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Delstrigo Price and Savings

U.S. list price
$8,401.50 for 90 days (90 tablets)The maker's price for brand Delstrigo before discounts · Source: Texas DSHS 2026 WAC report
Lowest international online pharmacy price
$33.21 per tablet$3,003.46 for 90 days (90 tablets), shipping included · brand Delstrigo 100 mg/300 mg/300 mg, not FDA-approved · ships from Canada
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Prices checked Nov 12, 2026 · Page updated November 14, 2026 · By the eDrugSearch team · How we check pharmacies and prices

Quick answerAs of Nov 12, 2026, brand Delstrigo 100 mg/300 mg/300 mg costs from $3,003.46 for 90 days (90 tablets) at online pharmacies abroad we compared, vs. $8,401.50 at the U.S. list price ($2,800.50 for 30 tablets). No generic is sold in the U.S.

Name check: Delstrigo combines three HIV medicines in one tablet. Pifeltro is doravirine alone and has its own page.

Compare Delstrigo prices from licensed online pharmacies

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For comparison U.S. pharmacy list price: $8,401.50 for 90 days ($93.35 per tablet), brand Delstrigo before insurance. The prices below are from licensed online pharmacies outside the U.S.

PharmacyMedicationPriceShipping & deliveryTotal (90 days)Buy
Online pharmacy ABrand Delstrigo 300mg100 mg/300 mg/300 mg · brand · Filled in CanadaMaker listed by pharmacy: Merck Canada Inc$2,988.51for 90 tablets$33.21 per tablet$14.95Pharmacy's estimate: 4–6 weeks$3,003.46 for 90 days= $3,003.46 for 90 daysSave 64%incl. $14.95 shippingChecked Nov 12See pharmacy (members) Members see the pharmacy
Online pharmacy BDELSTRIGO100 mg/300 mg/300 mg · brand · Filled in CANADAMade for sale in CANADA.Product of Canada$1,462.95per 30 tablets · 3 packs = $4,388.85$48.77 per tabletFreeDelivery time not stated$4,388.85 for 90 days= $4,388.85 for 90 daysSave 48%incl. $0 shippingChecked Nov 12See pharmacy (members) Members see the pharmacy
Online pharmacy CDELSTRIGO100 mg/300 mg/300 mg · brand · Filled in CANADAMade for sale in CANADA.Product of Canada$1,465.34per 30 tablets · 3 packs = $4,396.02$48.84 per tabletFreeDelivery time not stated$4,396.02 for 90 days= $4,396.02 for 90 daysSave 48%incl. $0 shippingChecked Nov 12See pharmacy (members) Members see the pharmacy

Buying from a pharmacy outside the U.S.? Read Is it safe to order Delstrigo 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 12, 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.

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Delstrigo price by strength

StrengthLowest brand90 daysPrice per tablet
Delstrigo 100 mg/300 mg/300 mg$3,003.46$33.21

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 12, 2026.

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90-day prices from 3 licensed pharmacies shipping to the U.S.: $3,003.46 to $4,396.02, any strength, shipping included.

Jump to: U.S. cost · Medicare · Coupons & savings · Generic Delstrigo · Similar drugs · Uses · FAQ

Delstrigo (doravirine, lamivudine and tenofovir disoproxil fumarate) is a once-a-day, one-tablet HIV-1 regimen. No generic is sold in the U.S.

Delstrigo cost at a glance

  • U.S. list price: $2,800.50 for a bottle of 30 Delstrigo tablets, a 30-day supply, or $8,401.50 for 90 days. That's Merck's wholesale price before discounts (Texas DSHS).
  • No U.S. generic. Drugs@FDA lists no generic Delstrigo, so Merck's brand (approved August 30, 2018) is the only version sold here (Drugs@FDA).
  • How we count: 1 tablet a day, the label's dose, so 90 days is 90 tablets.
  • From online pharmacies abroad: $3,003.46 to $4,396.02 for 90 days of brand Delstrigo 100 mg/300 mg/300 mg, shipping included (checked Nov 12, 2026). Packs made for other countries are not FDA-approved.
  • With Medicare: your cost depends on your Part D plan. In 2026, deductibles are capped at $615 and yearly out-of-pocket costs for covered drugs at $2,100 (Medicare.gov).

How much does Delstrigo cost in the U.S.?

If you haveWhat Delstrigo costsSource
No insurance (brand list price)$2,800.50 for 30 tablets of Delstrigo. Pharmacies may charge more.Texas DSHS 2026 WAC report
Private or employer insuranceYour copay depends on your plan's drug list. Ask your plan or pharmacist what you'd pay for brand Delstrigo.FDA Orange Book
Medicare Part DYour cost depends on your plan. In 2026, deductibles are capped at $615 and yearly out-of-pocket costs for covered drugs at $2,100.Medicare.gov
MedicaidYour state Medicaid program sets any copay. Ask your pharmacist or state Medicaid office.Medicaid.gov

Brand Delstrigo lists at $2,800.50 for a bottle of 30 tablets in the U.S., a 30-day supply (Texas DSHS). That's the maker's wholesale price before discounts; what a pharmacy charges can differ. No generic is sold in the U.S.

