Biktarvy cost per month?

Biktarvy (bictegravir + emtricitabine + tenofovir alafenamide) is a single‑tablet HIV regimen that’s typically prescribed once daily. Because it’s a brand‑name drug, the cost can vary widely depending on your insurance, pharmacy benefit manager (PBM), location, and whether you qualify for a discount program. Here’s a quick snapshot of what you might expect in the U.S.:

| Category | Typical Cost (USD) | Notes |
|----------|---------------------|-------|
| List price (manufacturer) | $6,000 – $6,500 per month | The “sticker price” before any discounts or insurance. |
| With insurance (average out‑of‑pocket) | $100 – $300 per month | Depends on deductible, copay tier, and whether it’s in your formulary. |
| Generic (not yet available) | – | No generic for Biktarvy yet, so no lower‑price option. |
| Discount programs / coupons | $50 – $150 per month | Gilead’s “Biktarvy Patient Support Program” and other manufacturer coupons can reduce the cost for uninsured or under‑insured patients. |
| State assistance / Medicaid | Varies | Some states offer additional subsidies for HIV medications. |

How to get the most accurate estimate

1. Ask your pharmacy – they can pull your specific formulary and give you a precise copay or out‑of‑pocket cost.
   
2. Check your insurance plan – use the pharmacy benefit manager (PBM) portal or call the customer‑service line to see what tier Biktarvy falls into.
   
3. Ask your provider about patient assistance – Gilead’s patient assistance program can cover the entire cost for qualifying patients; there may also be local nonprofit programs that help with medication costs.
   
4. Compare pharmacies – sometimes independent or online pharmacies have lower negotiated rates, especially if you’re eligible for a discount program.
   
   

Bottom line

• Without insurance: expect around $6,000–$6,500 per month.
  
• With insurance: most patients pay $100–$300 per month, but this can be higher if your plan has a large deductible or if the drug is not covered in a low‑cost tier.
  
• With a discount program: costs can drop to $50–$150 per month for uninsured or low‑income patients.
  
  If you need a precise figure for your situation, the best step is to call your pharmacy or check your insurance portal. And if the cost is a barrier, be sure to ask your prescriber or pharmacist about patient assistance options—many patients find that Gilead’s support programs can eliminate the cost entirely.