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Prescription medicine

Cabotegravir and rilpivirine Brand names: Cabenuva

Cabotegravir and rilpivirine (Cabenuva) is a prescription medicine with an FDA approval on record since 2021. No generic is listed in FDA's NDC Directory.

  • No generic listed

Check it at the source: the cabotegravir and rilpivirine FDA label on DailyMed (effective November 26, 2025, ViiV Healthcare Company); the NDA 212888 record on Drugs@FDA; every cabotegravir and rilpivirine label on DailyMed.

Highlights of the record

FDA label of November 26, 2025; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026

Used for

From the label: indications and usage

CABENUVA is indicated as a complete regimen for the treatment of HIV-1 infection in adults and adolescents 12 years of age and older and weighing at least 35 kg to replace the current antiretroviral regimen in those who are virologically suppressed (HIV-1 RNA <50 copies/mL) on a stable antiretroviral regimen with no history of treatment failure and with no known or suspected resistance to either cabotegravir or rilpi

Forms and strengths

Kit.

On the market

Earliest approval on file
January 21, 2021 Cabenuva Kit, Viiv Hlthcare; Drugs@FDA’s file, where older or withdrawn approvals can be missing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 1, 2040 Cabenuva Kit injection; not a generic launch date

Supply and safety

Pharmacy cost (NADAC)
Not in the survey
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
No recall recorded
FAERS reports
6,104 through July 30, 2026

What is cabotegravir and rilpivirine used for?

From the label: indications and usage

CABENUVA is indicated as a complete regimen for the treatment of HIV-1 infection in adults and adolescents 12 years of age and older and weighing at least 35 kg to replace the current antiretroviral regimen in those who are virologically suppressed (HIV-1 RNA <50 copies/mL) on a stable antiretroviral regimen with no history of treatment failure and with no known or suspected resistance to either cabotegravir or rilpivirine [see Microbiology ( 12.4 ), Clinical Studies ( 14.1 )]. […]

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

Source: FDA drug label (Cabenuva), ViiV Healthcare Company, effective November 26, 2025 (SPL set 1698baf3-f895-4c42-a1b1-e9ee3f20da36), via openFDA; the full label on DailyMed

Is there a generic for cabotegravir and rilpivirine (Cabenuva)?

No generic cabotegravir and rilpivirine is approved (Drugs@FDA, October 8, 2026).

The Orange Book lists 10 patents for Cabenuva Kit injection: the compound patent runs to February 4, 2031, and the last listed entry to October 1, 2040. A patent or exclusivity date is not the date a generic goes on sale: court cases and settlements move it either way.

  • 2021 earliest approval on file
  • 2040 last listed patent

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

What does the cabotegravir and rilpivirine label say about other medicines?

The cabotegravir and rilpivirine label names 28 other medicines in its interaction, contraindication or warning sections. The labels of 1 other medicine name cabotegravir and rilpivirine. The sentences are the labels' own; a label lists what its studies and reports found, not every interaction.

Medicine namedSectionWhat the label says
Acetaminophendrug interactionsNamed in a table that the FDA label file prints without its column breaks; the full label shows the table.
Atazanavirdrug interactionsNamed in a table that the FDA label file prints without its column breaks; the full label shows the table.
Atorvastatindrug interactionsNamed in a table that the FDA label file prints without its column breaks; the full label shows the table.
Azithromycindrug interactionsConcomitant Drug Class/Drug Name: Macrolide or ketolide antibiotics: Azithromycin Clarithromycin Erythromycin; Effect on Concentration: ↔Cabotegravir ↑Rilpivirine; Clinical Comment: Macrolides are expected to increase concentrations of rilpivirine and are associated with a risk of Torsade de Pointes [see Warnings and …
CarbamazepinecontraindicationsCarbamazepine, oxcarbazepine, phenobarbital, phenytoin o Antimycobacterials: Rifabutin, rifampin, rifapentine o Glucocorticoid (systemic):
Chlorzoxazonedrug interactionsNamed in a table that the FDA label file prints without its column breaks; the full label shows the table.
Clarithromycindrug interactionsConcomitant Drug Class/Drug Name: Macrolide or ketolide antibiotics: Azithromycin Clarithromycin Erythromycin; Effect on Concentration: ↔Cabotegravir ↑Rilpivirine; Clinical Comment: Macrolides are expected to increase concentrations of rilpivirine and are associated with a risk of Torsade de Pointes [see Warnings and …
Darunavirdrug interactionsNamed in a table that the FDA label file prints without its column breaks; the full label shows the table.
DexamethasonecontraindicationsDexamethasone (more than a single-dose treatment) o Herbal product: St John’s wort ( Hypericum perforatum )
Digoxindrug interactionsRilpivirine did not have a clinically significant effect on the pharmacokinetics of digoxin or metformin.
Dolutegravirdrug interactionsNamed in a table that the FDA label file prints without its column breaks; the full label shows the table.
Erythromycindrug interactionsConcomitant Drug Class/Drug Name: Macrolide or ketolide antibiotics: Azithromycin Clarithromycin Erythromycin; Effect on Concentration: ↔Cabotegravir ↑Rilpivirine; Clinical Comment: Macrolides are expected to increase concentrations of rilpivirine and are associated with a risk of Torsade de Pointes [see Warnings and …
Etravirinedrug interactionsNamed in a table that the FDA label file prints without its column breaks; the full label shows the table.
Levonorgestreldrug interactionsNamed in a table that the FDA label file prints without its column breaks; the full label shows the table.

