Is biktarvy covered by insurance? | how much is biktarvy without insurance | how to get biktarvy without insurance
Biktarvy is a brand-name prescription medication used to treat HIV-1 infection in adults and children. Combining three antiretroviral drugs: emtricitabine, tenofovir alafenamide, and bictegravir sodium, Biktarvy is a complete drug regimen used as initial or replacement treatment for HIV/AIDS. Biktarvy is taken as a daily tablet available in two dosage strengths.
Reading: How much is biktarvy without insurance
biktarvy is typically covered by the medicare and medicaid insurance programs, as well as commercial insurance plans. however, biktarvy can be expensive without insurance, and a generic version is not currently available. Still, uninsured people can try different strategies to make biktarvy more affordable.
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is biktarvy covered by insurance?
Most health insurance plans will cover biktarvy without prior authorization. however, biktary is usually found at a higher level on insurance plan formularies. drugs on a higher tier generally have a higher out-of-pocket cost than drugs on a lower tier. therefore, insurance plans may only help cover part of the cost of the drug.
Medicare insurance plans may help cover the cost of biktarvy, although copay costs may vary. Medicaid, the largest payer for HIV/AIDS medical treatment in the United States, can also help eligible patients pay for the cost of biktarvy. however, the actual out-of-pocket cost will depend on the insurance plan’s formulary, copay cost, and deductible.
If you have insurance, check with your insurance plan provider to determine the cost of biktary with your particular plan.
how much does biktarvy cost without insurance?
Without insurance coverage, the average monthly cost of biktarvy (30 tablets of 50-200-25 mg) is $7,797, or just over $90,000 for a year of treatment. the actual cash price of the drug will depend on the amount and dosage prescribed by a health care provider, as well as where the drug is purchased.
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Unfortunately, biktarvy is a brand name drug with no affordable generic version available. Three-drug HIV/AIDS combinations that are similar to Biktarvy include Triumeq (abacavir, lamivudine, and dolutegravir), Stribild (emtricitabine, tenofovir disoproxil fumarate, elvitegravir, and cobicistat), and Genvoya (emtricitabine, tenofovir alafenamide, elvitegravir, and cobicistat). . brand-name combination drugs can be expensive, but some of them may be less expensive than biktarvy. If you don’t have insurance, compare your available options with your doctor to find the best and most affordable option for you.
There are no over-the-counter medications, natural remedies, or dietary supplements that can effectively control hiv infection.
compare prices of biktarvy with related drugs
(bictegravir sodium, emtricitabine, tenofovir alafenamide)
(dolutegravir, abacavir, and lamivudine)
(elvitegravir, emtricitabine, tenofovir disoproxil fumarate, cobicistat)
(elvitegravir, emtricitabine, tenofovir alafenamide, cobicistat)
Prescription drug prices often change. these are the most accurate drug prices at the time of publication. the price indicated without insurance references is the price of brand-name drugs. the single care price indicated refers to the price of generic drugs, if available. click the link under “savings options” to see up-to-date drug prices.
how to get biktarvy without insurance
With a yearly price of close to $90,000, biktarvy treatment may be too expensive for many people without health insurance or some form of financial assistance. The manufacturer, Gilead Sciences, offers a patient assistance program (Gilead Advanced Access Program), which can help eligible insured or uninsured patients save on Biktarvy.
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improving access to hiv/aids treatment is considered a priority by the government and the health industry. There are many resources and strategies to help you get life-saving hiv treatment, like biktarvy, at an affordable cost or for free.
1. start with a singlecare savings card
With a single care discount card, individuals can save 50% off biktarvy’s average retail price of $7,800 per month. that’s as much as $3,300 a month, or savings that add up to nearly $40,000 a year. explore current discounts on singlecare’s biktarvy coupon page and compare potential savings at pharmacies near you.
2. sign up for adap to get free or low-cost hiv/aids medicine
For people without insurance, the AIDS Drug Assistance Program (ADAP) can help pay for HIV/AIDS medications. The ADAP form and eligibility requirements vary by state, as criteria are set at the state level. contact your state health department for information, eligibility, and applications. Unfortunately, some states may have a waiting list for certain ADAP prescriptions. If that’s the case, the HarborPath ADAP Waiting List Program may offer Biktarvy or other medications donated by pharmaceutical companies for free or at low cost. a health care provider can help with enrollment in the harborpath adap waiting list program.
3. ask your doctor about generic HIV/AIDS drug regimens
biktarvy is a brand name combination hiv and aids pill that can be expensive. however, there are many affordable fda-approved generic hiv drugs. Instead of taking a brand-name drug that includes multiple drugs, you may be able to purchase the individual drugs separately as generic drugs. however, you will need to take two or three pills a day instead of just one. the balance between cost and convenience can be worth it.
Get the medical advice of a healthcare professional first. there may be efficacy issues or serious side effects that need to be considered before changing drug regimens.
4. consider health insurance
For medical conditions like HIV/AIDS that require expensive, lifelong medical treatment, sometimes the best way to save money is to purchase health insurance. Visit your state health insurance marketplace to get a general idea of the cost and quality of commercial health insurance policies in your state.
5. sign up for medicaid
People who cannot afford commercial health insurance may be eligible for low-cost Medicaid health insurance. check your state’s medicaid website for eligibility requirements.
6. use a 340b provider
The 340b program allows certain hospitals, clinics, and outpatient providers to purchase medications from pharmaceutical companies at a reduced price. these 340b providers can pass these savings on to low-income or uninsured patients. You may be able to get biktarvy at a low, affordable price through a provider in your area, such as a local hospital or community health clinic. ask your public health department for a list of local 340b providers.
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