Biktarvy Medicare Coverage

Biktarvy is a medication that contains the active ingredients bictegravir, emtricitabine and tenofovir alafenamide. Biktarvy is used to treat HIV infection as a complete regimen in adults and children.

Biktarvy is an oral tablet that is taken once daily. The medications in Biktarvy work together to prevent the HIV-1 virus from replicating in the body.

Biktarvy is typically well tolerated but can cause diarrhea, upset stomach and headache.

How much does Biktarvy cost with Medicare?

Biktarvy coverage and costs may vary based on the specific plan you have, as well as what coverage stage you're in.

Contact your plan carrier or consult your plan formulary for more cost information.

Does Medicare cover Biktarvy?

According to GoodRx, 100% of Medicare Advantage plans and Medicare Part D plans covered Biktarvy in 2023.¹

• Medicare Advantage plans or Part D plans that cover Biktarvy include copay amounts that can range widely from one plan to another. Plan members may also be responsible for meeting a deductible before the plan’s drug coverage kicks in.
  
  
• Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD). 89% of 2023 Medicare Advantage plans included prescription drug coverage.²
  
  
• Medicare prescription drugs plans each have their own formulary, or drug list, that details what prescription drugs are covered by the plan and how they are covered.

Drug coverage may vary based on plan availability. You may be able to find Medicare Advantage plan options in your area that cover Biktarvy. We represent carriers such as Humana, UnitedHealthcare^®, Anthem Blue Cross and Blue Shield, Aetna, Cigna Healthcare, Wellcare, or Kaiser Permanente.

You can also compare Part D prescription drug plans available where you live and enroll in a Medicare prescription drug plan online when you visit MyRxPlans.com.

Additional information

Suppressing your viral load requires you to take Biktarvy every day as your doctor prescribes it. Missing doses can allow the HIV virus to replicate and make your condition worse.

Talk to your doctor if you experience any kidney or liver problems while taking Biktarvy. Signs of kidney or liver problems include dark urine, yellowing of the eyes and skin, problems urinating, blood in the urine or stomach pain.

Biktarvy can cause a condition where too much acid is present in your blood, called lactic acidosis. Signs of lactic acidosis include an abnormal heartbeat, fatigue, dizziness, feeling cold or muscle cramps.

Biktarvy does not stop the spread of HIV through contact with infected blood or through sexual intercourse.

This article is for informational purposes only. It is not healthcare advice, treatment, or diagnosis. It is not an endorsement of or recommendation for this medication. Speak to your doctor or healthcare provider about your specific healthcare needs, including your prescription medications. Only take medication as directed by your doctor.

Coverage and costs of prescription medications will vary by Medicare plan. Not all plans are available in all areas.

Written by Hayden Gharibyar, Pharm.D.