Farxiga (dapagliflozin)
Patient Assistance Program Guide — AZ&Me Prescription Savings Program
Do You Qualify?
Income
Up to $45,180 for a single person
Insurance
Available to uninsured patients or those with Medicare Part D who meet specific eligibility; not available for patients with Medicaid or other government-funded insurance.
Residency
U.S. resident with valid address
Income Limits (300% FPL)
Calculations based on 300% of 2025 FPL. Total household income must be at or below this level.
Based on 2025 HHS Federal Poverty Level guidelines.
# Getting Farxiga at No or Low Cost Through the AZ&Me Prescription Savings Program
Who Qualifies for the AZ&Me Prescription Savings Program?
If you need Farxiga (dapagliflozin) and cannot afford it, the AZ&Me Prescription Savings Program may be able to help you get it at little or no cost. This is AstraZeneca's official patient assistance program for Farxiga. To qualify, your household income generally must be at or below $45,180 per year if you live alone. Larger households may qualify at higher income levels. On the insurance side, this program is open to people who are uninsured or who have Medicare Part D — but it is not available to people covered by Medicaid or other government-funded insurance plans. If you meet those basic requirements, you may be a strong candidate to apply.
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About Farxiga (dapagliflozin)
Farxiga is a brand-name prescription medication made by AstraZeneca. It belongs to a drug class called SGLT2 inhibitors. It is FDA-approved to treat three serious conditions: type 2 diabetes, heart failure (including both reduced ejection fraction and preserved ejection fraction types), and chronic kidney disease. Because Farxiga is a brand-name drug with no FDA-approved generic or biosimilar version currently available, the retail price can be several hundred dollars per month. For patients without insurance or with limited coverage, that cost can make it difficult or impossible to stay on this medication consistently.
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Income Eligibility: Full Breakdown
The AZ&Me Prescription Savings Program uses income thresholds set at 300% of the 2025 Federal Poverty Level. Here is the full breakdown by household size:
| Household Size | Maximum Annual Income |
|---|---|
| 1 person | $45,180 |
| 2 persons | $61,320 |
| 3 persons | $77,460 |
| 4 persons | $93,600 |
Your total household income — meaning all income earned by everyone in your home — must fall at or below the limit for your household size.
To verify your income, you will typically need to provide your most recent Federal Tax Return, a W2 form, or three months of recent pay stubs. If your income has changed significantly from last year, pay stubs may give a more accurate picture of your current situation.
If your income is above these limits, you may not qualify for this free medication program. However, you are not out of options. See the "Alternatives If You Don't Qualify" section below for other ways to reduce your costs. Household size definitions follow standard federal guidelines, so if you are unsure who counts as part of your household, it is worth asking when you call the program.
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Insurance Requirements Explained
Your insurance status plays a major role in whether you can use this program:
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Step-by-Step: How to Apply
Follow these steps to apply for the AZ&Me Prescription Savings Program for Farxiga:
1. Gather your documents first. You will need a completed application form with your doctor's signature, proof of income (Federal Tax Return, W2, or three months of pay stubs), and a valid prescription for Farxiga.
2. Choose your application method. You have three options:
- Online: Visit https://www.azandmeapp.com to complete and submit your application digitally. This is typically the fastest route.
- By phone: Call (800) 292-6363 to speak with a program representative who can walk you through the process or help you request a paper application.
- By fax: If your doctor's office is handling the submission, applications with supporting documents can be faxed to (800) 961-8323.
3. Make sure your doctor signs the application. The physician signature is required. Many patients find it easiest to have their doctor's office coordinate this step.
4. Submit all documents together. Incomplete applications take longer to process. Double-check that your income documents and prescription are included before submitting.
5. Confirm submission. If you applied online, save any confirmation number you receive. If you faxed, ask your doctor's office to confirm the fax went through.
6. Wait for a decision. Processing typically takes 7–10 business days from the date AstraZeneca receives your complete application.
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What to Expect: Timeline and Delivery
After you submit a complete application, most patients receive a decision within 7–10 business days. AstraZeneca will notify you (and typically your doctor) of the outcome. If approved, your Farxiga will be shipped directly to your home address — you do not need to pick it up at a pharmacy. There is nothing additional you need to do at the time of delivery. Enrollment in the program is not permanent. You will need to reapply and renew your eligibility once per year. Watch for renewal notices so your medication shipments are not interrupted. Keeping your income documents updated will make the reauthorization process quicker.
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Alternatives If You Don't Qualify
If you do not meet the AZ&Me program requirements, here are other options to explore:
Biosimilar alternatives: There are currently no FDA-approved generic or biosimilar versions of Farxiga (dapagliflozin) available in the United States. This option is not available at this time.
Manufacturer savings card: If you have commercial (private) insurance, AstraZeneca offers a separate savings card program for Farxiga. You may be able to reduce your out-of-pocket costs significantly. Visit https://www.farxiga.com/savings-support to learn more and enroll.
State Pharmaceutical Assistance Programs (SPAPs): Many states run their own programs to help residents afford prescription drugs. Eligibility and benefits vary by state. Contact your state health department or ask your doctor's office for a referral.
NeedyMeds.org: This free, independent website maintains a searchable database of patient assistance programs, copay cards, and disease-specific resources. It is a useful tool if you are exploring multiple medications or need help finding state-based programs.
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*This guide is for informational purposes only and does not constitute medical or legal advice. Eligibility determinations are made solely by AstraZeneca. Program terms may change — verify current requirements at [https://www.farxiga.com/getting-farxiga/affordability](https://www.farxiga.com/getting-farxiga/affordability) before applying.*
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Documents You'll Need
If You Don't Qualify for the Assistance Program
Manufacturer Savings Card (for insured patients)
AstraZeneca offers a savings card that may reduce your out-of-pocket cost if you have commercial insurance. Ask your prescriber or pharmacist for current savings card details.
Common Questions
Yes. Unlike many manufacturer assistance programs, the AZ&Me Prescription Savings Program does allow Medicare Part D enrollees to apply, provided they meet the income requirements. You will still need to submit proof of income and a valid prescription with a physician signature.
Once AstraZeneca receives your complete application — including all required documents — processing typically takes 7 to 10 business days. If approved, your medication will be shipped directly to your home. Incomplete applications may take longer, so make sure all documents are included before you submit.
Yes. The AZ&Me program requires annual reauthorization. You will need to reapply and provide updated income documentation each year to continue receiving your medication at no or reduced cost. Watch for renewal notices from AstraZeneca so your supply is not interrupted.
If your income exceeds the program threshold, you may not qualify for the free medication program. However, you may still be able to lower your costs through the Farxiga savings card for insured patients at https://www.farxiga.com/savings-support, your state's pharmaceutical assistance program, or resources listed on NeedyMeds.org.
No. As of now, there are no FDA-approved generic or biosimilar versions of Farxiga (dapagliflozin) available in the United States. This means the manufacturer assistance program or savings card are currently the primary ways to reduce the cost of this specific medication.
Ready to Apply for Farxiga Assistance?
RX Advantages handles the entire AZ&Me Prescription Savings Program application on your behalf — paperwork, physician coordination, and refill tracking. It takes about 15 minutes to get started.
No SSN required on the web form · From $49.95/month