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doravirine, lamivudine, and tenofovir disoproxil fumarate 100 mg/1 / 300 mg/1 / 300 mg/1 Medicare Part D Coverage

Brand name: DELSTRIGO
Dosage form
TABLET, FILM COATED
Route
ORAL
100%
of Medicare Part D plans
cover doravirine, lamivudine, and tenofovir disoproxil fumarate
5,529 of 5,530 plans
4.9
Avg. formulary tier

Formulary Tier Distribution

How Medicare Part D plans classify doravirine, lamivudine, and tenofovir disoproxil fumarate. Lower tiers = lower copays.

Tier 1 - Preferred Generic 3%
163 plans • avg $0.00/mo
Tier 2 - Generic 0%
2 plans • avg $0.00/mo
Tier 4 - Non-Preferred Drug 1%
49 plans • avg $0.00/mo
Tier 5 - Specialty 96%
5,295 plans • avg $0.00/mo
Tier 6 - Select Care 0%
20 plans • avg $0.00/mo

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doravirine, lamivudine, and tenofovir disoproxil fumarate Medicare Coverage by State

Coverage rates and average costs vary significantly by state. Click a state to see the specific plans available there.

Frequently Asked Questions about doravirine, lamivudine, and tenofovir disoproxil fumarate

100% of Medicare Part D plans cover doravirine, lamivudine, and tenofovir disoproxil fumarate. It is most commonly placed on Tier 5. Coverage varies by plan and geographic area.

Costs vary by plan. Enter your ZIP code above to see exact prices for plans in your area.

doravirine, lamivudine, and tenofovir disoproxil fumarate is placed on Tier 5 by most Medicare Part D plans. Lower tier numbers generally mean lower copays.

0% of plans require prior authorization for doravirine, lamivudine, and tenofovir disoproxil fumarate. Prior authorization means your doctor must confirm the drug is medically necessary before the plan will cover it.

Coverage statistics based on CMS formulary data for plan year 2026. Data updated regularly. Methodology →