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Prescription medicine

Atazanavir and cobicistat Brand names: Evotaz

Atazanavir and cobicistat (Evotaz) is a prescription medicine with an FDA approval on record since 2015. No generic is listed; pharmacies paid $52.05 per Evotaz 300 mg-150 mg tablet in the October 7, 2026 NADAC survey.

  • No generic listed
  • A presentation discontinued

Check it at the source: the atazanavir and cobicistat FDA label on DailyMed (effective May 12, 2025, E.R. Squibb & Sons, L.L.C.); the NDA 206353 record on Drugs@FDA; every atazanavir and cobicistat label on DailyMed.

Highlights of the record

FDA label of May 12, 2025; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026; NADAC October 7, 2026

Used for

From the label: indications and usage

EVOTAZ is a two-drug combination of atazanavir, a human immunodeficiency virus (HIV-1) protease inhibitor, and cobicistat, a CYP3A inhibitor indicated for use in combination with other antiretroviral agents for the treatment of HIV‑1 infection in adults and pediatric patients weighing at least 35 kg.

Forms and strengths

  • 300 mg / 150 mg

Tablet.

On the market

Earliest approval on file
January 29, 2015 Evotaz, Bristol; Drugs@FDA’s file, where older or withdrawn approvals can be missing
Generic approvals
No generic approved
Labelers listed (NDC)
1 of which 0 under generic applications, 1 under brand applications, repackagers included
Last listed patent
October 6, 2032 Evotaz tablets; not a generic launch date

Supply and safety

Pharmacy cost (NADAC)
$52.05 per tablet Evotaz 300 mg-150 mg tablet
Shortage (FDA)
None current 1 past records
Recalls by its makers (FDA)
No recall recorded
FAERS reports
245 through July 30, 2026

What is atazanavir and cobicistat used for?

From the label: indications and usage

EVOTAZ is a two-drug combination of atazanavir, a human immunodeficiency virus (HIV-1) protease inhibitor, and cobicistat, a CYP3A inhibitor indicated for use in combination with other antiretroviral agents for the treatment of HIV‑1 infection in adults and pediatric patients weighing at least 35 kg. (1) Limitations of Use Use of EVOTAZ in treatment-experienced patients should be guided by the number of baseline primary protease inhibitor resistance substitutions. […]

Conditions named in the indications of atazanavir and cobicistat's FDA labels, with every medicine labeled for each:

From other atazanavir and cobicistat labels

HIV: Indications EVOTAZ ® is indicated in combination with other antiretroviral agents for the treatment of human immunodeficiency virus (HIV-1) infection in the following populations [see Dosage and Administration (2.2 , 2.3) ]:

FDA pharmacologic class: Cytochrome P450 3A Inhibitor and Protease Inhibitor.

Source: FDA drug label (EVOTAZ), NDA206353 (Bristol), as published by E.R. Squibb & Sons, L.L.C., effective May 12, 2025 (SPL set 83db29d7-5d85-49d6-8cb6-740473365cf8), via openFDA; the full label on DailyMed

Is there a generic for atazanavir and cobicistat (Evotaz)?

No generic atazanavir and cobicistat is approved (Drugs@FDA, October 8, 2026).

The Orange Book lists 2 patents for Evotaz tablets: the compound patent runs to September 3, 2029, and the last listed entry to October 6, 2032. A patent or exclusivity date is not the date a generic goes on sale: court cases and settlements move it either way.

  • 2015 earliest approval on file
  • 2032 last listed patent

Source: Drugs@FDA, FDA NDC Directory and the Orange Book (openFDA bulk files, October 8, 2026)

What do pharmacies pay for atazanavir and cobicistat (Evotaz)?

In CMS's NADAC survey of October 7, 2026, pharmacies paid $52.05 per Evotaz 300 mg-150 mg tablet, about the same as a year earlier. The chart's scale runs from the lowest to the highest price shown, not from zero. NADAC is what retail pharmacies paid their wholesalers, per unit, in CMS's monthly survey; what a patient pays depends on insurance and the pharmacy.

  • Evotaz 300 mg-150 mg tablet (brand)
$52.08
$51.94
April 2024October 2026
NADAC per unit, October 7, 2026
Strength and formBrand or genericPharmacy cost30 tablets, or one pen or vial12-month change
Evotaz 300 mg-150 mg tabletBrand$52.05 per tablet$1,561.44+0.1%

Source: CMS National Average Drug Acquisition Cost (NADAC) survey, October 7, 2026: what retail pharmacies paid per unit; not a counter price

Is atazanavir and cobicistat in shortage?

