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What the FDA labels say about taking them together

Glecaprevir/pibrentasvir and methadone

Glecaprevir/pibrentasvir's FDA label of June 25, 2025 names methadone in its drug interactions section; the methadone labels PlainMeds reads (4) do not name glecaprevir/pibrentasvir. The glecaprevir/pibrentasvir label: “… Medication-Assisted Treatment (MAT) for Opioid Use Disorder No buprenorphine/naloxone or methadone dosage adjustment is required when used concomitantly with MAVYRET.”

Check it at the source: the glecaprevir/pibrentasvir FDA label on DailyMed (effective June 25, 2025, AbbVie Inc.); the methadone FDA label on DailyMed (effective December 8, 2025, Epic Pharma, LLC).

What does the glecaprevir/pibrentasvir label say about methadone?

Glecaprevir/pibrentasvir label, drug interactions

See Clinical Pharmacology, Tables 10 and 11 . ↑= increase; ↓= decrease; ↔ = no effect 7.4 Medication-Assisted Treatment (MAT) for Opioid Use Disorder No buprenorphine/naloxone or methadone dosage adjustment is required when used concomitantly with MAVYRET.

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

What does the methadone label say about glecaprevir/pibrentasvir?

Methadone's label (effective December 8, 2025) and its 3 other brand-application labels do not name glecaprevir/pibrentasvir in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Methadone Hydrochloride), Epic Pharma, LLC, effective December 8, 2025 (SPL set 6da7501b-b881-4bc7-891a-74214a00a3ac), 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

0Glecaprevir/pibrentasvir generic labelers
18Methadone generic labelers
Glecaprevir/pibrentasvirMethadone
Labeled forHepatitis CPain, Opioid use disorder
Boxed warningYesYes
Pharmacy cost (NADAC)$152.98 per tablet 100-40 mg tablet$0.177 per tablet 10 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?