Cardiac

Xarelto (Rivaroxaban) Price by US State (2026 Analysis)

Estimated Xarelto (Rivaroxaban) retail and out-of-pocket cost (per month supply) across all 50 US states, compared with international pharmaceutical benchmarks in India (approx. $25). US state figures represent modeled healthcare-cost adjustments from the national baseline ($500).

US National Median
$500
per month supply
India Benchmark
$25
Certified pharmacy price
Potential Savings
95%
Save ~$475

State Price Variations for Xarelto (Rivaroxaban)

51 States & Territories
AlabamaAL
Est: $450
Save 94%India: $25
AlaskaAK
Est: $640
Save 96%India: $25
ArizonaAZ
Est: $500
Save 95%India: $25
ArkansasAR
Est: $440
Save 94%India: $25
CaliforniaCA
Est: $650
Save 96%India: $25
ColoradoCO
Est: $540
Save 95%India: $25
ConnecticutCT
Est: $610
Save 96%India: $25
DelawareDE
Est: $525
Save 95%India: $25
FloridaFL
Est: $510
Save 95%India: $25
GeorgiaGA
Est: $480
Save 95%India: $25
HawaiiHI
Est: $660
Save 96%India: $25
IdahoID
Est: $475
Save 95%India: $25
IllinoisIL
Est: $530
Save 95%India: $25
IndianaIN
Est: $475
Save 95%India: $25
IowaIA
Est: $465
Save 95%India: $25
KansasKS
Est: $460
Save 95%India: $25
KentuckyKY
Est: $450
Save 94%India: $25
LouisianaLA
Est: $465
Save 95%India: $25
MaineME
Est: $530
Save 95%India: $25
MarylandMD
Est: $590
Save 96%India: $25
MassachusettsMA
Est: $640
Save 96%India: $25
MichiganMI
Est: $490
Save 95%India: $25
MinnesotaMN
Est: $530
Save 95%India: $25
MississippiMS
Est: $430
Save 94%India: $25
MissouriMO
Est: $460
Save 95%India: $25
MontanaMT
Est: $490
Save 95%India: $25
NebraskaNE
Est: $470
Save 95%India: $25
NevadaNV
Est: $510
Save 95%India: $25
New HampshireNH
Est: $560
Save 96%India: $25
New JerseyNJ
Est: $610
Save 96%India: $25
New MexicoNM
Est: $470
Save 95%India: $25
New YorkNY
Est: $650
Save 96%India: $25
North CarolinaNC
Est: $480
Save 95%India: $25
North DakotaND
Est: $485
Save 95%India: $25
OhioOH
Est: $480
Save 95%India: $25
OklahomaOK
Est: $445
Save 94%India: $25
OregonOR
Est: $550
Save 95%India: $25
PennsylvaniaPA
Est: $520
Save 95%India: $25
Rhode IslandRI
Est: $570
Save 96%India: $25
South CarolinaSC
Est: $475
Save 95%India: $25
South DakotaSD
Est: $475
Save 95%India: $25
TennesseeTN
Est: $460
Save 95%India: $25
TexasTX
Est: $500
Save 95%India: $25
UtahUT
Est: $500
Save 95%India: $25
VermontVT
Est: $560
Save 96%India: $25
VirginiaVA
Est: $530
Save 95%India: $25
WashingtonWA
Est: $590
Save 96%India: $25
Washington, D.C.DC
Est: $670
Save 96%India: $25
West VirginiaWV
Est: $450
Save 94%India: $25
WisconsinWI
Est: $500
Save 95%India: $25
WyomingWY
Est: $490
Save 95%India: $25