No atazanavir and cobicistat presentation is listed as in shortage in the FDA Drug Shortage Database (read October 8, 2026); its 1 record is all marked to be discontinued, the latest updated November 3, 2025. ASHP keeps a separate shortage list, which can differ.

PresentationCompanyStatusUpdated
Evotaz, Tablet, 300 mg; 150 mg (NDC 0003-3641-11)Bristol Myers Squibb Co.To Be DiscontinuedNovember 3, 2025

Every atazanavir and cobicistat presentation in the FDA shortage database

Source: FDA Drug Shortage Database via openFDA, updated October 8, 2026

What does the atazanavir and cobicistat label say about other medicines?

The atazanavir and cobicistat label names 121 other medicines in its interaction, contraindication or warning sections. The labels of 3 other medicines name atazanavir and cobicistat. The sentences are the labels' own; a label lists what its studies and reports found, not every interaction.

Medicine namedSectionWhat the label says
AlfuzosincontraindicationsDrug Class: Alpha 1-adrenoreceptor antagonist; Drugs within class that are contraindicated with EVOTAZ: alfuzosin
Amiodaronedrug interactionsConcomitant Drug Class/Specific Drugs: amiodarone, quinidine lidocaine (systemic), disopyramide, flecainide mexiletine, propafenone digoxin; Effect b on Concentration: ↑ other antiarrhythmics ↑ digoxin; Clinical Comment: Clinical monitoring is recommended upon coadministration with antiarrhythmics. …
Amitriptylinedrug interactionsConcomitant Drug Class/Specific Drugs: Tricyclic Antidepressants (TCAs) (e.g., amitriptyline, desipramine, imipramine, nortriptyline); Effect b on Concentration: ↑ TCAs
Amlodipinedrug interactionsConcomitant Drug Class/Specific Drugs: Calcium channel blockers: (e.g., amlodipine, diltiazem, felodipine, nifedipine, and verapamil); Effect b on Concentration: ↑ calcium channel blocker; Clinical Comment: Clinical monitoring is recommended for coadministration with calcium channel blockers metabolized by CYP3A. …
ApalutamidecontraindicationsDrug Class: Antineoplastics; Drugs within class that are contraindicated with EVOTAZ: apalutamide, encorafenib, irinotecan, ivosidenib
Apixabandrug interactionsConcomitant Drug Class/Specific Drugs: Anticoagulants: Direct-acting oral anticoagulants (DOACs) apixaban; Effect b on Concentration: ↑ apixaban; Clinical Comment: Due to potentially increased bleeding risk, dosing recommendations for coadministration of apixaban with EVOTAZ depends on the apixaban dose. …
Atorvastatindrug interactionsConcomitant Drug Class/Specific Drugs: Other HMG-CoA reductase inhibitors: atorvastatin, fluvastatin, pravastatin, rosuvastatin; Effect b on Concentration: ↑ HMG-CoA reductase inhibitors; Clinical Comment: Coadministration of EVOTAZ with atorvastatin is not recommended. …
Avanafildrug interactionsConcomitant Drug Class/Specific Drugs: Phosphodiesterase-5 (PDE-5) inhibitors: avanafil, sildenafil, tadalafil, vardenafil; Effect b on Concentration: ↑ PDE-5 inhibitors; Clinical Comment: Use of PDE-5 inhibitors for pulmonary arterial hypertension (PAH): Coadministration of EVOTAZ with sildenafil is contraindicated …
Beclomethasonedrug interactions… can increase the risk for Cushing’s syndrome and adrenal suppression. Alternative corticosteroids including beclomethasone, prednisone, and prednisolone (whose PK and/or PD are less affected by strong CYP3A inhibitors relative to other studied steroids) should be considered, particularly for long-term use.
Betamethasonedrug interactionsConcomitant Drug Class/Specific Drugs: Corticosteroids: e.g., betamethasone budesonide ciclesonide dexamethasone fluticasone methylprednisolone mometasone triamcinolone; Effect b on Concentration: ↓ atazanavir ↓ cobicistat ↑ corticosteroids; …
Bosentandrug interactionsConcomitant Drug Class/Specific Drugs: Endothelin receptor antagonists: bosentan; Effect b on Concentration: ↓ atazanavir ↓ cobicistat ↑ bosentan; Clinical Comment: Initiation of bosentan in patients taking EVOTAZ: For patients who have been receiving EVOTAZ for at least 10 days, start bosentan at 62.5 mg once daily …
Budesonidedrug interactionsConcomitant Drug Class/Specific Drugs: Corticosteroids: e.g., betamethasone budesonide ciclesonide dexamethasone fluticasone methylprednisolone mometasone triamcinolone; Effect b on Concentration: ↓ atazanavir ↓ cobicistat ↑ corticosteroids; …
Buprenorphinedrug interactionsA dose adjustment for buprenorphine, buprenorphine/naloxone or methadone may be needed.
Buprenorphine and naloxonedrug interactionsA dose adjustment for buprenorphine, buprenorphine/naloxone or methadone may be needed.

