| Chronic Kidney Diseases

Renvela vs Xphozah

Side-by-side clinical, coverage, and cost comparison for chronic kidney diseases.
Deep comparison between: Renvela vs Xphozah 10 Mg with Prescriber.AI
AI compares prescribing info and payer-specific access barriers across 1,200+ formularies. Here's a preview of what prescribers are already asking.
Safety signalsXphozah 10 Mg has a higher rate of injection site reactions vs Renvela based on FDA-approved prescribing information
Coverage gaps3 major payers require step therapy for Xphozah 10 Mg but not Renvela, including UnitedHealthcare
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Renvela
Xphozah 10 Mg
At A Glance
Oral
Three times daily with meals
Phosphate binder
Oral
Twice daily
NHE3 inhibitor
Indications
  • Chronic Kidney Diseases
  • Chronic Kidney Diseases
Dosing
Chronic Kidney Diseases (Adults) Starting dose 0.8-1.6 g orally three times daily with meals based on serum phosphorus level; titrate by 0.8 g per meal at two-week intervals to achieve target serum phosphorus.
Chronic Kidney Diseases (Pediatric, >=6 years) Starting dose 0.8-1.6 g three times daily with meals based on body surface area (BSA) category; titrate based on BSA category at two-week intervals for 6 weeks then every 4 weeks as needed.
Chronic Kidney Diseases 30 mg orally twice daily, taken just prior to the first and last meals of the day; monitor serum phosphorus and adjust dosage as needed for gastrointestinal tolerability.
Contraindications
  • Bowel obstruction
  • Known hypersensitivity to sevelamer carbonate, sevelamer hydrochloride, or any excipient
  • Age under 6 years due to risk of diarrhea and serious dehydration
  • Known or suspected mechanical gastrointestinal obstruction
Adverse Reactions
Most common (>5%) Vomiting, nausea, diarrhea, dyspepsia, abdominal pain, flatulence, constipation
Postmarketing Hypersensitivity, pruritus, rash, abdominal pain, bleeding gastrointestinal ulcers, colitis, ulceration, necrosis, fecal impaction, ileus, intestinal obstruction, intestinal perforation
Most common (>=5%) Diarrhea (43-53% of patients)
Postmarketing Pruritis, rash, urticaria
Pharmacology
Sevelamer carbonate is a non-absorbed phosphate-binding cross-linked polymer, free of metal and calcium, that binds phosphate in the gastrointestinal tract via ionic and hydrogen bonding, thereby decreasing phosphate absorption and lowering serum phosphorus concentrations.
NHE3 inhibitor; tenapanor is a locally acting inhibitor of sodium/hydrogen exchanger 3 (NHE3), an antiporter on the apical surface of intestinal epithelium, whose inhibition reduces sodium absorption and decreases phosphate absorption by reducing paracellular phosphate permeability.
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Most Common Insurance
Anthem BCBS
Renvela
  • Covered on 5 commercial plans
  • PA (1/12) · Step Therapy (4/12) · Qty limit (9/12)
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Xphozah 10 Mg
  • Covered on 5 commercial plans
  • PA (10/12) · Step Therapy (9/12) · Qty limit (9/12)
View full coverage details ›
UnitedHealthcare
Renvela
  • Covered on 4 commercial plans
  • PA (1/8) · Step Therapy (0/8) · Qty limit (0/8)
View full coverage details ›
Xphozah 10 Mg
  • Covered on 4 commercial plans
  • PA (2/8) · Step Therapy (0/8) · Qty limit (2/8)
View full coverage details ›
Humana
Renvela
  • Covered on 0 commercial plans
  • PA (0/3) · Step Therapy (0/3) · Qty limit (0/3)
View full coverage details ›
Xphozah 10 Mg
  • Covered on 0 commercial plans
  • PA (1/3) · Step Therapy (1/3) · Qty limit (1/3)
View full coverage details ›
Coverage data sourced from MMIT. Updated monthly.
Savings
No savings programs available for Renvela.
No savings programs available for Xphozah 10 Mg.
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RenvelaView full Renvela profile
Xphozah 10 MgView full Xphozah 10 Mg profile
Clinical data sourced from FDA-approved labeling. Coverage data via MMIT. Updated monthly.