If you're one of the millions of Medicare beneficiaries who rely on Eliquis (apixaban) to manage conditions like atrial fibrillation or blood clots, you’ve likely noticed how expensive this essential medication can be. For years, the high cost of Eliquis has been a major burden for many people on fixed incomes, but there’s good news on the horizon. In 2025, thanks to significant changes to Medicare Part D plans and drug price negotiations, Eliquis is about to become more affordable.

Let's dive into what’s changing, how much you can expect to save, and what steps you need to take to ensure you’re making the most of your Medicare benefits.

What’s Changing for 2025?

The great news for 2025 is that Eliquis is one of the drugs that will benefit from Medicare’s new pricing structure that includes a maximum out of pocket on prescription drugs and the way in which it is being calculated. It is quite possible that beneficiaries WILL NOT pay $2000 out of their pocket for their prescriptions based on how this program is structured.

You can see significantly lower costs for Eliquis under Medicare Part D plans.

What’s the Medicare Prescription Drug Payment Plan?

Another important change coming in 2025 is the introduction of the Medicare Prescription Drug Payment Plan, a program designed to help spread out the cost of high-cost medications, including Eliquis, over time. Rather than paying a large amount upfront when you fill your prescription, you’ll have the option to spread out your payments across the year.

This is a huge benefit for anyone who struggles to budget for their medications and makes paying for essential drugs more predictable and manageable. If Eliquis is part of your regular medication regimen, this payment plan could further ease the burden of out-of-pocket costs.

How to Maximize Your Savings on Eliquis in 2025

To ensure you're making the most of the savings on Eliquis and other medications in 2025, here are a few steps to follow:

1. Review Your Medicare Part D Plan During the Annual Enrollment Period

Every year, Medicare beneficiaries have the opportunity to review and change their Medicare Advantage or Part D plans during the Annual Enrollment Period (AEP), which runs from October 15 to December 7. For 2025, it’s especially important to take a close look at your plan options.

With the new negotiated prices and cost caps coming into effect, it’s possible that your current plan might not be the best fit for your needs. Review the formulary (list of covered drugs) for each plan you’re considering to ensure Eliquis is still covered at the lower price, and check if your plan offers the Medicare Prescription Drug Payment Plan option.

2. Confirm Your Pharmacy Is in the Network

Pharmacy networks can vary depending on your Part D plan, and your costs could be higher if you use a pharmacy that’s outside of your plan’s preferred network. Make sure the pharmacy where you fill your Eliquis prescription is in-network for your chosen plan, and consider switching to a preferred pharmacy if it results in lower costs.

3. Consider Enrolling in Extra Help

If your income is limited, you may qualify for the Extra Help program, which provides financial assistance with Medicare prescription drug costs. In 2025, the qualifications for Extra Help are expanding, meaning more people than ever before will be eligible. If you qualify, Extra Help could significantly reduce your premiums, deductibles, and copayments, making your out-of-pocket costs for Eliquis even lower.

Plan Ahead and Take Action

The upcoming changes to drug plans in 2025 present a huge opportunity for Medicare beneficiaries to save on their Eliquis costs. However, these savings are only accessible if you actively review and ensure your plan is one that will cover this drug effectively.

Don't assume that your current plan will automatically provide the best deal for Eliquis in 2025. Take the time to compare options, confirm your pharmacy network, and ensure you’re taking full advantage of the new Medicare Prescription Drug Payment Plan if it's available.

Final Thoughts

Eliquis is a life-saving medication for many people, but its high cost has been a major burden for Medicare beneficiaries. With the changes coming in 2025, including out-of-pocket caps, you can expect to see significant savings on this essential prescription.

If you rely on Eliquis for your health, now is the time to act. Review your plan, explore your savings options, and ensure you’re ready to take advantage of the lower costs coming in 2025. And remember, the Medicare Annual Enrollment Period is your chance to make sure you have the right plan in place. Don’t miss out!

Ready to explore your Medicare Part D options for 2025? 👉 Book your appointment today to compare plans and ensure you’re maximizing your savings on Eliquis and other medications!