Every other medicine the atazanavir and cobicistat label names

Medicine namedSectionWhat the label says
CarbamazepinecontraindicationsDrug Class: Anticonvulsants; Drugs within class that are contraindicated with EVOTAZ: carbamazepine, phenobarbital, phenytoin
Carvediloldrug interactionsConcomitant Drug Class/Specific Drugs: Beta-Blockers: (e.g., metoprolol, carvedilol, timolol); Effect b on Concentration: ↔ atazanavir ↑ beta-blockers; …
Ciclesonidedrug interactionsConcomitant Drug Class/Specific Drugs: Corticosteroids: e.g., betamethasone budesonide ciclesonide dexamethasone fluticasone methylprednisolone mometasone triamcinolone; …
Clarithromycindrug interactionsConcomitant Drug Class/Specific Drugs: Antibacterials (macrolide or ketolide antibiotics): clarithromycin erythromycin telithromycin; …
Clonazepamdrug interactionsConcomitant Drug Class/Specific Drugs: Anticonvulsants that are metabolized by CYP3A (e.g., clonazepam); Effect b on Concentration: ↑ clonazepam; …
Clopidogreldrug interactionsConcomitant Drug Class/Specific Drugs: clopidogrel; Effect b on Concentration: ↓ clopidogrel active metabolite; Clinical Comment: Coadministration with clopidogrel is not recommended due to the …
Clorazepatedrug interactionsOther Benzodiazepines: clorazepate diazepam estazolam flurazepam parente
ColchicinecontraindicationsDrug Class: Antigout; Drugs within class that are contraindicated with EVOTAZ: colchicine (when used in patients with hepatic and/or renal impairment)
Cyclosporinedrug interactionsConcomitant Drug Class/Specific Drugs: Immunosuppressants: (e.g., cyclosporine, everolimus, sirolimus, tacrolimus); Effect b on Concentration: ↑ immunosuppressants; …
Dabigatrandrug interactionsConcomitant Drug Class/Specific Drugs: betrixaban dabigatran etexilate edoxaban; Effect b on Concentration: ↑ betrixaban ↑ dabigatran ↑ edoxaban; …
Dasatinibdrug interactionsConcomitant Drug Class/Specific Drugs: (e.g., dasatinib, nilotinib, vinblastine, vincristine); Effect b on Concentration: ↑ other anticancer agents; …
Desipraminedrug interactionsConcomitant Drug Class/Specific Drugs: Tricyclic Antidepressants (TCAs) (e.g., amitriptyline, desipramine, imipramine, nortriptyline); Effect b on Concentration: ↑ TCAs
Dexamethasonedrug interactionsConcomitant Drug Class/Specific Drugs: Corticosteroids: e.g., betamethasone budesonide ciclesonide dexamethasone fluticasone methylprednisolone mometasone triamcinolone; …
Diazepamdrug interactionsOther Benzodiazepines: clorazepate diazepam estazolam flurazepam parente
Digoxindrug interactionsConcomitant Drug Class/Specific Drugs: amiodarone, quinidine lidocaine (systemic), disopyramide, flecainide mexiletine, propafenone digoxin; …
DihydroergotaminecontraindicationsDrug Class: Ergot Derivatives; Drugs within class that are contraindicated with EVOTAZ: dihydroergotamine, ergotamine, methylergonovine
Diltiazemdrug interactionsConcomitant Drug Class/Specific Drugs: Calcium channel blockers: (e.g., amlodipine, diltiazem, felodipine, nifedipine, and verapamil); Effect b on Concentration: ↑ calcium channel blocker; …
Disopyramidedrug interactionsConcomitant Drug Class/Specific Drugs: amiodarone, quinidine lidocaine (systemic), disopyramide, flecainide mexiletine, propafenone digoxin; …
DronedaronecontraindicationsDrug Class: Antiarrhythmics; Drugs within class that are contraindicated with EVOTAZ: dronedarone
DrospirenonecontraindicationsDrug Class: Hormonal Contraceptives; Drugs within class that are contraindicated with EVOTAZ: drospirenone/ethinyl estradiol
Edoxabandrug interactionsConcomitant Drug Class/Specific Drugs: betrixaban dabigatran etexilate edoxaban; Effect b on Concentration: ↑ betrixaban ↑ dabigatran ↑ edoxaban; …
Efavirenzdrug interactionsConcomitant Drug Class/Specific Drugs: efavirenz; Effect b on Concentration: ↓ atazanavir ↓ cobicistat ↔ efavirenz; Clinical Comment: Coadministration of EVOTAZ with efavirenz is not recommended …
