bictegravir/lenacapavir

75 MG-50MG — Tablet

Also known as: BIXLENVO

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.

1 plan

Source: Excel (XLSX) · Formulary date: Oct 29, 2026 · Checked: 3 hours, 51 minutes ago

Plan	Tier	Prior Auth	Step Therapy	Quantity Limit	Restrictions
TRICARE Uniform Formulary 2026 via Bixlenvo	Tier 3 - Non-Formulary	—	—	—	None