| Psoriasis vulgaris

Duobrii vs Ilumya

Side-by-side clinical, coverage, and cost comparison for psoriasis vulgaris.
Deep comparison between: Duobrii vs Ilumya with Prescriber.AI
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Safety signalsIlumya has a higher rate of injection site reactions vs Duobrii based on FDA-approved prescribing information
Coverage gaps3 major payers require step therapy for Ilumya but not Duobrii, including UnitedHealthcare
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Duobrii
Ilumya
At A Glance
Topical
Once daily
Corticosteroid/retinoid combination
SC injection
Every 12 weeks
IL-23 antagonist
Indications
  • Psoriasis vulgaris
  • Psoriasis vulgaris
Dosing
Psoriasis vulgaris Apply a thin layer once daily to affected areas, rubbing in gently; total dosage should not exceed approximately 50 g per week; avoid application on the face, groin, or axillae; do not use with occlusive dressings unless directed by a physician; discontinue when control is achieved.
Psoriasis vulgaris 100 mg SC at Weeks 0, 4, and every 12 weeks thereafter.
Contraindications
  • Pregnancy
  • Previous serious hypersensitivity reaction to tildrakizumab-asmn or any excipient
Adverse Reactions
Most common (>=1%) contact dermatitis, application site pain, folliculitis, skin atrophy, excoriation, rash, skin abrasion, skin exfoliation
Most common (>=1%) Upper respiratory infections, injection site reactions, diarrhea
Serious Hypersensitivity reactions, infections
Pharmacology
Combination of halobetasol propionate, a synthetic corticosteroid that modulates cellular signaling, immune function, and inflammation, and tazarotene, a retinoid prodrug converted by esterase hydrolysis to tazarotenic acid, which binds RAR-beta and RAR-gamma receptors to modify gene expression; precise mechanisms in plaque psoriasis are unknown.
Tildrakizumab is a humanized IgG1/k monoclonal antibody that selectively binds to the p19 subunit of IL-23 and inhibits its interaction with the IL-23 receptor, thereby suppressing the release of proinflammatory cytokines and chemokines.
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Most Common Insurance
Anthem BCBS
Duobrii
  • Covered on 5 commercial plans
  • PA (10/12) · Step Therapy (9/12) · Qty limit (9/12)
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Ilumya
  • Covered on 5 commercial plans
  • PA (10/12) · Step Therapy (9/12) · Qty limit (9/12)
View full coverage details ›
UnitedHealthcare
Duobrii
  • Covered on 4 commercial plans
  • PA (0/8) · Step Therapy (1/8) · Qty limit (1/8)
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Ilumya
  • Covered on 4 commercial plans
  • PA (0/8) · Step Therapy (0/8) · Qty limit (0/8)
View full coverage details ›
Humana
Duobrii
  • Covered on 0 commercial plans
  • PA (3/3) · Step Therapy (2/3) · Qty limit (2/3)
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Ilumya
  • Covered on 0 commercial plans
  • PA (3/3) · Step Therapy (3/3) · Qty limit (3/3)
View full coverage details ›
Coverage data sourced from MMIT. Updated monthly.
Savings
No savings programs available for Duobrii.
Cost estimate not availableAssistance Fund: Psoriasis
Commercial or private insurance
Medicare, Medicaid, VA, TRICARE
Final cost depends on formulary coverage
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DuobriiView full Duobrii profile
IlumyaView full Ilumya profile
Clinical data sourced from FDA-approved labeling. Coverage data via MMIT. Updated monthly.