| Psoriasis vulgaris

Bryhali vs Skyrizi

Side-by-side clinical, coverage, and cost comparison for psoriasis vulgaris.
Deep comparison between: Bryhali vs Skyrizi with Prescriber.AI
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Safety signalsSkyrizi has a higher rate of injection site reactions vs Bryhali based on FDA-approved prescribing information
Coverage gaps3 major payers require step therapy for Skyrizi but not Bryhali, including UnitedHealthcare
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Bryhali
Skyrizi
At A Glance
Topical
Daily
Topical corticosteroid
SC injection
Every 8-12 weeks
IL-23 antagonist
Indications
  • Psoriasis vulgaris
  • Psoriasis vulgaris
  • Arthritis, Psoriatic
  • Crohn Disease
  • Ulcerative Colitis
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, Arthritis, Psoriatic 150 mg SC at Week 0, Week 4, and every 12 weeks thereafter.
Crohn Disease Induction: 600 mg IV infusion over at least 1 hour at Week 0, Week 4, and Week 8; maintenance: 180 mg or 360 mg SC at Week 12 and every 8 weeks thereafter.
Ulcerative Colitis Induction: 1,200 mg IV infusion over at least 2 hours at Week 0, Week 4, and Week 8; maintenance: 180 mg or 360 mg SC at Week 12 and every 8 weeks thereafter.
Contraindications
—
  • Previous serious hypersensitivity reaction to risankizumab-rzaa or any excipient
Adverse Reactions
Most common (>=1%) Upper respiratory tract infection, application site dermatitis, hyperglycemia
Most common Upper respiratory infections, headache, fatigue, injection site reactions, tinea infections, arthralgia, pyrexia, rash
Serious Cellulitis, osteomyelitis, sepsis, herpes zoster, pneumonia
Postmarketing Eczema, rash
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.
Risankizumab-rzaa is a humanized IgG1 monoclonal antibody that selectively binds to the p19 subunit of human IL-23 cytokine, inhibiting its interaction with the IL-23 receptor and suppressing the release of pro-inflammatory cytokines and chemokines.
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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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Skyrizi
  • Covered on 5 commercial plans
  • PA (0/12) · Step Therapy (0/12) · Qty limit (0/12)
View full coverage details ›
UnitedHealthcare
Bryhali
  • Covered on 4 commercial plans
  • PA (0/8) · Step Therapy (0/8) · Qty limit (0/8)
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Skyrizi
  • Covered on 4 commercial plans
  • PA (0/8) · Step Therapy (0/8) · Qty limit (0/8)
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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Skyrizi
  • Covered on 0 commercial plans
  • PA (0/3) · Step Therapy (0/3) · Qty limit (1/3)
View full coverage details ›
Coverage data sourced from MMIT. Updated monthly.
Savings
No savings programs available for Bryhali.
Cost estimate not availableAssistance Fund: Crohn's Disease: Waitlist
Commercial or private insurance
Medicare, Medicaid, VA, TRICARE
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BryhaliView full Bryhali profile
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Clinical data sourced from FDA-approved labeling. Coverage data via MMIT. Updated monthly.