Dolutegravir (Tivicay) Medicare Coverage

Dolutegravir is the generic form of the medication Tivicay. Dolutegravir is used to treat HIV-1 infection in adults and children who weigh at least 66 lbs. (30 kg.)

Dolutegravir is taken once daily. It works by preventing the HIV virus from replicating in the body.

Common side effects of Dolutegravir include headache, fatigue and insomnia.

How much does Tivicay cost with Medicare?

Tivicay 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 Tivicay?

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

• Medicare Advantage plans or Part D plans that cover Tivicay 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 2024 Medicare Advantage plans include 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 Tivicay. 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

It is important that you do not skip or miss any doses of Dolutegravir in order to properly control your HIV.

Liver problems can happen while taking Dolutegravir. Signs of liver problems include fatigue, loss of appetite, upset stomach, vomiting or yellow skin or eyes.

Talk to your doctor if you experience any of these symptoms. Let your doctor know if you experience fever, muscle or joint pain, mouth sores, eye irritation, shortness of breath or if you feel very tired or weak.

Dolutegravir can lead to changes in your immune system. Tell your doctor if you have any signs of infection like fever, sore throat, weakness, cough or shortness of breath.

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.