Descovy cost in 2026
Descovy costs about $2,264 to $2,772 per month without insurance in 2026, at retail cash prices.
What moves the price
- The pack and strength. Prices here are for 30 tablets (200 mg/25 mg).
- Your coverage. Commercial insurance, Medicare and cash pay all get very different prices.
- The pharmacy. Cash prices for the same pack can differ by hundreds of dollars between stores.
- Whether a generic or biosimilar is on sale. No generic is on the market. Drugs.com says an FDA-approved generic exists but is not commercially available. A generic of Truvada, an older PrEP pill, is available.
What is included
The prices on this page are what a pharmacy charges for 30 tablets (200 mg/25 mg), before any insurance. Your own cost depends on your plan, your deductible and any savings card. Ask your pharmacist for the cash price and your insured price, and pay the lower one.
Ways to pay for Descovy
| How you pay | What it costs |
|---|---|
| Maker list price | $2,200 per month |
| Cash price without insurance | $2,264 to $2,772 per month (SingleCare) |
| With the maker's savings card | Gilead Advancing Access Co-pay Program: commercially insured patients may save up to $7,200 per year with no monthly limit. People on Medicare do not qualify. |
| Medicare | GoodRx states Medicare Advantage and Part D plans cover Descovy for 100% of enrollees with no prior authorization or step therapy. Not on the 2026, 2027 or 2028 Medicare negotiation lists (the 2028 list includes Biktarvy but not Descovy). |
| Free drug program | Gilead Advancing Access Program: for uninsured or underinsured US residents at or below 500% of the federal poverty level, phone 800-226-2056. Good Days program also listed, but it requires a Social Security Number. |
| Generic or biosimilar | No generic is on the market. Drugs.com says an FDA-approved generic exists but is not commercially available. A generic of Truvada, an older PrEP pill, is available. |
Average prices in US dollars. Source: Drugs.com.
Ways to pay less
- Gilead Advancing Access Co-pay Program: commercially insured patients may save up to $7,200 per year with no monthly limit. People on Medicare do not qualify.
- Gilead Advancing Access Program: for uninsured or underinsured US residents at or below 500% of the federal poverty level, phone 800-226-2056. Good Days program also listed, but it requires a Social Security Number.
- Compare cash prices at several pharmacies with a free discount card before you pay.
- Ask your doctor if a generic or a lower cost drug would work for you.
What price guides say
We checked 6 price guides and read every number on their pages. They do not all measure the same thing, so the ranges on this page come from putting them side by side.
- Drugs.com: Descovy Prices, Coupons, Copay Cards & Patient Assistance
- GoodRx: How much Descovy costs without insurance
- SingleCare: Descovy prices
- WebMD Rx: Descovy Coupons, Prices, and Savings Card
- Milliman: Key takeaways: third Medicare drug price negotiation
- AMCP: CMS Issues the List of Selected Drugs for Initial Price Applicability Year 2027
Common questions
How much does this cost in 2026?
Descovy costs about $2,264 to $2,772 per month without insurance in 2026, at retail cash prices. Most people pay about $2,518 per month. The low end is $2,264 and the high end is $2,772.
What changes the price the most?
The biggest factors are: The pack and strength. Prices here are for 30 tablets (200 mg/25 mg); Your coverage. Commercial insurance, Medicare and cash pay all get very different prices; The pharmacy. Cash prices for the same pack can differ by hundreds of dollars between stores.
How can I pay less?
Gilead Advancing Access Co-pay Program: commercially insured patients may save up to $7,200 per year with no monthly limit. People on Medicare do not qualify. Gilead Advancing Access Program: for uninsured or underinsured US residents at or below 500% of the federal poverty level, phone 800-226-2056. Good Days program also listed, but it requires a Social Security Number. Compare cash prices at several pharmacies with a free discount card before you pay.
Where do these numbers come from?
From 6 named price guides: Drugs.com, GoodRx, SingleCare, WebMD Rx, Milliman, AMCP. Each one is linked on this page with the date we read it.
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