Elagolixdrug interactionsConcomitant Drug Class/Specific Drugs: Gonadotropin releasing hormone antagonist Receptor (GnRH): elagolix; Effect b on Concentration: ↓ atazanavir ↓ cobicistat ↑ elagolix; …
Elbasvir and grazoprevircontraindicationsFor additional information, including clinical comments and potential impact on exposure levels associated with drugs that are contraindicated with EVOTAZ, refer to Table 5 [see Drug Interactions …
EncorafenibcontraindicationsDrug Class: Antineoplastics; Drugs within class that are contraindicated with EVOTAZ: apalutamide, encorafenib, irinotecan, ivosidenib
ErgotaminecontraindicationsDrug Class: Ergot Derivatives; Drugs within class that are contraindicated with EVOTAZ: dihydroergotamine, ergotamine, methylergonovine
Erythromycindrug interactionsConcomitant Drug Class/Specific Drugs: Antibacterials (macrolide or ketolide antibiotics): clarithromycin erythromycin telithromycin; …
Eslicarbazepinedrug interactions… Anticonvulsants with CYP3A induction effects that are NOT contraindicated (e.g., eslicarbazepine, oxcarbazepine); Effect b on Concentration: ↓ atazanavir ↓ cobicistat ↓ atazanavir ↓ cobicistat; …
Estazolamdrug interactionsOther Benzodiazepines: clorazepate diazepam estazolam flurazepam parente
Etravirinedrug interactionsConcomitant Drug Class/Specific Drugs: etravirine; Effect b on Concentration: ↓ atazanavir ↓ cobicistat; Clinical Comment: Coadministration of EVOTAZ with etravirine is not recommended because it may …
Everolimusdrug interactionsConcomitant Drug Class/Specific Drugs: Immunosuppressants: (e.g., cyclosporine, everolimus, sirolimus, tacrolimus); Effect b on Concentration: ↑ immunosuppressants; …
Famotidinedrug interactionsConcomitant Drug Class/Specific Drugs: H 2 -Receptor antagonists (H 2 RA): (e.g., famotidine); Effect b on Concentration: ↓ atazanavir; …
Felodipinedrug interactionsConcomitant Drug Class/Specific Drugs: Calcium channel blockers: (e.g., amlodipine, diltiazem, felodipine, nifedipine, and verapamil); Effect b on Concentration: ↑ calcium channel blocker; …
Fentanyldrug interactionsConcomitant Drug Class/Specific Drugs: fentanyl; Effect b on Concentration: ↑ fentanyl; Clinical Comment: When EVOTAZ is coadministered with fentanyl, careful monitoring of therapeutic and adverse …
Flecainidedrug interactionsConcomitant Drug Class/Specific Drugs: amiodarone, quinidine lidocaine (systemic), disopyramide, flecainide mexiletine, propafenone digoxin; …
Flurazepamdrug interactionsOther Benzodiazepines: clorazepate diazepam estazolam flurazepam parente
Fluticasonedrug interactionsConcomitant Drug Class/Specific Drugs: Corticosteroids: e.g., betamethasone budesonide ciclesonide dexamethasone fluticasone methylprednisolone mometasone triamcinolone; …
Fluvastatindrug interactionsConcomitant Drug Class/Specific Drugs: Other HMG-CoA reductase inhibitors: atorvastatin, fluvastatin, pravastatin, rosuvastatin; Effect b on Concentration: ↑ HMG-CoA reductase inhibitors; …
Fostamatinibdrug interactionsConcomitant Drug Class/Specific Drugs: Kinase inhibitors: fostamatinib; Effect b on Concentration: ↑ R406 active metabolite of fostamatinib; …
Glecaprevir and pibrentasvircontraindicationsFor additional information, including clinical comments and potential impact on exposure levels associated with drugs that are contraindicated with EVOTAZ, refer to Table 5 [see Drug Interactions …
Imipraminedrug interactionsConcomitant Drug Class/Specific Drugs: Tricyclic Antidepressants (TCAs) (e.g., amitriptyline, desipramine, imipramine, nortriptyline); Effect b on Concentration: ↑ TCAs
IrinotecancontraindicationsDrug Class: Antineoplastics; Drugs within class that are contraindicated with EVOTAZ: apalutamide, encorafenib, irinotecan, ivosidenib
Itraconazoledrug interactionsConcomitant Drug Class/Specific Drugs: Antifungals: ketoconazole, itraconazole; Effect b on Concentration: ↑ atazanavir ↑ cobicistat ↑ ketoconazole ↑ itraconazole; …
