Repatha vs Xarelto

A side-by-side look at two cardiovascular medications advertised on TV. Informational only — not medical advice.

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Information reviewed July 24, 2026

CA RepathaCA Xarelto
Generic nameevolocumabrivaroxaban
Drug classPCSK9 Inhibitor (Biologic)Factor Xa Inhibitor
TreatsHigh cholesterol, cardiovascular diseaseBlood clots, atrial fibrillation
CategoryCardiovascularCardiovascular
ManufacturerAmgenBayer/Janssen
Year approved20152012
FDA warningNo boxed warningBlack box warning
Est. TV ad spend$32M$28M
Common side effectsInjection site reactions, Allergic reactions, Back pain, FatigueSerious bleeding risk, Bruising, Prolonged bleeding, Dizziness

Frequently asked questions

Is Repatha or Xarelto better?

Neither is universally "better." Repatha (evolocumab) and Xarelto (rivaroxaban) are both used for cardiovascular, but the right choice depends on your medical history, insurance and your doctor's guidance. This comparison is informational only.

What's the difference between Repatha and Xarelto?

Repatha is a PCSK9 Inhibitor (Biologic) made by Amgen, while Xarelto is a Factor Xa Inhibitor made by Bayer/Janssen. See the table above for a side-by-side breakdown.

Which one spends more on TV ads?

Repatha has the larger estimated TV advertising budget of the two.

TVPills

A reference tool to help identify prescription medications and supplements seen in television advertising. This is not medical advice. Always consult a healthcare professional.

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