Descovy (Emtricitabine/Tenofovir Alafenamide) Medicare Coverage

Descovy
Chemical name: Emtricitabine/Tenofovir Alafenamide

Brand name: Descovy

Typical dosage: 200mg/25mg

Typical type: Tablet1

Descovy is a medication used to treat HIV infection. Descovy is available as a brand name medication only and comes as an oral tablet.

Descovy is a medication that contains a combination of the medications emtricitabine and tenofovir alafenamide. It is used to treat HIV-1 infection in combination with other agents.

Descovy is taken once daily. It works by interfering with the replication of the HIV virus.

A common side effect of Descovy includes upset stomach.

Does Medicare cover Descovy?

Yes! 100% of Medicare Advantage plans and Medicare Part D plans cover Descovy.1

  • Medicare Advantage plans that offer prescription drug coverage are called Medicare Advantage Prescription Drug Plans (MA-PD). Most Medicare Advantage beneficiaries (88 percent) are enrolled in MA-PDs.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 Descovy.

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Or call TTY Users: 711 24/7 to speak with a licensed insurance agent.

Average costs for Descovy with Medicare drug coverage1

Your copay and deductible costs for any prescription drug can vary depending on what coverage stage you’re in.

Deductible stage Typical copay stage
Your deductible is the amount of money you must spend on covered drugs before your Medicare drug coverage starts paying its share of costs.

In the deductible stage, you’re responsible for the full cost of your prescription drugs.

Some Medicare prescription drug plans have a $0 deductible. Medicare drug plans cannot have a deductible more than $415 in 2019.
After you meet your Part D deductible, you enter the initial coverage period.

During this phase (the typical copay stage), you pay a copayment (flat fee) or coinsurance (percentage) for your covered medications.
$42 – $1,819 $42 – $1,807

Additional information

While Descovy is effective at treating HIV, it has shown to worsen existing infections of Hepatitis B after the drug is stopped. If you have a history of a hepatitis B infection, tell your doctor so they can closely monitor you.

Descovy is not a cure for HIV and does not stop the transmission of HIV through blood or by sexual contact.

This medication can cause liver swelling and an acid health problem in the blood. Signs of liver problems include fatigue, loss of appetite, dark urine, upset stomach, abdominal pain and yellowing of the skin or eyes.

Signs of too much acid in the blood (called lactic acidosis) include rapid breathing or heartbeat, upset stomach, vomiting, dizziness and muscle pain or cramps.

 

 

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.