IvosidenibcontraindicationsDrug Class: Antineoplastics; Drugs within class that are contraindicated with EVOTAZ: apalutamide, encorafenib, irinotecan, ivosidenib
Ketoconazoledrug interactionsConcomitant Drug Class/Specific Drugs: Antifungals: ketoconazole, itraconazole; Effect b on Concentration: ↑ atazanavir ↑ cobicistat ↑ ketoconazole ↑ itraconazole; …
Lamotriginedrug interactionsOther anticonvulsants (e.g., lamotrigine) lamotrigine: effects unknown Monitoring of lamotrigine concentrations is recommended with EVOTAZ coadministration.
Lidocainedrug interactionsConcomitant Drug Class/Specific Drugs: amiodarone, quinidine lidocaine (systemic), disopyramide, flecainide mexiletine, propafenone digoxin; …
LomitapidecontraindicationsDrug Class: Lipid-modifying Agents; Drugs within class that are contraindicated with EVOTAZ: lomitapide, lovastatin, simvastatin
LovastatincontraindicationsDrug Class: Lipid-modifying Agents; Drugs within class that are contraindicated with EVOTAZ: lomitapide, lovastatin, simvastatin
LurasidonecontraindicationsDrug Class: Antipsychotics; Drugs within class that are contraindicated with EVOTAZ: lurasidone, pimozide
Maravirocdrug interactionsConcomitant Drug Class/Specific Drugs: maraviroc; Effect b on Concentration: ↑ maraviroc; Clinical Comment: When coadministering maraviroc and EVOTAZ, patients should receive maraviroc 150 mg twice …
Methadonedrug interactionsA dose adjustment for buprenorphine, buprenorphine/naloxone or methadone may be needed.
MethylergonovinecontraindicationsDrug Class: Ergot Derivatives; Drugs within class that are contraindicated with EVOTAZ: dihydroergotamine, ergotamine, methylergonovine
Methylprednisolonedrug interactionsConcomitant Drug Class/Specific Drugs: Corticosteroids: e.g., betamethasone budesonide ciclesonide dexamethasone fluticasone methylprednisolone mometasone triamcinolone; …
Metoprololdrug interactionsConcomitant Drug Class/Specific Drugs: Beta-Blockers: (e.g., metoprolol, carvedilol, timolol); Effect b on Concentration: ↔ atazanavir ↑ beta-blockers; …
Mexiletinedrug interactionsConcomitant Drug Class/Specific Drugs: amiodarone, quinidine lidocaine (systemic), disopyramide, flecainide mexiletine, propafenone digoxin; …
MidazolamcontraindicationsDrug Class: Sedative/hypnotics; Drugs within class that are contraindicated with EVOTAZ: triazolam, orally administered midazolam b
Mometasonedrug interactionsConcomitant Drug Class/Specific Drugs: Corticosteroids: e.g., betamethasone budesonide ciclesonide dexamethasone fluticasone methylprednisolone mometasone triamcinolone; …
Naloxonedrug interactionsConcomitant Drug Class/Specific Drugs: Narcotic analgesics: For treatment of opioid dependence: buprenorphine, naloxone, methadone; …
NevirapinecontraindicationsDrug Class: Non-nucleoside Reverse Transcriptase Inhibitor; Drugs within class that are contraindicated with EVOTAZ: nevirapine
Nifedipinedrug interactionsConcomitant Drug Class/Specific Drugs: Calcium channel blockers: (e.g., amlodipine, diltiazem, felodipine, nifedipine, and verapamil); Effect b on Concentration: ↑ calcium channel blocker; …
Nilotinibdrug interactionsConcomitant Drug Class/Specific Drugs: (e.g., dasatinib, nilotinib, vinblastine, vincristine); Effect b on Concentration: ↑ other anticancer agents; …
Nortriptylinedrug interactionsConcomitant Drug Class/Specific Drugs: Tricyclic Antidepressants (TCAs) (e.g., amitriptyline, desipramine, imipramine, nortriptyline); Effect b on Concentration: ↑ TCAs
Omeprazoledrug interactionsConcomitant Drug Class/Specific Drugs: Proton-pump inhibitors (PPI): (e.g., omeprazole); Effect b on Concentration: ↓ atazanavir; …
Oxcarbazepinedrug interactions… induction effects that are NOT contraindicated (e.g., eslicarbazepine, oxcarbazepine); Effect b on Concentration: ↓ atazanavir ↓ cobicistat ↓ atazanavir ↓ cobicistat; …
