Coverage this broad means the question is usually not whether Biktarvy is covered, but what it will cost, which comes down to your plan's tier and whether prior authorization or step therapy applies.
HIV medications are a protected drug class on Medicare, so plans must cover substantially all of them.
It is also broadly covered on ACA marketplace plans (on 6 of the 6 major carriers we track). Your exact tier, prior-auth, and cost can vary by plan; the lookup shows you where your plan lands.
See how Biktarvy — or any drug — lands across all Medicare Part D plans and major marketplace plans.
Look up a drug — freeSometimes. Plans use prior authorization to confirm Biktarvy is being used for an approved condition. Your prescriber submits it; once approved, it is covered at the plan's tier.
It depends on your plan's Tier 5 (specialty) cost-share and the time of year. Use the lookup to confirm your plan's tier, then check that tier's copay in your plan documents.
Sometimes a generic or a same-class drug is preferred on your plan at a lower tier. The drug lookup flags covered alternatives when it can.
Coverage and tier vary by plan. The free drug lookup checks Biktarvy against all Medicare Part D plans and major marketplace plans in a few seconds.