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**Elbasvir + grazoprevir** is an oral fixed-dose direct-acting antiviral combination for chronic hepatitis C virus infection. Elbasvir is a selective inhibitor of the hepatitis C virus nonstructural protein 5A replication complex, while grazoprevir inhibits the viral NS3/4A serine protease. The combination is marketed by Merck as **Zepatier** and is approved for chronic hepatitis C virus genotype 1 or 4 infection in adults and eligible pediatric patients. ([merck.com](https://www.merck.com/product/usa/pi_circulars/z/zepatier/zepatier_pi.pdf))
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