Complete State Cost Table

StateUS Price (Est.)India PriceYou Save
Alabama$450$25$425
Alaska$640$25$615
Arizona$500$25$475
Arkansas$440$25$415
California$650$25$625
Colorado$540$25$515
Connecticut$610$25$585
Delaware$525$25$500
Florida$510$25$485
Georgia$480$25$455
Hawaii$660$25$635
Idaho$475$25$450
Illinois$530$25$505
Indiana$475$25$450
Iowa$465$25$440
Kansas$460$25$435
Kentucky$450$25$425
Louisiana$465$25$440
Maine$530$25$505
Maryland$590$25$565
Massachusetts$640$25$615
Michigan$490$25$465
Minnesota$530$25$505
Mississippi$430$25$405
Missouri$460$25$435
Montana$490$25$465
Nebraska$470$25$445
Nevada$510$25$485
New Hampshire$560$25$535
New Jersey$610$25$585
New Mexico$470$25$445
New York$650$25$625
North Carolina$480$25$455
North Dakota$485$25$460
Ohio$480$25$455
Oklahoma$445$25$420
Oregon$550$25$525
Pennsylvania$520$25$495
Rhode Island$570$25$545
South Carolina$475$25$450
South Dakota$475$25$450
Tennessee$460$25$435
Texas$500$25$475
Utah$500$25$475
Vermont$560$25$535
Virginia$530$25$505
Washington$590$25$565
Washington, D.C.$670$25$645
West Virginia$450$25$425
Wisconsin$500$25$475
Wyoming$490$25$465

Frequently Asked Questions: Xarelto (Rivaroxaban) Pricing

Why do Xarelto (Rivaroxaban) prices differ across US states?+

Prescription drug prices in the US vary by state due to differing pharmacy dispensing fee regulations, state tax laws, regional wholesale distribution costs, and varying health insurance plan coverage formularies. Out-of-pocket prices can differ by hundreds of dollars even between neighboring states.

How does the US price of Xarelto (Rivaroxaban) compare to international prices?+

In the United States, Xarelto (Rivaroxaban) averages approximately $500 per month supply. In India, certified manufacturers produce equivalent formulations and authorized generics for about $25 per month supply — saving patients up to 90%+ without compromising therapeutic equivalence.

Are generic or biosimilar versions of Xarelto (Rivaroxaban) available?+

Depending on patent expiry schedules, authorized generic alternatives and international equivalents may be accessible through licensed personal importation channels.

