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Biktarvy Price (bictegravir, emtricitabine and tenofovir alafenamide)
- U.S. list price
- $12,648 for 90 days (90 tablets)The maker's price for brand Biktarvy before discounts · Source: Gilead
- Lowest international online pharmacy price
- $12.79 per tablet$1,165.95 for 90 days (90 tablets), shipping included · brand Biktarvy 50 mg/200 mg/25 mg, not FDA-approved
Generic bictegravir, emtricitabine and tenofovir alafenamide 50 mg/200 mg/25 mg (not FDA-approved · ships from India) from $502.77 · See bictegravir, emtricitabine and tenofovir alafenamide prices
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Quick answerAs of Nov 11, 2026, brand Biktarvy costs from $1,165.95 for 90 days at licensed pharmacies abroad we compared, vs. $4,216 for 30 days at the U.S. list price. In the U.S., Gilead says people with insurance typically pay $0 to $5 a month, and uninsured patients may get it free through Gilead Advancing Access.
Compare Biktarvy prices from licensed pharmacies
For comparison U.S. pharmacy list price: $12,648 for 90 days ($140.53 per tablet), brand Biktarvy before insurance. The prices below are from licensed online pharmacies outside the U.S.
| Pharmacy | Medication | Price | Shipping & delivery | Total (90 days) | Buy |
|---|---|---|---|---|---|
| Lowest per tabletOnline pharmacy A | Bictegravir Sodium / Emtricitabine / Tenofovir Alafenamide (India pack, ships from Mauritius)Not FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.50 mg/200 mg/25 mg · generic · Filled in MauritiusProduct of India | $398.99for 90 tablets$4.43 per tablet | Fee not publishedDelivery time not stated | $398.99 for 90 days= $398.99 for 90 days+ shippingSave 97%incl. $0 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy B | Bictegravir / Emtricitabine / Tenofovir Alafenamide 50mg/200mg/25mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.50 mg/200 mg/25 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Hetero Pharma | $487.82for 90 tablets$5.42 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $502.77 for 90 days= $502.77 for 90 daysSave 96%incl. $14.95 shippingChecked Nov 5 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy C | Generic equivalent to Biktarvy 50mg/200mg/25mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.50 mg/200 mg/25 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Hetero | $508.44for 90 tablets$5.65 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $523.39 for 90 days= $523.39 for 90 daysSave 96%incl. $14.95 shippingChecked Nov 5 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy D | Generic equivalent to Biktarvy 50mg/200mg/25mgNot FDA-approvedMade for sale in another country. It has the same active ingredient as the brand, but the FDA hasn't reviewed this maker's version.50 mg/200 mg/25 mg · generic · Filled in IndiaMade for sale in India.Maker listed by pharmacy: Hetero | $512.32for 90 tablets$5.69 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $527.27 for 90 days= $527.27 for 90 daysSave 96%incl. $14.95 shippingChecked Nov 7 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy E | BIKTARVY 50MG/200MG/25MG TABLET 90 (BRAND FROM TURKEY) (Turkey pack)50 mg/200 mg/25 mg · brand · Ships-from country not stated by pharmacyMaker listed by pharmacy: GILEAD SCIENCESMade for Turkey | $1,151for 90 tablets$12.79 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $1,165.95 for 90 days= $1,165.95 for 90 daysSave 91%incl. $14.95 shippingChecked Nov 5 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy D | Brand Biktarvy 50mg/200mg/25mg50 mg/200 mg/25 mg · brand · Filled in TurkeyMade for sale in Turkey.Maker listed by pharmacy: Gilead Sciences | $1,157.43for 90 tablets$12.86 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $1,172.38 for 90 days= $1,172.38 for 90 daysSave 91%incl. $14.95 shippingChecked Nov 5 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy B | Biktarvy 50mg/200mg/25mg (Turkey pack, ships from Mauritus)50 mg/200 mg/25 mg · brand · Filled in MauritusMaker listed by pharmacy: Gilead SciencesMade for Turkey | $1,170.29for 90 tablets$13.00 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $1,185.24 for 90 days= $1,185.24 for 90 daysSave 91%incl. $14.95 shippingChecked Nov 5 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy F | BIKTARVY (Turkey pack, ships from Mauritius)50 mg/200 mg/25 mg · brand · Filled in MauritiusProduct of Turkey | $1,205.27for 90 tablets$13.39 per tablet | FreeDelivery time not stated | $1,205.27 