What is the list price of DOVATO?

The list price for a 30-day supply of DOVATO is $2,295.00,1 but it’s important to keep in mind, the list price is not the price most people usually pay for their prescribed medicines. If you have health insurance, the price you pay – sometimes called your out-of-pocket cost – is set by your prescription drug plan.

  • List price may also be called the wholesale acquisition cost or WAC. WAC does not include discounts, rebates, and other price adjustments to wholesalers or any other customer.

Health insurance companies are still making decisions about coverage of DOVATO. To better understand your out-of-pocket cost, contact your health insurance company because they know the details of your prescription drug plan. For general information, select the option below that best describes your health insurance.

What does list price mean to me?

The list price does not always represent the actual price you will pay for a medicine.

With medicines, a lower list price is no guarantee of a lower out-of-pocket cost. If you have coverage through your prescription drug plan, your health insurance company is the best resource to understand your out-of-pocket cost.

Want to learn more about DOVATO?

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What can I expect to pay for DOVATO?

Select the option below that best describes your health insurance to find out more about how much you may pay for your medicine.

    • If you have a prescription drug plan through work or a private policy, your health insurance company will set a fixed co-pay or co-insurance percentage for you to pay for your prescriptions.
    • Most individuals with health insurance through their employer or a private policy pay less than $10 for their HIV prescriptions.2 About 78% of those prescriptions cost less than $10 per month.2 The majority of remaining prescriptions cost less than $30.2 Many insurance plans are still making decisions about coverage of DOVATO, but out-of-pocket costs for DOVATO are expected to be similar.
    • The price you pay for your medicine if you have health insurance through Medicare may change throughout the year.
    • There are four phases of Medicare Part D coverage: the deductible period, initial coverage period, coverage gap – also called the donut hole, and catastrophic coverage. If you notice a change in the cost of your Medicare Part D-covered drug during the year, you likely entered a different phase of coverage.2
    • About 90% of Medicare HIV prescriptions cost less than $10 per month.2 DOVATO out-of-pocket costs are expected to be similar.
    • To better understand your out-of-pocket cost, contact your Medicare Part D Plan Sponsor because they know the details of your plan and what phase of coverage you are in.
    • Medicaid is a joint federal and state healthcare program. While federal law requires states to provide coverage for certain groups of people, states may offer additional coverage for certain drugs or classes of drugs.3
    • Most Medicaid patients pay $0 per month.2
    • If you meet certain income requirements, you may be eligible for Medicaid in addition to Medicare and be automatically enrolled in both programs. This is called being “dual eligible.” If you are “dual eligible”, your co-pay for prescriptions will be a set low price.4
    • If your income is too high to qualify as dual eligible, you can apply to receive support from the “Extra Help” program, also known as “Low-Income Subsidy.” This program can help you pay a set low co-pay for your prescriptions.4
    • If you are a patient who does not have health insurance, then there are options that may be available, pending eligibility, such as the ViiV Patient Assistance Program, of which more information can be found at ViiVConnect.
    • To better understand your cost, talk to your pharmacist.

Does ViiV Healthcare offer patient support programs for DOVATO?

Yes. We have programs for eligible patients who are insured, underinsured, and uninsured. ViiVConnect programs do not constitute health insurance. The ViiVConnect Savings Card is not health insurance and is not for people receiving primary benefits from government-funded plans. To learn more and to see if you're eligible, click here.  

Where can I get more information?

  • To learn more about DOVATO, visit DOVATO.com.
  • For more accurate information about your out-of-pocket cost, contact your health insurance company because they know the details of your prescription drug plan.
  • To talk to a ViiVConnect Access Coordinator, call 1-844-588-3288 (toll free). Hours: Monday – Friday, 8 am – 11 pm ET.

 

Site updated August 9, 2019

1 Source: ViiV Healthcare Data on File as of July 12, 2019.
2 Estimates from IQVIA FIA 2.5 data, HIV prescriptions, STR3A Market Basket Averages. Accessed on July 11, 2019. Based on analysis of national pharmacy level data of commercially, Medicare, and Medicaid insured patients who filled their prescription at the pharmacy between April 1, 2018 and March 31, 2019. The analysis includes only claims that were paid, or for which price was accepted by patients after using insurance and/or any copay cards, discount cards or other offers, and for which data about the transaction was available.
3 Medicare. How Part D works with other insurance. State Pharmaceutical Assistance Program. Updated on August 17, 2012. https://www.medicare.gov/drug-coverage-part-d/how-part-d-works-with-other-insurance. Accessed on August 9, 2019.
4 U.S. Centers for Medicare & Medicaid Services. Details for title: 2018-05. Last updated May 2018. https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/MLN-Publications-Items/CMS1244469.html. Accessed on August 9, 2019.