How much does Biktarvy cost per month without insurance in 2026?

Biktarvy's Wholesale Acquisition Cost (WAC/list price) is $4,216 per month as of January 1, 2026. Retail pharmacy cash prices can reach $7,797/month. With Gilead's copay card and commercial insurance, eligible patients may pay $0–$5/month.

Is there a generic version of Biktarvy available in the USA?

No. As of early 2026, no FDA-approved generic Biktarvy exists in the United States. Generic versions are manufactured in India under Gilead's voluntary license but are not authorized for the U.S. market.

How much does Biktarvy cost in India?

The generic equivalent of Biktarvy in India costs approximately $95–$160 USD for a 30-day supply — roughly 97% less than the U.S. list price.

Is it legal to import Biktarvy from India for personal use?

Technically importing non-FDA-approved drugs is prohibited under the FDCA. However, the FDA's longstanding Personal Importation Policy means enforcement is generally not pursued against individuals importing up to a 90-day supply with a valid U.S. prescription for personal use to treat a serious condition. This is not a legal guarantee.

What assistance programs can reduce Biktarvy cost?

Key programs include: Gilead Advancing Access copay card ($0/month for commercially insured patients), Gilead's Uninsured Patient Assistance Program (free drug), state ADAP programs, Ryan White clinics, and 340B-participating health centers.

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