| Psoriasis vulgaris

Bimzelx vs Enstilar

Side-by-side clinical, coverage, and cost comparison for psoriasis vulgaris.
Deep comparison between: Bimzelx vs Enstilar with Prescriber.AI
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Safety signalsEnstilar has a higher rate of injection site reactions vs Bimzelx based on FDA-approved prescribing information
Coverage gaps3 major payers require step therapy for Enstilar but not Bimzelx, including UnitedHealthcare
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Bimzelx
Enstilar
At A Glance
SC injection
Every 4-8 weeks
IL-17A and F antagonist
Topical
Once daily
Vitamin D3 analog + corticosteroid
Indications
  • Psoriasis vulgaris
  • Arthritis, Psoriatic
  • Non-Radiographic Axial Spondyloarthritis
  • Ankylosing spondylitis
  • Hidradenitis Suppurativa
  • Psoriasis vulgaris
Dosing
Psoriasis vulgaris 320 mg SC at Weeks 0, 4, 8, 12, and 16, then every 8 weeks thereafter; for patients weighing 120 kg or more, consider 320 mg every 4 weeks after Week 16.
Arthritis, Psoriatic, Non-Radiographic Axial Spondyloarthritis, Ankylosing spondylitis 160 mg SC every 4 weeks; for Arthritis, Psoriatic with coexistent moderate to severe plaque psoriasis, use the plaque psoriasis dosing regimen.
Hidradenitis Suppurativa 320 mg SC at Weeks 0, 2, 4, 6, 8, 10, 12, 14, and 16, then every 4 weeks thereafter.
Psoriasis vulgaris Apply to affected areas once daily for up to 4 weeks; maximum dose not to exceed 60 g every 4 days; rub in gently; do not use with occlusive dressings, on the face, groin, or axillae, or if skin atrophy is present at the treatment site.
Contraindications
Adverse Reactions
Most common (>=1%) Upper respiratory infections, oral candidiasis, headache, injection site reactions, tinea infections, gastroenteritis, herpes simplex infections, acne, folliculitis, fatigue, diarrhea, urinary tract infection
Serious Suicidal ideation and behavior, serious infections, liver biochemical abnormalities, inflammatory bowel disease
Postmarketing Conjunctivitis, esophageal candidiasis
Postmarketing Application site burning, atrophy, striae, telangiectasia, dryness, perioral dermatitis, secondary infection, miliaria, cataracts, glaucoma, increased intraocular pressure.
Pharmacology
Bimekizumab-bkzx is a humanized IgG1 monoclonal antibody that selectively binds IL-17A, IL-17F, and IL-17AF cytokines, inhibiting their interaction with the IL-17 receptor complex and suppressing the release of proinflammatory cytokines and chemokines.
Enstilar Foam combines calcipotriene hydrate, a synthetic vitamin D3 analog, and betamethasone dipropionate, a synthetic corticosteroid; exact mechanisms of action in the treatment of plaque psoriasis are unknown.
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Most Common Insurance
Anthem BCBS
Bimzelx
  • Covered on 5 commercial plans
  • PA (10/12) · Step Therapy (10/12) · Qty limit (9/12)
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Enstilar
  • Covered on 5 commercial plans
  • PA (6/12) · Step Therapy (10/12) · Qty limit (9/12)
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UnitedHealthcare
Bimzelx
  • Covered on 4 commercial plans
  • PA (5/8) · Step Therapy (5/8) · Qty limit (5/8)
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Enstilar
  • Covered on 4 commercial plans
  • PA (1/8) · Step Therapy (0/8) · Qty limit (3/8)
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Humana
Bimzelx
  • Covered on 0 commercial plans
  • PA (3/3) · Step Therapy (3/3) · Qty limit (3/3)
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Enstilar
  • Covered on 0 commercial plans
  • PA (3/3) · Step Therapy (3/3) · Qty limit (2/3)
View full coverage details ›
Coverage data sourced from MMIT. Updated monthly.
Savings
$15/fillfill
Bimzelx Bridge
Commercial or private insurance
Medicare, Medicaid, VA, TRICARE
$30/fillfill
Leo Copay Savings Card: Enstilar
Commercial or private insurance
Medicare, Medicaid, VA, TRICARE
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BimzelxView full Bimzelx profile
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Clinical data sourced from FDA-approved labeling. Coverage data via MMIT. Updated monthly.