Farxiga Cost & Discounts

According to a report by the KFF, nearly 1 in 4 adults in the US struggle to afford their prescription medications.

For those managing type 2 diabetes, heart failure, or chronic kidney disease, treatment often involves ongoing use of medications. Farxiga is frequently among the prescribed options. But how much does it cost?

This guide breaks down Farxiga’s cost, coverage details under insurance, and practical ways to reduce out-of-pocket expenses.

How Much Does Farxiga Cost Without Insurance?

The out-of-pocket cost of Farxiga can vary a lot depending on factors like the dosage, quantity, and pharmacy. The list price for a 30-day supply is $599.72. But keep in mind, this is the price set by the manufacturer before any extra charges or taxes are added by the pharmacy.

Here’s a look at what you might expect to pay at some major pharmacies:

How Much Does Farxiga Cost With Insurance?

The cost of Farxiga can vary depending on your insurance plan’s drug formulary and coverage tier.

Private Insurance Plans

Farxiga is typically covered by most private insurance plans, often listed as a preferred brand-name medication for type 2 diabetes, heart failure, and chronic kidney disease. In many cases, it does not require prior authorization, which simplifies the prescription process.

If you’re insured through your employer or an individual marketplace plan, the monthly copay for Farxiga usually ranges around $25, though this amount can vary depending on your plan’s tier system or deductible.

Medicare Coverage

Farxiga is generally covered under Medicare Part D (prescription drug coverage) and Medicare Advantage plans (Part C, which includes drug benefits). Your actual cost will depend on which phase of the Medicare plan you’re currently in:

1. Deductible Phase

This is the beginning of your drug coverage year. If your plan includes a deductible (not all do), you must pay the full retail price of Farxiga out of pocket before insurance starts helping.

In 2025, the maximum deductible any Medicare drug plan can charge is $590. That means you could pay up to $590 in total drug costs before moving to the next phase. Farxiga may cost around $600 for a 30-day supply, so it’s possible to meet your deductible with just one fill.

2. Initial Coverage Phase

Once your deductible is met, Medicare starts sharing the cost of your medications. You’ll now only pay a portion of the cost, typically 25% of the drug’s price, while your plan pays the other 75%.

This phase continues until the combined total of what you and your plan have spent on covered drugs reaches $2,000 (this is the new limit in 2025).

Let’s say Farxiga costs $600 per month at retail.

• • You pay 25% of $600 = $150
  • Your plan pays 75% of $600 = $450
  • The total spent that month = $600 (this counts toward the $2,000 limit)

After about 3.5 months of paying for Farxiga at this rate, the combined spending will hit $2,000. After that point, Medicare will cover Farxiga 100% for the rest of the calendar year.

3. Catastrophic Coverage Phase

At this phase, Medicare will cover 100% of the cost of your medications for the rest of the year.

To summarize Farxiga’s cost under Medicare in 2025:

Medicaid Coverage

Farxiga is included in most state Medicaid formularies, especially for individuals managing chronic conditions like type 2 diabetes or heart failure. However, each state’s Medicaid program sets its own rules, including whether prior authorization is required or if step therapy is needed (trying cheaper drugs first).

In some states, Farxiga may be completely covered with little or no copay, especially for low-income beneficiaries.

To determine your specific cost or coverage, it’s best to check directly with your state’s Medicaid office.

Cost of Farxiga in Canada

At Pharma Giant, a trusted online Canadian pharmacy partner, a 30-day supply of Farxiga 10 mg costs $124, while Farxiga 5 mg costs $119.

The cost of Farxiga in Canada is often significantly cheaper than in the US due to strict government regulations. Prescription drug costs in Canada are overseen by the Patented Medicine Prices Review Board (PMPRB), which was formed in 1987.

This regulatory body compares medication prices to those in other high-income countries like Germany, France, and the United Kingdom to ensure Canadians aren’t overpaying.

These measures, along with Canada’s publicly funded healthcare system, which negotiates directly with pharmaceutical companies, help keep brand-name drugs like Farxiga more affordable.

How to Buy Farxiga Online from Pharma Giant (Canada)

Here’s how it works:

Patient Assistance Program for Farxiga

You can also consider other ways to make Farxiga more affordable, such as:

1. Farxiga Copay Card

If you have private health insurance but it doesn’t cover Farxiga completely, there’s a good chance you can cut your costs dramatically. With the Farxiga Copay Card, you might pay as little as $0 for a 30-day supply. The card provides up to $175 in savings per month.

Now, if you’re not insured and paying cash instead, AstraZeneca (Farxiga’s manufacturer) can still help. They’ll cover up to $150 per month, and you’ll be responsible for anything beyond that.

This savings program is only open to residents of the US and Puerto Rico. However, there are a few important restrictions to know about.

You can’t use the copay card if:

• • You’re enrolled in any government healthcare program, like Medicare Part D, Medicaid, Medigap, VA, DOD programs, or TriCare.

• • You qualify for Medicare and have prescription coverage through certain employer-sponsored or government-assisted retiree plans.

• • You try to use the card as a cash-paying patient while being enrolled in a federal or state healthcare program.

Under the federal Anti-Kickback Statute, drug companies aren’t allowed to give financial incentives to people on Medicare, Medicaid, or similar government plans. Doing so could be seen as a way of improperly encouraging the use of their medication.

2. Farxiga Patient Assistance Program

If you don’t qualify for the Farxiga copay assistance, there’s still another option. AstraZeneca runs a program called AZ&Me, designed to provide its medications, including Farxiga, at no cost to eligible patients.

If you meet the program’s income and insurance requirements, you could receive Farxiga completely free for up to 12 months. After that, you’ll need to reapply to continue receiving support.

If you think you’re eligible, download the Farxiga Patient Assistance Application PDF or visit the website for more information and application instructions.

The Bottom Line

Farxiga can be expensive without insurance, with prices ranging from about $667 to $791 for a 30-day supply depending on the pharmacy. With private insurance, many people pay around $25 per month. Medicare and Medicaid also help reduce the cost, depending on the coverage phase and state policies.

Buying from a Canadian pharmacy like Pharma Giant can lower the cost to around $124 per month. AstraZeneca also offers savings through a copay card for privately insured patients and a patient assistance program that may provide the medication for free if you qualify.

If you’re paying too much for Farxiga, explore these options to lower your costs.

Frequently Asked Questions

Sources

How much does Medicare drug coverage cost? (n.d.). Medicare. https://www.medicare.gov/health-drug-plans/part-d/basics/costs

Affordability | Savings and Insurance Support | FARXIGA® (dapagliflozin). (n.d.). https://www.farxiga.com/savings-support/insurance-support