for 90 days= $1,205.27 for 90 daysSave 90%incl. $0 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy C | Brand Biktarvy 50mg/200mg/25mg50 mg/200 mg/25 mg · brand · Filled in TurkeyMade for sale in Turkey.Maker listed by pharmacy: Gilead Sciences | $1,414.64for 90 tablets$15.72 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $1,429.59 for 90 days= $1,429.59 for 90 daysSave 89%incl. $14.95 shippingChecked Nov 5 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy F | BIKTARVY (USA pack, ships from Australia)50 mg/200 mg/25 mg · brand · Filled in AustraliaProduct of USA | $4,083.45for 90 tablets$45.37 per tablet | FreeDelivery time not stated | $4,083.45 for 90 days= $4,083.45 for 90 daysSave 68%incl. $0 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy D | Brand Biktarvy 50mg/200mg/25mg50 mg/200 mg/25 mg · brand · Filled in CanadaMaker listed by pharmacy: Gilead Sciences (Inc) | $4,496.14for 90 tablets$49.96 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $4,511.09 for 90 days= $4,511.09 for 90 daysSave 64%incl. $14.95 shippingChecked Nov 5 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy B | Biktarvy 50mg/200mg/25mg50 mg/200 mg/25 mg · brand · Filled in CanadaMaker listed by pharmacy: Gilead Sciences | $4,595.42for 90 tablets$51.06 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $4,610.37 for 90 days= $4,610.37 for 90 daysSave 64%incl. $14.95 shippingChecked Nov 5 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy C | Brand Biktarvy 50mg/200mg/25mg50 mg/200 mg/25 mg · brand · Filled in CanadaMaker listed by pharmacy: Gilead Sciences (Inc) | $4,929.10for 90 tablets$54.77 per tablet | $14.95Pharmacy's estimate: 4–6 weeks | $4,944.05 for 90 days= $4,944.05 for 90 daysSave 61%incl. $14.95 shippingChecked Nov 5 | See pharmacy (members) Members see the pharmacy |
| Lowest per tabletOnline pharmacy F | BIKTARVY50 mg/200 mg/25 mg · brand · Filled in CanadaProduct of Canada | $6,189.79for 90 tablets$68.78 per tablet | FreeDelivery time not stated | $6,189.79 for 90 days= $6,189.79 for 90 daysSave 51%incl. $0 shippingChecked Nov 11 | See pharmacy (members) Members see the pharmacy |
No prices match those filters.
Buying from a pharmacy outside the U.S.? Read Is it safe to order Biktarvy from Canada?
90-day cost = 90 tablets at the usual dose of 1 a day, bought as one order of whole packs with one shipping fee. 90-day cost is worked out from each pharmacy's real order size so different pack sizes compare fairly. Orders are kept within a 3-month supply (92 days); a pack that is larger than that is marked and not used for the lowest price at the top of this page. Prices checked Nov 11, 2026 on each pharmacy's website, in U.S. dollars. Savings compare with the U.S. list price. The lowest price at the top of this page uses only packs whose maker the pharmacy names, or whose product country and ships-from country it states. Price is the pharmacy's own price for one pack, as shown on its website (converted to U.S. dollars when it prices in Canadian dollars). Delivery is the pharmacy's own estimate for the shipping option shown, not a promise; some pharmacies count from when they receive your prescription or ship the order. Total = the packs needed + shipping. When those packs don't add up to exactly 90 days, the row shows what that order costs and, under it, what it works out to for 90 days; we sort by the 90-day amount so pack sizes compare fairly. Prices change often; confirm at checkout. “Fee not published” means the pharmacy doesn’t show its shipping fee before checkout, so that row’s total is the medicine price only.
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90-day prices from 5 licensed pharmacies shipping to the U.S.: $502.77 to $6,189.79, any strength, shipping included.
Jump to: Medicare · Maker savings · Generic Biktarvy · Similar drugs · Uses · FAQ
Biktarvy (bictegravir, emtricitabine and tenofovir alafenamide) is a once-daily HIV-1 tablet from Gilead. No U.S. generic, but help with costs is available.
Biktarvy price by strength
| Strength | Lowest brand90 days | Lowest generic abroad90 days, not FDA-approved | Price per tablet |
|---|---|---|---|
| Biktarvy 50 mg/200 mg/25 mg | $1,165.95 | $502.77 | $12.79 brand · $5.42 generic |
Lowest 90-day cost with shipping at licensed pharmacies shipping to the U.S. now, counting only packs whose maker the pharmacy names, or whose product country and ships-from country it states. Price per tablet is for that lowest pack, before shipping. Prices checked Nov 11, 2026.
