How to Start Hepatitis C Treatment in the U.S. in 2025

Hepatitis C is a viral infection that can cause long-term liver damage if left untreated. But in 2025, this condition is highly treatable—and often curable—thanks to modern antiviral medications approved by the U.S. Food and Drug Administration (FDA). With the right prescription and guidance, many patients can eliminate the virus in just a few weeks.

Why Treatment Is Important?

Hepatitis C spreads through blood exposure and often goes undetected for years. Risk factors include prior IV drug use, unregulated tattoos, or blood transfusions before 1992. Many people experience no symptoms until liver damage is advanced.

That’s why early testing and treatment are critical. New medications now cure more than 95% of cases and are available through U.S. pharmacies with a valid prescription.



Top FDA-Approved Hepatitis C Medications in 2025

Several treatments are approved for use in the U.S. Each has different strengths depending on genotype and medical history.

Mavyret (glecaprevir/pibrentasvir)



  • Duration: 8 weeks (most cases)




  • Cure Rate: Up to 99%




  • Estimated Cost: ~$26,000 retail




  • Financial Support: Mavyret.com copay card and assistance programs



Epclusa (sofosbuvir/velpatasvir)



  • Duration: 12 weeks




  • Covers all genotypes




  • Cure Rate: 95–98%




  • Estimated Cost: ~$24,000 retail




  • Financial Support: Epclusa.com copay program available



Harvoni (ledipasvir/sofosbuvir)



  • Duration: 8–12 weeks




  • Best for Genotype 1




  • Cure Rate: Over 95%




  • Estimated Cost: ~$31,500 retail




  • Financial Support: Available through Gilead’s Support Path



Generic versions of Epclusa and Harvoni are also available in the U.S. at reduced prices and are FDA-approved.



Treatment Cost and Financial Help

While retail costs appear high, most patients pay far less through insurance, Medicaid, or assistance programs:


























Medication Approx. Retail Price Coverage Options
Mavyret ~$26,000 Insurance, Medicaid, Copay card
Epclusa ~$24,000 Most insurance plans
Harvoni ~$31,500 Manufacturer programs available

 

If you’re uninsured or underinsured, drugmakers often provide patient assistance programs that may cover the full cost.



Choosing BetweenHarvoni and Epclusa

Both medications are effective, but the right one depends on your diagnosis. Here's a side-by-side comparison:































Feature Harvoni Epclusa
Genotypes Covered Genotype 1 only All genotypes
Duration 8–12 weeks 12 weeks
Generic Option Yes Yes
Support Programs Yes Yes

 

A doctor will review your test results to select the most appropriate medication.



Where to Get Hepatitis C Medication in the U.S.

You can fill your prescription at:



  • Local retail pharmacies like CVS, Walgreens, and Rite Aid




  • Online options like Amazon Pharmacy or Alto Pharmacy




  • Specialty mail-order pharmacies (common with Medicare or private insurance)



A confirmed diagnosis and prescription are required. Avoid overseas websites—medications from unlicensed sources may be unsafe or counterfeit.



What to Expect During Treatment?

Most people tolerate the treatment well. Common side effects include mild fatigue, nausea, or headache. Follow-up lab tests are required to confirm the virus is cleared after finishing the medication.



Frequently Asked Questions

Is Hepatitis C curable? - 

Yes. Cure rates range from 95% to 99% with modern antiviral therapy.

Can I get treatment without insurance? - 

Yes. Copay cards, nonprofit grants, and manufacturer programs can reduce or eliminate out-of-pocket costs.

Are generics available? - 

Yes. Generics for Harvoni and Epclusa are approved for use in the U.S. and cost less at pharmacies that accept discount programs like GoodRx.



Final Thoughts

In 2025, Hepatitis C is no longer a lifelong burden. With proper treatment, most patients can clear the virus in a few months and return to full liver health. If you’ve been diagnosed, now is the time to talk to your doctor, choose the right medication, and use available financial help to get started.

Need support paying for treatment? Start by visiting official assistance pages like Mavyret.com or SupportPath.com for Harvoni and Epclusa.