EMTRICITABINE; RILPIVIRINE; TENOFOVIR ALAFENAMIDE is three antiretroviral medicines in one tablet. It is used to treat HIV. This medicine is not a cure for HIV. It will not stop the spread of HIV to others. Compare HIV NRTI / NNRTI combinations.

Odefsey Medicare Coverage

Overview

Does Medicare cover Odefsey?

Yes.
92% of Medicare Part D and Medicare Advantage plans cover this drug.

How much is my Odefsey co-pay with Medicare?

It depends. Which coverage stage are you in? Click on a tab below…

Deductible
Typical
Donut Hole
Post-Donut Hole
Co-Pay Range
$2698
In the Deductible co-pay stage, you are responsible for the full cost of your prescriptions. Your Medicare deductible cannot exceed $360 in 2016.
Co-Pay Range
$90 – $890
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$1214
In the Donut Hole (also called the Coverage Gap) stage, you’ll pay more for your prescriptions. In 2016, the Donut Hole begins once you’ve spent $3,310 in one year.
Co-Pay Range
$15 – $135
In the Post-Donut Hole (also called Catastrophic Coverage) stage, Medicare will cover most of your drug costs. In 2016, this stage begins once you have spent $4,850.
Want an exact price for your co-pay?

Ways to Save on Odefsey

Here are some ways that may lower the cost of your Odefsey prescription.

Manufacturer Coupon
Co-pay assistance is available for insured and uninsured patients.
Patient Assistance Program
Call Gilead Advancing Access to get more information on how they can financially assist you.
Patient Assistance Program
Call to get more information on how they can financially assist you with your prescription.

Find Your Odefsey Medicare Co-Pay

Here are average co-pays for some of the most popular Medicare plans. Be sure to add your plan to see your specific co-pay. If a price is shown in red, GoodRx has found discount prices that are lower than your Medicare co-pay.

Average Co-Pay for 30 tablets of Odefsey 200mg/25mg/25mg

Medicare Plan Name Average Co-Pay
AARP MedicareComplete (HMO) $736
AARP MedicareComplete Plan 1 (HMO) $772
AARP MedicareComplete SecureHorizons (HMO) $713
AARP MedicareRx Preferred (PDP) $863
AARP MedicareRx Saver Plus (PDP) $674
Aetna Medicare Rx Saver (PDP) $674
Cigna-HealthSpring Preferred (HMO) $827
Cigna-HealthSpring Rx Secure (PDP) $674
Cigna-HealthSpring Rx Secure-Extra (PDP) $728
EnvisionRxPlus Silver (PDP) $674
Express Scripts Medicare - Value (PDP) $674
First Health Part D Value Plus (PDP) $890
Humana Enhanced (PDP) $890
Humana Preferred Rx Plan (PDP) $674
Humana Walmart Rx Plan (PDP) $674
Kaiser Permanente Senior Advantage (HMO) $90
MedicareBlue Rx Standard (PDP) $674
SilverScript Choice (PDP) $884
Symphonix Value Rx (PDP) $674
WellCare Classic (PDP) $674
Don't see your Medicare plan above?

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Odefsey Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

Some Medicare plans have restrictions on coverage of Odefsey that may include:

Quantity Limits

Most Medicare plans restrict the amount of this prescription that can be purchased at one time. If you need to purchase a greater amount at one time, it may not be covered. Your options are to wait until that time period has passed before refilling, call your plan and ask for an exception, or consider using a GoodRx discount instead of Medicare to find the best price for this prescription.

What drug tier is Odefsey typically on?

Tier 5

Medicare plans typically list Odefsey in Tier 5 of their formulary. Tier 5 drugs are usually non-preferred brand-name drugs. Tier 5 drugs cost more than Tier 1, 2, 3 and 4 drugs.

Does your plan have restrictions?

See discount prices that can save you money when your Medicare plan doesn't work for you.

Medicare prices are provided by the Centers for Medicare and Medicaid Services (CMS). If you encounter any issues, please let us know.
GoodRx is not sponsored by or affiliated with any of the pharmacies identified in its price comparisons. All trademarks, brands, logos and copyright images are property of their respective owners and rights holders and are used solely to represent the products of these rights holders. This information is for informational purposes only and is not meant to be a substitute for professional medical advice, diagnosis or treatment. GoodRx is not offering advice, recommending or endorsing any specific prescription drug, pharmacy or other information on the site. GoodRx provides no warranty for any of the pricing data or other information. Please seek medical advice before starting, changing or terminating any medical treatment.