Cheapest ways to get Biktarvy 50 mg/200 mg/25 mg
The cheapest ways we found to get brand Biktarvy 50 mg/200 mg/25 mg (prices checked Nov 11, 2026). The lowest 90-day cost is shaded green.
| Way to buy | Cost | Details |
|---|---|---|
| Licensed online pharmacy abroad | $1,165.95 for 90 days | Brand Biktarvy 50 mg/200 mg/25 mg, not FDA-approved (made for another country). Shipping included, checked Nov 11, 2026. See all prices |
| U.S. list price | $12,648 for 90 days | Brand Biktarvy before insurance. Pharmacies may charge more. |
| Maker’s patient assistance program | May be free if you qualify | Gilead Advancing Access Patient Assistance Program, checked Oct 29, 2026. Who qualifies |
| Medicare Part D | Depends on your plan | Your plan’s drug list and coverage phase set your cost. Medicare costs |
Costs abroad and at U.S. pharmacies are for one order closest to 90 days, shipping included, from the price table above. Programs set their own rules, so check the terms before you count on one.
How much does Biktarvy cost without insurance?
Without insurance, Biktarvy costs $4,216 for a 30-day supply at the U.S. list price, or about $12,648 for 90 days. Licensed pharmacies abroad charged from $1,165.95 for 90 days of brand Biktarvy 50 mg/200 mg/25 mg in our latest check (Nov 11, 2026), shipping included. Assistance: May be free for eligible uninsured patients through Gilead Advancing Access. Call 1-800-226-2056 (Gilead).
Or limited insurance (low income: Your state's AIDS Drug Assistance Program (ADAP) covers FDA-approved HIV medicines for people who qualify (HRSA).
Biktarvy cost with Medicare
In 2026, a Medicare drug plan (Part D) can charge a deductible of up to $615, and once you've spent $2,100 out of pocket on covered drugs, you pay nothing more for covered drugs that year ($2,400 in 2027) (Medicare.gov). What you pay for Biktarvy depends on your plan's drug list and your coverage phase. If your income is limited, Extra Help lowers drug costs: in 2026 you pay no more than $5.10 for a generic and $12.65 for a brand-name drug, with income under $23,940 ($32,460 for a married couple) and resources under $18,090 ($36,100 for a couple) (CMS). The free Medicare Prescription Payment Plan spreads costs into monthly payments, but it doesn't lower the total.
| Medicare Part D | What Biktarvy costs | Source |
|---|---|---|
| Part D deductible (2026) | Up to $615 a year, depending on your plan | Medicare.gov |
| Part D out-of-pocket cap (2026) | $2,100 a year for covered drugs | Medicare.gov |
| Negotiated price | Selected January 2026; any negotiated price starts January 1, 2028 | CMS |
| Limited income | Extra Help can lower what you pay for prescriptions | Social Security |
Biktarvy cost with insurance
With private or employer insurance, what you pay for Biktarvy depends on your plan's drug list, deductible and copay. Typically $0 to $5 a month, per Gilead. The co-pay program covers up to $7,200 a year (Gilead).
Medicaid: Typically $0 to $5 a month, per Gilead. Some states charge less or nothing (Gilead).
Biktarvy patient assistance program
Yes. Biktarvy is offered through Gilead Advancing Access Patient Assistance Program, which can give the medicine at no cost to people who qualify. Who qualifies: People without health insurance who live in the U.S., Puerto Rico or a U.S. territory and meet other program criteria. How to apply: Enroll online through Advancing Access or fax the enrollment form. Call 1-800-226-2056 (9 AM to 8 PM ET, Monday to Friday). (Checked 2026-10-29.)
Is there a generic Biktarvy?
No. There is no FDA-approved generic Biktarvy in the U.S. The FDA Orange Book lists only Gilead's own Biktarvy tablets, and patents listed there run as late as November 2036. Patents can be challenged, so that date doesn't tell you exactly when a generic will arrive. The generic name is bictegravir, emtricitabine and tenofovir alafenamide. See generic Biktarvy (bictegravir, emtricitabine and tenofovir alafenamide) prices.
| Strength | U.S. generic | Makers | Since |
|---|---|---|---|
| 50 mg/200 mg/25 mg | No | — | |
| 30 mg/120 mg/15 mg | No | — |
Outside the U.S.: Some online pharmacies abroad sell lower-priced versions made in India, such as Taffic by Hetero Labs. These are not FDA-approved. Biktarvy is sold under the same name in Canada, by Gilead Sciences Canada.
