for 56 tablets in the UK, CHF 80.10 for 56 tablets in Switzerland and about €1.12 per tablet in the Netherlands — roughly $66 to $104 for 60 tablets at ECB rates.

What do patients actually pay for Eliquis?

In the US, Bristol Myers Squibb says patients pay $48 a month on average (claims from October 2024 to September 2025), depending on insurance. In England each prescription item costs £9.90. France reimburses 65% of the official price. In Germany statutory insurance covers it with a co-payment of 10% of the price, at least €5 and at most €10 per pack. In Switzerland insured patients pay a 10% share after their deductible, and in the Netherlands it is fully reimbursed but counts toward the annual deductible.

Is there a generic Eliquis (apixaban)?

Yes in some countries. The UK's Drug Tariff lists generic apixaban 5 mg at £2.08 for 56 tablets (from October 1, 2026), and the Netherlands lists a generic at practically the same average price as the brand. In the US, the national pharmacy price survey (NADAC, October 28, 2026) shows only the brand.

Why is Medicare's price lower than what pharmacies pay?

The $231 is Medicare's negotiated price for a 30-day supply. NADAC (about $331 for 60 tablets) measures what pharmacies pay to acquire the drug; under the negotiation program the drug maker refunds pharmacies the difference afterwards (CMS), so the two numbers measure different things.

What does Eliquis cost in Germany?

Germany has no statutory price ceiling (Festbetrag) for apixaban: it does not appear on the list of October 15, 2026. In January 2026 the Federal Joint Committee (G-BA) opened a consultation on a reference-price group for direct oral anticoagulants, so this may change. We found no current official pharmacy price that is freely published, so we show none.

Sources

  1. CMS — Negotiated prices for initial price applicability year 2026 (fact sheet): Eliquis $231 negotiated price, $521 list price (2023), 30-day supply, 56% lower
  2. CMS — Selected drug list and maximum fair price data file (November 2, 2026): Eliquis $231 per 30-day supply in 2026, $237.25 from January 1, 2027 (inflation adjustment)
  3. Bristol Myers Squibb — Eliquis pricing: "The list price for a 30-day supply of ELIQUIS is $346" (as of January 2026); patients pay $48 a month on average (as of December 2025)
  4. CMS — Medicare Drug Price Negotiation Program: final guidance and effectuation of the negotiated price (retrospective refunds from drug makers to pharmacies)
  5. CMS — NADAC (National Average Drug Acquisition Cost), as of October 28, 2026: Eliquis 5 mg tablet $5.52144
  6. NHS dm+d — Eliquis 5 mg tablets, 56: NHS indicative price £53.20 (since March 1, 2016)
  7. NHS dm+d — Apixaban 5 mg tablets, 56: Drug Tariff price £2.08 (from October 1, 2026)
  8. NHS Business Services Authority — prescription charge £9.90 per item (England)
  9. Base de données publique des médicaments — Eliquis 5 mg, 60 tablets: €58.95 excluding dispensing fee, 65% reimbursed (updated September 29, 2026)
  10. Federal Office of Public Health (BAG) — Spezialitätenliste: Eliquis 5 mg, 56 tablets, public price CHF 80.10; cost share 10%
  11. Austrian social insurance (Dachverband) — Erstattungskodex monthly data, Nov 2026: Eliquis 5 mg Filmtabl. €77.55 (price model) (social-insurance price excl. VAT; chief-physician approval (RE1))
  12. oesterreich.gv.at — prescription fee (Rezeptgebühr) €7.55 per pack since January 1, 2026
  13. Zorginstituut Nederland — Medicijnkosten.nl: Eliquis 5 mg, average price €1.12 per tablet, fully reimbursed (updated to November 1, 2026)
  14. BfArM / GKV-Spitzenverband — Festbetrag list as of October 15, 2026 (no entry for apixaban)
  15. Federal Joint Committee (G-BA) — consultation on a reference-price group for direct oral anticoagulants, January 13, 2026
  16. European Central Bank — reference rates, October 30, 2026 (1 US dollar = €0.89509 = £0.74633 = CHF 0.82295)

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Wellness Vision Editorial Policy

Wellness Vision does not sell medicine, recommend pharmacies or suppliers, or take payments from drug makers. Every price above comes from the official source cited; conversions and per-60-tablet figures are our own calculations, shown with their formula. This is a cost comparison, not medical advice.

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