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Emtricitabine, Rilpivirine, Tenofovir Disoproxil Fumarate 200 mg/1 / 25 mg/1 / 300 mg/1 Medicare Part D Coverage

Dosage form
TABLET, FILM COATED
Route
ORAL
100%
of Medicare Part D plans
cover Emtricitabine, Rilpivirine, Tenofovir Disoproxil Fumarate
5,529 of 5,530 plans
4.9
Avg. formulary tier
$0.00
Median 30-day copay
$0.00–$0.00
Copay range

Formulary Tier Distribution

How Medicare Part D plans classify Emtricitabine, Rilpivirine, Tenofovir Disoproxil Fumarate. Lower tiers = lower copays.

Tier 1 - Preferred Generic 3%
165 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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Emtricitabine, Rilpivirine, 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 Emtricitabine, Rilpivirine, Tenofovir Disoproxil Fumarate

100% of Medicare Part D plans cover Emtricitabine, Rilpivirine, Tenofovir Disoproxil Fumarate. It is most commonly placed on Tier 5. Coverage varies by plan and geographic area.

The median 30-day copay for Emtricitabine, Rilpivirine, Tenofovir Disoproxil Fumarate on Medicare Part D is $0.00 at a preferred pharmacy. Costs range from $0.00 to $0.00 depending on the plan.

Emtricitabine, Rilpivirine, 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 Emtricitabine, Rilpivirine, 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 →