BIKTARVY

bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF)

Recommended initial regimen for most people

HIV Single Trablet Regimen

Single-Tablet Regimen

Biktarvy Tab

STANDARD DOSE

One tablet once daily without regard to food. Tablet contains 50 mg of the INSTI bictegravir plus 200 mg emtricitabine and 25 mg tenofovir alafenamide (TAF).

Take missed dose as soon as possible, unless it is closer to the time of your next dose. Do not double up on your next dose. Biktarvy is not recommended for people with CrCl less than 30 mL/min or people with severe liver impairment.

MANUFACTURER

Gilead Sciences, Inc
gilead.com
biktarvy.com
(800) GILEAD-5 (445–3235)

PHARMACY

Drug Mart Pharmacy
shopdrugmart.com
(800) 877-0337

GET STARTED – Request To Fill Your Medication

Most common side effects observed in study participants include nausea (5%), headache (5%), and diarrhea (6%). Five individuals in Study 1490 and none in Study 1489 stopped Biktarvy due to side effects, none of which were due to kidney problems. Serum creatinine, estimated creatinine clearance, urine glucose, and urine protein should be obtained before initiating Biktarvy and should be monitored during therapy. There have been rare reports of depression and suicidal ideation, primarily in patients with a history of psychiatric illnesses, in people receiving INSTI-based regimens. The DHHS guidelines recommend closely monitoring patients with pre-existing psychiatric conditions on an INSTI. Prior to initiation, people should be tested for hepatitis B (HBV) infection. Severe exacerbations of hepatitis B have been reported in people who are co-infected with hepatitis B and have discontinued the emtricitabine and/or tenofovir components. Monitor liver enzymes closely in people co-infected with hepatitis B and, if appropriate, initiation of anti-hepatitis B therapy may be warranted.

  • See Also Descovy, which is contained in this drug (bictegravir is not available separately).
  • See package insert for more complete information on potential side effects and interactions.

Do not take with rifampin, the anti-arrhythmic dofetilide, or St. John’s wort. Not recommended to be taken with Epivir-HBV, Hepsera, or Vemlidy, all three for treatment of hepatitis B. Biktarvy should be taken two hours before taking laxatives or antacids, the ulcer medication sucralfate, oral iron or calcium supplements (but these two can be used with Biktarvy if taken together with food), or buffered medications. Start metformin at lowest dose and titrate based on glycemic control. Monitor for metformin adverse effects. When starting or stopping Biktarvy in people on metformin, dose adjustment of metformin may be necessary to maintain optimal glycemic control. Can be taken with the hepatitis C medications Epclusa, Harvoni, Sovaldi, and Vosevi. Not intended to be taken with other HIV medications, unless prescribed that way.

Tell your provider or pharmacist about all medications, herbals, and supplements you are taking or thinking of taking, prescribed or not, as there are other drug interactions which are not listed here.

  • See Also Descovy, which is contained in this drug (bictegravir is not available separately).
  • See package insert for more complete information on potential side effects and interactions.

Received FDA approval in February 2018. Biktarvy is quickly becoming a top dog in HIV treatment. The data show that the bictegravir drug resistance barrier is comparable to that of dolutegravir and protease inhibitors (like Prezista). That is a huge advantage. Biktarvy is the first unboosted INSTI-containing STR with TAF, and the second unboosted INSTI STR overall (the other is Triumeq). (“Unboosted” means that the primary antiretroviral drug, in this case bictegravir, does not require another medication such as Norvir or cobicistat to increase its drug levels in the body.) This is a really big deal due to less drug interactions when there’s no boosting. Biktarvy is the second smallest INSTI-based STR tablet, which may help some individuals who have difficulty swallowing pills. Pediatric study is ongoing. New preliminary data from an observational study in Botswana suggest that there may be an increased risk of birth defects in infants born to those who were receiving dolutegravir, which is chemically similar to bictegravir, at the time of conception. Consult your provider to discuss guidance on how to manage regimens containing an INSTI if there is any possibility of conception. At this time, the use of Biktarvy is not recommended during pregnancy due to lack of published data in pregnant women.

See package insert for more complete information on potential side effects and interactions.

Bikarvy is a good option for those recently infected and treatment virgins and those treatment-experienced that are facing difficulties with their current treatment regimen. As with any drug, there are side effects and drug interactions to be aware of by both the patient and the doctor. For example, you should not take Biktarvy if you take dofetilide to treat irregular heartbeat; it could be serious and possibly fatal. Avoid rifampin, which is used to treat some bacterial infections like tuberculosis. In general Biktarvy is well tolerated and is very effective.

