Biktarvy costs $3,800 to $5,280 per month in 2026
Biktarvy costs $4,216 for a 30 day supply at Gilead's list price as of January 2026, about $140 a tablet. Retail cash prices run $3,800 to $5,280 a month. Medicare Part D claims average about $3,746. Very few people pay anything close to that. With commercial insurance, Gilead's Advancing Access copay card takes the cost to $0 to $15 a month. Uninsured patients can get Biktarvy free through Gilead's patient assistance program, state ADAP programs or a Ryan White clinic. There is no generic until at least 2036. Biktarvy was picked for Medicare price negotiation in January 2026, the first HIV drug on the list. CanAmerica Plus lists the manufacturer list price at $4,216 a month and US retail cash prices at $3,800 to $5,280 for 30 tablets.
What price guides say
We checked 2 price guides and read every number on their pages on October 7, 2026. They do not all measure the same thing, so read each line for what it counts.
| Source | What it found |
|---|---|
| CanAmerica Plus | CanAmerica Plus lists the manufacturer list price at $4,216 a month and US retail cash prices at $3,800 to $5,280 for 30 tablets. |
| Sunny Pharma | Sunny Pharma lists Biktarvy's list price at $4,216 a month as of January 2026 and retail cash prices at $3,800 to over $5,000 a month. |
| Sunny Pharma | Sunny Pharma lists $0 to $5 a month with insurance and a copay card, and $0 for uninsured patients in Gilead's assistance program. |
What pushes the price up
| What | Why it matters |
|---|---|
| Insurance | Commercial plans cover Biktarvy, and the Gilead copay card covers up to $7,200 a year of your share. |
| Medicare | Part D covers it under the 2026 cap of $2,100 out of pocket. Extra Help drops that to a few dollars. |
| State ADAP | Every state runs an AIDS Drug Assistance Program that covers HIV drugs free for people under the income limit. |
| Ryan White clinics | Federally funded clinics dispense Biktarvy at or near $0 through 340B pricing. |
| Cash pay networks | Licensed cash pay pharmacies list brand Biktarvy near $1,414 for 30 tablets. |
What the price includes
The price covers 30 tablets, one a day. Viral load and kidney tests every 3 to 6 months are separate, and most clinics cover them under the same programs. It does not include tax or extras the provider adds on the day.
Does insurance cover it
Most commercial insurance plans cover Biktarvy, but you may owe a copay or deductible. Gilead offers a copay card for people with commercial insurance, and Sunny Pharma lists $0 to $5 a month with it. Medicare Part D covers it too, and Extra Help can lower your share. Sunny Pharma lists $4 to $9 a month with Medicare and Extra Help. Medicaid often covers it with a small copay or none. If you have no insurance, you may get it free through Gilead's assistance program, a state AIDS Drug Assistance Program or a Ryan White clinic.
How to judge your quote
- Ask your pharmacy for the price with and without insurance.
- Ask if the Gilead copay card or assistance program applies to you.
- Ask if your state HIV drug assistance program can cover it.
- A fair cost for most patients is a small copay, not the list price.
- Compare the total with the range above: $3,800 to $5,280 per month for most people in 2026.
Ways to pay less
- Call Gilead Advancing Access first. One phone call enrolls you in the copay card or the free drug program.
- Apply to your state's ADAP if you are uninsured or underinsured. Processing takes days to weeks and bridge supply is available.
- Find a Ryan White clinic. They handle the drug, the labs and the paperwork at little or no cost.
- If you have commercial insurance, use the copay card every fill. It is $0 to $15 instead of a $100 plus copay.
How we got these numbers
The range on this page comes from CanAmerica Plus and Sunny Pharma. We opened each source page and read every number on it on October 7, 2026. Where the sources disagree, the table above shows each one so you can see the spread. These are planning ranges, not quotes. The written price you are given is the real price.
Common questions
How much does Biktarvy cost without insurance?
CanAmerica Plus lists US retail cash prices at $3,800 to $5,280 for 30 tablets. Few people pay that much.
Is there a generic Biktarvy?
Not now. No generic is sold in the US yet, so the brand is the only choice.
How can I pay less?
Sunny Pharma lists $0 to $5 a month with insurance and a copay card. It also lists $0 through Gilead's assistance program for uninsured patients.
Is Biktarvy worth the cost?
Biktarvy is a one pill a day HIV treatment, and many doctors prescribe it. Most patients pay far less than the list price through insurance or help programs.