Delstrigo Generic: When Will It Be Available?
This page is aggregated from FDA records, court filings and company announcements. Coded and designed by Dr. Brian Staiger, PharmD, BCPS
Updated October 9, 2026 How we build our data
Delstrigo Generic at a Glance
Four quick answers from FDA records and our estimate.
- When is the first generic expected? 2035 to 2036 A wide window Why then?
- Has the FDA approved a generic? Not yet None in the FDA’s records yet Why not yet?
- When does the last patent end? November 2036 3 patents listed with the FDA
- Can you buy a generic today? Not yet No company lists one for sale
Generic doravirine, lamivudine, and tenofovir disoproxil fumarate is expected to be available between 2035 and 2036. None is for sale yet.
Why 2035 to 2036?
The brand company and a generic maker settled their patent fight and agreed on when a generic can launch. We rate it probable: more likely than not, but it can still move.
Why hasn’t the FDA approved a generic yet?
That is normal before a launch. The FDA usually can’t give a generic its final approval while a patent or exclusivity still blocks it, so final approval often comes close to the day the generic can be sold. No company holds a “tentative” approval yet either (the FDA’s word for a generic that is ready but still blocked).
Will the generic cost less?
Usually, and more so as more companies sell one. One company has applied to the FDA to make it. In the FDA’s study of past launches, pharmacies paid about 31% less once one company sold a generic, which would take the $93.06 pharmacies pay per tablet for Delstrigo today to about $64.21. See the price estimate
What should I do now?
Keep taking Delstrigo as prescribed. When a generic arrives, your pharmacy may switch you to it automatically, and it may look different. What a generic means for you
Our month is only an estimate based on available information, so we never name a day.
Delstrigo by the Numbers
- Reason
- Settlement between companiesThe brand company and a generic maker settled their patent fight and agreed on when a generic can launch.
- How sure
- Probable More likely than not, but it can still move.
- Price competition
- Low 1 company has filed, 1 first in line
- Brand sales
- $85M a yearSmaller seller
- FDA approved 2018 August 2018 FDA Orange Book
- Patents listed 3 last runs to November 2036 FDA Orange Book
- Pharmacies pay $93.06 per tablet, up 7.2% in a year NADAC, October 2026
- Medicare Part D spent $20.1M in 2025, for 795 people CMS Part D Spending by Drug
- Medicaid prescriptions 5,434 in the last four reported quarters, $16.4M CMS Medicaid drug utilization, to Q1 2026
Delstrigo’s Road to a Generic
Delstrigo has had the market to itself since the FDA approved it in August 2018 (Merck Sharp And Dohme Corp A Sub Of Merck And Co Inc). Its 3 listed patents run to November 2036. Generic companies have challenged its patents with the FDA since August 2022.
The first generic of Delstrigo is expected between 2035 and 2036.
Why that month: the brand company and a generic maker settled their patent fight and agreed on when a generic can launch.
Each bar runs from the brand’s approval to the day that protection ends. The green band is our projection for the first generic: a month, never a day, because legal dates move and a generic reaches shelves days to weeks after it is allowed. Sources: FDA Orange Book; the expected month from court records and company announcements.
Delstrigo Patents and FDA Protections
Every patent and exclusivity the FDA Orange Book lists for Delstrigo’s own applications. A protection running past the expected month does not mean the date is wrong: a settlement or a court ruling can let a generic in before a patent ends, and a patent on one formulation or use does not block every generic.
| Patent | What it covers | Protects until | Status |
|---|---|---|---|
| 8,486,975 | The active ingredient; the product’s formulation; a way of using it (U-2629, U-2395, U-3307) | August 2032 | Active |
| 10,603,282 | The product’s formulation | November 2036 | Active |
| 10,842,751 | The product’s formulation | November 2036 | Active |
Source: FDA Orange Book, application 210807. Patent numbers open the patent on Google Patents.
Patent Challenges to Delstrigo
The first patent challenge to Delstrigo reached the FDA in August 2022, from one company on that first day. The FDA has not approved a first challenger’s generic yet.
What Is a Patent Challenge?
