FARXIGA is a prescription medicine used to improve blood sugar control along with diet and exercise in adults with type 2 diabetes, and to reduce the risk of hospitalization for heart failure in adults with type 2 diabetes and known cardiovascular disease (CV) or multiple CV risk factors. It is also used to reduce the risk of CV death and hospitalization for heart failure in adults with heart failure (when the heart is weak and cannot pump enough blood to the rest of your body). See more.

Savings &
Insurance support

REGISTER TODAY TO RECEIVE SAVINGS AND PRESCRIPTION REFILL REMINDERS

Savings and Insurance Support
Savings and Insurance Support

SAVINGS CARD REGISTRATION

With the FARXIGA SavingsRx Card, most commercially insured patients can get FARXIGA for as little as $0* per month for as long as their doctor prescribes any available dose. You can even register to receive savings and prescription refill reminders via text!

And, when you register here, you’ll receive continuing support that includes a welcome kit, as well as regular e-mails to connect you with resources, tools, and information that can help you make informed decisions about your type 2 diabetes.

*Eligible commercially insured patients can get FARXIGA for as low as $0 as long as their doctor prescribes it. 

Subject to eligibility and monthly savings limit. Restrictions apply. Not available for government-insured patients. 

Learn more about submitting your personal information.

FARXIGA® (dapagliflozin) Co-pay Card
FARXIGA® (dapagliflozin) Co-pay Card

* Indicates required field.

By completing this registration, you are confirming that you are at least 18 years old, are a resident of the US, and would like to receive information in the future about FARXIGA and related health information, including support related to your condition and treatment information.

AstraZeneca respects your personal health information. The information you provide may be used to send you health-related materials and to develop products, services, and programs. AstraZeneca, or third parties working on our behalf, will not sell or rent personal health information. If, in the future, you no longer want to receive health-related materials, call 1-800-236-9933. Please visit www.azprivacynotice.com to review our Privacy Notice.

SAVE ON MAIL ORDER PRESCRIPTIONS FOR FARXIGA

Download Rebate Form
Download Rebate Form

Download and complete the Patient Rebate Form

Mail It
Mail It

Mail it

Attach the original mail order receipt to the rebate form and mail it to the address listed on the form. Keep a copy of your receipt for your records.

Receive Your Check
Receive Your Check

Receive your check in about 2 to 3 weeks

Repeat these steps each time you refill your prescription to receive your check.

Questions About Insurance Support
Questions About Insurance Support

INSURANCE SUPPORT

Dealing with type 2 diabetes can be difficult sometimes. That's why we believe help should be as close as your phone. We're here to answer your questions.

Questions about your prescription coverage?

Call 1-855-3FARXIGA toll-free, [8:00 AM to 8:00 PM] EST, Monday‒Friday.

Ask to speak to a FARXIGA Prescription Coverage Counselor.

Our specially trained FARXIGA Prescription Coverage Counselors can help walk you through your prescription and benefit verification. 

By going over a few factors such as your location and prescription insurance,  counselors can help you determine your co-pay amount and provide information to help you process your benefit verification. Whether you're just getting started on FARXIGA or recently changed your insurance coverage, our counselors will help you figure it out. The best part is, it can all be done with a simple phone call.

Connecting you to type 2 diabetes services

Call 1-855-3FARXIGA toll-free, [8:00 AM to 8:00 PM] EST, Monday‒Friday.

Ask to speak to a FARXIGA Care Partner today.

Our FARXIGA Care Partners are there to act as your personal advisor—a single point of contact for helpful information about FARXIGA. Their job is to connect you to services that can help support you in managing type 2 diabetes* 

And, they can even provide you with information about a savings card that may save you money on your co-pays. 

Give one of our FARXIGA Care Partners a call for help with the support you need. 

*FARXIGA Care Partners cannot provide medical advice and can only provide information about AstraZeneca medications. Decisions regarding your health and treatment of your condition should be made with your own healthcare provider.

Eligible commercially insured patients can get FARXIGA for as low as $0 as long as their doctor prescribes it. Subject to eligibility and monthly savings limit. Restrictions apply. Not available for government-insured patients 

Cost and Affordability
Cost and Affordability

COST & AFFORDABILITY

What can I expect to pay for FARXIGA?

The list price for FARXIGA is $507.18* for a 30-day supply. However, it is important to understand that this list price may not be reflective of your cost for FARXIGA. Your out-of-pocket costs are determined by your insurance type.

The information below may help you estimate your cost for FARXIGA based on your insurance, but your insurance provider can provide more specific information.

Cost and Affordability
Cost and Affordability

INSURANCE TYPE:

For people with employer or individual private insurance, the average out-of-pocket cost is $20.50 per month.

You may be able to receive your FARXIGA for as low as $0 with our FARXIGA SavingsRx card program.

For people with Medicare Part D coverage, the average out-of-pocket cost is $36.11 per month.

For people with Medicaid, the average out-of-pocket costs range from $2.90-$3.06 per month. Some states offer even lower copays or eliminate the copay altogether.

If you do not have insurance coverage or your insurance does not cover FARXIGA, you can expect to pay the amount determined by your pharmacy, which will vary.

*Data on File, REF-80034, AZPLP. List price as of May 8, 2020

Out-of-pocket costs: All expenses that are not covered by your insurance

QVIA Formulary Impact Analyzer (FIA) audit, 12 months ending December 2018, average based on 30-day Rx supply

WHAT IF I CAN’T AFFORD MY FARXIGA?

AstraZeneca is committed to providing assistance if you can’t afford your FARXIGA:

If you have private insurance you may be able to receive your FARXIGA for as low as $0 with our FARXIGA SavingsRx card program

If you are uninsured or have Medicare Part D and still face affordability challenges, you may be eligible for our patient assistance program, AZ&Me

Please click here to see Important Product Safety Information.

If you would like additional information regarding AstraZeneca products, please contact the Information Center at AstraZeneca at 1-855-3FARXIGA, Monday through Friday, 8 AM to 6 PM ET, excluding holidays. Intended for US audiences only.

AstraZeneca Commitment
AstraZeneca Commitment

OUR COMMITMENT

to access and affordability

 

People all over the world are living longer, healthier and more productive lives thanks to innovative medicines developed by companies like AstraZeneca. At AstraZeneca, we believe it’s not enough for us to simply make medicines, we have to help ensure that the people who need our medicines have access to them. In fact, we’ve offered assistance programs for over 40 years, and we offer other programs and services to help people get the medicines they need.

IMPORTANT SAFETY INFORMATION