Source: FDA Orange Book: BIKTARVY patents and exclusivity. As of Oct 25, 2026.
See generic bictegravir, emtricitabine and tenofovir alafenamide prices
Biktarvy FAQ
Does Medicare cover Biktarvy?
Biktarvy can be covered by Medicare drug plans, and Gilead says people with Medicare typically pay $0 to $5 a month. In 2026, Part D out-of-pocket costs for covered drugs are capped at $2,100. Medicare chose Biktarvy for price negotiation, with any negotiated price starting in 2028. People with limited income can apply for Extra Help.
How much is Biktarvy from Canada?
In our latest check (Nov 11, 2026), licensed online pharmacies abroad charged $1,165.95 to $6,189.79 for 90 days of brand Biktarvy made by Gilead, shipping included. Not every pack ships from Canada: the lowest-priced Gilead pack was made in Turkey and ships from Mauritius, and the price table shows where each pack comes from.
Does insurance pay for Biktarvy?
Gilead says a person taking Biktarvy typically pays $0 to $5 a month with private insurance, Medicare or Medicaid. With private or employer insurance, the Gilead Advancing Access co-pay program covers up to $7,200 a year in out-of-pocket costs, with no monthly limit.
What is the cost of a 30-day supply of Biktarvy?
The U.S. list price is $4,216 for a 30-day supply (Gilead, as of January 1, 2026). As of Nov 11, 2026, licensed pharmacies abroad we compared charged from $1,165.95 for 90 days of brand Biktarvy, shipping included. Gilead says people with insurance typically pay $0 to $5 a month.
Can I get Biktarvy for free?
If you're uninsured, Gilead says you may be able to get Biktarvy free of charge through Gilead Advancing Access (1-800-226-2056). You must live in the U.S., Puerto Rico or a U.S. territory and meet other criteria. Your state's AIDS Drug Assistance Program (ADAP) may also help.
When will Biktarvy become generic?
There is no FDA-approved generic Biktarvy in the U.S. Patents listed in the FDA Orange Book run as late as November 2036, but patents can be challenged, so that date doesn't tell you exactly when a generic will arrive. See generic Biktarvy (bictegravir, emtricitabine and tenofovir alafenamide) prices.
What if I can't afford Biktarvy?
Call Gilead Advancing Access at 1-800-226-2056 to ask about the co-pay program or free medicine if you're uninsured. Your state's AIDS Drug Assistance Program (ADAP) and Ryan White HIV/AIDS Program providers can also help people with low income get HIV medicines.
Do I need a prescription to buy Biktarvy?
Yes. Biktarvy needs a prescription from your doctor, in the U.S. and from licensed pharmacies abroad. Never buy it from a website that does not ask for one.
Brand vs. generic: cost for 90 days
| Option | 90 days |
|---|---|
| Generic bictegravir, emtricitabine and tenofovir alafenamide 50 mg/200 mg/25 mg, U.S. pharmacy cash priceWe have not confirmed a U.S. pharmacy price yet | — |
| Brand Biktarvy 50 mg/200 mg/25 mg from licensed pharmacies abroadLowest price we found, shipping included, checked Nov 11, 2026 | $1,165.95 |
| Brand Biktarvy, U.S. list priceBefore insurance; pharmacies may charge more | $12,648 |
Lowest in this comparison: Brand Biktarvy 50 mg/200 mg/25 mg from licensed pharmacies abroad.
90 days = 90 tablets of 50 mg/200 mg/25 mg. Generic sold abroad is not FDA-approved and is not in this box. Your price with insurance or Medicare depends on your plan.
