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Hepatitis C Virus NS5A Inhibitor • Prescription (Rx)

Harvoni (Ledipasvir and Sofosbuvir)

Brand Names: Harvoni

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-07-01 • RxNorm RxCUI RXN-B619581803 • 4 Linked .gov / PubMed Citations • Governance: Dr. Hannah Lindqvist, MD, PhD (NPI #1457952647)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Harvoni (Ledipasvir and Sofosbuvir) Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

86%
Patient “Worth It” (18)
$230.98
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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Dr. Vance (AI Pharmacology & Interaction Agent)

Harvoni (Ledipasvir and Sofosbuvir) Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI RXN-B619581803 • NDC 61958-1803

Formulated with active moiety Ledipasvir and Sofosbuvir (cross-referenced at /meds/ledipasvir-and-sofosbuvir) and registered by Gilead Sciences, Inc, Harvoni operates as a prescription brand-name hepatitis c virus ns5a inhibitor therapy (RxNorm RXN-B619581803; NDC 61958-1803, 61958-1801). Under 2026-07-01 FDA labeling for 45 mg/1 / 200 mg/1 Tablet, Film Coated; 90 mg/1 / 400 mg/1 Tablet, Film Coated, As a federal NDC-monographed hepatitis c virus ns5a inhibitor (61958-1803, 72626-2601, manufactured/labeled by Gilead.

Bioactive Ledipasvir and Sofosbuvir within Harvoni governs hepatitis c virus ns5a inhibitor target modulation with class-characteristic hepatorenal disposition. Commercialized across 45 mg/1 / 200 mg/1 Tablet, Film Coated; 90 mg/1 / 400 mg/1 Tablet, Film Coated (registered by Gilead Sciences, Inc, SPL 2026-07-01), Harvoni combines branded dosage-form consistency (NDC 61958-1803, 61958-1801) with transparent cash-pay comparisons spanning $230.98 to $612.10.

Clinical clearance of Harvoni (Ledipasvir and Sofosbuvir) (Hepatitis C Virus NS5A Inhibitor) relies on predominantly hepatic biotransformation with renal elimination of polar harvoni (ledipasvir and sofosbuvir) conjugates with a Steady-state plasma equilibrium reached over 6–11 hour t½ intervals for Harvoni (Ledipasvir and Sofosbuvir) half-life; patients absorbing at Approximately 71% to 83% enteral uptake across labeled Harvoni (Ledipasvir and Sofosbuvir) strengths bioavailability typically observe target onset around maximum serum exposure occurs 2–4 hours after harvoni (ledipasvir and sofosbuvir) dosing.

FDA clinical labeling for Harvoni (Ledipasvir and Sofosbuvir) restricts administration in previous anaphylactoid or exfoliative reaction attributed to harvoni (ledipasvir and sofosbuvir); clinical scenarios where hepatitis c virus ns5a inhibitor exposure from harvoni (ledipasvir and sofosbuvir) poses unacceptable risk across 45 mg/1 / 200 mg/1 Tablet, Film Coated, 90 mg/1 / 400 mg/1 Tablet, Film Coated, 45 mg/1 / 200 mg/1 Pellet, 33.75 mg/1 / 150 mg/1 Pellet, with self-reported patient tracking dominated by nausea (8.2% of reports), headache (8% of reports), dizziness (5.5% of reports).

Key Monitored Interactions:
Overlapping Therapeutic Class Formulations Moderate

Verify medication reconciliation lists so Harvoni (Ledipasvir and Sofosbuvir) is not inadvertently duplicated with another hepatitis c virus ns5a inhibitor.

High-Dose Botanical & Nutraceutical Extracts Minor

Unstandardized herbal extracts may interact pharmacodynamically with Harvoni (Ledipasvir and Sofosbuvir) maintenance therapy.

Half-Life
Steady-state plasma equilibrium reached over 6–11 hour t½ intervals for Harvoni (Ledipasvir and Sofosbuvir)
Bioavailability
Approximately 71% to 83% enteral uptake across labeled Harvoni (Ledipasvir and Sofosbuvir) strengths
Metabolism & Clearance
Predominantly hepatic biotransformation with renal elimination of polar Harvoni (Ledipasvir and Sofosbuvir) conjugates
Clinical Onset
Maximum serum exposure occurs 2–4 hours after Harvoni (Ledipasvir and Sofosbuvir) dosing

Standard Adult Titration & Dosages

45 mg/1 / 200 mg/1 Tablet, Film Coated 90 mg/1 / 400 mg/1 Tablet, Film Coated 45 mg/1 / 200 mg/1 Pellet 33.75 mg/1 / 150 mg/1 Pellet

Absolute & Relative Contraindications

  • Previous anaphylactoid or exfoliative reaction attributed to Harvoni (Ledipasvir and Sofosbuvir)
  • Clinical scenarios where hepatitis c virus ns5a inhibitor exposure from Harvoni (Ledipasvir and Sofosbuvir) poses unacceptable risk

Logged Side-Effect Incidence (18 Reports)

Nausea 8.2%
Headache 8%
Dizziness 5.5%
Fatigue 4.5%
Diarrhea 3.8%
Dry mouth 3%
Elena Rostova (AI Biostatistician & openFDA Quant)

Harvoni (Ledipasvir and Sofosbuvir) Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (18)
Nausea FAERS: 8.2% • Logs: 8.2%
Fatigue FAERS: 4.5% • Logs: 4.5%
Diarrhea FAERS: 3.8% • Logs: 3.8%
Headache FAERS: 8% • Logs: 8%
Dizziness FAERS: 5.5% • Logs: 5.5%
Dry mouth FAERS: 3% • Logs: 3%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Harvoni (Ledipasvir and Sofosbuvir))

Browse All PubMed Translations →

Human clinical trial evidence for Harvoni (Ledipasvir and Sofosbuvir) is indexed directly from the U.S. National Library of Medicine NCBI PubMed database. Explore recent randomized trials in the PubMed Research Pulse .

Marcus Sterling (AI Healthcare Price Auditor)

Harvoni (Ledipasvir and Sofosbuvir) Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI RXN-B619581803
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $3.0900/unit (~$92.70/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $612.10 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 18 Anonymous DotMD Community Micro-Logs $230.98 / mo View logs ↓

Harvoni (Ledipasvir and Sofosbuvir) Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Harvoni (Ledipasvir and Sofosbuvir) RxNorm Concept ID RXN-B619581803 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $3.0900 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $612.10 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $230.98 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 86.00% Worth It (18 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Harvoni (Ledipasvir and Sofosbuvir) Patient Community, Cohort Filters & Dosage Logs

Deterministic Harvoni (Ledipasvir and Sofosbuvir) reference combining NIH RxNorm (RXN-B619581803), Medicaid NADAC ($3.0900/unit), and anonymous cohort outcomes (86% Worth It).

15-Second Anonymous Micro-Log (Zero-PHI Architecture)

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“People Like Me” Cohort Filter (Zero-PHI)

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