darunavir/cobicistat/emtricitabine/tenofovir/alafenamide
Used for HIV
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Manufactured by various FDA-approved generic manufacturers.
*You can pay as little as $0 per fill using Drug Coupons or Patient Assistance Programs. Subject to applicability & eligibility requirements.
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darunavir/cobicistat/emtricitabine/tenofovir/alafenamide key facts
What dosages is darunavir/cobicistat/emtricitabine/tenofovir/alafenamide available in?
darunavir/cobicistat/emtricitabine/tenofovir/alafenamide is available as an oral tablet that contains 800 mg of darunavir, 150 mg of cobicistat, 200 mg of emtricitabine, and 10 mg of tenofovir alafenamide (equivalent to 11.2 mg of tenofovir alafenamide
fumarate).
What is darunavir/cobicistat/emtricitabine/tenofovir/alafenamide used for?
- darunavir/cobicistat/emtricitabine/tenofovir/alafenamide is a HIV ARV combination that is used to treat HIV
How does darunavir/cobicistat/emtricitabine/tenofovir/alafenamide work?
darunavir/cobicistat/emtricitabine/tenofovir/alafenamide is an HIV ARV combination medication. It contains four different medications that work together to prevent HIV from infecting your cells and making copies of itself:
Darunavir is a protease inhibitor (PI) and blocks an enzyme HIV needs to make copies of itself. Cobicistat is a booster medication. It doesn’t act on HIV. Instead, it slows down your body’s ability to break down darunavir, so that darunavir levels stay higher.
Emtricitabine and tenofovir are nucleoside reverse transcriptase inhibitors (NRTIs). They insert themselves into the virus’ DNA (genetic material) and stop the DNA-making process.
How do I take darunavir/cobicistat/emtricitabine/tenofovir/alafenamide?
- darunavir/cobicistat/emtricitabine/tenofovir/alafenamide is typically taken as 1 tablet by mouth once a day with food
Is it safe for me to take darunavir/cobicistat/emtricitabine/tenofovir/alafenamide?
darunavir/cobicistat/emtricitabine/tenofovir/alafenamide is a safe and effective treatment when used for FDA licensed indications. However, like all medications, they may give you unwanted side effects. You should always discuss potential side effects with your physician to ensure the medication is suitable and right for you. darunavir/cobicistat/emtricitabine/tenofovir/alafenamide is contraindicated to be co-administered with certain drugs for
which altered plasma concentrations are associated with serious and/or lifethreatening events or which may lead to loss of therapeutic effect of darunavir/cobicistat/emtricitabine/tenofovir/alafenamide and development of resistance.
darunavir/cobicistat/emtricitabine/tenofovir/alafenamide Common Side Effects
Common side effects of darunavir/cobicistat/emtricitabine/tenofovir/alafenamide:
- Diarrhea
- Rash
- Nausea
- Fatigue
- Headache
darunavir/cobicistat/emtricitabine/tenofovir/alafenamide Serious Side Effects
Serious side effects are rare with darunavir/cobicistat/emtricitabine/tenofovir/alafenamide. Contact your healthcare provider immediately if you experience any of the following.
- Liver problems: fever, tiredness, nausea, vomiting, dark urine, clay-colored stool, stomach pain, yellowing of your skin and eyes
- Kidney problems: swelling in your legs and feet, difficulty urinating, confusion
- Severe skin reaction: blistering rash, fever, fatigue, muscle or joint aches, mouth sores
- High blood acid levels (lactic acidosis): muscle pain, severe stomach pain, shallow breathing, tiredness, weakness, change in heartbeat
Effects of other drugs, drug classes and over-the-counter products on darunavir/cobicistat/emtricitabine/tenofovir/alafenamide
The following medications may interact with darunavir/cobicistat/emtricitabine/tenofovir/alafenamide:
- Co-administration of darunavir/cobicistat/emtricitabine/tenofovir/alafenamide with other drugs can alter the concentration of other drugs and other drugs may alter the concentrations of darunavir/cobicistat/emtricitabine/tenofovir/alafenamide components. Consult the full prescribing information prior to and during treatment for potential drug interactions
Who makes darunavir/cobicistat/emtricitabine/tenofovir/alafenamide?
Various FDA-approved generic manufacturers
Is darunavir/cobicistat/emtricitabine/tenofovir/alafenamide safe in pregnancy?
darunavir/cobicistat/emtricitabine/tenofovir/alafenamide is not recommended during pregnancy due to
substantially lower exposures of darunavir and cobicistat during the second and third trimesters of pregnancy.
