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What the FDA labels say about taking them together

Ethinyl estradiol/etonogestrel and glecaprevir/pibrentasvir

Ethinyl estradiol/etonogestrel's FDA label of November 14, 2025 names glecaprevir/pibrentasvir in its drug interactions section; the glecaprevir/pibrentasvir label PlainMeds reads does not name ethinyl estradiol/etonogestrel. The ethinyl estradiol/etonogestrel label: “Concomitant use with some other HCV antiviral medicinal products, such as those containing glecaprevir/pibrentasvir, may increase the risk of ALT elevations.”

Check it at the source: the ethinyl estradiol/etonogestrel FDA label on DailyMed (effective November 14, 2025, Organon LLC); the glecaprevir/pibrentasvir FDA label on DailyMed (effective June 25, 2025, AbbVie Inc.).

What does the ethinyl estradiol/etonogestrel label say about glecaprevir/pibrentasvir?

Ethinyl estradiol/etonogestrel label, drug interactions

Concomitant use with some other HCV antiviral medicinal products, such as those containing glecaprevir/pibrentasvir, may increase the risk of ALT elevations [see Warnings and Precautions (5.4) ].

Source: FDA drug label (NuvaRing), Organon LLC, effective November 14, 2025 (SPL set 55eb60e3-6f4d-40a3-8ee6-e7fd2d0c7d97), via openFDA; the full label on DailyMed

What does the glecaprevir/pibrentasvir label say about ethinyl estradiol/etonogestrel?

Glecaprevir/pibrentasvir's label (effective June 25, 2025) does not name ethinyl estradiol/etonogestrel in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Mavyret), AbbVie Inc., effective June 25, 2025 (SPL set 7bf99777-0401-9095-8645-16c6e907fcc0), 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

5Ethinyl estradiol/etonogestrel generic labelers
0Glecaprevir/pibrentasvir generic labelers
Ethinyl estradiol/etonogestrelGlecaprevir/pibrentasvir
Labeled forBirth controlHepatitis C
Boxed warningYesYes
Pharmacy cost (NADAC)$46.35 per ring Etonogestrel-ee vaginal ring$152.98 per tablet 100-40 mg tablet
Shortage nowNo current entryNo 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?