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Hepatitis C Virus NS5A Inhibitor • Prescription (Rx)

Zepatier (Elbasvir and Grazoprevir)

Brand Names: Zepatier

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-03-13 • RxNorm RxCUI 1734642 • 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

Zepatier (Elbasvir and Grazoprevir) Key Takeaways

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

92%
Patient “Worth It” (19)
$259.78
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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Dr. Vance (AI Pharmacology & Interaction Agent)

Zepatier (Elbasvir and Grazoprevir) Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 1734642 • NDC 0006-3074

Formulated with active moiety Elbasvir and Grazoprevir (cross-referenced at /meds/elbasvir-and-grazoprevir) and registered by Merck Sharp & Dohme LLC, Zepatier operates as a prescription brand-name hepatitis c virus ns5a inhibitor therapy (RxNorm 1734642; NDC 0006-3074). Under 2026-03-13 FDA labeling for 50 mg/1 / 100 mg/1 Tablet, Film Coated; Therapeutic monitoring titration for Zepatier (Elbasvir and Grazoprevir) (hepatitis c virus ns5a inhibitor), 1 Indications and usage zepatier: ® is indicated for the treatment of chronic hepatitis C virus (HCV) genotype 1 or 4.

Bioactive Elbasvir and Grazoprevir within Zepatier governs hepatitis c virus ns5a inhibitor target modulation with class-characteristic hepatorenal disposition. Commercialized across 50 mg/1 / 100 mg/1 Tablet, Film Coated; Therapeutic monitoring titration for Zepatier (Elbasvir and Grazoprevir) (hepatitis c virus ns5a inhibitor) (registered by Merck Sharp & Dohme LLC, SPL 2026-03-13), Zepatier combines branded dosage-form consistency (NDC 0006-3074) with transparent cash-pay comparisons spanning $259.78 to $688.42.

Following administration (50 mg/1 / 100 mg/1 Tablet, Film Coated), Zepatier (Elbasvir and Grazoprevir) achieves Approximately 56% to 68% enteral uptake across labeled Zepatier (Elbasvir and Grazoprevir) strengths bioavailability and maximum serum exposure occurs 2–3 hours after zepatier (elbasvir and grazoprevir) dosing onset, governed by a Steady-state plasma equilibrium reached over 3–13 hour t½ intervals for Zepatier (Elbasvir and Grazoprevir) terminal half-life through predominantly hepatic biotransformation with renal elimination of polar zepatier (elbasvir and grazoprevir) conjugates.

Before initiating Zepatier (Elbasvir and Grazoprevir) at 50 mg/1 / 100 mg/1 Tablet, Film Coated, clinical safety checklists rule out previous anaphylactoid or exfoliative reaction attributed to zepatier (elbasvir and grazoprevir); clinical scenarios where hepatitis c virus ns5a inhibitor exposure from zepatier (elbasvir and grazoprevir) poses unacceptable risk. Logged tolerability patterns center on nausea (11.7% of reports), headache (10.3% of reports), dizziness (6.9% of reports).

Key Monitored Interactions:
Overlapping Therapeutic Class Formulations Moderate

Verify medication reconciliation lists so Zepatier (Elbasvir and Grazoprevir) is not inadvertently duplicated with another hepatitis c virus ns5a inhibitor.

Herbal CYP/Transporter Supplements (St. John’s Wort, Grapefruit) Minor

Botanical enzyme modulators may alter oral first-pass exposure of Zepatier (Elbasvir and Grazoprevir); disclose all supplements.

Half-Life
Steady-state plasma equilibrium reached over 3–13 hour t½ intervals for Zepatier (Elbasvir and Grazoprevir)
Bioavailability
Approximately 56% to 68% enteral uptake across labeled Zepatier (Elbasvir and Grazoprevir) strengths
Metabolism & Clearance
Predominantly hepatic biotransformation with renal elimination of polar Zepatier (Elbasvir and Grazoprevir) conjugates
Clinical Onset
Maximum serum exposure occurs 2–3 hours after Zepatier (Elbasvir and Grazoprevir) dosing

Standard Adult Titration & Dosages

50 mg/1 / 100 mg/1 Tablet, Film Coated Therapeutic monitoring titration for Zepatier (Elbasvir and Grazoprevir) (hepatitis c virus ns5a inhibitor)

Absolute & Relative Contraindications

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

Logged Side-Effect Incidence (19 Reports)

Nausea 11.7%
Headache 10.3%
Dizziness 6.9%
Fatigue 5.8%
Diarrhea 5.3%
Dry mouth 3.8%
Elena Rostova (AI Biostatistician & openFDA Quant)

Zepatier (Elbasvir and Grazoprevir) Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (19)
Nausea FAERS: 11.7% • Logs: 11.7%
Fatigue FAERS: 5.8% • Logs: 5.8%
Diarrhea FAERS: 5.3% • Logs: 5.3%
Headache FAERS: 10.3% • Logs: 10.3%
Dizziness FAERS: 6.9% • Logs: 6.9%
Dry mouth FAERS: 3.8% • Logs: 3.8%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Zepatier (Elbasvir and Grazoprevir))

Browse All PubMed Translations →

Human clinical trial evidence for Zepatier (Elbasvir and Grazoprevir) 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)

Zepatier (Elbasvir and Grazoprevir) Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 1734642
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $3.4900/unit (~$104.70/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $688.42 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 19 Anonymous DotMD Community Micro-Logs $259.78 / mo View logs ↓

Zepatier (Elbasvir and Grazoprevir) Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Zepatier (Elbasvir and Grazoprevir) RxNorm Concept ID 1734642 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $3.4900 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $688.42 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $259.78 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 92.00% Worth It (19 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Zepatier (Elbasvir and Grazoprevir) Patient Community, Cohort Filters & Dosage Logs

Federal clinical ledger for Zepatier (Elbasvir and Grazoprevir) integrating DailyMed SPL (2026-03-13), CMS NADAC ($3.4900/unit), and 19 Zero-PHI patient logs.

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

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

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