The FDA's medical product safety reporting program for health professionals, patients and consumers.
Learn more about reporting side effectsDrug Savings Guide
A practical guide to saving money and receiving support with prescription costs
How can NowPatient help me to lower the cost of my darunavir/cobicistat/emtricitabine/tenofovir/alafenamide prescription?
After you create a FREE account with NowPatient, you will have access to 4 programs that can help lower the cost of your darunavir/cobicistat/emtricitabine/tenofovir/alafenamide prescription
Applicability to each program will be dependent on your insurance status.
How do the NowPatient darunavir/cobicistat/emtricitabine/tenofovir/alafenamide savings programs work?
After you have created your FREE account with NowPatient, you can access the various programs from your account dashboard. Each program has clear instructions on how to check your eligibility. You can see how the process works by clicking on the feature link below and seeing the ‘How it works’ steps.
Drug Coupon and Patient Assistance Programs require an eligibility quiz to be completed.
Are the NowPatient darunavir/cobicistat/emtricitabine/tenofovir/alafenamide savings programs suitable for everyone, regardless of insurance status?
No. Each program has its own eligibility and applicability requirements. The table below shows if a program is available to you, based on your insurance status.
| Rx Advantage Card* for darunavir/cobicistat/emtricitabine/tenofovir/alafenamide | Canadian Prescription Savings* for darunavir/cobicistat/emtricitabine/tenofovir/alafenamide | darunavir/cobicistat/emtricitabine/tenofovir/alafenamide Drug Coupon* | darunavir/cobicistat/emtricitabine/tenofovir/alafenamide Patient Assistance Program* | |
| Insured (federal, state or government) | Available | Available | Not Available | Available If Offered by Pharmaceutical Company |
| Insured (Commercial or Private) | Available | Available | Available If Offered by Pharmaceutical Company | Available If Offered by Pharmaceutical Company |
| Uninsured | Available | Available | Not Available | Available If Offered by Pharmaceutical Company |
| Insured but without pharmacy benefit or drug coverage | Available | Available | Not Available | Available If Offered by Pharmaceutical Company |
*This is not insurance.
Are the NowPatient drug savings programs suitable for brand and generic versions of darunavir/cobicistat/emtricitabine/tenofovir/alafenamide?
No. Each program has applicability requirements. Please see below
| Rx Advantage Card* for darunavir/cobicistat/emtricitabine/tenofovir/alafenamide | Canadian Prescription Savings* for darunavir/cobicistat/emtricitabine/tenofovir/alafenamide | darunavir/cobicistat/emtricitabine/tenofovir/alafenamide Drug Coupon* | darunavir/cobicistat/emtricitabine/tenofovir/alafenamide Patient Assistance Program* | |
| Brand | Yes | Yes | Yes, If Offered by Pharmaceutical Company | Yes, If Offered by Pharmaceutical Company |
| Generic | Yes | Yes | No | No |
*This is not insurance.
If you have Medicare Part D or Medicare Advantage and none of the darunavir/cobicistat/emtricitabine/tenofovir/alafenamide savings options are applicable or affordable for me, what can you do?
If you are insured with Medicare and the darunavir/cobicistat/emtricitabine/tenofovir/alafenamide drug savings options are not applicable to you and still remain unaffordable, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.
The government site is easy to use and after you have selected your state, it will navigate you to the appropriate contact point to make the application. State Medicaid programs may cover the full cost of your medication.
People who qualify for both Medicare and Medicaid are called ‘dual eligibles’.
If you are denied Medicaid for darunavir/cobicistat/emtricitabine/tenofovir/alafenamide, and you are still unable to afford your copay or co-insurance element (for example if you are in the coverage gap or Donut Hole) then you may be eligible for a federal support program like Low Income Subsidy. To be eligible for Low Income Subsidy, you need to be a resident in one of the 50 States or the District of Columbia. You can check eligibility online at SSA Medicare D Extra Help. You can also call Social Security at 1-800-772-1213 (TTY 1-800-325-0778).
I am uninsured or underinsured and none of the darunavir/cobicistat/emtricitabine/tenofovir/alafenamide prescription saving options are applicable or affordable for me, what can I do?
