| Human immunodeficiency virus I infection

Edurant vs Rukobia

Side-by-side clinical, coverage, and cost comparison for human immunodeficiency virus i infection.
Deep comparison between: Edurant vs Rukobia with Prescriber.AI
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Safety signalsRukobia has a higher rate of injection site reactions vs Edurant based on FDA-approved prescribing information
Coverage gaps3 major payers require step therapy for Rukobia but not Edurant, including UnitedHealthcare
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Edurant
Rukobia
At A Glance
Oral
Once daily
Non-nucleoside reverse transcriptase inhibitor (NNRTI)
Oral
Twice daily
HIV-1 attachment inhibitor
Indications
  • Human immunodeficiency virus I infection
  • Human immunodeficiency virus I infection
Dosing
Human immunodeficiency virus I infection 25 mg oral tablet once daily with a meal for patients weighing at least 25 kg. Pediatric patients 2 years and older weighing 14-20 kg receive 12.5 mg (5 x 2.5 mg dispersed tablets); 20-25 kg receive 15 mg (6 x 2.5 mg dispersed tablets). During pregnancy with virologic suppression, 25 mg once daily with a meal. When coadministered with rifabutin, increase to 50 mg (two 25 mg tablets) once daily with a meal.
Human immunodeficiency virus I infection 600 mg orally twice daily with or without food; swallow tablets whole, do not chew, crush, or split.
Contraindications
  • Coadministration with carbamazepine, oxcarbazepine, phenobarbital, or phenytoin
  • Coadministration with rifampin or rifapentine
  • Coadministration with dexamethasone (more than single-dose treatment)
  • Coadministration with St. John's wort (Hypericum perforatum)
  • Coadministration with proton pump inhibitors (esomeprazole, lansoprazole, omeprazole, pantoprazole, rabeprazole)
  • Previous hypersensitivity to fostemsavir or any component of RUKOBIA
  • Coadministration with strong CYP3A inducers, including enzalutamide, carbamazepine, phenytoin, rifampin, mitotane, and St John's wort (Hypericum perforatum)
Adverse Reactions
Most common (>=2%) Depressive disorders, headache, insomnia, abnormal dreams, rash, dizziness, nausea, abdominal pain, vomiting, fatigue
Serious Skin and hypersensitivity reactions including DRESS, hepatotoxicity, depressive disorders
Postmarketing Nephrotic syndrome, severe skin and hypersensitivity reactions including DRESS
Most common (>=2%) Nausea, diarrhea, headache, abdominal pain, dyspepsia, fatigue, rash, sleep disturbance, immune reconstitution inflammatory syndrome, somnolence, vomiting
Serious Immune reconstitution inflammatory syndrome, QTc prolongation, hepatic transaminase elevations in patients with hepatitis B or C virus co-infection
Pharmacology
Rilpivirine is a non-nucleoside reverse transcriptase inhibitor (NNRTI) that inhibits HIV-1 replication by non-competitive inhibition of HIV-1 reverse transcriptase.
HIV-1 attachment inhibitor; fostemsavir is a prodrug hydrolyzed to temsavir, which binds directly to the gp120 subunit of the HIV-1 envelope glycoprotein and selectively inhibits the interaction between the virus and cellular CD4 receptors, preventing viral attachment and subsequent entry into host cells.
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Most Common Insurance
Anthem BCBS
Edurant
  • Covered on 5 commercial plans
  • PA (6/12) · Step Therapy (0/12) · Qty limit (11/12)
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Rukobia
  • Covered on 5 commercial plans
  • PA (9/12) · Step Therapy (9/12) · Qty limit (11/12)
View full coverage details ›
UnitedHealthcare
Edurant
  • Covered on 4 commercial plans
  • PA (0/8) · Step Therapy (0/8) · Qty limit (4/8)
View full coverage details ›
Rukobia
  • Covered on 4 commercial plans
  • PA (4/8) · Step Therapy (0/8) · Qty limit (2/8)
View full coverage details ›
Humana
Edurant
  • Covered on 0 commercial plans
  • PA (0/3) · Step Therapy (0/3) · Qty limit (2/3)
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Rukobia
  • Covered on 0 commercial plans
  • PA (1/3) · Step Therapy (1/3) · Qty limit (3/3)
View full coverage details ›
Coverage data sourced from MMIT. Updated monthly.
Savings
Cost estimate not availableGood Days: HIV, AIDS Treatment & Prevention
Commercial or private insurance
Medicare, Medicaid, VA, TRICARE
Cost estimate not availableGood Days: HIV, AIDS Treatment & Prevention
Commercial or private insurance
Medicare, Medicaid, VA, TRICARE
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EdurantView full Edurant profile
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Clinical data sourced from FDA-approved labeling. Coverage data via MMIT. Updated monthly.