Paclitaxeldrug interactionsUse of EVOTAZ is not recommended when coadministered with drugs highly dependent on CYP2C8 for clearance with narrow therapeutic indices (e.g., paclitaxel, repaglinide) [see Clinical Pharmacology …
Paroxetinedrug interactionsConcomitant Drug Class/Specific Drugs: Antidepressants: Selective Serotonin Reuptake Inhibitors (SSRIs) (e.g., paroxetine); Effect b on Concentration: SSRIs: effects unknown; …
Perphenazinedrug interactionsConcomitant Drug Class/Specific Drugs: (e.g., perphenazine, risperidone, thioridazine); Effect b on Concentration: ↑ antipsychotic; …
PhenobarbitalcontraindicationsDrug Class: Anticonvulsants; Drugs within class that are contraindicated with EVOTAZ: carbamazepine, phenobarbital, phenytoin
PhenytoincontraindicationsDrug Class: Anticonvulsants; Drugs within class that are contraindicated with EVOTAZ: carbamazepine, phenobarbital, phenytoin
PimozidecontraindicationsDrug Class: Antipsychotics; Drugs within class that are contraindicated with EVOTAZ: lurasidone, pimozide
Prasugreldrug interactionsConcomitant Drug Class/Specific Drugs: prasugrel; Effect b on Concentration: ↔ prasugrel active metabolite; Clinical Comment: No dose adjustment is needed when prasugrel is coadministered with …
Pravastatindrug interactionsConcomitant Drug Class/Specific Drugs: Other HMG-CoA reductase inhibitors: atorvastatin, fluvastatin, pravastatin, rosuvastatin; Effect b on Concentration: ↑ HMG-CoA reductase inhibitors; …
Prednisolonedrug interactionsConcomitant Drug Class/Specific Drugs: Corticosteroids: e.g., betamethasone budesonide ciclesonide dexamethasone fluticasone methylprednisolone mometasone triamcinolone; …
Prednisonedrug interactions… suppression. Alternative corticosteroids including beclomethasone, prednisone, and prednisolone (whose PK and/or PD are less affected by strong CYP3A inhibitors relative to other studied steroids) …
Propafenonedrug interactionsConcomitant Drug Class/Specific Drugs: amiodarone, quinidine lidocaine (systemic), disopyramide, flecainide mexiletine, propafenone digoxin; …
Quetiapinedrug interactionsConcomitant Drug Class/Specific Drugs: quetiapine; Effect b on Concentration: ↑ quetiapine; Clinical Comment: Initiation of EVOTAZ in patients taking quetiapine: Consider alternative antiretroviral …
Quinidinedrug interactionsConcomitant Drug Class/Specific Drugs: amiodarone, quinidine lidocaine (systemic), disopyramide, flecainide mexiletine, propafenone digoxin; …
RanolazinecontraindicationsDrug Class: Antianginal; Drugs within class that are contraindicated with EVOTAZ: ranolazine
Repaglinidedrug interactions… CYP2C8 for clearance with narrow therapeutic indices (e.g., paclitaxel, repaglinide) [see Clinical Pharmacology (12.3;
Rifabutindrug interactionsConcomitant Drug Class/Specific Drugs: Antimycobacterials: Rifabutin; Effect b on Concentration: atazanavir: effect unknown cobicistat: effect unknown ↑ rifabutin; …
RifampincontraindicationsDrug Class: Antimycobacterials; Drugs within class that are contraindicated with EVOTAZ: rifampin
Risperidonedrug interactionsConcomitant Drug Class/Specific Drugs: (e.g., perphenazine, risperidone, thioridazine); Effect b on Concentration: ↑ antipsychotic; …
Ritonavirdrug interactionsConcomitant Drug Class/Specific Drugs: ritonavir or products containing ritonavir; Effect b on Concentration: ↑ atazanavir; …
Rivaroxabandrug interactionsConcomitant Drug Class/Specific Drugs: rivaroxaban; Effect b on Concentration: ↑ rivaroxaban; Clinical Comment: Coadministration of EVOTAZ and rivaroxaban is not recommended because it may lead to …
Rosuvastatindrug interactionsConcomitant Drug Class/Specific Drugs: Other HMG-CoA reductase inhibitors: atorvastatin, fluvastatin, pravastatin, rosuvastatin; Effect b on Concentration: ↑ HMG-CoA reductase inhibitors; …
Salmeteroldrug interactionsConcomitant Drug Class/Specific Drugs: Beta-agonist (inhaled): salmeterol; Effect b on Concentration: ↑ salmeterol; Clinical Comment: Coadministration with salmeterol is not recommended due to an …
