| Psoriasis vulgaris

Bryhali vs Enstilar

Side-by-side clinical, coverage, and cost comparison for psoriasis vulgaris.
Deep comparison between: Bryhali vs Enstilar with Prescriber.AI
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Safety signalsEnstilar has a higher rate of injection site reactions vs Bryhali based on FDA-approved prescribing information
Coverage gaps3 major payers require step therapy for Enstilar but not Bryhali, including UnitedHealthcare
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Bryhali
Enstilar
At A Glance
Topical
Daily
Topical corticosteroid
Topical
Once daily
Vitamin D3 analog + corticosteroid
Indications
  • Psoriasis vulgaris
  • Psoriasis vulgaris
Dosing
Psoriasis vulgaris Apply a thin layer to affected areas once daily; do not exceed 8 weeks of treatment or approximately 50 g per week; discontinue when control is achieved; avoid occlusive dressings unless directed, and do not use on face, groin, or axillae.
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 tract infection, application site dermatitis, hyperglycemia
Postmarketing Application site burning, atrophy, striae, telangiectasia, dryness, perioral dermatitis, secondary infection, miliaria, cataracts, glaucoma, increased intraocular pressure.
Pharmacology
Topical corticosteroid; corticosteroids play a role in cellular signaling, immune function, inflammation, and protein regulation, though the precise mechanism of action in plaque psoriasis is unknown.
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
Bryhali
  • Covered on 5 commercial plans
  • PA (0/12) · Step Therapy (6/12) · 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
Bryhali
  • Covered on 4 commercial plans
  • PA (0/8) · Step Therapy (0/8) · Qty limit (0/8)
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Enstilar
  • Covered on 4 commercial plans
  • PA (1/8) · Step Therapy (0/8) · Qty limit (3/8)
View full coverage details ›
Humana
Bryhali
  • Covered on 0 commercial plans
  • PA (1/3) · Step Therapy (2/3) · Qty limit (2/3)
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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
No savings programs available for Bryhali.
$30/fillfill
Leo Copay Savings Card: Enstilar
Commercial or private insurance
Medicare, Medicaid, VA, TRICARE
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BryhaliView full Bryhali profile
EnstilarView full Enstilar profile
Clinical data sourced from FDA-approved labeling. Coverage data via MMIT. Updated monthly.