A sensitive liquid chromatography-tandem mass spectrometry (LC-MS/MS) method was developed and validated for quantification of bictegravir in human plasma. A small volume of only 50 μL aliquot of plasma was precipitated with acetonitrile containing an internal standard (IS). Chromatographic separation was performed on Kinetex EVO C18 column, 50 × 3.0 mm, 5 μm using an isocratic mobile phase containing 80:20 acetonitrile/water with 0.1% formic acid. A mass spectrometer operated in ESI positive multiple reaction monitoring mode using the m/z 450.1/289.1 for bictegravir and 420.1/277.1 for IS. The dynamic range of the method was 1 to 10,000 ng/mL with a correlation coefficient (r) ≥ 0.9991. The precision results of calibration standards were in the range of 0.05 to 4.57% and accuracies were 95.07 to 104.70%. The mean extraction recovery was found to be 98.64% with a precision of 2.91%. The method was validated as per USFDA guidelines and was found to be accurate and precise. The method was successfully applied to in-vitro cellular uptake study.