Other Cardiac Medications

Amlodipine

# Amlodipine: Uses, Side Effects, Warnings, Precautions, and Patient Information ## What Is Amlodipine? Amlodipine is a prescription medication used to treat **high blood pressure (hypertension)** and certain types of **chest pain (angina)**. It belongs to a class of medicines called **calcium channel blockers (CCBs)**. Amlodipine works by relaxing and widening blood vessels, allowing blood to flow more easily and reducing the workload on the heart. Lowering high blood pressure helps reduce the risk of serious health problems such as **heart attack, stroke, heart failure, and kidney disease**. Amlodipine is commonly prescribed alone or in combination with other blood pressure medications. --- # Drug Information * **Generic Name:** Amlodipine * **Common Brand Names (USA):** Norvasc, Katerzia (oral suspension) * **Common Brand Names (India):** Amlong, Amlopres, Stamlo, Amlokind, Amlovas, Amlopin, Amlodac, Amcard, Amlovas-AT, Amlod * **Drug Class:** Calcium Channel Blocker (Dihydropyridine) * **Prescription Required:** Yes * **Controlled Substance:** No * **Dosage Forms:** Tablets, Oral Suspension * **Route of Administration:** Oral * **Original Manufacturer (Norvasc):** Pfizer --- # Active Ingredient Each tablet or oral suspension contains: * **Amlodipine** (usually as amlodipine besylate) --- # Available Strengths ### Tablets * 2.5 mg * 5 mg * 10 mg ### Oral Suspension * 1 mg/mL Availability may vary depending on the manufacturer and country. --- # Brand Names ## United States * Norvasc * Katerzia * Generic Amlodipine ## India * Amlong * Stamlo * Amlopres * Amlokind * Amlovas * Amlopin * Amlodac * Amcard * Amlovas-AT * Amlod --- # Uses of Amlodipine Amlodipine is prescribed for: ### High Blood Pressure (Hypertension) * Lowers blood pressure * Helps reduce the risk of stroke and heart attack * Improves long-term cardiovascular health ### Chronic Stable Angina * Reduces chest pain * Improves exercise tolerance * Decreases the frequency of angina attacks ### Vasospastic (Prinzmetal's) Angina * Prevents coronary artery spasms * Improves blood flow to the heart ### Other Uses Healthcare providers may prescribe amlodipine with other medications for certain cardiovascular conditions when clinically appropriate. --- # How Amlodipine Works Amlodipine blocks calcium from entering the muscle cells of blood vessels and the heart. This causes blood vessels to relax and widen, lowering blood pressure and improving blood flow. It also reduces the heart's workload and oxygen demand, helping prevent chest pain. Amlodipine has a long duration of action and is usually taken **once daily**. --- # General Dosage The appropriate dose depends on: * Age * Medical condition * Blood pressure * Response to treatment * Liver function * Other medications being taken Your healthcare provider will determine the most appropriate dose for your condition. Do not change your dose or stop taking amlodipine without medical advice. --- # How to Take Amlodipine * Take exactly as prescribed. * Swallow the tablet with water. * May be taken with or without food. * Take it at the same time each day. * Continue taking the medicine even if you feel well, as high blood pressure often has no symptoms. * Do not stop taking the medication without consulting your healthcare provider. --- # Common Side Effects Common side effects may include: * Swelling of the ankles or feet (peripheral edema) * Headache * Dizziness * Flushing * Fatigue * Sleepiness * Palpitations * Nausea * Stomach pain These side effects are usually mild and may improve as your body adjusts to the medication. --- # Serious Side Effects Seek immediate medical attention if you experience: * Severe allergic reaction * Difficulty breathing * Swelling of the face, lips, tongue, or throat * Severe chest pain * Fainting * Rapid or irregular heartbeat * Severe dizziness * Yellowing of the skin or eyes * Severe swelling that worsens rapidly --- # Warnings and Precautions Tell your healthcare provider before taking amlodipine if you have: * Liver disease * Heart failure * Severe narrowing of the aortic valve (aortic stenosis) * Very low blood pressure * Recent heart attack * Other heart conditions Use caution when standing up quickly, as amlodipine may cause dizziness due to lowered blood pressure. --- # Contraindications Do not take amlodipine if you: * Are allergic to amlodipine or any component of the formulation. * Have had a previous serious allergic reaction to this medication. --- # Drug Interactions Amlodipine may interact with: * Simvastatin * Other blood pressure medications * Beta-blockers * Certain antifungal medicines * Clarithromycin * Rifampin * Tacrolimus * Cyclosporine * Sildenafil and similar medicines * Certain antiviral medicines Always tell your healthcare provider about all prescription medicines, over-the-counter medicines, vitamins, and herbal supplements you are taking. --- # Food and Alcohol Amlodipine may be taken with or without food. Alcohol may increase dizziness or lightheadedness caused by amlodipine. Limit alcohol consumption and discuss alcohol use with your healthcare provider. --- # Pregnancy Use amlodipine during pregnancy only if clearly needed and as advised by your healthcare provider. Discuss the potential benefits and risks before use. --- # Breastfeeding Small amounts of amlodipine may pass into breast milk. Talk to your healthcare provider before breastfeeding while taking this medication. --- # Missed Dose If you miss a dose: * Take it as soon as you remember. * Skip the missed dose if it is almost time for your next scheduled dose. * Do not take two doses at the same time. --- # Overdose Symptoms of overdose may include: * Severe dizziness * Fainting * Very low blood pressure * Rapid heartbeat * Shock in severe cases Seek emergency medical attention immediately if an overdose is suspected. --- # Storage Store amlodipine: * At room temperature between 20°C and 25°C (68°F to 77°F). * Away from heat, moisture, and direct sunlight. * Keep the container tightly closed. * Keep out of reach of children and pets. --- # Frequently Asked Questions ### What is amlodipine used for? Amlodipine is used to treat high blood pressure and certain types of chest pain (angina). ### How long does amlodipine take to work? Blood pressure may begin to improve within 24 to 48 hours, but the full effect can take several weeks of regular use. ### Can I stop taking amlodipine when I feel better? No. High blood pressure often has no symptoms. Continue taking the medication unless your healthcare provider tells you to stop. ### Can I drink alcohol while taking amlodipine? Alcohol may increase dizziness and lightheadedness. Discuss alcohol use with your healthcare provider. ### Is amlodipine a blood thinner? No. Amlodipine is a calcium channel blocker used to lower blood pressure. It is not a blood thinner. ### Can amlodipine cause ankle swelling? Yes. Swelling of the ankles or feet is one of the most common side effects of amlodipine. --- # Disclaimer This information is provided for educational purposes only and should not replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before starting, stopping, or changing any medication.

