Farxiga

Indicated For

Chronic kidney disease, heart failure, Type 2 diabetes mellitus

About This Medication

# AZ&Me Prescription Savings Program Patient Guide: How to Get Farxiga (dapagliflozin) at Low or No Cost Farxiga (dapagliflozin) is a prescription medication used to help manage **type 2 diabetes**, **heart failure**, and **chronic kidney disease** in adults. The **AZ&Me Prescription Savings Program** from AstraZeneca offers eligible patients free or low-cost access to Farxiga if you meet income and insurance criteria.[1] ## Who Qualifies for AZ&Me? This program helps **U.S. residents** (including Puerto Rico) who lack adequate prescription coverage and have limited income. Key eligibility includes: - **Residency**: Must live in the U.S. or Puerto Rico.[1] - **Insurance Status**: Uninsured, underinsured, or Medicare patients (but not those with private insurance coverage or government programs covering the drug). If eligible for Medicaid, you must apply for it first.[1] - **Income Limits**: Household income at or below **300% of the Federal Poverty Level (FPL)** for primary medications like Farxiga.[1] **About Farxiga**: Farxiga belongs to a class of drugs called **SGLT2 inhibitors**. It works by helping your kidneys remove excess sugar from your blood through urine, lowering blood sugar levels. It's also approved to reduce the risk of hospitalization for heart failure and slow kidney disease progression in certain patients. Always take it as prescribed by your doctor, and discuss any side effects like dehydration or urinary tract infections.[1] ## Income Eligibility Breakdown Income eligibility is based on your **annual adjusted gross household income** compared to the **Federal Poverty Level (FPL)**. For Farxiga, the limit is **300% of FPL**. Specific dollar amounts change yearly; check the latest FPL guidelines or call the program for your household size. Here's a sample table based on 2026 FPL estimates (confirm current figures via program or HHS.gov): | Household Size | 100% FPL | 300% FPL Limit | |---------------|----------|----------------| | 1 | $15,060 | $45,180 | | 2 | $20,440 | $61,320 | | 3 | $25,820 | $77,460 | | 4 | $31,200 | $93,600 | | +1 person | +$5,380 | +$16,140 | *Notes*: Income includes wages, Social Security, etc. Deductions may apply. Rare disease drugs have higher limits (500% FPL), but Farxiga is primary care.[1] ## Insurance Requirements - **Uninsured or Underinsured**: Ideal candidates if you can't afford copays. - **Medicare Patients**: Eligible if you meet income criteria and the drug isn't covered (Part D 'donut hole' help possible).[1] - **Not Eligible**: If you have private insurance covering Farxiga, active Medicaid (apply first if eligible), or government programs providing the drug.[1] Your healthcare provider (HCP) must confirm your status. ## Step-by-Step Application Process AZ&Me offers **multiple application methods** for convenience. Your doctor usually handles most steps.[1] 1. **Talk to Your Doctor**: Share this guide. They select Farxiga on the AZ&Me site and complete the form with your info.[1] 2. **Gather Documents**: - Prescription for Farxiga (name and formulation, e.g., 5mg or 10mg tablets). - Personal info (name, address, SSN, household size). - Health insurance details (proof of uninsured/underinsured status). - HCP info (name, contact, NPI). - Income proof (tax returns, pay stubs, W-2s, 2-3 months recent).[1] 3. **Apply**: - **Online**: Visit AZ&Me website (search 'AZ&Me Prescription Savings'). Doctor enrolls you digitally.[2] - **Paper Form**: Download from site, complete, fax to **1-877-239-0867**.[1] - **Phone Help**: Call **800-292-6363** (Mon-Fri, 9 AM-6 PM ET) for support.[1] 4. **Submit**: HCP faxes or submits. No activation needed post-enrollment.[1] ## Timeline and Delivery - **Processing**: Typically 2-4 weeks, but call for status.[1] - **Delivery**: Free medication **shipped to your home or doctor's office**.[1] - **Supply**: Often 90-day or 3-month fills; refills via reapplication or auto-process (details from program).[1] ## Alternatives if Denied - **Appeal**: Contact program at 800-292-6363 with more income proof.[1] - **Other Programs**: Check Partnership for Prescription Assistance (PPARx.org), RxAssist.org, or state Medicaid.[2] - **Coupons/Savings Cards**: AZ&Me may offer copay cards for commercially insured (separate from free drug program).[1] - **Generic Options**: No generic dapagliflozin yet; discuss alternatives like Jardiance (empagliflozin) with your doctor. - **Medicaid/CHIP**: Reapply if eligible. ## Important Disclaimer This guide is for informational purposes only and based on available program details as of 2026. Eligibility, terms, and FPL limits can change; always verify with AstraZeneca at 800-292-6363 or AZ&Me website. Not a substitute for medical or legal advice. Consult your healthcare provider before starting Farxiga. AstraZeneca reserves the right to modify or end the program.[1][2] (Word count: 942)

Program information last verified: March 30, 2026