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Pifeltro Prices, Coupons and Patient Assistance Programs

Pifeltro (doravirine) is a member of the NNRTIs drug class and is commonly used for HIV Infection.

The cost for Pifeltro oral tablet 100 mg is around $1,864 for a supply of 30 tablets, depending on the pharmacy you visit. Quoted prices are for cash-paying customers and are not valid with insurance plans. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.

Pifeltro is available as a brand name drug only, a generic version is not yet available. View generic Pifeltro availability for more details.

Pifeltro prices

Oral Tablet

Quantity Per unit Price
30 $62.12 $1,863.52

Important: When there is a range of pricing, consumers should normally expect to pay the lower price. However, due to stock shortages and other unknown variables we cannot provide any guarantee.

Pifeltro Coupons, Copay Cards and Rebates

Pifeltro offers may take the form of printable coupons, rebates, savings or copay cards, trial offers, or free samples. Certain offers may be printable from a website while others may require registration, completing a questionnaire, or obtaining a sample from a medical professional.

Drugs.com Printable Discount Card

The free Drugs.com Discount Card works like a coupon and can save you up to 80% or more off the cost of prescription medicines, over-the-counter drugs and pet prescriptions.

Print Free Discount Card

Note: This is a drug discount program, not an insurance plan. Valid at all major chains including Walgreens, CVS Pharmacy, Target, WalMart Pharmacy, Duane Reade and 65,000 pharmacies nationwide.

Pifeltro Savings Coupon

Eligible commercially insured patients may may pay as little as $0 per prescription; maximum program savings of $6,800 per patient; coupon may be redeemed once every 21 days; for additional information contact program at 877-264-2454.

Applies to:
Pifeltro
Number of uses:
Per prescription until program expires
Expires
December 31, 2024

Form more information phone: 877-264-2454 or Visit website

Pifeltro Savings Coupon Direct Member Reimbursement (DMR)

Eligible commercially insured patients may contact the program for a Reimbursement Form if their retail or mail-order pharmacy did not accept the Savings Coupon; patient must contact the program within 30 days of the prescription fill; for additional information contact program at 877-264-2454

Applies to:
Pifeltro
Number of uses:
One rebate per prescription fill
Expires
December 31, 2024

Form more information phone: 877-264-2454 or Visit website

Patient Assistance & Copay Programs for Pifeltro

Patient assistance programs (PAPs) are typically sponsored by pharmaceutical companies and offer cost-free or discounted medicines, as well as copay programs, to individuals with low income or those who are uninsured/under-insured and meet specific criteria. Eligibility requirements for each program may vary.

Provider: Merck Patient Assistance Program

Eligibility requirements:
  1. Determined case by case
  2. At or below 400% of FPL
  3. Not specified
  4. Must be residing in the US or a US territory, and under the care of a US physician
  5. At Merck we realize that sometimes exceptions need to be made based on the patient's individual circumstances. Individuals who do not meet the insurance criteria may still qualify for the Merck Patient Assistance Program if they attest that they have special circumstances of financial hardship, and their income meets the program criteria. *The Enrollment Form must be mailed. Please do not fax. Call for most recent medications as the list is subject to change.
Applicable drugs:
  • Pifeltro (doravirine) Tablet

More information please phone: 800-727-5400 Visit Website

Provider: Patient Access Network Foundation (PAN)

Eligibility requirements:
  1. *See Additional Information section below
  2. Between 400-500% of FPL
  3. FDA Approved Diagnosis - See Program Website for Details
  4. Must reside and receive treatment in US
  5. *Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance. Call for most recent medications as the list is subject to change and the medication for which you are seeking assistance must treat the disease directly. Note: All new enrollment is now done electronically or over the phone. Contact program for details.
Applicable drugs:
  • Pifeltro (doravirine) Tablet

More information please phone: 866-316-7263 Visit Website

Provider: Merck Connect

Eligibility requirements:
  1. Determined case by case
  2. Not disclosed
  3. Medically Necessary as determined by a Doctor
  4. Must be treated by US licensed healthcare provider
  5. Resources for HEALTHCARE PROFESSIONALS ONLY. The Physician must register to access tools and materials for patient support, product sample requests, up-to-date professional resources, and other Merck professional sites.
Applicable drugs:
  • Pifeltro (doravirine) Tablet

More information please phone: 800-489-5119 Visit Website

Provider: HarborPath ADAP Waiting List Program

Eligibility requirements:
  1. Must be uninsured
  2. Determined case by case
  3. Medically appropriate condition/diagnosis
  4. The patient must also be a US resident.
  5. Resources for HEALTHCARE PROFESSIONALS ONLY. Patients are eligible for the HarborPath ADAP Waiting List Program if they: Meet eligibility for the ADAP Waiting List Program in their state of residency; and have a confirmation letter from their state ADAP indicating patient is on the ADAP waiting list. Typical eligibility requirements do not apply to the ADAP Waiting List Program.
Applicable drugs:
  • Pifeltro (doravirine) Tablet

More information please phone: 855-300-8916 Visit Website

Disclaimer: Medication pricing is sourced from a variety of providers. Pricing may vary significantly due to several factors including brand or generic status, insurance coverage, pharmacy choice, location, and manufacturer pricing policies. Prices are subject to change. For the most accurate and up-to-date information, always consult directly with your pharmacy or healthcare provider.