Delstrigo cost with Medicare in 2026

In 2026, Part D plans can charge a deductible of up to $615, and once your out-of-pocket spending on covered Part D drugs reaches $2,100, you pay nothing more for covered drugs for the rest of the year. What you pay for Delstrigo depends on your plan's drug list.

Medicare Part DWhat Delstrigo costsSource
Part D deductibleNo Medicare drug plan may have a deductible above $615 in 2026. Some plans have none.Medicare.gov
Yearly out-of-pocket capOnce your out-of-pocket spending on covered Part D drugs reaches $2,100 in 2026, you pay nothing more for covered drugs that year.Medicare.gov

Delstrigo coupons and savings programs

How do you pay?

We show the programs that usually fit, cheapest first where we know the price. Private insurance means a plan through work or one you buy yourself. Programs set their own rules, so check the terms before you count on one. We don't save this choice.

eDrugSearch does not offer its own Delstrigo coupons. eDrugSearch has no coupons of its own. These programs can help:

  • 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)
  • 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)

Is there a generic Delstrigo?

No. No generic Delstrigo is sold in the U.S. Drugs@FDA lists no generic of this three-medicine tablet.

StrengthU.S. genericMakersSince
100 mg/300 mg/300 mgNo—

Outside the U.S.: Online pharmacies abroad may sell generic doravirine, lamivudine and tenofovir made for other markets. Those packs are not FDA-approved, and the price table labels them that way.

Source: Drugs@FDA: Delstrigo (NDA 210807). As of Nov 14, 2026.

Compare Delstrigo with similar drugs

Other HIV medicines with price pages here: Pifeltro is doravirine alone, Atripla is another NNRTI-based one-tablet regimen, and Biktarvy and Dovato are one-tablet regimens built on a different kind of medicine. Prices are for each drug's lowest-priced strength.

DrugTypeLowest price we foundLink
PifeltrodoravirineHIV medicine (NNRTI)$1,944.95 for 90 daysSee prices
Atriplaefavirenz, emtricitabine and tenofovir disoproxil fumarateHIV medicine (three medicines in one tablet)$219.96 for 90 daysSee prices
Biktarvybictegravir, emtricitabine and tenofovir alafenamideHIV medicine (complete one-pill regimen: integrase inhibitor plus two NRTIs)$502.77 for 90 daysSee prices
Dovatodolutegravir and lamivudineHIV medicine (complete two-drug regimen: integrase inhibitor plus one NRTI)$3,061.81 for 90 daysSee 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 Delstrigo used for?

Delstrigo (doravirine, lamivudine and tenofovir disoproxil fumarate) is a three-medicine HIV tablet: doravirine (an NNRTI) plus lamivudine and tenofovir disoproxil fumarate (two NRTIs). According to its FDA label (DailyMed), it is used:

  • As a complete treatment for HIV-1 in adults and children who weigh at least 35 kg (77 lb): for people starting HIV treatment for the first time, or to replace a current regimen in people whose virus is already well controlled and who meet the label's conditions.

The label's dose is one tablet once a day, with or without food. Before and during treatment, the label calls for a hepatitis B test and kidney checks; it isn't recommended when kidney function (creatinine clearance) is below 50 mL a minute. With rifabutin, the label adds a Pifeltro tablet about 12 hours later. Delstrigo has a boxed warning that hepatitis B can flare up after stopping it in people who also have hepatitis B. Delstrigo doesn't cure HIV. Your prescriber decides which medicine is right for you.

Is it safe to order Delstrigo from Canada?

Many Americans do, but U.S. law and customs rules apply, and for Delstrigo, check your insurance and your state's ADAP first; HIV medicines need a steady supply, so plan around shipping times. 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)). You need a prescription from your doctor. New U.S. Customs rules for mailed orders start January 20, 2027. Health Canada lists Delstrigo from Merck Canada as marketed (Health Canada Drug Product Database, checked 2026-11-14).

Read our guide to buying prescription drugs from Canada and what the 2027 customs rules mean. Compare licensed Canadian pharmacies.

Frequently asked questions

How much is Delstrigo without insurance?

The U.S. list price is $2,800.50 for 30 tablets, a 30-day supply. Online pharmacies abroad charged from $3,003.46 for 90 days of brand Delstrigo in our latest check (Nov 12, 2026), shipping included.

Is there a generic Delstrigo?

No. Drugs@FDA lists no generic Delstrigo, so Merck's brand is the only version sold in the U.S.

What's the difference between Delstrigo and Pifeltro?

Pifeltro is doravirine alone and is taken with other HIV medicines. Delstrigo adds lamivudine and tenofovir disoproxil fumarate, so it's a complete regimen in one tablet.

How much does Delstrigo cost with Medicare?

It depends on your Part D plan's drug list. In 2026, Part D deductibles are capped at $615 and out-of-pocket costs for covered drugs at $2,100 a year. People with limited income can apply for Extra Help.

Can I buy Delstrigo from Canada?

Delstrigo is sold in Canada by Merck. Federal law generally doesn't allow individuals to import prescription drugs, though the FDA has long used enforcement discretion for some personal-use shipments of up to a three-month supply. You need a prescription.

Sources

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.