| Myocardial Infarction

Kerendia vs Brilinta

Side-by-side clinical, coverage, and cost comparison for myocardial infarction.
Deep comparison between: Kerendia vs Brilinta with Prescriber.AI
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Safety signalsBrilinta has a higher rate of injection site reactions vs Kerendia based on FDA-approved prescribing information
Coverage gaps3 major payers require step therapy for Brilinta but not Kerendia, including UnitedHealthcare
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Kerendia
Brilinta
At A Glance
Oral
Once daily
Mineralocorticoid receptor antagonist
Oral
Twice daily
P2Y12 platelet inhibitor
Indications
  • Chronic Kidney Diseases
  • Diabetes Mellitus, Non-Insulin-Dependent
  • Heart failure
  • Chronic kidney disease stage 5
  • Myocardial Infarction
  • Acute Coronary Syndrome
  • Myocardial Infarction
  • Coronary Artery Disease
  • Acute Ischemic Stroke
  • Transient Ischemic Attack
  • Stent thrombosis
Dosing
Chronic Kidney Diseases, Diabetes Mellitus, Non-Insulin-Dependent Starting dose 10 mg or 20 mg orally once daily based on eGFR and serum potassium; target dose 20 mg once daily, adjusted after 4 weeks based on serum potassium levels.
Heart failure Starting dose 10 mg or 20 mg orally once daily based on eGFR and serum potassium; target dose 20 mg or 40 mg once daily based on eGFR at initiation, adjusted after 4 weeks.
Acute Coronary Syndrome, Myocardial Infarction, Stent thrombosis 180 mg oral loading dose, then 90 mg twice daily for the first year; after one year, 60 mg twice daily; use with aspirin 75-100 mg daily.
Coronary Artery Disease 60 mg twice daily; use with aspirin 75-100 mg daily.
Acute Ischemic Stroke, Transient Ischemic Attack 180 mg loading dose, then 90 mg twice daily for up to 30 days; use with aspirin 300-325 mg loading dose and 75-100 mg daily maintenance.
Contraindications
  • Hypersensitivity to any component of Kerendia
  • Concomitant treatment with strong CYP3A4 inhibitors
  • Adrenal insufficiency
  • History of intracranial hemorrhage
  • Active pathological bleeding (e.g., peptic ulcer or intracranial hemorrhage)
  • Hypersensitivity (e.g., angioedema) to ticagrelor or any component of the product
Adverse Reactions
Most common (>=10%) hyperkalemia
Serious hyperkalemia requiring hospitalization, renal impairment, acute kidney injury, renal failure
Postmarketing angioedema, rash, urticaria
Most common (>=4%) Dyspnea, dizziness, nausea, bleeding
Serious Major bleeding, fatal/life-threatening bleeding, intracranial hemorrhage, bradycardia, ventricular pauses
Postmarketing Thrombotic Thrombocytopenic Purpura, hypersensitivity reactions including angioedema, central sleep apnea, Cheyne-Stokes respiration, rash
Pharmacology
Finerenone is a nonsteroidal, selective mineralocorticoid receptor (MR) antagonist that blocks MR-mediated sodium reabsorption and MR overactivation in epithelial (kidney) and nonepithelial (heart, blood vessels) tissues; it has high potency and selectivity for the MR with no relevant affinity for androgen, progesterone, estrogen, or glucocorticoid receptors.
P2Y12 platelet inhibitor; ticagrelor and its major metabolite reversibly interact with the platelet P2Y12 ADP-receptor to prevent signal transduction and platelet activation, with ticagrelor and its active metabolite being approximately equipotent.
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Most Common Insurance
Anthem BCBS
Kerendia
  • Covered on 5 commercial plans
  • PA (10/12) · Step Therapy (9/12) · Qty limit (11/12)
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Brilinta
  • Covered on 5 commercial plans
  • PA (10/12) · Step Therapy (3/12) · Qty limit (9/12)
View full coverage details ›
UnitedHealthcare
Kerendia
  • Covered on 4 commercial plans
  • PA (6/8) · Step Therapy (6/8) · Qty limit (6/8)
View full coverage details ›
Brilinta
  • Covered on 4 commercial plans
  • PA (0/8) · Step Therapy (0/8) · Qty limit (3/8)
View full coverage details ›
Humana
Kerendia
  • Covered on 0 commercial plans
  • PA (3/3) · Step Therapy (2/3) · Qty limit (2/3)
View full coverage details ›
Brilinta
  • Covered on 0 commercial plans
  • PA (2/3) · Step Therapy (0/3) · Qty limit (2/3)
View full coverage details ›
Coverage data sourced from MMIT. Updated monthly.
Savings
$0/fillfill
Bayer US Patient Assistance Foundation - Kerendia
Commercial or private insurance
Medicare, Medicaid, VA, TRICARE
No savings programs available for Brilinta.
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Clinical data sourced from FDA-approved labeling. Coverage data via MMIT. Updated monthly.