A generic company that wants to sell its version before Delstrigo’s patents run out can tell the FDA that a patent is invalid, or that its version does not infringe it. The FDA calls this a “Paragraph IV certification.” The brand company usually sues, and the FDA then generally cannot approve that generic for up to 30 months while the case runs. To reward going first, the companies that challenge first can get a 180-day head start: the FDA cannot approve the generics that came after them until it ends.
| Product | First challenged | Companies that day | 180-day head start | First challenger’s generic | Challenged patents run to | |
|---|---|---|---|---|---|---|
| Approved | On sale | |||||
| Tablets, 100 mg/300 mg/300 mg | August 2022 | 1 company | No decision yet | Not yet | Not yet | November 2036 |
Source: the FDA’s Paragraph IV Patent Certifications list, as of September 2026. The FDA began posting the 180-day decisions and the first challenger’s approval and first sale in June 2019: an older entry it has not updated since reads “Not posted”, and “Not yet” means the list records no such event. “Companies that day” is the FDA’s count of challenges that arrived on the first day.
Who Is Lined Up to Make Generic Doravirine, Lamivudine, and Tenofovir Disoproxil Fumarate
Three steps stand between a brand and a generic you can buy: a company applies to the FDA, the FDA approves it, and the company starts selling it.
Applied to the FDA
One company has applied to the FDA to make generic doravirine, lamivudine, and tenofovir disoproxil fumarate.
The FDA names a company only once it approves its application, even tentatively, and it has not done that for this one yet, so the company is not named here. Names often come out in the brand company’s patent lawsuits or in the companies’ own announcements.
First in line. One of them was first in line: the first company to challenge the brand’s patents can earn 180 days on the market before the other generics, which is why being first matters.
Generic companies have challenged Delstrigo’s patents with the FDA since August 2022: see the patent challenges.
Approved by the FDA
Not yet. The FDA has not approved a generic doravirine, lamivudine, and tenofovir disoproxil fumarate. Final approval often comes close to the day a generic can be sold.
For Sale in Pharmacies
Not yet. No company lists a generic doravirine, lamivudine, and tenofovir disoproxil fumarate for sale with the FDA.
Sources: how many companies have applied, from court records and company announcements; approved generics from the FDA Orange Book; tentative approvals from Drugs@FDA; what is for sale from the FDA NDC Directory. The FDA does not disclose an application before it approves it (21 CFR 314.430).
Delstrigo Price: What Pharmacies Pay and What Generics Usually Do
What Pharmacies Pay for Delstrigo 100-300-300 mg tab
$93.06 per tablet in October 2026, up 7.2% from a year earlier.
Hover over or tap anywhere on the chart to see that month’s price.
See the numbers
| Month | Pharmacies paid per tablet |
|---|---|
| October 2026 | $93.06 |
| September 2026 | $93.06 |
| August 2026 | $92.89 |
| July 2026 | $92.66 |
| June 2026 | $92.72 |
| May 2026 | $92.77 |
| April 2026 | $92.91 |
| March 2026 | $92.91 |
| February 2026 | $92.91 |
| January 2026 | $92.91 |
| February 2024 | $86.82 |
| January 2024 | $86.82 |
NADAC: the national average price retail pharmacies pay to buy the medicine (CMS survey, updated weekly), the last price of each month for one package. It is not what you pay: that depends on your insurance or discount card.
What a Generic Could Cost
How we estimate it. We start from what pharmacies pay for Delstrigo today: $93.06 per tablet for Delstrigo 100-300-300 mg tab in October 2026, from the national NADAC survey. Then we apply the FDA’s finding of how far that price usually falls as generic companies join: about 31% with one company, 44% with two, 73% with four and over 95% with six or more (the typical drop for every drug whose first generic came out from 2015 to 2017). Delstrigo has one company lined up, so our estimate uses the figure for one company. More companies would bring the price lower; fewer, less of a drop.
Dollar figures apply FDA’s median drops to the $93.06 pharmacies pay per tablet today. An estimate from the pattern, not a price quote: what you pay depends on your insurance or discount card.
