WITH YOUR SAVINGS CARD, start saving on your FARXIGA or XIGDUO XR prescription today
The savings card program has changed. The 9-digit card you have is no longer valid. Please call 1-866-355-9467 for assistance or click below to download new savings card.
How the Savings Card works
Eligible patients can get either FARXIGA or XIGDUO XR for as low as $0 per month for as long as your doctor prescribes any available dose of either medication.
Start saving with these 3 simple steps
Request your Savings Card by clicking on the appropriate link above.
Retail customers: Present activated card with your prescription to your pharmacist.
Mail Order Customers: Call the number on the card and ask for Customer Service,
or click here for detailed instructions.
The Savings Card for FARXIGA® (dapagliflozin) and XIGDUO® XR (dapagliflozin and metformin HCl extended-release).
If your retail pharmacy or mail order pharmacy does not accept the Savings Card, follow these simple steps after activating your card:
Call your mail order pharmacy to see if they accept the Savings Card. If they do, provide them with your Savings Card ID number after they receive your prescription. You will receive your check when the pharmacy processes your prescription payment.
If your mail order or retail pharmacy does NOT accept the Savings Card:
A. Call 1-844-381-6301 to request a patient rebate form, or go to www.FarxigaSavingsRx.com/rebate to download a form.
B. When you receive this form, complete and sign it. Then mail this form along with the original mail-order pharmacy receipt (cash register receipts are not acceptable) to the address listed on the form. Forms submitted without the original mail-order pharmacy receipt will not be valid and therefore will not be eligible for reimbursement.
C. Remember to keep a copy of your receipts for your records. You should receive your check in about 6 to 8 weeks.
You will need to submit a patient rebate form each time you get a refill of your prescription and complete step 2B to receive your check.
FARXIGA and XIGDUO XR are registered trademarks of the AstraZeneca group of companies.
©2015 AstraZeneca. All rights reserved.
1916808-3143739 Last Updated 9/15
*As low as $0 per month for as long as your doctor prescribes any available dose of either FARXIGA or XIGDUO XR.
†Eligible patients may save up to $446 per month. Subject to eligibility. Restrictions apply.