FAQs

Our pharmacists are experts in managing HIV/AIDS, medication therapy and finding valuable treatment resources. We always keep Biktarvy in stock so you never have to wait to receive your medication. If you have any issues with your insurance plan or coverage, we’ll find a solution so you don’t miss a dose. You can rest assured that you have picked a partner who will work with you and your doctor to achieve your treatment goals.

Yes. Drug Mart pharmacy stocks all of the latest HIV/AIDS medications, including Biktarvy.

Drug Mart offers free prescription delivery to any location (home or office) in New Jersey, New York or Pennsylvania.

Drug Mart is licensed in New Jersey, New York and Pennsylvania. If you live in one of these States, complete the form at Get Started, and our pharmacy team will handle the rest.

Yes. Drug Mart offers the blister pack, multi-dose medication packaging to any patient who take more than 5 medications per day. Each pack is made up of 28 individual blisters containing a person’s prescribed medication for a specific time and date. This service is completely free-of-charge.

Gilead, the maker of Biktarvy has a prescription copay assistance program. Our staff is trained to find these savings and help lower the price you pay for your prescription. In most cases, patients pay zero dollar out-of-pocket for their Biktarvy prescription.

Our staff at Drug Mart can help enroll you in the AIDS Drug Distribution Program (ADDP also known as the Ryan White Program) or find financial assistance through a foundation so you get your medicine right away.

BIKTARVY® is a complete, 1-pill, once-a-day prescription medicine used to treat HIV-1 in adults. It can either be used in people who have never taken HIV-1 medicines before, or people who are replacing their current HIV-1 medicines and whose healthcare provider determines they meet certain requirements.

Biktarvy is a fixed-dose, single-tablet regimen of bictegravir, emtricitabine, and tenofovir alafenamide. Two of the 3 drug components, emtricitabine and tenofovir alafenamide, are already part of other first-line therapy regimens and are known to be safe and well tolerated by most patients.

According to the U.S. Department of Health and Human Services, many patients can get to undetectable in as quickly as 8 to 24 weeks, when taking their treatment as prescribed. The 3 powerful medicines in Biktarvy work quickly to fight the virus.

Yes! 100% of Medicare Advantage plans and Medicare Part D plans cover Biktarvy. Drug coverage may vary based on plan availability. You may be able to find Medicare Advantage plan options in your area that cover Biktarvy.

Biktarvy can be taken with or without food unless you take antacids or iron supplements. In that case, Biktarvy should be taken at least 2 hours before, or with food 2 hours after, antacids containing magnesium and/or aluminum. Biktarvy should be taken at least 2 hours before iron supplements or taken with food. There are no specific foods that you must exclude from your diet when taking Biktarvy.

Biktarvy can be taken anytime of the day. However, you should try to take the medication around the same time each day.

If you miss a dose of Biktarvy within 12 hours of the time you usually take it, take your dose with food as soon as possible. Then take your next dose at the regularly scheduled time. If you miss a dose by more than 12 hours of the time you usually take it, wait and then take the next dose at the regularly scheduled time. Do not take more than your prescribed dose to make up for a missed dose.

No. Note that Biktarvy tablets should be administered whole. Crushing BIC/FTC/TAF tablets into a liquid medium has not been studied and is not recommended. Currently, there is no study evaluating the pharmacokinetics of a split tablet versus a whole tablet.

Some products that may interact with this drug are orlistat, antacids that contain aluminum, calcium, or magnesium (such as Alka-Seltzer, Maalox, Mylanta, Rolaids, Tums), other drugs that may harm the kidneys (including adefovir, cidofovir, aminoglycosides such as amikacin/gentamicin). Other medications can affect the removal of this medication from your body, which may affect how it works.

Yes, you may take a multivitamin. No interactions were found between Biktarvy and multivitamins. This does not necessarily mean no interactions exist. Always consult your healthcare provider.

Yes. Always consult your healthcare provider.

Tenofovir may cause kidney problems. Combining it with other medications that can also affect the kidney such as ibuprofen may increase that risk. Your doctor may be able to prescribe alternatives that do not interact, or you may need a dose adjustment or more frequent monitoring to safely use both medications.

There is no direct interaction between alcohol and Biktarvy. However, there can be an indirect interaction between alcohol and adherence. Drinking alcohol occasionally with your treatment will not affect the efficacy of Biktarvy. Drinking alcohol in moderation should not have an effect on your health or treatment. This is also dependent on not having other liver related problems like hepatitis B or C.

