| Psoriasis vulgaris

Ultravate vs Vtama

Side-by-side clinical, coverage, and cost comparison for psoriasis vulgaris.
Deep comparison between: Ultravate vs Vtama with Prescriber.AI
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Safety signalsVtama has a higher rate of injection site reactions vs Ultravate based on FDA-approved prescribing information
Coverage gaps3 major payers require step therapy for Vtama but not Ultravate, including UnitedHealthcare
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Ultravate
Vtama
At A Glance
Topical
Twice daily
Topical corticosteroid
Topical
Daily
AhR agonist
Indications
  • Psoriasis vulgaris
  • Psoriasis vulgaris
  • Dermatitis, Atopic
Dosing
Psoriasis vulgaris Apply a thin layer to affected skin twice daily for up to two weeks; total dosage should not exceed 50 grams (50 ml) per week.
Psoriasis vulgaris, Dermatitis, Atopic Apply a thin layer to affected areas once daily; wash hands after application unless VTAMA cream is for treatment of the hands; not for oral, ophthalmic, or intravaginal use.
Contraindications
—
—
Adverse Reactions
Most common (>=1%) Telangiectasia, application site atrophy, headache
Less common (<1%, >0.1%) Application site discoloration, herpes zoster, influenza, nasopharyngitis, otitis media acute, throat infection, wound, increased blood pressure
Most common (>=1%) - Plaque Psoriasis Folliculitis, nasopharyngitis, contact dermatitis, headache, pruritus, influenza
Most common (>=1%) - Atopic Dermatitis Upper respiratory tract infection, folliculitis, lower respiratory tract infection, headache, asthma, vomiting, ear infection, pain in extremity, abdominal pain
Pharmacology
Halobetasol propionate is a super-high potency topical corticosteroid that plays a role in cellular signaling, immune function, inflammation, and protein regulation; the precise mechanism of action in plaque psoriasis is unknown.
Tapinarof is an aryl hydrocarbon receptor (AhR) agonist; the specific mechanisms by which VTAMA cream exerts its therapeutic actions in plaque psoriasis and atopic dermatitis are unknown.
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Most Common Insurance
Anthem BCBS
Ultravate
  • Covered on 5 commercial plans
  • PA (0/12) · Step Therapy (5/12) · Qty limit (9/12)
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Vtama
  • Covered on 5 commercial plans
  • PA (10/12) · Step Therapy (10/12) · Qty limit (9/12)
View full coverage details ›
UnitedHealthcare
Ultravate
  • Covered on 4 commercial plans
  • PA (1/8) · Step Therapy (1/8) · Qty limit (0/8)
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Vtama
  • Covered on 4 commercial plans
  • PA (5/8) · Step Therapy (4/8) · Qty limit (4/8)
View full coverage details ›
Humana
Ultravate
  • Covered on 0 commercial plans
  • PA (1/3) · Step Therapy (0/3) · Qty limit (2/3)
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Vtama
  • 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 Ultravate.
Cost estimate not availableAssistance Fund: Psoriasis
Commercial or private insurance
Medicare, Medicaid, VA, TRICARE
Final cost depends on formulary coverage
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UltravateView full Ultravate profile
VtamaView full Vtama profile
Clinical data sourced from FDA-approved labeling. Coverage data via MMIT. Updated monthly.