Biktarvy Cost in USA vs. India Vs. Mexico

Christinacarey
3 min readMay 4, 2024

--

Biktarvy is a highly effective antiretroviral medication used in the treatment of HIV-1 infection in adults. It is a combination of three drugs: bictegravir, emtricitabine, and tenofovir alafenamide. This single-tablet regimen has revolutionized HIV treatment by offering potent viral suppression with convenient once-daily dosing and fewer side effects compared to older regimens.

In the United States, Biktarvy has been widely embraced by healthcare providers and patients since its approval by the Food and Drug Administration (FDA) in 2018. However, like many pharmaceuticals in the U.S., its cost has been a subject of significant debate. As of my last update, the list price for a 30-day supply of Biktarvy in the U.S. is around $3,400. This high price tag has raised concerns about access to life-saving medication, especially for individuals without adequate insurance coverage or financial resources.

Despite the high list price, many patients in the U.S. may not pay the full amount out of pocket due to insurance coverage, co-pay assistance programs, or patient assistance programs offered by the manufacturer, Gilead Sciences. However, navigating the complex landscape of insurance coverage and assistance programs can be challenging for some patients, and cost remains a barrier for many.

In contrast, the cost of Biktarvy in India presents a stark difference. India is known for its robust generic drug manufacturing industry, which has made essential medications more affordable not only for its own population but also for patients in low- and middle-income countries around the world. In India, generic versions of Biktarvy are available at a fraction of the cost of the brand-name drug in the U.S.

As of my last update, a generic version of Biktarvy is available in India for approximately $50 to $100 for a 30-day supply. This dramatic difference in cost is largely due to factors such as lower manufacturing and distribution costs, as well as the absence of patent protections that allow generic manufacturers to produce affordable versions of the medication.

The availability of affordable generic versions of Biktarvy in India has significantly expanded access to HIV treatment for millions of people in the country and beyond. Organizations such as the Clinton Health Access Initiative (CHAI) and the Global Fund to Fight AIDS, Tuberculosis, and Malaria have worked to facilitate the procurement and distribution of generic HIV medications, including Biktarvy, to countries with high HIV burdens.

Despite the disparities in cost between the U.S. and India, both countries face challenges in ensuring equitable access to HIV treatment. In the U.S., efforts to address high drug prices and improve access to affordable healthcare remain ongoing, while in India, efforts are focused on expanding access to HIV testing, treatment, and care in rural and underserved areas.

In conclusion, while Biktarvy offers an effective and convenient treatment option for individuals living with HIV-1 infection, its cost varies significantly between the United States and India. While the high cost of the medication in the U.S. remains a barrier for some patients, the availability of affordable generic versions in India has helped to expand access to treatment for millions of people worldwide. Efforts to address disparities in access to HIV treatment and reduce the cost of medications are crucial in the global fight against HIV/AIDS.

--

--