Pharma Patent Cliffby readouts.io
Loss of exclusivity · Cardiometabolic

Xarelto patent expiration

When does Xarelto go off patent?

It already has: US generics have been on sale since 2025. Xarelto is sold by Bayer and Johnson & Johnson. The first US generic launched in March 2025. Sales: J&J in the US ($2.63B) plus Bayer elsewhere (EUR 2.34B, down a third as generics spread in Europe and Japan).

US loss of exclusivity
2025Generics launched
2025 worldwide sales
≈$5.3BBayer and Johnson & Johnson
Therapeutic area
Cardiometabolic
Medicare negotiated price
−62%From 2026, vs list price
US competition from
GenericsExclusivity ends earlier outside the US

What the date means

Xarelto's US exclusivity date is based on generics launched. US generics have already launched, so the loss of exclusivity is under way. It is a small-molecule drug, so copies are generics. Generic launches usually take most of the US volume within months.

What past cliffs suggest

Among past small-molecule drugs facing generics: Tecfidera's US sales fell to 21% of their 2019 level in its first full year of generics (2021); Revlimid's US sales fell to 96% of their 2021 level in its first full year of generics (2022) and 57% two years later. Where settlements cap generic volumes, as with Revlimid, the decline is slower. See how past cliffs played out →

Who's lined up to copy Xarelto

Copies on the US market Lupin launched the first US generic, a 2.5 mg tablet, in March 2025 after a patent board ruling. The FDA has since approved generics of every strength from about 20 makers. J&J and Bayer are still suing several of them over later patents.

Company (product)Stage
LupinLaunched 2.5 mg, March 2025
Dr. Reddy'sFDA-approved, May 2025
AurobindoFDA-approved, 2025
BioconFDA-approved, May 2025
MacleodsFDA-approved, May 2025
BreckenridgeFDA-approved, May 2025

From the FDA's own approval lists; FDA approval does not always mean a product has launched. Checked October 2026. Sources: FDA Orange Book: rivaroxaban generics · HCPLive: first generic approved · J&J 10-K 2025

Medicare price negotiation

Xarelto was selected for the Medicare Drug Price Negotiation Program. Its negotiated Medicare price takes effect in 2026, 62% below its list price. US generics had already launched by then. The discount is measured against list price, before the rebates drugmakers already pay, and applies to Medicare only, so the revenue impact is smaller than the headline number.

What's at stake for Bayer and Johnson & Johnson

Bayer
5.1%

Xarelto is 5.1% of Bayer's 2025 revenue (≈$2.6B of $51.5B). Group sales EUR 45.6B, including Crop Science and Consumer Health.

Xarelto is 2.8% of Johnson & Johnson's 2025 revenue (≈$2.6B of $94.2B). With Stelara, Simponi, Opsumit, Darzalex, Tremfya, Invega Sustenna, Imbruvica and Erleada, the drugs tracked here add up to 46% of Johnson & Johnson's revenue losing US exclusivity by 2033. Total includes MedTech.

Bars show each company's tracked drugs as a share of its total 2025 revenue. Xarelto is highlighted.

Other blockbusters losing US exclusivity in 2025

All drugs going off patent in 2025 →

Sources

  1. J&J 10-K 2025
  2. Bayer Annual Report 2025
  3. CMS: negotiated prices for 2026
See all 63 drugs on the patent cliff →

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Pharma Patent Cliff by readouts.io. "Xarelto patent expiration: US loss of exclusivity 2025." Updated 8 October 2026. https://pharmapatentcliff.com/xarelto

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