Every other medicine the cabotegravir and rilpivirine label names

Medicine namedSectionWhat the label says
Metformindrug interactionsRilpivirine did not have a clinically significant effect on the pharmacokinetics of digoxin or metformin.
Methadonedrug interactionsConcomitant Drug Class/Drug Name: Narcotic analgesic: Methadone a; Effect on Concentration: ↔Cabotegravir ↓Methadone ↔Rilpivirine; …
Midazolamdrug interactionsNamed in a table that the FDA label file prints without its column breaks; the full label shows the table.
Norethindronedrug interactionsNamed in a table that the FDA label file prints without its column breaks; the full label shows the table.
OxcarbazepinecontraindicationsCarbamazepine, oxcarbazepine, phenobarbital, phenytoin o Antimycobacterials: Rifabutin, rifampin, rifapentine o Glucocorticoid (systemic):
PhenobarbitalcontraindicationsCarbamazepine, oxcarbazepine, phenobarbital, phenytoin o Antimycobacterials: Rifabutin, rifampin, rifapentine o Glucocorticoid (systemic):
PhenytoincontraindicationsCarbamazepine, oxcarbazepine, phenobarbital, phenytoin o Antimycobacterials: Rifabutin, rifampin, rifapentine o Glucocorticoid (systemic):
Raltegravirdrug interactionsNamed in a table that the FDA label file prints without its column breaks; the full label shows the table.
RifabutincontraindicationsCarbamazepine, oxcarbazepine, phenobarbital, phenytoin o Antimycobacterials: Rifabutin, rifampin, rifapentine o Glucocorticoid (systemic):
RifampincontraindicationsCarbamazepine, oxcarbazepine, phenobarbital, phenytoin o Antimycobacterials: Rifabutin, rifampin, rifapentine o Glucocorticoid (systemic):
RifapentinecontraindicationsCarbamazepine, oxcarbazepine, phenobarbital, phenytoin o Antimycobacterials: Rifabutin, rifampin, rifapentine o Glucocorticoid (systemic):
Sildenafildrug interactionsNamed in a table that the FDA label file prints without its column breaks; the full label shows the table.
Tenofovir alafenamidedrug interactionsNamed in a table that the FDA label file prints without its column breaks; the full label shows the table.
Tenofovir disoproxildrug interactionsNamed in a table that the FDA label file prints without its column breaks; the full label shows the table.

Check cabotegravir and rilpivirine against other medicines

Source: FDA drug label (Cabenuva), ViiV Healthcare Company, effective November 26, 2025 (SPL set 1698baf3-f895-4c42-a1b1-e9ee3f20da36), via openFDA; the full label on DailyMed

What do FAERS reports show for cabotegravir and rilpivirine?

The FDA Adverse Event Reporting System holds 6,104 reports that list cabotegravir and rilpivirine among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 113 are coded as a death and 252 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. Reports rose sharply in 2025 (1,510, against a median of 2 a year): FAERS counts follow reporting, which news, litigation and label changes can drive, not how often a reaction happens.

Reports received each year

The most reported reactions

  • Product Dose Omission Issue (a use or a product term, not a reaction)703
  • Injection Site Pain (named in the label)622
  • Viral Load Increased502
  • Off Label Use (a use or a product term, not a reaction)435
  • Product Use In Unapproved Therapeutic Environment (a use or a product term, not a reaction)410
  • Virologic Failure387
  • Pathogen Resistance290
  • Pain287

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 next?

Cabotegravir and rilpivirine side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other