Common side effects include diarrhea, nausea, headache, fatigue, abnormal dreams, dizziness, and insomnia.

Biktarvy can cause serious, life-threatening side effects. These include a buildup of lactic acid in the blood (lactic acidosis) and severe liver problems. Contact your health care provider right away if you have any of the following symptoms that could be signs of lactic acidosis: Feeling very weak or tired.

Common side-effects of Biktarvy include depression, abnormal dreams, headache, dizziness and tiredness. Biktarvy is not suitable for people with severely reduced kidney function.

If you stop taking Biktarvy, even for a short time, the amount of virus in your blood may increase. The virus may become harder to treat.

Tell your doctor if you are pregnant or plan to become pregnant.

The FDA categorizes medications based on safety for use during pregnancy. Five categories – A, B, C, D, and X, are used to classify the possible risks to an unborn baby when a medication is taken during pregnancy.

Biktarvy falls into category B. There are no well-done studies that have been done in humans with Biktarvy. This medication has been evaluated in a limited number of women during pregnancy and postpartum. Human and animal data suggest that Biktarvy does not increase the risk of major birth defects overall. However, there are no well controlled studies in pregnant women. Biktarvy should be during pregnancy only if clearly needed. Your doctor will decide the proper treatment for you during pregnancy.

Tell your doctor if you are breastfeeding. You should not breastfeed if you are HIV-positive because of the chance of passing the HIV virus to your baby.

Also, it is not known if Biktarvy can pass into your breast milk and if it can harm your baby. If you are a woman who has or will have a baby, talk with your doctor about the best way to feed your baby.

Call us at the pharmacy and we’ll be glad to answer any questions. You can reach us at (800) 877-0337.

More FAQs. Find answers to commonly asked questions at Pharmacy FAQs.

