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What the FDA labels say about taking them together

Elbasvir/grazoprevir and modafinil

Elbasvir/grazoprevir's FDA label of March 13, 2026 names modafinil in its drug interactions section; the modafinil label PlainMeds reads does not name elbasvir/grazoprevir. The elbasvir/grazoprevir label: “Co-administration of ZEPATIER with modafinil may lead to reduced therapeutic effect of ZEPATIER. Co-administration is not recommended.”

Check it at the source: the elbasvir/grazoprevir FDA label on DailyMed (effective March 13, 2026, Merck Sharp & Dohme LLC); the modafinil FDA label on DailyMed (effective October 16, 2025, Golden State Medical Supply, Inc.).

What does the elbasvir/grazoprevir label say about modafinil?

Elbasvir/grazoprevir label, drug interactions

Concomitant Drug Class/Drug Name: Wakefulness-Promoting Agents: Modafinil; Effect on Concentration ↓ = decrease, ↑ = increase: ↓ EBR ↓ GZR; Clinical Comment: Co-administration of ZEPATIER with modafinil may lead to reduced therapeutic effect of ZEPATIER. Co-administration is not recommended.

Source: FDA drug label (ZEPATIER), Merck Sharp & Dohme LLC, effective March 13, 2026 (SPL set 164dc02a-9180-426a-b8b5-04ab39d2bbd4), via openFDA; the full label on DailyMed

What does the modafinil label say about elbasvir/grazoprevir?

Modafinil's label (effective October 16, 2025) does not name elbasvir/grazoprevir in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Provigil), NDA020717 (Nuvo Pharms), as published by Golden State Medical Supply, Inc., effective October 16, 2025 (SPL set 3b8d1c32-dac9-50e6-e063-6394a90aa5a5), 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

0Elbasvir/grazoprevir generic labelers
19Modafinil generic labelers
Elbasvir/grazoprevirModafinil
Labeled forHepatitis Cn/a
Boxed warningYesNo
Pharmacy cost (NADAC)n/a$0.344 per tablet 200 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?