Proximal Tubular SGLT2 Inhibitor • Rx

Dapagliflozin

Brand Reference: Farxiga

Medically Reviewed by Dr. Elena Vance, MD, FACE (NPI #1043218901)
87.90%
Patient “Worth It”
17 verified logs
$38.20
Lowest Monthly Cash

Dapagliflozin Clinical & Real-World Cost Fact Matrix

Metric Verified Benchmark Source
Dapagliflozin RxNorm Concept ID 1488564 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $17.8400 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $584.00 / mo CMS NADAC + U.S. Retail Markup Index
Mark Cuban Cost Plus Wholesale Price $38.20 / mo Cost Plus Drugs Wholesale Feed
Community Mean Out-of-Pocket Paid $46.00 / mo 17 Zero-PHI Verified Patient Logs
INSTANT PRESCRIPTION & CASH ROUTING

Verified Online Prescribers & Wholesale Pharmacies for Dapagliflozin

DotMD Club Members get $29 flat-rate script renewals →
Mark Cuban Cost Plus Drugs (Wholesale Pharmacy)
Requires an existing doctor prescription. Need a script? Pair with a $29 DotMD Club TeleMed consult.
$38.20/mo
Wholesale Cash Price
View Wholesale Rx →
Ro Body & Metabolic Clinic (Online Doctor Consult + Delivery)
Asynchronous physician review included • Ships in ~2 days
$ 45.00
Consult / Starting Tier
Start Online Visit →
AgelessRx Geroprotective Telehealth (Online Doctor Consult + Delivery)
Asynchronous physician review included • Ships in ~3 days • Rx included in monthly tier
$ 65.00
All-In Monthly
Start Online Visit →
Sesame Direct Cash-Pay Prescriber Network (Online Doctor Consult + Delivery)
Asynchronous physician review included • Ships in ~1 days
$ 29.00
Consult / Starting Tier
Start Online Visit →

Dapagliflozin Clinical Pharmacology & DailyMed Monograph

RxCUI 1488564 • NDC 00310-6205-30

Reversibly inhibits luminal SGLT2 co-transporters with >1,400-fold selectivity over intestinal SGLT1, promoting insulin-independent renal glucose excretion, afferent arteriolar vasoconstriction, plasma volume offloading, and cardiorenal fibrosis attenuation.

Classified under Proximal Tubular SGLT2 Inhibitor (Rx), Dapagliflozin exhibits a $545.80/month gap between standard U.S. retail cash counters ($584.00) and verified direct-to-patient routing ($38.20) anchored to $17.8400 CMS unit cost.

Pharmacokinetic profiling of Dapagliflozin demonstrates an elimination half-life of 12.9 hours with 78% oral systemic bioavailability; clearance proceeds via converted primarily by ugt1a9 to inactive dapagliflozin 3-o-glucuronide, reaching clinical onset within 2 hours fasting cmax.

Titration schedules for Dapagliflozin (5 mg PO once daily → 10 mg PO once daily) require excluding prior anaphylaxis to dapagliflozin; active dialysis dependence; real-world patient logs highlight increased urination (20% of reports), urinary tract discomfort (9% of reports), volume depletion (8% of reports) alongside a 87.90% Worth-It consensus.

Half-Life
12.9 hours
Bioavailability
78% oral
Metabolism & Clearance
Converted primarily by UGT1A9 to inactive dapagliflozin 3-O-glucuronide
Clinical Onset
2 hours fasting Cmax

Standard Adult Titration & Dosages

5 mg PO once daily 10 mg PO once daily

Absolute & Relative Contraindications

  • Prior anaphylaxis to dapagliflozin
  • Active dialysis dependence

Logged Side-Effect Incidence (17 Reports)

Increased urination 20%
Urinary tract discomfort 9%
Volume depletion 8%

Dapagliflozin Patient Dosage Logs & Out-of-Pocket Cost Ledger

Across 17 verified cash-pay logs, Dapagliflozin achieves a 87.90% Worth-It rating with out-of-pocket spend averaging $46.00/mo versus $584.00/mo walk-in retail.

15-Second Anonymous Micro-Log (Zero-PHI Architecture)

Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.

Effectiveness: 5/5 • Worth It Dosage: 5 mg PO once daily • Paid: $33.62/mo via Cost Plus Drugs
Increased urination

Switched to Cost Plus Drugs at 5 mg PO once daily for Dapagliflozin; monthly out-of-pocket dropped to $33.62 compared with $584.00 retail.

Effectiveness: 5/5 • Worth It Dosage: 10 mg PO once daily • Paid: $38.96/mo via Local Pharmacy

Completed 10 weeks on Dapagliflozin (10 mg PO once daily). Zero notable side effects on steady dosing.

Effectiveness: 4/5 • Worth It Dosage: 5 mg PO once daily • Paid: $44.31/mo via TeleMed
Urinary tract discomfort

Consistent biomarker response on 5 mg PO once daily Dapagliflozin sourced via TeleMed ($44.31/mo cash pay without insurance prior authorization).