Median prices pharmacies paid for the generic (invoice prices), compared with the brand’s price before generic entry, from FDA’s 2019 analysis “Generic Competition and Drug Prices”. At the manufacturer’s price FDA found steeper drops (about 39%, 54%, 79% and over 95%), the figures quoted elsewhere on this tracker. A typical pattern, not a price quote for this medicine.
What Medicare and Medicaid Spend on Delstrigo
Big public spending is part of why generic makers line up for a medicine, and why its first generic matters beyond the pharmacy counter. Figures are before manufacturer rebates, which are confidential.
Medicare Part D Spending
What Medicare drug plans spent on Delstrigo, before manufacturer rebates.
- $4.8M
- January to March 2026, the latest CMS has posted
For 650 people, about $2,816 per prescription fill - $20.1M
- 2025, the whole year
For 795 people, about $2,811 per prescription fill
See the numbers
| Period | Spending | People | Per fill |
|---|---|---|---|
| January to March 2026 | $4,818,624 | 650 | $2,816.26 |
| 2025 | $20,093,102 | 795 | $2,811.01 |
Source: CMS Medicare Part D Spending by Drug, matched by the brand name Delstrigo only, so no generic is counted in it. What CMS says it is used for: This combination product is used by itself to help control HIV infection. It helps to decrease the amount of HIV in your body so your immune system can work better.
Medicaid Prescriptions by Quarter
5,434 prescriptions in the four quarters to Q1 2026, $16.4M paid.
See the numbers
| Quarter | Prescriptions | Medicaid paid |
|---|---|---|
| Q1 2026 | 1,194 | $3,702,717 |
| Q4 2025 | 1,351 | $4,073,413 |
| Q3 2025 | 1,440 | $4,279,900 |
| Q2 2025 | 1,449 | $4,359,052 |
| Q1 2025 | 1,474 | $4,362,771 |
Source: CMS Medicaid State Drug Utilization Data, over Delstrigo’s own package codes.
Delstrigo Strengths and Forms
| Strength | Form | How it is taken | Approved | Status |
|---|---|---|---|---|
| 100MG;300MG;300MG | Tablet | Oral | August 2018 | Prescription reference product |
Source: FDA Orange Book, Merck Sharp And Dohme Corp A Sub Of Merck And Co Inc. Listed for sale today by Merck Sharp & Dohme LLC (FDA NDC Directory).
Delstrigo NDC Codes and Packages
Each Delstrigo package sold today has its own NDC, the product number printed on the box and on the pharmacy label. Open one to see that package’s details, what pharmacies pay for it and its patent timeline.
| NDC | Product | Package | Company |
|---|---|---|---|
| 00006-5007-01 | DORAVIRINE 100 mg/1 / LAMIVUDINE 300 mg/1 / TENOFOVIR DISOPROXIL FUMARATE 300 mg/1 tablet, film coated | bottle of 30 tablets | Merck Sharp & Dohme LLC |
| 00006-5007-01 | DORAVIRINE 100 mg/1 / LAMIVUDINE 300 mg/1 / TENOFOVIR DISOPROXIL FUMARATE 300 mg/1 tablet, film coated | bottle of 30 tablets | Merck Sharp & Dohme LLC |
Source: the FDA NDC Directory, current listings only. Only packages sold under Delstrigo’s own FDA approval (NDA 210807) are listed, never a generic. Some codes belong to companies that repackage Delstrigo: it is the same medicine in a different package.
What a Generic Delstrigo Means for You
Nothing Changes Until It Is in Pharmacies
Until a generic is actually for sale, keep filling Delstrigo as usual. When one arrives, there is nothing you need to sign up for.
Your Pharmacy May Switch You Automatically
Every state lets pharmacists fill a brand-name prescription with an FDA-approved generic rated as equivalent to it, and about 19 states require them to, unless your prescriber writes “dispense as written” or “brand medically necessary” on the prescription. Some states ask the pharmacist to tell you, or to get your OK first. A study of every state’s law has the details.
It Will Probably Look Different
US trademark law does not let a generic look exactly like the brand, so the color, shape or markings usually change. The active ingredient, strength and form are the same. An “authorized generic,” made by or for the brand’s own company, can look identical. The FDA explains.