SildenafilcontraindicationsDrug Class: Phosphodiesterase-5 (PDE-5) Inhibitor; Drugs within class that are contraindicated with EVOTAZ: sildenafil a when administered for the treatment of pulmonary arterial hypertension
SimvastatincontraindicationsDrug Class: Lipid-modifying Agents; Drugs within class that are contraindicated with EVOTAZ: lomitapide, lovastatin, simvastatin
Sirolimusdrug interactionsConcomitant Drug Class/Specific Drugs: Immunosuppressants: (e.g., cyclosporine, everolimus, sirolimus, tacrolimus); Effect b on Concentration: ↑ immunosuppressants; …
Sofosbuvir and velpatasvir and voxilaprevirdrug interactionsHepatitis C Antiviral Agents sofosbuvir/velpatasvir/ voxilaprevir ↑ voxilaprevir Coadministration with EVOTAZ is not recommended.
Tacrolimusdrug interactionsConcomitant Drug Class/Specific Drugs: Immunosuppressants: (e.g., cyclosporine, everolimus, sirolimus, tacrolimus); Effect b on Concentration: ↑ immunosuppressants; …
Tadalafildrug interactionsConcomitant Drug Class/Specific Drugs: Phosphodiesterase-5 (PDE-5) inhibitors: avanafil, sildenafil, tadalafil, vardenafil; Effect b on Concentration: ↑ PDE-5 inhibitors; …
Tenofovir disoproxildrug interactionsConcomitant Drug Class/Specific Drugs: tenofovir disoproxil fumarate; Effect b on Concentration: ↓ atazanavir ↑ tenofovir; …
Thioridazinedrug interactionsConcomitant Drug Class/Specific Drugs: (e.g., perphenazine, risperidone, thioridazine); Effect b on Concentration: ↑ antipsychotic; …
Ticagrelordrug interactionsConcomitant Drug Class/Specific Drugs: Antiplatelets: ticagrelor; Effect b on Concentration: ↑ ticagrelor; Clinical Comment: Coadministration with ticagrelor is not recommended due to the potential …
Timololdrug interactionsConcomitant Drug Class/Specific Drugs: Beta-Blockers: (e.g., metoprolol, carvedilol, timolol); Effect b on Concentration: ↔ atazanavir ↑ beta-blockers; …
Tramadoldrug interactionsConcomitant Drug Class/Specific Drugs: tramadol; Effect b on Concentration: ↑ tramadol; Clinical Comment: When EVOTAZ is coadministered with tramadol, a decreased dose of tramadol may be needed.
Trazodonedrug interactions… unknown; Clinical Comment: When coadministering with SSRIs, TCAs, or trazodone, careful dose titration of the antidepressant to the desired effect, using the lowest feasible initial or maintenance …
Triamcinolonedrug interactions… ciclesonide dexamethasone fluticasone methylprednisolone mometasone triamcinolone; Effect b on Concentration: ↓ atazanavir ↓ cobicistat ↑ corticosteroids; …
TriazolamcontraindicationsDrug Class: Sedative/hypnotics; Drugs within class that are contraindicated with EVOTAZ: triazolam, orally administered midazolam b
Vardenafildrug interactionsConcomitant Drug Class/Specific Drugs: Phosphodiesterase-5 (PDE-5) inhibitors: avanafil, sildenafil, tadalafil, vardenafil; Effect b on Concentration: ↑ PDE-5 inhibitors; …
Verapamildrug interactionsConcomitant Drug Class/Specific Drugs: Calcium channel blockers: (e.g., amlodipine, diltiazem, felodipine, nifedipine, and verapamil); Effect b on Concentration: ↑ calcium channel blocker; …
Vinblastinedrug interactionsConcomitant Drug Class/Specific Drugs: (e.g., dasatinib, nilotinib, vinblastine, vincristine); Effect b on Concentration: ↑ other anticancer agents; …
Vincristinedrug interactionsConcomitant Drug Class/Specific Drugs: (e.g., dasatinib, nilotinib, vinblastine, vincristine); Effect b on Concentration: ↑ other anticancer agents; …
Voriconazoledrug interactionsConcomitant Drug Class/Specific Drugs: voriconazole; Effect b on Concentration: effects unknown; Clinical Comment: Coadministration with voriconazole is not recommended unless the benefit/risk …
Warfarindrug interactionsRefer to DOAC dosing instructions for coadministration with P-gp inhibitors in DOAC prescribing information. warfarin warfarin: effect unknown Monitor the International Normalized Ratio (INR) when …

