Apixaban 5mg: Cost, Savings, and How to Pay Less
Apixaban 5mg has a Drug Tariff price of approximately £52/pack — far exceeding the NHS charge, making it unsuitable for our private prescription service.
How much does Apixaban 5mg cost on the NHS?
Apixaban 5mg has a Drug Tariff price of approximately £52.00 for a 56-tablets pack — a full month's supply. Yet NHS patients in England pay a flat £9.90 per item. With 18m items dispensed in 2024/25, Apixaban is one of the most prescribed drugs in England.
How much does Apixaban 5mg actually cost?
The NHS Drug Tariff lists the reimbursement price for Apixaban 5mg at approximately £52.00 per 56-tablets pack. This is the price the NHS pays pharmacies for the drug itself. The NHS prescription charge of £9.90 covers this drug cost plus dispensing fees, administration, and a contribution to NHS services — but for cheap generic drugs, it represents a significant markup.
Drug Tariff cost
£52.00
per pack
NHS charge
£9.90
-81% markup
Our price
N/A
not available
Apixaban has approximately 18m items dispensed annually in England (NHSBSA PCA 2024/25).
What is Apixaban used for?
Apixaban 5mg is the standard dose for stroke prevention in atrial fibrillation and treatment of VTE. Like the 2.5mg dose, it has a very high Drug Tariff price of approximately £52 per pack, reflecting its newer formulation and brand protection.
RepeatsDirect does not include Apixaban 5mg because the actual drug cost is more than five times the NHS prescription charge. The NHS represents significantly better value for this medication.
If you take apixaban and pay prescription charges, a Prescription Prepayment Certificate (PPC) at £114.50 per year or £32.05 per quarter may still save you money if you take multiple medications.
Is Apixaban available through RepeatsDirect?
Drug Tariff price (~£52/pack) far exceeds the £9.90 NHS charge. The NHS is significantly cheaper for this medication.