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Carvedilol (Coreg)

# Carvedilol (Coreg): Uses, Side Effects, Warnings, Precautions, and Patient Information ## What Is Carvedilol (Coreg)? Carvedilol is a **prescription beta-blocker** used to treat **high blood pressure (hypertension)**, **heart failure**, and **left ventricular dysfunction following a heart attack**. It belongs to a class of medicines known as **non-selective beta-blockers with alpha1-blocking activity**. By slowing the heart rate and relaxing blood vessels, carvedilol helps the heart pump blood more efficiently while lowering blood pressure. Carvedilol reduces the risk of hospitalization and death in many people with chronic heart failure when used as part of a comprehensive treatment plan. It is often prescribed alongside other cardiovascular medications such as ACE inhibitors, ARBs, or diuretics. --- # Drug Information * **Generic Name:** Carvedilol * **Common Brand Names (USA):** Coreg, Coreg CR * **Common Brand Names (India):** Carca, Cardivas, Carvil, Dilatrend, Carloc, Carca CR, Carvedilol Tablets IP * **Drug Class:** Non-selective Beta-Blocker with Alpha1-Blocking Activity * **Prescription Required:** Yes * **Controlled Substance:** No * **Dosage Forms:** Immediate-Release Tablets, Extended-Release Capsules * **Route of Administration:** Oral * **Original Manufacturer (Coreg):** GlaxoSmithKline (GSK) --- # Active Ingredient Each tablet or capsule contains: * **Carvedilol** --- # Available Strengths ### Immediate-Release Tablets * 3.125 mg * 6.25 mg * 12.5 mg * 25 mg ### Extended-Release Capsules (Coreg CR) * 10 mg * 20 mg * 40 mg * 80 mg Availability may vary depending on the manufacturer and country. --- # Brand Names ## United States * Coreg * Coreg CR * Generic Carvedilol ## India * Cardivas * Carca * Carvil * Dilatrend * Carloc * Carca CR * Carvedilol Tablets IP --- # Uses of Carvedilol Carvedilol is prescribed for: ### High Blood Pressure (Hypertension) * Lowers blood pressure * Reduces the risk of stroke, heart attack, and kidney disease associated with uncontrolled hypertension ### Heart Failure * Chronic heart failure with reduced ejection fraction * Improves heart function * Reduces hospitalizations * Lowers the risk of death related to heart failure ### Left Ventricular Dysfunction After Heart Attack * Improves survival in patients with reduced heart function following a myocardial infarction (heart attack) ### Other Uses Healthcare providers may prescribe carvedilol for certain cardiovascular conditions when clinically appropriate. --- # How Carvedilol Works Carvedilol blocks **beta1**, **beta2**, and **alpha1** receptors in the body. * **Beta1 blockade** slows the heart rate and decreases the force of heart contractions. * **Beta2 blockade** reduces the effects of stress hormones on the cardiovascular system. * **Alpha1 blockade** relaxes blood vessels, allowing blood to flow more easily. Together, these actions lower blood pressure, reduce the heart's workload, and improve overall heart function. --- # General Dosage The appropriate dose depends on: * Age * Medical condition * Blood pressure * Heart rate * Liver function * Other medications * Response to treatment Treatment is usually started at a low dose and gradually increased by the healthcare provider to reduce the risk of dizziness or low blood pressure. Do not stop taking carvedilol suddenly without medical advice. --- # How to Take Carvedilol * Take exactly as prescribed. * Take carvedilol **with food** to reduce the risk of dizziness and sudden drops in blood pressure. * Swallow tablets with water. * Extended-release capsules should be swallowed whole. If needed, some formulations may be opened and sprinkled on soft food according to the product instructions. * Take the medication at the same time each day. * Continue taking carvedilol even if you feel well unless your healthcare provider advises otherwise. --- # Common Side Effects Common side effects may include: * Dizziness * Fatigue * Low blood pressure * Slow heart rate * Weight gain * Diarrhea * High blood sugar * Weakness * Cold hands or feet These side effects are generally more common when treatment is started or the dose is increased. --- # Serious Side Effects Seek immediate medical attention if you experience: * Severe allergic reaction * Difficulty breathing * Swelling of the face, lips, tongue, or throat * Fainting * Very slow heartbeat * Chest pain * Worsening heart failure * Severe shortness of breath * Severe swelling of the legs or ankles * Confusion * Yellowing of the skin or eyes --- # Boxed Warning **Do not stop carvedilol abruptly.