Your Insurance May Change Too
Once a lower-cost version is available, many insurance plans charge more for the brand, or stop covering it. Your plan’s drug list (formulary) says how.
Until a generic is on US pharmacy shelves, be careful with websites that offer “generic Delstrigo”. The FDA warns that unlicensed online pharmacies sell counterfeit and unapproved medicines; its BeSafeRx page shows how to check a pharmacy.
Questions people ask about Delstrigo
Is there a generic for Delstrigo right now?
No. As of October 9, 2026 no generic doravirine, lamivudine, and tenofovir disoproxil fumarate is listed for sale in the FDA NDC Directory.
When will Delstrigo go generic?
2035 to 2036 is the expected window, and that is probable but not certain. The brand company and a generic maker settled their patent fight and agreed on when a generic can launch.
Will generic doravirine, lamivudine, and tenofovir disoproxil fumarate be the same as Delstrigo?
Yes in the ways that matter: the same active ingredient, strength and form, with proof that it reaches your blood the same way. Inactive ingredients can differ, which is why some people notice a different look or taste.
How much will the generic cost?
Nobody can say for sure before launch. One company has applied to the FDA to make it. In the FDA’s study of past launches, pharmacies paid about 31% less once one company sold a generic, which would take the $93.06 pharmacies pay per tablet for Delstrigo today to about $64.21. That is a pattern from past launches, not a prediction for this one.
Has the FDA approved a generic Delstrigo?
Not yet. The FDA Orange Book lists no approved generic version of Delstrigo.
When does the Delstrigo patent expire?
The FDA Orange Book lists 3 patents for Delstrigo; the last runs to November 2036. A patent date is not the launch date: settlements and court rulings often bring a generic earlier, and FDA approval or a company’s own plans can make it later. The expected window on this page (2035 to 2036) weighs all of that.
Has anyone challenged the Delstrigo patents?
Yes. The first patent challenge to Delstrigo reached the FDA in August 2022, from one company on that first day. The FDA has not approved a first challenger’s generic yet. A patent challenge (a “Paragraph IV certification”) is a generic company telling the FDA that a patent listed for the brand is invalid or will not be infringed by its version. The first companies to file one can earn a 180-day head start, during which the FDA cannot approve the generics that filed after them.
How much does Delstrigo cost now?
Pharmacies paid about $93.06 per tablet for Delstrigo 100-300-300 mg tab in October 2026, by the national survey of what pharmacies pay (NADAC). That is the pharmacy’s cost, not your price: what you pay depends on your insurance or discount card.
Changes to This Projection
- First generic expected 2035 to 2036 on this month’s schedule. A line is added here whenever a monthly update moves the month, the reason or how sure it is.
Every change to the expected month is logged here with the month we saw it.
Also Going Generic
- XtandiEnzalutamideJuly to September 2027
- FetzimaLevomilnacipran Hydrochloride2029 to 2030
- LikmezMetronidazole2030 to 2031
- TegsediInotersen SodiumOctober 2032
- PicatoIngenol MebutateTBD no date yet
- BinostoAlendronate SodiumTBD no date yet
About Delstrigo
- Generic name doravirine, lamivudine, and tenofovir disoproxil fumarate
- How it is taken By mouth
- Company Merck Sharp And Dohme Corp A Sub Of Merck And Co Inc
- Patent challenges Since August 2022 (FDA)
- More drugs Brand-name drugs starting with D
- Have a question? A pharmacist answers, free. Ask about Delstrigo
Sources. The expected month: FDA Paragraph IV Patent Certifications list, federal court records, company announcements and securities filings (settlement dates, launch plans, sales). The record on this page: FDA Orange Book, Drugs@FDA (tentative approvals), FDA NDC Directory, FDA Paragraph IV Patent Certifications list, NADAC (CMS), CMS Medicare Part D Spending by Drug, Medicaid State Drug Utilization Data, FDA, Generic Competition and Drug Prices (2019). Updated October 9, 2026. Information, not medical advice.