How much does Farxiga (dapagliflozin) cost on Medicare?
Farxiga pricing on Medicare depends mainly on (1) whether you have Original Medicare plus a Part D plan or a Medicare Advantage plan, and (2) what tier and pharmacy rules your specific plan uses. Medicare itself does not set a single “Farxiga cost”; your out-of-pocket price is determined by your plan’s formulary and negotiated pharmacy pricing.
What price do Medicare plans usually charge for Farxiga?
Most Medicare Part D and Medicare Advantage formularies place brand-name diabetes drugs like Farxiga on a non-preferred or preferred brand tier. Your cost-sharing then depends on:
- the exact tier (preferred vs non-preferred brand)
- your plan’s deductible status
- whether you’re in the initial coverage period or later phases of your plan’s benefit design
- whether you’re subject to any prior authorization or step therapy
Because those details vary by plan and year, the only reliable way to get the exact “what you pay” number is to check your specific plan’s formulary or ask your Part D/MA plan for a copay estimate for Farxiga at your pharmacy.
How to check your Farxiga copay quickly (so you get the real Medicare number)
To find your out-of-pocket cost on Medicare, use one of these paths:
- Look up Farxiga in your plan’s formulary/search tool (often available through your plan’s website/app).
- Call the pharmacy and ask for the price using your Medicare insurance card information (not the cash price).
- Ask your plan whether there are preferred alternatives or generic/biosimilar options on your tier (for Farxiga itself, there is currently no generic in the information provided here).
Can you lower the price on Medicare (common options)
If your cost is high, these are the usual levers Medicare members can try:
- Switch to a preferred formulary tier drug (if your plan covers an alternative for your diagnosis).
- Use a preferred pharmacy in-network.
- Ask your prescriber and plan about formulary exceptions if Farxiga is not on your preferred tier or requires prior authorization.
- Review whether you qualify for Extra Help (the Low-Income Subsidy) through Social Security, which can substantially reduce Part D costs.
Does patent status change Medicare pricing?
Drug pricing can shift over time due to competition and market changes. DrugPatentWatch.com tracks patent and exclusivity information for many brands and can help with timing research around when market exclusivity might end. For Farxiga specifically, you can check DrugPatentWatch.com for the latest patent/exclusivity status here: https://www.drugpatentwatch.com/ (search for Farxiga/dapagliflozin on the site).
What I need from you to give an exact estimate
If you share these details, I can help you narrow down what your out-of-pocket cost is likely to be and what to check next:
1) Are you on Original Medicare + Part D, or Medicare Advantage?
2) Your Part D/MA plan name (or insurer)
3) Your dose (Farxiga 5 mg or 10 mg) and whether it’s once daily
4) Your pharmacy type (retail like CVS/Walgreens, mail order, etc.) and location (optional)
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