Farxiga cost in 2026: a cash price below Medicare’s
Through TrumpRx, 30 Farxiga tablets cost $35.00, five times less than the $178.50 Medicare negotiated for 2026.
Farxiga (dapagliflozin), AstraZeneca’s once-daily tablet for type 2 diabetes, heart failure and chronic kidney disease, is the clearest case of a cash price beating Medicare’s. TrumpRx lists 30 tablets of 5 or 10 mg at $35.00, against a list price of $377.82 on the same page and a Medicare negotiated price of $178.50 for 30 days in 2026, rising to $183.33 in 2027. Pharmacies pay about $362 for 30 tablets according to the NADAC survey. On the standard Part D benefit, a year of Farxiga costs about $997 in 2026, more than $420 for twelve TrumpRx fills. The catch for Medicare enrollees is that a cash purchase stays outside the plan: it does not count toward the deductible or the yearly cap, and the TrumpRx terms ask you not to claim it from your plan.
The whole of 2026, by way of paying
- Paying cash (self-pay)$420
- Medicare Part D, covered use$997
- Medicaid, at a $4.00 copay$48
You would pay, Farxiga 10 mg
$35 / month
$420 in 2026
Self-pay price published by TrumpRx, the same through both.
Same dose, other ways to pay (per month)
- List price (wholesale acquisition cost)$378
- Self-pay: TrumpRx$35
- What pharmacies pay (NADAC)$362
- Medicare negotiated price, 2026$179
- Medicare Part D, your share (month avg., 2026)$83
TrumpRx and makers read on October 16, 2026 · NADAC file of October 14, 2026. Estimate only, not medical advice. How it is calculated
Prices read by Radif Partners · Editorial policy · Method and data
Price by strength and channel
| Tablet | TrumpRx, 30 tablets | List price | Pharmacy cost (NADAC) | Medicare 2026 | Medicare 2027 |
|---|---|---|---|---|---|
| 5 mg | $35.00 | $377.82 | $362 | $178.50 | $183.33 |
| 10 mg | $35.00 | $377.82 | $362 | $178.50 | $183.33 |
When paying cash makes sense on Medicare
Under the standard benefit, the first $615 of covered drugs each year comes out of your pocket. If Farxiga is your only Part D drug, those first months cost you $178.50 each at the negotiated price, against $35.00 cash. If you also take expensive drugs that will push you to the $2,100 cap anyway, buying Farxiga through the plan helps you get there, after which it is free. The calculator shows both lines; the decision depends on your other prescriptions, and a pharmacist can run both prices.
Generic dapagliflozin
TrumpRx also lists generic dapagliflozin and dapagliflozin with metformin; the TrumpRx price list lets you search them. A generic is substituted only when your prescriber and pharmacist allow it.