Karen T.
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"They truly care, I tell everyone to go here. I've been with them since 2008."
Yolanda P.
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"Always helpful to save money on medication and very kind."
Michael A.
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"Helpful and knowledgeable. Can't ask for better service, thank you!"
Patti E.
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"The staff at Drug Mart are exceptionally helpful. The quality of their products are top notch. I recommend Drug Mart to everyone. Am with them for life!!"
Darryl F.
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"This is the best pharmacy I have ever been to. They are caring, helpful and treat you with respect."
Anita H.
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"My daughter was able to get emergency medication after hours within half hour of making the phone call to the 800#. I can't recommend Drug Mart more highly."
Robert T.
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"I've been going here for years since my doctor recommended this pharmacy. They're busier now then when I first started but their service is still top notch. Thanks again for all your help!"
David D.
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"They are most accommodating, courteous, friendly and professional pharmacist I've ever dealt with. I'm so grateful to call this pharmacy my own."
Tonia B.
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"Always very caring when asking a question about your medication they know what they're talking about and they are very knowledgeable I've been going to them for oh my goodness since they opened up wow where did time go anyway my drug store for life thank you!"
Josh P.
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"This pharmacy is one of the best. Pharmacist has lots of knowledge and staff takes time to explain in detail. They do other half of what doctors should do. Also, no waiting like big name pharmacy. I highly recommend this pharmacy. They also deliver and ship to anywhere in USA."
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Drug Mart Pharmacy
5.0
Based on 163 reviews
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Chanice Dorsey
Chanice Dorsey
02:45 12 Mar 20
The staff at Drug Mart are truly an extension of my family. Vik offered me one of the greatest opportunities while in... nursing school, as a graduate, and as a working professional. He continues to encourage young adults to pursue their dreams and provides them with opportunities to be impactful within the community. You can’t get any better than this.read more
langston hannah
langston hannah
12:02 07 Mar 20
I am very pleased with the service that I receive from the pharmacy. The people who serve you are very helpful and... friendly and assist you in any way that they can. The pharmacist are well informed with your prescription needs, if there's a problem with anything you need they will do their best to resolve any issue you have. I recommend everyone to check them out and get their prescriptions filled at Drug Mart. I will always be a customer of Drug Mart because they are so good at what they do.read more
tracey evans
tracey evans
16:32 03 Mar 20
Drug Mart is my family, I’ve been with them since day 1. I moved away for a few years to another state, I’ve been... back i NJ. a little over 5 years and I’m still a happy customer. They’re very friendly, knowledgeable and very helpful and understanding, prices are better then most..read more
Cassandra Hemby
Cassandra Hemby
21:33 28 Feb 20
I so appreciate the dear people @Drug Mart! I am recovering from cancer and one day while in Chemotherapy I was told I... would need a certain cream right away, but I wouldn't be able to pick it up that day.however there is this very courteous and sweet young lady named Michele that assured me it would be delivered to me in at my daughter's home in Woodbridge, NJ, because that is where I go after having treatment.The kind of caring and compassion received there have made the staff endearing to me and has restored my faith in customer service again.read more
Denise Eady
Denise Eady
20:38 24 Feb 20
I love this place. Best pharmacy around!!!. I have been using this pharmacy since it opened. Whenever I walk in,... everyone is very cordial and always pleasant and with a smile, and they always greet me by nmy name. Vic and the other Pharmacists are very knowledgeable, and the staff takes the time to explain any new medications in detail. If you are not able to pick up your prescriptions, they do HOME delivery which is great. I transferred from Walgreens pharmacy and I am so glad I did!!!read more
Jay Bhatt
Jay Bhatt
21:05 22 Feb 20
The quality of service provided by the pharmacist and the staff is excellent! I wouldn't go to any other pharmacy. They... truly care.read more
Cindy Hall
Cindy Hall
15:21 20 Feb 20
I never have to wait. This is the best pharmacy I ever went to. I highly recommend them to everyone!
Maisha Bryant
Maisha Bryant
00:32 20 Feb 20
I have known Vik and his family since they opened. They have bright back what it means to have a home town family... operated pharmacy. He remembers you, that you have had a baby etc. He is compassionate and always goes above and beyond. He trains his staff to pursue their own dreams. Some have gone on to school. My prayer is that God gives him a long healthy life and that his business continues to prosper. Oh and BTW if you move he does mail order so he can continue to be your pharmacist no need to switch!read more
Sharel E. Gordon-Love
Sharel E. Gordon-Love
19:46 19 Feb 20
My family has been with Drug Mart since they first open and we’ve received top notch service every single time. Vic... and the staff are very friendly, and we are greeted with a smileread more
Tammy Nichols
Tammy Nichols
23:23 18 Feb 20
I used to get my prescriptions at Cvs. But when Drug Mart open close to my house i figured I give then a try and have... not looked back. The staff is always kind, helpful, and considerate. LOVE THIS PLACE.❤read more
Yolanda Parker
Yolanda Parker
20:50 17 Feb 20
I enjoyed the customer service I experience when I go into this store the friendly atmosphere the warm welcome you get... upon entering and exitingread more
Mike Webb
Mike Webb
16:48 06 Feb 20
Great being able to pick up my meds at this pharmacy. They are the best!
Janet Bynum
Janet Bynum
18:21 28 Jan 20
Leaving his experience I had with Drug Mart it's coming there getting my medication and then delivering it to me very... happy who had Drug Mart in my life far as my medications is concerned I don't have to call for refills they deliver them to me I've been the drug mart play my medications concern about 7 years or more appreciate the people they appreciate me I'm happy with Drug Mart this is my the best pharmacist that I know thank youread more
james hunter
james hunter
21:25 24 Jan 20
Always ready to help! Any way possible thank you for all your years of service!
Michelle Reyes
Michelle Reyes
21:03 24 Jan 20
Awesome staff always willing to help out 🙂
cindy ortega
cindy ortega
20:41 24 Jan 20
I love this pharmacy. Everyone makes you feel like your family. Any issues with prescription they try to resolve it... asap. I recommend this pharmacy to everyone.read more
jacqueline wells
jacqueline wells
19:33 31 Dec 19
Drug mart has the most pleasant employees and the service is swift I can't say enough good things about this pharmacy... Thanks for your years of dedication and service in our communityread more
Chris Hanington
Chris Hanington
13:47 18 Jul 19
These people take great care of THEIR people. Impressive!
R Turner
R Turner
21:57 01 Jun 19
I've been going here for years since my doctor recommended this pharmacy. They're busier now then when I first started... but their service is still top notch. Thanks again for all your help!read more
John Aleksandrowicz
John Aleksandrowicz
22:21 14 Apr 19
Great pharmacy with great customer service. Vik is great. He obviously cares about people and understands the needs of... each. Thank you!read more
Karen T
Karen T
18:54 06 Jan 19
This pharmacy is the best! I left Walgreens and very glad I did. They take the time to explain my medicines and know me... by name. I recommended them to all my family and friends.read more
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