| Complicated urinary tract infection

Fetroja vs Recarbrio

Side-by-side clinical, coverage, and cost comparison for complicated urinary tract infection.
Deep comparison between: Fetroja vs Recarbrio with Prescriber.AI
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Safety signalsRecarbrio has a higher rate of injection site reactions vs Fetroja based on FDA-approved prescribing information
Coverage gaps3 major payers require step therapy for Recarbrio but not Fetroja, including UnitedHealthcare
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Fetroja
Recarbrio
At A Glance
IV infusion
Every 8 hours
Cephalosporin antibacterial
IV infusion
Every 6 hours
Carbapenem + beta-lactamase inhibitor
Indications
  • Complicated urinary tract infection
  • Pyelonephritis
  • Hospital acquired pneumonia
  • Pneumonia, Ventilator-Associated
  • Hospital acquired bacterial pneumonia
  • VABP
  • Complicated urinary tract infection
  • Pyelonephritis
  • Complicated intra-abdominal infection
Dosing
Complicated urinary tract infection, Pyelonephritis 2 grams IV infusion over 3 hours every 8 hours in adults with CLcr 60 to 119 mL/min; dose adjusted for CLcr <60 or >=120 mL/min; duration 7 to 14 days.
Hospital acquired pneumonia, Pneumonia, Ventilator-Associated 2 grams IV infusion over 3 hours every 8 hours in adults with CLcr 60 to 119 mL/min; dose adjusted for CLcr <60 or >=120 mL/min; duration 7 to 14 days.
Hospital acquired bacterial pneumonia, VABP, Complicated urinary tract infection, Pyelonephritis, Complicated intra-abdominal infection Adults with CLcr >=90 mL/min: 1.25 g (imipenem 500 mg/cilastatin 500 mg/relebactam 250 mg) IV infusion over 30 minutes every 6 hours for 4-14 days; dose reduction required for CLcr <90 mL/min; pediatric patients (>=2 kg): weight- and age-based dosing of 37.5 mg/kg every 6-8 hours IV.
Contraindications
  • Known history of severe hypersensitivity to cefiderocol, other beta-lactam antibacterial drugs, or any other component of FETROJA
  • Severe hypersensitivity (e.g., anaphylaxis) to any component of RECARBRIO
Adverse Reactions
Most common (>=2%) Diarrhea, elevations in liver tests, hypokalemia, infusion site reactions, constipation, rash, candidiasis, headache, nausea, vomiting, hypomagnesemia, atrial fibrillation
Serious Increase in all-cause mortality in carbapenem-resistant gram-negative bacterial infections, hypersensitivity reactions, Clostridioides difficile-associated diarrhea, seizures and other central nervous system adverse reactions
Postmarketing Neutropenia, chromaturia
Most common (>=4%) Anemia, diarrhea, AST increased, ALT increased, hypokalemia, hyponatremia, constipation, pyrexia, rash
Serious Hypersensitivity reactions, seizures and other CNS adverse reactions, Clostridioides difficile-associated diarrhea
Pharmacology
Cefiderocol is a cephalosporin antibacterial that functions as a siderophore, using the bacterial iron uptake mechanism to traverse the outer cell membrane and exert bactericidal activity by inhibiting cell wall biosynthesis through binding to penicillin-binding proteins (PBPs).
RECARBRIO combines imipenem (a carbapenem that inhibits bacterial cell wall synthesis by binding PBP 2 and PBP 1B), cilastatin (a renal dehydropeptidase inhibitor that prevents renal metabolism of imipenem), and relebactam (a diazabicyclooctane beta-lactamase inhibitor that protects imipenem from degradation by serine beta-lactamases including KPC, AmpC-type PDC, SHV, TEM, and CTX-M enzymes).
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Most Common Insurance
Anthem BCBS
Fetroja
  • Covered on 5 commercial plans
  • PA (6/12) · Step Therapy (0/12) · Qty limit (0/12)
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Recarbrio
  • Covered on 5 commercial plans
  • PA (6/12) · Step Therapy (6/12) · Qty limit (0/12)
View full coverage details ›
UnitedHealthcare
Fetroja
  • Covered on 4 commercial plans
  • PA (0/8) · Step Therapy (0/8) · Qty limit (0/8)
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Recarbrio
  • Covered on 4 commercial plans
  • PA (0/8) · Step Therapy (0/8) · Qty limit (0/8)
View full coverage details ›
Humana
Fetroja
  • Covered on 0 commercial plans
  • PA (2/3) · Step Therapy (0/3) · Qty limit (2/3)
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Recarbrio
  • Covered on 0 commercial plans
  • PA (0/3) · Step Therapy (0/3) · Qty limit (0/3)
View full coverage details ›
Coverage data sourced from MMIT. Updated monthly.
Savings
No savings programs available for Fetroja.
No savings programs available for Recarbrio.
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FetrojaView full Fetroja profile
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Clinical data sourced from FDA-approved labeling. Coverage data via MMIT. Updated monthly.