Savings programs from the maker
eDrugSearch does not offer its own Biktarvy coupons. eDrugSearch has no coupons of its own. These are the real programs that can lower what you pay for Biktarvy, checked on each program's own site:
- Gilead Advancing Access Co-pay Savings Program: for people with private or employer insurance. Covers up to $7,200 in out-of-pocket costs per calendar year for Biktarvy, with no monthly limit. Not for Medicare, Medicaid, VA, TRICARE or other government programs, and not for people who are uninsured or paying cash. Call 1-800-226-2056. (Co-pay program terms)
- Gilead Advancing Access patient assistance: if you don't have insurance, you may be able to get Biktarvy free of charge. You must live in the U.S., Puerto Rico or a U.S. territory and meet other criteria. Call 1-800-226-2056. (Gilead Advancing Access)
- AIDS Drug Assistance Program (ADAP): run by each state and territory under the federal Ryan White HIV/AIDS Program. It helps low-income people with HIV who have limited or no health insurance get FDA-approved HIV medicines, and can help pay for health insurance. (HRSA: ADAP)
- Ryan White HIV/AIDS Program: federally funded HIV care for people with low income. Use the HRSA locator to find a Ryan White provider near you. (Find a Ryan White provider)
- Medicare Extra Help: if you have Medicare and limited income, Extra Help lowers what you pay for prescriptions. (Social Security)
- Medicare Prescription Payment Plan: a free Medicare option that spreads your drug costs into monthly payments across the year. It doesn't lower the total, but it can make costs easier to manage. (Medicare.gov)
Compare Biktarvy with similar drugs
Other once-daily, single-tablet HIV medicines people often compare with Biktarvy. Prices are for each drug's lowest-priced strength. Your prescriber decides which medicine is right for you.
| Drug | Type | Lowest price we found | Link |
|---|---|---|---|
| Dovatodolutegravir and lamivudine | HIV medicine (complete two-drug regimen: integrase inhibitor plus one NRTI) | $3,061.81 for 90 days | See prices |
Lowest 90-day price including shipping, from licensed pharmacies shipping to the U.S., any strength. Only your doctor can decide whether another drug is right for you.
What is Biktarvy used for?
Biktarvy combines bictegravir (an integrase inhibitor) with emtricitabine and tenofovir alafenamide (two NRTIs). According to its FDA label (DailyMed), it is a complete regimen for HIV-1 infection in adults and children who weigh at least 14 kg (about 31 pounds) and who:
- Have never taken HIV medicines before.
- Have taken HIV medicines before but whose virus is not suppressed, if there is no known or suspected resistance to the integrase inhibitor class, emtricitabine or tenofovir.
- Want to replace their current HIV regimen, if their virus is suppressed (HIV-1 RNA under 50 copies/mL) on a stable regimen and there is no known or suspected resistance to bictegravir or tenofovir.
Biktarvy is one tablet taken once a day. Adults and children who weigh at least 25 kg take the 50 mg/200 mg/25 mg tablet; a lower-dose 30 mg/120 mg/15 mg tablet is for children who weigh 14 kg to under 25 kg. The label has a boxed warning: hepatitis B can get severely worse in people with HIV and hepatitis B who stop taking it. Your prescriber decides which medicine is right for you.
Is it safe to order Biktarvy from Canada?
Some Americans do, but U.S. law and customs rules apply, and most people with insurance or assistance pay far less in the U.S. Federal law generally doesn't allow individuals to import prescription drugs, though under its personal importation policy the FDA has long used enforcement discretion for some personal-use shipments, generally no more than a three-month supply (FDA). Congress has said enforcement against individuals should focus on imports that pose a significant threat to public health (Federal Food, Drug, and Cosmetic Act section 804(j)(1), 21 U.S.C. 384(j)(1)). New U.S. Customs rules for mailed orders start January 20, 2027. In our latest check, licensed online pharmacies sold brand Biktarvy made by Gilead from Canada and, for less, a Gilead pack made in Turkey that ships from Mauritius. Some pharmacies also listed lower-priced packs from India or Australia without naming the maker. Biktarvy is sold under the same name in Canada, by Gilead Sciences Canada.
Read our guide to buying prescription drugs from Canada and what the 2027 customs rules mean. Compare licensed Canadian pharmacies.
Sources
- Gilead: BIKTARVY cost information (list price $4,216 per 30 days, WAC as of Jan 1, 2026)
- Gilead Advancing Access: co-pay savings program
- Gilead Advancing Access: insurance support and free medicine
- CMS: drugs selected for the third cycle of Medicare negotiation (January 27, 2026)
- CMS fact sheet: selected drug list for 2028
- HRSA: Ryan White Part B AIDS Drug Assistance Program
- HRSA: Find a Ryan White HIV/AIDS Program provider
- BIKTARVY U.S. prescribing information (DailyMed) (label effective July 7, 2026)
- FDA Orange Book: BIKTARVY patents and exclusivity
- Health Canada: BIKTARVY regulatory decision summary (DIN 02478579)
- Medicare.gov: Part D costs (2026 deductible and out-of-pocket cap)
eDrugSearch does not sell medication, and this is not medical advice. Prices change often; confirm the price at checkout. Talk with your doctor or pharmacist before changing how you get your medication.
