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AstraZeneca

Farxiga Family Savings Card ($0 Co-Pay)

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.

Instant cardCommercial insurance only

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

$0per 30-day fill
Max savings / year: $2,100
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Covered medications

  • Farxiga (dapagliflozin) 5 mg tablet·10 mg tablet

Am I eligible?

Need a prescription?
Yes — written by a licensed prescriber for the medications below.
Insurance required?
Commercial insurance only. Medicare, Medicaid, TRICARE, and VA are not eligible.
State restrictions?
Available nationwide.
Income limits?
No income test.

Accepted

  • Prescribed Farxiga (dapagliflozin) for FDA-approved use
  • Commercial drug insurance plan OR cash-paying uninsured
  • US resident or Puerto Rico, age 18+

Not accepted

  • Medicare Part D, Medicaid, Medigap
  • VA, DoD, TRICARE, or any state/federally funded prescription program
  • Medicare-eligible patients in an employer-sponsored group waiver plan or government-subsidized retiree drug benefit

How to apply

  1. Visit farxiga.com/savings-support or FARXIGAsavings.com
  2. Activate the card (no activation actually required per the card itself)
  3. Present at any participating pharmacy with your Farxiga Rx
  4. Phone questions: 1-855-3FARXIGA (1-855-332-7944) M-F 8 AM-8 PM ET, or 1-844-631-3978 for offer details

Using it at the pharmacy

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.

Terms & limits

Max savings per fill
Up to $175 per 30-day fill
Max savings per year
Up to $2,100 per year
Fills per year
12 fills per year, per covered drug
Renewal
Renew every year
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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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