| Chronic Obstructive Airway Disease

Bevespi Aerosphere vs Incruse Ellipta

Side-by-side clinical, coverage, and cost comparison for chronic obstructive airway disease.
Deep comparison between: Bevespi Aerosphere vs Incruse Ellipta with Prescriber.AI
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Safety signalsIncruse Ellipta has a higher rate of injection site reactions vs Bevespi Aerosphere based on FDA-approved prescribing information
Coverage gaps3 major payers require step therapy for Incruse Ellipta but not Bevespi Aerosphere, including UnitedHealthcare
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Bevespi Aerosphere
Incruse Ellipta
At A Glance
Oral inhalation
Twice daily
LAMA/LABA combination
Oral inhalation
Once daily
Long-acting muscarinic antagonist
Indications
  • Chronic Obstructive Airway Disease
  • Chronic Obstructive Airway Disease
Dosing
Chronic Obstructive Airway Disease 2 inhalations (glycopyrrolate 18 mcg and formoterol fumarate 9.6 mcg) twice daily in the morning and evening by oral inhalation; do not exceed two inhalations twice daily.
Chronic Obstructive Airway Disease 1 actuation (umeclidinium 62.5 mcg) once daily by oral inhalation; use at the same time every day; do not use more than 1 time every 24 hours. No dosage adjustment required for geriatric patients, patients with renal impairment, or patients with moderate hepatic impairment.
Contraindications
  • Use of a long-acting beta2-adrenergic agonist (LABA), including formoterol fumarate, without an inhaled corticosteroid in patients with asthma
  • Hypersensitivity to glycopyrrolate, formoterol fumarate, or any component of the product
  • Severe hypersensitivity to milk proteins
  • Hypersensitivity to umeclidinium or any of the excipients
Adverse Reactions
Most common (>=2%) Cough, urinary tract infection
Serious Paradoxical bronchospasm, hypersensitivity reactions including anaphylaxis, cardiovascular effects, worsening of narrow-angle glaucoma, worsening of urinary retention
Postmarketing Hypersensitivity, urinary retention
Most common (>=1%) Nasopharyngitis, upper respiratory tract infection, cough, arthralgia, pharyngitis, viral upper respiratory tract infection, myalgia, abdominal pain upper, toothache, contusion, tachycardia
Serious Paradoxical bronchospasm, worsening of narrow-angle glaucoma, worsening of urinary retention
Postmarketing Eye pain, glaucoma, vision blurred, anaphylaxis, angioedema, pruritus, urticaria, dysuria, urinary retention, dysphonia, oropharyngeal pain
Pharmacology
BEVESPI AEROSPHERE combines glycopyrrolate, a long-acting anticholinergic (LAMA) that inhibits M3 muscarinic receptors in airway smooth muscle to produce bronchodilation, with formoterol fumarate, a long-acting selective beta2-adrenoceptor agonist (LABA) that stimulates adenyl cyclase to increase cyclic AMP, relaxing bronchial smooth muscle and inhibiting mediator release from mast cells.
Long-acting muscarinic antagonist (LAMA/anticholinergic); competitively and reversibly inhibits M3 receptors at airway smooth muscle to produce bronchodilation lasting longer than 24 hours after once-daily oral inhalation.
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Most Common Insurance
Anthem BCBS
Bevespi Aerosphere
  • Covered on 5 commercial plans
  • PA (4/12) · Step Therapy (5/12) · Qty limit (9/12)
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Incruse Ellipta
  • Covered on 5 commercial plans
  • PA (9/12) · Step Therapy (5/12) · Qty limit (9/12)
View full coverage details ›
UnitedHealthcare
Bevespi Aerosphere
  • Covered on 4 commercial plans
  • PA (0/8) · Step Therapy (0/8) · Qty limit (6/8)
View full coverage details ›
Incruse Ellipta
  • Covered on 4 commercial plans
  • PA (0/8) · Step Therapy (0/8) · Qty limit (4/8)
View full coverage details ›
Humana
Bevespi Aerosphere
  • Covered on 0 commercial plans
  • PA (3/3) · Step Therapy (2/3) · Qty limit (3/3)
View full coverage details ›
Incruse Ellipta
  • Covered on 0 commercial plans
  • PA (1/3) · Step Therapy (0/3) · Qty limit (1/3)
View full coverage details ›
Coverage data sourced from MMIT. Updated monthly.
Savings
No savings programs available for Bevespi Aerosphere.
No savings programs available for Incruse Ellipta.
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Bevespi AerosphereView full Bevespi Aerosphere profile
Incruse ElliptaView full Incruse Ellipta profile
Clinical data sourced from FDA-approved labeling. Coverage data via MMIT. Updated monthly.