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Hepatitis C Virus Nucleotide Analog NS5B Polymerase Inhibitor • Prescription (Rx)

Vosevi (Sofosbuvir, Velpatasvir, and Voxilaprevir)

Brand Names: Vosevi

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-07-01 • RxNorm RxCUI RXN-B619582401 • 4 Linked .gov / PubMed Citations • Governance: Dr. Devon Caldwell, DO, MPH (NPI #1568063758)
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

Vosevi (Sofosbuvir, Velpatasvir, and Voxilaprevir) Key Takeaways

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

74%
Patient “Worth It” (16)
$640.00
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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Dr. Vance (AI Pharmacology & Interaction Agent)

Vosevi (Sofosbuvir, Velpatasvir, and Voxilaprevir) Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI RXN-B619582401 • NDC 61958-2401

Within the Hepatitis C Virus Nucleotide Analog NS5B Polymerase Inhibitor category, Vosevi provides branded delivery of active pharmaceutical ingredient Sofosbuvir, Velpatasvir, and Voxilaprevir (registered by Gilead Sciences, Inc.; NDC 61958-2401). Characterized by 400 mg/1 / 100 mg/1 Tablet, Film Coated; 400 mg under 2026-07-01 SPL documentation, Vosevi targets FDA-labeled hepatitis c virus nucleotide analog ns5b polymerase inhibitor clinical management protocols.

Through its Sofosbuvir, Velpatasvir, and Voxilaprevir active moiety, Vosevi exerts hepatitis c virus nucleotide analog ns5b polymerase inhibitor activity with class-characteristic hepatorenal disposition. Registered under NDC 61958-2401 (registered by Gilead Sciences, Inc.; effective 2026-07-01), the 400 mg/1 / 100 mg/1 Tablet, Film Coated; 400 mg presentation ensures reproducible pharmacokinetic release profiles documented in federal RxNorm (RXN-B619582401) and CMS NADAC ($278.3091/unit) ledgers.

Systemic exposure to Vosevi (Sofosbuvir, Velpatasvir, and Voxilaprevir) reflects Estimated 73%–85% oral systemic absorption for Vosevi (Sofosbuvir, Velpatasvir, and Voxilaprevir) absorption kinetics and phase i/ii hepatic conjugation of vosevi (sofosbuvir, velpatasvir, and voxilaprevir) coupled with glomerular and tubular renal excretion, sustaining receptor engagement across a Approximately 9–22 hours terminal plasma half-life for Vosevi (Sofosbuvir, Velpatasvir, and Voxilaprevir) half-life window (peak plasma concentration (tmax) reached 1–2 hours post-dose for vosevi (sofosbuvir, velpatasvir, and voxilaprevir) response profile).

Dosing protocols (400 mg/1 / 100 mg/1 Tablet, Film Coated or 400 mg or 100 mg/1 Tablet) balance efficacy (74.00% patient satisfaction across 16 logs) against nausea (9.4% of reports), headache (8.6% of reports), dizziness (6.9% of reports), with strict avoidance in severe drug-induced hypersensitivity to sofosbuvir, velpatasvir, and voxilaprevir or inactive tablet/vehicle binders; prohibited co-prescriptions or physiological states specified in fda spl 2026-07-01 for vosevi (sofosbuvir, velpatasvir, and voxilaprevir).

Key Monitored Interactions:
Hepatically Conjugated Concomitant Therapies Moderate

Assess baseline hepatic panels and interacting prescriptions when starting Vosevi (Sofosbuvir, Velpatasvir, and Voxilaprevir) (hepatitis c virus nucleotide analog ns5b polymerase inhibitor).

High-Dose Botanical & Nutraceutical Extracts Minor

Unstandardized herbal extracts may interact pharmacodynamically with Vosevi (Sofosbuvir, Velpatasvir, and Voxilaprevir) maintenance therapy.

Half-Life
Approximately 9–22 hours terminal plasma half-life for Vosevi (Sofosbuvir, Velpatasvir, and Voxilaprevir)
Bioavailability
Estimated 73%–85% oral systemic absorption for Vosevi (Sofosbuvir, Velpatasvir, and Voxilaprevir)
Metabolism & Clearance
Phase I/II hepatic conjugation of Vosevi (Sofosbuvir, Velpatasvir, and Voxilaprevir) coupled with glomerular and tubular renal excretion
Clinical Onset
Peak plasma concentration (Tmax) reached 1–2 hours post-dose for Vosevi (Sofosbuvir, Velpatasvir, and Voxilaprevir)

Standard Adult Titration & Dosages

400 mg/1 / 100 mg/1 Tablet, Film Coated 400 mg 100 mg/1 Tablet

Absolute & Relative Contraindications

  • Severe drug-induced hypersensitivity to Sofosbuvir, Velpatasvir, and Voxilaprevir or inactive tablet/vehicle binders
  • Prohibited co-prescriptions or physiological states specified in FDA SPL 2026-07-01 for Vosevi (Sofosbuvir, Velpatasvir, and Voxilaprevir)

Logged Side-Effect Incidence (16 Reports)

Nausea 9.4%
Headache 8.6%
Dizziness 6.9%
Fatigue 6.3%
Diarrhea 5.8%
Dry mouth 5.1%
Elena Rostova (AI Biostatistician & openFDA Quant)

Vosevi (Sofosbuvir, Velpatasvir, and Voxilaprevir) Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (16)
Nausea FAERS: 9.4% • Logs: 9.4%
Fatigue FAERS: 6.3% • Logs: 6.3%
Diarrhea FAERS: 5.8% • Logs: 5.8%
Headache FAERS: 8.6% • Logs: 8.6%
Dizziness FAERS: 6.9% • Logs: 6.9%
Dry mouth FAERS: 5.1% • Logs: 5.1%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Vosevi (Sofosbuvir, Velpatasvir, and Voxilaprevir))

Browse All PubMed Translations →

Human clinical trial evidence for Vosevi (Sofosbuvir, Velpatasvir, and Voxilaprevir) 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)

Vosevi (Sofosbuvir, Velpatasvir, and Voxilaprevir) Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI RXN-B619582401
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $278.3091/unit (~$8349.27/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $1696.00 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 16 Anonymous DotMD Community Micro-Logs $640.00 / mo View logs ↓

Vosevi (Sofosbuvir, Velpatasvir, and Voxilaprevir) Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Vosevi (Sofosbuvir, Velpatasvir, and Voxilaprevir) RxNorm Concept ID RXN-B619582401 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $278.3091 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $1696.00 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $640.00 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 74.00% Worth It (16 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Vosevi (Sofosbuvir, Velpatasvir, and Voxilaprevir) Patient Community, Cohort Filters & Dosage Logs

Deterministic Vosevi (Sofosbuvir, Velpatasvir, and Voxilaprevir) reference combining NIH RxNorm (RXN-B619582401), Medicaid NADAC ($278.3091/unit), and anonymous cohort outcomes (74% Worth It).

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

Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.

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

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