** Sudden discontinuation may worsen chest pain (angina), trigger a heart attack, or cause serious heart rhythm problems, especially in patients with coronary artery disease. If treatment needs to be discontinued, the dose should generally be reduced gradually under the supervision of a healthcare provider. --- # Warnings and Precautions Tell your healthcare provider before taking carvedilol if you have: * Asthma or chronic lung disease * Diabetes * Liver disease * Kidney disease * Heart block * Very slow heart rate * Peripheral vascular disease * Thyroid disorders * Pheochromocytoma * Severe allergic reactions Carvedilol may mask symptoms of low blood sugar and hyperthyroidism. --- # Contraindications Do not take carvedilol if you: * Are allergic to carvedilol or any ingredient in the medication. * Have severe bronchial asthma. * Have severe liver impairment. * Have second- or third-degree atrioventricular (AV) block without a functioning pacemaker. * Have severe bradycardia. * Have cardiogenic shock or decompensated heart failure requiring intravenous medications. --- # Drug Interactions Carvedilol may interact with: * Digoxin * Insulin and oral diabetes medications * Calcium channel blockers (such as verapamil or diltiazem) * Clonidine * Amiodarone * Certain antiarrhythmic medications * Rifampin * Fluoxetine * Cimetidine * Cyclosporine * Other blood pressure medications Always tell your healthcare provider about all prescription medicines, over-the-counter medicines, vitamins, and herbal supplements you are taking. --- # Food and Alcohol Take carvedilol with food. Alcohol may increase dizziness, drowsiness, and the blood pressure-lowering effects of carvedilol. Limit or avoid alcohol unless your healthcare provider advises otherwise. --- # Pregnancy Carvedilol should be used during pregnancy only if the potential benefits outweigh the potential risks to the developing fetus. Discuss treatment options with your healthcare provider if you are pregnant or planning to become pregnant. --- # Breastfeeding It is not fully known whether carvedilol passes into human breast milk in significant amounts. Discuss the risks and benefits with your healthcare provider before breastfeeding. --- # Missed Dose If you miss a dose: * Take it as soon as you remember. * Skip the missed dose if it is almost time for your next scheduled dose. * Do not take two doses at the same time. --- # Overdose Symptoms of overdose may include: * Severe dizziness * Very low blood pressure * Slow heartbeat * Difficulty breathing * Fainting * Seizures * Heart failure * Cardiac arrest (in severe cases) Seek emergency medical attention immediately if an overdose is suspected. --- # Storage Store carvedilol: * At room temperature between **20°C and 25°C (68°F to 77°F)**. * Keep the medication in its original container. * Protect from moisture, excessive heat, and direct sunlight. * Keep out of reach of children and pets. --- # Disclaimer This information is intended for educational purposes only and should not replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. Take carvedilol exactly as prescribed and do not discontinue therapy without consulting your healthcare provider.

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Clopidogrel (Plavix)

Clopidogrel is an antiplatelet used to prevent heart attacks and strokes, especially after a coronary stent. Indian generic clopidogrel is widely available at a tiny fraction of US retail.

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