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Prescription medicine

Darunavir, cobicistat, emtricitabine, and tenofovir alafenamide

Drug class: Protease Inhibitor, Cytochrome P450 3A Inhibitor, Human Immunodeficiency Virus Nucleoside Analog Reverse Transcriptase Inhibitor

The FDA’s “Established Pharmacologic Class”: the group of medicines that work in a similar way.

Official FDA data, not advice

Everything here comes from the U.S. Food and Drug Administration (FDA): the drug label, the NDC Directory, Drugs@FDA, recall reports and the drug shortage list. Each fact shows its source and date.

This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.

In an emergency, call 911. If someone may have taken too much of a medicine, call Poison Help: 1‑800‑222‑1222.

Quick answers

What is Darunavir, cobicistat, emtricitabine, and tenofovir alafenamide used for?
The FDA-approved label (Symtuza, Janssen Products LP, April 17, 2026) says: “1. INDICATIONS AND USAGE SYMTUZA is indicated as a complete regimen for the treatment of human immunodeficiency virus type 1 (HIV-1) infection in adults and pediatric patients weighing at least 40 kg …” This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.
Does Darunavir, cobicistat, emtricitabine, and tenofovir alafenamide have a boxed warning?
Yes. The FDA label for Symtuza has a boxed warning (“WARNING: POST TREATMENT ACUTE EXACERBATION OF HEPATITIS B”), the FDA’s strongest warning. Read it on the full label and ask your pharmacist.
Is there a shortage of Darunavir, cobicistat, emtricitabine, and tenofovir alafenamide?
No current shortage is listed by the FDA for the products of this medicine (FDA data from October 30, 2026).
Has Darunavir, cobicistat, emtricitabine, and tenofovir alafenamide been recalled?
No recall linked to the products of this medicine appears in the FDA enforcement reports we use.
Who makes Darunavir, cobicistat, emtricitabine, and tenofovir alafenamide?
1 company lists prescription products of Darunavir, cobicistat, emtricitabine, and tenofovir alafenamide in the FDA NDC Directory, including Janssen Products, LP.

What Darunavir, cobicistat, emtricitabine, and tenofovir alafenamide is used for

Quoted from the “Indications and Usage” section of the FDA-approved label.

1. INDICATIONS AND USAGE SYMTUZA is indicated as a complete regimen for the treatment of human immunodeficiency virus type 1 (HIV-1) infection in adults and pediatric patients weighing at least 40 kg …

— FDA label: Symtuza, Janssen Products LP, effective April 17, 2026. Read the full label on DailyMed →

This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.

Boxed warning

A boxed warning (“black box”) is the FDA’s strongest warning on a drug label, for serious or life-threatening risks.

This label has a boxed warning. Its heading: WARNING: POST TREATMENT ACUTE EXACERBATION OF HEPATITIS B. Read it on the full label →

Forms and how it is given

Dosage formsTablet, film coated
RouteOral
Prescription products1 in the FDA NDC Directory
Brand namesSymtuza

What pharmacies pay (NADAC)

The National Average Drug Acquisition Cost (NADAC) is the average price U.S. retail pharmacies paid to buy one unit of a medicine (one tablet, one mL or one gram), from a monthly survey of pharmacy invoices by the Centers for Medicare & Medicaid Services (CMS). State Medicaid programs use it to pay pharmacies.

This is not the price you pay. What you pay depends on your insurance (copay or coinsurance), your pharmacy and any discounts, and pharmacies also charge for filling a prescription. Ask your pharmacist or your health plan what your price will be.

NADAC per unit for Darunavir, cobicistat, emtricitabine, and tenofovir alafenamide, by strength and form
Strength and formGeneric or brandPharmacies pay
cobicistat 150 mg · darunavir 800 mg · emtricitabine 200 mg · tenofovir alafenamide 10 mg
tablet, film coated
Brand: Symtuza $152.85 per tablet

NADAC list of November 4, 2026; these prices took effect on October 21, 2026. Shown only where a package’s NDC code matches the NADAC list exactly, and only for that exact strength and form: nothing is averaged across strengths. Strengths and forms not listed here have no NADAC price.

Source: NADAC (National Average Drug Acquisition Cost) 2026, data.medicaid.gov (CMS) →

Companies that list this medicine

Labelers in the FDA NDC Directory: the company named on the package (maker or distributor), with the number of prescription products.

FDA approval history

  • NDA: New Drug Application: how a new (usually brand-name) medicine is approved.
Brand and biologic applications
ApplicationSponsorApprovedLater changes approved
NDA210455
SYMTUZA
Janssen ProdsJuly 17, 2018 10, latest March 31, 2023
2023: Labeling · 2022: Labeling · 2022: Labeling

Shortage status

The FDA drug shortage list does not show these products.

FDA Drug Shortages database →

Recalls

No recall linked to these products (by their NDC code) appears in the FDA enforcement reports.

Official identifiers

RxCUI (RxNorm)2049671, 2049677
SPL set ID of the quoted label85a17d00-6b7c-41ea-a6b3-5ad924820dab
FDA labels (SPL)1
FDA applicationsNDA210455
Active ingredients (FDA)COBICISTAT / DARUNAVIR / EMTRICITABINE / TENOFOVIR ALAFENAMIDE

Sources

  1. FDA-approved label on DailyMed (National Library of Medicine) — Symtuza, Janssen Products LP, effective April 17, 2026; via openFDA, FDA data exported October 30, 2026, retrieved October 31, 2026
  2. NDC Directory (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
  3. Drugs@FDA (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
  4. Drug recall enforcement reports (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 27, 2026, retrieved October 31, 2026
  5. Drug shortages (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026

openFDA data is provided by the FDA as is; it may be incomplete. Always rely on the label that comes with your medicine. FDA Enforcement Report search →

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