If you are uninsured or underinsured (for example, darunavir/cobicistat/emtricitabine/tenofovir/alafenamide is not covered by your plan) and the drug savings options are not applicable or still unaffordable, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.
The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application. State Medicaid programs may cover the full cost of your medication.
If you are denied and all else fails, and if you have been prescribed darunavir/cobicistat/emtricitabine/tenofovir/alafenamide for an FDA-approved indication, you can call the pharmaceutical company to see if they have any other assistance programs.
I am commercially or privately insured and none of the darunavir/cobicistat/emtricitabine/tenofovir/alafenamide prescription saving options are applicable or affordable for me, what can I do?
If your medication is not covered by your plan, you can appeal your insurance company’s decision. Sometimes, a formal appeal can result in the drug being covered if it is deemed medically necessary.
If you cannot afford your copay contribution, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.
However, being privately insured might complicate your eligibility for Medicaid, as having private insurance may be considered in the financial eligibility assessment.
The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application. If you qualify, state Medicaid may cover the full cost of your medication.
If I have federal, state or commercial insurance and none of the darunavir/cobicistat/emtricitabine/tenofovir/alafenamide prescription saving options are applicable or affordable for me, are there any other support organisations that can help me with my co-insurance or copay contributions?
If you have already tried Medicaid and received a denial letter or if you are insured with Medicare and have been denied Low-Income Subsidy, then you can try one of the following organizational support programs:
1. Patient Access Network Foundation (PAN) assistance for darunavir/cobicistat/emtricitabine/tenofovir/alafenamide
If you are having trouble paying for your darunavir/cobicistat/emtricitabine/tenofovir/alafenamide medication due to unaffordable copays or deductibles, the Patient Access Network Foundation (PAN), may be able to assist you. To qualify for PAN assistance for darunavir/cobicistat/emtricitabine/tenofovir/alafenamide you will need to meet one or all of the following criteria:
- Your income is below 400% of the federal poverty level
- darunavir/cobicistat/emtricitabine/tenofovir/alafenamide is prescribed for an approved FDA indication
- You live in and receive treatment in the United States or U.S. territories, even if you do not have U.S. citizenship
- You have Medicare insurance coverage that covers darunavir/cobicistat/emtricitabine/tenofovir/alafenamide
- If darunavir/cobicistat/emtricitabine/tenofovir/alafenamide is listed on PAN’s list of covered medications
You can check the Patient Access Network Foundation Website for more information.
2. HealthWell Foundation Copay Program for darunavir/cobicistat/emtricitabine/tenofovir/alafenamide
If you are having trouble paying for your darunavir/cobicistat/emtricitabine/tenofovir/alafenamide medication due to unaffordable copays or deductibles, the HealthWell Foundation Copay Program may be able to assist you. To qualify for assistance for darunavir/cobicistat/emtricitabine/tenofovir/alafenamide you will need to meet the following criteria:
- You live in and are being treated in the United States
- You are insured and your plan covers darunavir/cobicistat/emtricitabine/tenofovir/alafenamide
- If darunavir/cobicistat/emtricitabine/tenofovir/alafenamide is listed on the HealthWell Foundation’s list of covered medications
You can check the HealthWell Foundation Website for more information.
3. Patient Advocate Foundation Co-Pay Relief Program for darunavir/cobicistat/emtricitabine/tenofovir/alafenamide
Patient Advocate Foundation’s Co-Pay Relief program exists to help reduce the financial distress you or your family may face when paying for your darunavir/cobicistat/emtricitabine/tenofovir/alafenamide treatment. If you qualify and can demonstrate the need, the foundation will provide you with direct payment covering co-pays, co-insurance, and deductibles. To qualify for assistance for darunavir/cobicistat/emtricitabine/tenofovir/alafenamide you will need to meet the following criteria:
- You must be currently insured and have coverage for darunavir/cobicistat/emtricitabine/tenofovir/alafenamide
- You must have a confirmed diagnosis and treatment plan
- You must reside and receive treatment in the United States
- Your Income must fall at or below 300% or 400% of the Federal Poverty Guideline (FPG) with consideration for the Cost of Living Index (COLI) and number in the household
- Applications can also be completed by contacting the program sponsor, toll-free at 866-512-3861.
You can check the Patient Advocate Foundation Website for more information.
Medical Disclaimer
NowPatient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information on this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.
The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.
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You can lower the cost of your prescription medications using our various savings programs which include drug coupons, savings card and manufacturer-sponsored patient assistance programs.
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