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Vosevi
Sofosbuvir; Velpatasvir; Voxilaprevir
$71610.00
3 × 28 tablets · 3 months supply
BrandBranded medicine· By Gilead Sciences
$23870.00 per month
How long a supply?
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Annual cost
$310310a year at this pack size
Prescription required
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FDA boxed warningRisk of hepatitis b virus reactivation in patients coinfected with hcv and hbv
Test all patients for evidence of current or prior hepatitis B virus (HBV) infection before initiating treatment with VOSEVI. HBV reactivation has been reported in HCV/HBV coinfected patients who were undergoing or had completed treatment with HCV direct-acting antivirals (DAA) and were not receiving HBV antiviral therapy. Some cases have resulted in fulminant hepatitis, hepatic failure, and death. Monitor HCV/HBV coinfected patients for hepatitis flare or HBV reactivation during HCV treatment and post-treatment follow-up. Initiate appropriate patient management for HBV infection as clinically indicated.
Hepatitis B virus (HBV) reactivation has been reported, in some cases resulting in fulminant hepatitis, hepatic failure, and death.
About Vosevi
Overview
Vosevi is a tablet containing three antiviral medicines: sofosbuvir, velpatasvir and voxilaprevir. It treats chronic hepatitis C in adults without cirrhosis or with compensated cirrhosis who have previously received certain hepatitis C treatments. It is used for genotypes 1–6 after treatment containing an NS5A inhibitor, or genotypes 1a or 3 after treatment containing sofosbuvir without an NS5A inhibitor. The three ingredients block different proteins the hepatitis C virus needs to multiply.
What it treats
Vosevi is used to treat chronic hepatitis C in adults without cirrhosis or with compensated cirrhosis (Child-Pugh A) who have: - Genotype 1, 2, 3, 4, 5 or 6 infection previously treated with a regimen containing an NS5A inhibitor. - Genotype 1a or 3 infection previously treated with a regimen containing sofosbuvir without an NS5A inhibitor.
Safety information
Side effects
Common side effects of Vosevi include headache, tiredness, diarrhea and nausea. Serious risks that warrant contacting a doctor include: • Reactivation of hepatitis B in people with current or previous infection, which may cause a flare of hepatitis. Testing is needed before treatment, with monitoring during and after treatment for people with both hepatitis B and C. • Worsening liver function or liver failure, including fatal cases, reported mostly in people with cirrhosis and moderate or severe liver impairment. • A dangerously slow heartbeat when taken with amiodarone. The risk is particularly concerning in people also taking beta blockers or who have heart conditions or advanced liver disease. Taking amiodarone with Vosevi is not recommended; if no alternative treatment is available, heart monitoring is recommended.
FDA boxed warning
Risk of hepatitis b virus reactivation in patients coinfected with hcv and hbv
Test all patients for evidence of current or prior hepatitis B virus (HBV) infection before initiating treatment with VOSEVI. HBV reactivation has been reported in HCV/HBV coinfected patients who were undergoing or had completed treatment with HCV direct-acting antivirals (DAA) and were not receiving HBV antiviral therapy. Some cases have resulted in fulminant hepatitis, hepatic failure, and death. Monitor HCV/HBV coinfected patients for hepatitis flare or HBV reactivation during HCV treatment and post-treatment follow-up. Initiate appropriate patient management for HBV infection as clinically indicated.
Hepatitis B virus (HBV) reactivation has been reported, in some cases resulting in fulminant hepatitis, hepatic failure, and death.
A boxed warning is the strongest warning the US Food and Drug Administration requires on a medicine label. Text is taken from the official label, with internal section references removed.
When to call your doctor
If symptoms are severe or getting worse quickly, seek emergency care rather than waiting.
Before taking this medicine
Do not take Vosevi with rifampin. Before treatment, all patients should be tested for current or past hepatitis B infection. Hepatitis B can reactivate during hepatitis C treatment. Patients with both infections need monitoring during treatment and follow-up, and hepatitis B management when needed. Advanced liver disease requires caution. Worsening liver function or liver failure, including fatal cases, has been reported with regimens containing an HCV NS3/4A protease inhibitor, mainly in patients with cirrhosis and moderate or severe liver impairment. Monitoring is needed, and Vosevi must be stopped if liver function deteriorates or liver failure develops. Taking Vosevi with amiodarone is not recommended because serious slowing of the heartbeat with symptoms may occur. The risk is particularly concerning in people also taking beta blockers or who have underlying heart conditions or advanced liver disease. If no suitable alternative treatment is available, heart monitoring is recommended.
Interactions
Tell your doctor about all medicines and supplements you take. St. John’s wort and carbamazepine may lower levels of Vosevi’s active ingredients, and taking them with Vosevi is not recommended. Other medicines that increase the activity of certain drug transporters or liver enzymes may have the same effect. Your doctor should check the full prescribing information for potential interactions. Clearing hepatitis C can change liver function and affect how other medicines work. More frequent monitoring of blood glucose or INR (a blood-clotting measure) may be needed, and your doctor may need to adjust other medicines.
Using Vosevi
Dosing
Dosing is set by your prescriber. Each health care professional may prescribe medication differently according to a patient's medical history and condition, so follow the directions on your prescription label and speak to your doctor or pharmacist before changing anything.
Storage
Store below 25°C in a dry place, in the original pack, away from direct light and moisture. Do not keep it in a bathroom. Keep all medicines out of the sight and reach of children.
Clinical information on this page is summarised from the US FDA label VOSEVI (SOFOSBUVIR, VELPATASVIR, AND VOXILAPREVIR) TABLET, FILM COATED [GILEAD SCIENCES, INC.] (DailyMed, retrieved 19 September 2026).
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