Search for articles or Rx savings
Key takeaways
Farxiga is a brand-name SGLT2 inhibitor covered on most Aetna formularies when prescribed for Type 2 diabetes, heart failure, or chronic kidney disease.
In Aetna Medicare plans, it’s placed on Tier 2 with lower costs, while Medicaid may cover it with stricter rules that vary by state.
Without insurance, Farxiga costs about $823 for 30, 10 mg tablets, though copays and savings programs may help reduce the price.
Farxiga is a brand-name prescription drug used to treat Type 2 diabetes, heart failure, and chronic kidney disease. The active ingredient is dapagliflozin, which belongs to a class of drugs called SGLT2 inhibitors. It works by helping the kidneys clear extra sugar from the body through the urine. While Farxiga can improve blood sugar and heart health, it comes at a cost. Most health insurance plans cover Farxiga, but out-of-pocket expenses can vary.
Does Aetna cover Farxiga?
Aetna typically covers Farxiga when it’s prescribed for an approved use. There are different types of Aetna plans with prescription drug coverage. Although coverage varies, Farxiga is considered a preferred drug on most Aetna formularies (covered drug lists).
For example, the 2025 formulary for the Aetna Standard Plan shows Farxiga as a preferred brand name, with both the 5-mg and 10-mg tablets covered. However, generic dapagliflozin is currently non-formulary, meaning it’s not covered unless the plan makes an exception.
Aetna Medicare plans usually list Farxiga on their formularies. On the 2025 Medicare drug list, Farxiga is placed on Tier 2, which means it’s a preferred brand-name drug with moderate copays. Coverage is capped at 30 tablets per month, or one pill a day.
When it comes to Medicaid, Farxiga or its generic version may be covered, but with stricter guidelines. For example, patients may need to meet certain clinical criteria, such as trying metformin first or having risk factors for heart disease. In any case, it’s best to check the plan’s drug list or contact Aetna directly for more information.
How much is Farxiga without insurance?
Without insurance, the average retail price of Farxiga is $823 for 30, 10 mg tablets. The price may be higher or lower, depending on the quantity prescribed and the pharmacy you visit. Those without insurance can look for different savings options, such as a SingleCare discount card, that could help lower the retail price.
Save up to 80% on Farxiga with SingleCare Different pharmacies offer different prices for the same medication. SingleCare helps find the best price for you.
How much does Farxiga cost with Aetna?
The cost of Farxiga with Aetna will vary based on the plan and what tier the drug is on. Aetna usually places Farxiga on Tier 2 or 3 of its drug lists. Tier 2 medications generally have lower copays than Tier 3 drugs.
According to Farxiga’s manufacturer, AstraZeneca, the average copay for Farxiga with an employer or individual private plan is around $26 per month. For those with government-provided insurance plans like Medicare and Medicaid, the costs can differ. With Medicare Part D coverage, the average cost of Farxiga is almost $39 per month. The cost with Medicaid varies by state.
Prescription drug costs can depend on whether you’ve met your annual deductible. Some members pay full price until reaching their deductible amount.
How to check whether your Aetna plan covers Farxiga
The easiest way to check Farxiga coverage is through Aetna’s online tools. Members can visit Aetna’s medication search page to find their specific drug list and coverage details. To sign in online, you’ll typically need your Aetna ID card with member information. The online drug search tool on Aetna may also show specific coverage information, such as whether prior authorization or step therapy rules are in place.
Aetna members can also call the customer service number on their ID card. Representatives can provide more information about which prescription drugs are covered and the specific requirements a plan may have.
In addition, the manufacturer’s website may provide ways to verify whether a specific insurance plan covers the drug. They often offer resources to understand drug coverage before visiting the pharmacy.
Keep in mind that while a generic version exists, it may have different coverage rules than brand-name Farxiga.
How to save on Farxiga
Farxiga can be hard to access for some. However, there are different ways to potentially lower the cost, such as discount cards, shopping around, and assistance programs. These options may help when insurance coverage isn’t enough.
Use a SingleCare discount card
SingleCare offers a free discount card that may help lower Farxiga prescription costs at many pharmacies across the U.S.. Download and show the card to the pharmacy when filling a Farxiga prescription to save up to 80% per month. You can also use the SingleCare app. The card can’t be combined with insurance copay benefits, so it’s best to compare the SingleCare price with your insurance copay to see which option costs less.
Compare prices at pharmacies
The cost of Farxiga may be different at one pharmacy than another. That’s because large chain pharmacies, independent pharmacies, and online pharmacies often have different pricing details. If you’re willing to shop around, you might have better chances of finding a good price. An online tool like the SingleCare drug search tool can pool prices from different pharmacies in one place.
Check for patient assistance programs
The Farxiga manufacturer may have savings programs for eligible patients. These programs could help reduce monthly copay costs to as low as $0 for those who meet the income requirements and other eligibility criteria. Apply directly through the manufacturer’s website or ask your healthcare provider for assistance.
Purchase a larger quantity
Getting a 90-day supply instead of a 30-day supply may help reduce the per-dose cost of Farxiga. Many insurance plans offer lower copays for larger quantities of medicine. Check whether your insurance plan covers 90-day supplies. Some plans may cover a larger quantity if you use their pharmacy network.
If your insurance plan won’t cover Farxiga, or you find the out-of-pocket costs too high, you can always speak with your healthcare provider about other options. Alternatives to Farxiga are available, sometimes as a generic that could be more accessible.
- Farxiga highlights of prescribing information, Food and Drug Administration (2024)
- 2025 Aetna Pharmacy Drug Guide, Aetna (2025)
- Aetna Medicare (HMO), Aetna Medicare (PPO) 2025 Formulary, Aetna (2025)
- AETNA BETTER HEALTH® Coverage Policy/Guideline, Aetna (2025)
- Farxiga savings and support, AstraZeneca