AstraZeneca
Pay as low as $0/month with commercial insurance (max $175/30-day savings). Cash-paying uninsured patients get up to $150 toward each monthly Rx. Single card covers the entire Farxiga Branded Family (Farxiga + Xigduo XR + Qtern). Government-insured (Medicare/Medicaid) not eligible.
What you need to enroll
Instant card — no doctor needed to enroll
Sign up on the manufacturer's site in about 2 minutes. You don't need a doctor visit to get the card itself — just bring it to your pharmacy with your prescription at fill time.
Your estimated copay
Accepted
Not accepted
Show the savings card before checkout. BIN 600426, PCN 54, GRP EC57010090, ID 415300199896. Submit to Change Healthcare as secondary COB. Other Coverage Code: 8 if insurance covers Farxiga, 3 if it doesn't, or 1 for cash-paying patients.
Card covers the FARXIGA Branded Family — Farxiga, Xigduo XR (dapagliflozin + metformin), AND Qtern (dapagliflozin + saxagliptin). Commercial: pay $0 / 30-day, max $175 savings per 30-day = up to $2,100/yr. Cash-pay (uninsured): AstraZeneca pays first $150 per monthly Rx, patient pays remainder. Card document ID US-86488 (last updated 4/24). Program managed by ConnectiveRx. BIN 600426, PCN 54, GRP EC57010090, ID 415300199896. Pharmacist submits via Change Healthcare with Other Coverage Code 8 (insured/covered), 3 (insured/not-covered), or 1 (cash). AZ&Me PAP closed to new Farxiga enrollees eff 5/1/2026 — uninsured patients should use this card or the cash-pay path instead. Updated FDA indications (2026): chronic kidney disease, heart failure, T2D + CV disease, and T2D blood sugar control (age 10+).
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