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What the FDA labels say about taking them together

Buprenorphine and cobicistat

Cobicistat's FDA label of February 10, 2026 names buprenorphine in its drug interactions section; the buprenorphine labels PlainMeds reads (4) do not name cobicistat. The cobicistat label: “A dose adjustment for buprenorphine, buprenorphine/naloxone, or methadone may be needed.”

Check it at the source: the buprenorphine FDA label on DailyMed (effective June 5, 2026); the cobicistat FDA label on DailyMed (effective February 10, 2026, Gilead Sciences, Inc.).

What does the buprenorphine label say about cobicistat?

Buprenorphine's label (effective June 5, 2026) and its 3 other brand-application labels do not name cobicistat in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Buprenorphine HCl), SpecGx LLC, effective June 5, 2026 (SPL set b60d514d-a88a-4fa2-a5b0-30ac29e04973), via openFDA; the full label on DailyMed

What does the cobicistat label say about buprenorphine?

Cobicistat label, drug interactions

A dose adjustment for buprenorphine, buprenorphine/naloxone, or methadone may be needed.

Source: FDA drug label (Tybost), Gilead Sciences, Inc., effective February 10, 2026 (SPL set 3784c35c-e87f-410c-900b-8fd6313c6010), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

27Buprenorphine generic labelers
0Cobicistat generic labelers
BuprenorphineCobicistat
Labeled forOpioid use disorder, PainHIV
Boxed warningNoNo
Pharmacy cost (NADAC)$0.277 per tablet 2 mg tablet sln/a
Shortage nowNo current entryA presentation being discontinued

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?