Check atazanavir and cobicistat against other medicines

Source: FDA drug label (EVOTAZ), NDA206353 (Bristol), as published by E.R. Squibb & Sons, L.L.C., effective May 12, 2025 (SPL set 83db29d7-5d85-49d6-8cb6-740473365cf8), via openFDA; the full label on DailyMed

What do FAERS reports show for atazanavir and cobicistat?

The FDA Adverse Event Reporting System holds 245 reports that list atazanavir and cobicistat among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 16 are coded as a death and 23 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is.

The most reported reactions

  • Pain43
  • Emotional Distress40
  • Anxiety39
  • Anhedonia36
  • Osteoporosis25
  • Chronic Kidney Disease (named in the label)21
  • Foetal Exposure During Pregnancy (a use or a product term, not a reaction)21
  • Bone Density Decreased18

Side effects: the label's list and every FAERS reaction

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026

What else is labeled for the same conditions as atazanavir and cobicistat?

38 other medicines are given the same way (oral) and in the same FDA class as atazanavir and cobicistat or labeled mainly for the same use (HIV), the same class first. HIV lists all 47 medicines labeled for it, by any route. The first 8 are below. They are listed as records, not as substitutes: whether one can replace another is a prescriber's decision.

MedicineShared indicationGeneric labelers (oral)Pharmacy costShortage
DarunavirHIV13 labelers$1.16 per tablet 600 mg tabletNo current entry
RitonavirHIV7 labelers$0.607 per tablet 100 mg tabletA presentation being discontinued
Lopinavir and ritonavirHIV3 labelers$4.46 per tablet 200-50 mg tabletA presentation being discontinued
FosamprenavirHIV2 labelersn/aNo current entry
NelfinavirHIVnone listedn/aNo current entry
Emtricitabine and tenofovir disoproxilHIV25 labelers$0.529 per tablet 200-300 mg tabletNo current entry
LamivudineHIV14 labelers$0.489 per tablet 150 mg tabletNo current entry
Tenofovir disoproxilHIV15 labelers$0.294 per tablet 300 mg tabletNo current entry

Every medicine labeled for the same conditions as atazanavir and cobicistat

Source: FDA drug labels (indications), NDC Directory, NADAC of October 7, 2026, FDA shortages (October 8, 2026)

What next?

Alternatives to atazanavir and cobicistat
38 medicines for the same use
Other cytochrome p450 3a inhibitors
the pharmacologic class, with prices and generics
Atazanavir and cobicistat side effects
the label's list beside FAERS reports
Atazanavir and cobicistat shortage record
every presentation, company and date
Check an interaction
what two or more labels say about each other