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What the FDA labels say about taking them together

Cobicistat and rosuvastatin

Cobicistat's FDA label of February 10, 2026 names rosuvastatin in its drug interactions section; the rosuvastatin labels PlainMeds reads (2) do not name cobicistat. The cobicistat label: “… for safety (e.g., myopathy). Dosage recommendations with atorvastatin or rosuvastatin are as follows. TYBOST coadministered with atazanavir in adult patients: Rosuvastatin dosage should not exceed 10 mg TYBOST …”

Check it at the source: the cobicistat FDA label on DailyMed (effective February 10, 2026, Gilead Sciences, Inc.); the rosuvastatin FDA label on DailyMed (effective September 4, 2026, ScieGen Pharmaceuticals, Inc.).

What does the cobicistat label say about rosuvastatin?

Cobicistat label, drug interactions

Concomitant Drug Class/Drug Name: Other HMG-CoA reductase inhibitors: e.g., atorvastatin rosuvastatin; Potential Effect ↑ = Increase, ↓ = Decrease, ↔ = No change: ↑ HMG-CoA reductase inhibitors; Clinical Comment: Coadministration of atazanavir and TYBOST with atorvastatin is not recommended. For HMG-CoA reductase inhibitors that are not contraindicated with TYBOST coadministered with atazanavir or darunavir, start with the lowest recommended dose and titrate while monitoring for safety (e.g., myopathy). Dosage recommendations with atorvastatin or rosuvastatin are as follows. …

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

What does the rosuvastatin label say about cobicistat?

Rosuvastatin's label (effective September 4, 2026) and its 1 other brand-application label 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 (Rosuvastatin), ScieGen Pharmaceuticals, Inc., effective September 4, 2026 (SPL set ee4933c5-0d97-494d-ac0f-2083e0100836), 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

0Cobicistat generic labelers
45Rosuvastatin generic labelers
CobicistatRosuvastatin
Labeled forHIVHeart attack and coronary artery disease, High cholesterol, High triglycerides, Stroke prevention
Boxed warningNoNo
Pharmacy cost (NADAC)n/a$0.0692 per tablet 40 mg tablet
Shortage nowA presentation being discontinuedNo current entry

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

What next?