| Rheumatoid Arthritis

Rasuvo vs Simponi ARIA

Side-by-side clinical, coverage, and cost comparison for rheumatoid arthritis.
Deep comparison between: Rasuvo vs Simponi Aria with Prescriber.AI
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Safety signalsSimponi Aria has a higher rate of injection site reactions vs Rasuvo based on FDA-approved prescribing information
Coverage gaps3 major payers require step therapy for Simponi Aria but not Rasuvo, including UnitedHealthcare
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Rasuvo
Simponi Aria
At A Glance
SC injection
Once weekly
Folate analog metabolic inhibitor
IV infusion
Every 8 weeks
TNF-alpha inhibitor
Indications
  • Rheumatoid Arthritis
  • Juvenile polyarthritis
  • Psoriasis
  • Rheumatoid Arthritis
  • Arthritis, Psoriatic
  • Ankylosing spondylitis
  • Juvenile polyarthritis
Dosing
Rheumatoid Arthritis 7.5 mg SC once weekly as starting dose; adjust gradually to achieve optimal response; doses greater than 20 mg/wk associated with increased serious toxicity; available doses 7.5-30 mg in 2.5 mg increments.
Juvenile polyarthritis 10 mg/m2 SC once weekly as starting dose; adjust gradually to achieve optimal response.
Psoriasis 10-25 mg SC once weekly as starting dose; adjust gradually; do not ordinarily exceed 30 mg/week; reduce to lowest effective dose and longest possible rest period once optimal response achieved.
Rheumatoid Arthritis, Arthritis, Psoriatic, Ankylosing spondylitis 2 mg/kg intravenous infusion over 30 minutes at weeks 0 and 4, and every 8 weeks thereafter; RA patients must receive concomitant methotrexate.
Juvenile polyarthritis 80 mg/m2 intravenous infusion over 30 minutes at weeks 0 and 4, and every 8 weeks thereafter (body surface area-based dosing for patients 2 years of age and older).
Contraindications
  • Pregnancy
  • Alcoholism, alcoholic liver disease, or other chronic liver disease
  • Overt or laboratory evidence of immunodeficiency syndromes
  • Preexisting blood dyscrasias such as bone marrow hypoplasia, leukopenia, thrombocytopenia, or significant anemia
  • Known hypersensitivity to methotrexate
Adverse Reactions
Most common (>=10%) Elevated liver function tests, nausea, vomiting
Serious Ulcerative stomatitis, leukopenia, hepatotoxicity, bone marrow suppression, interstitial pneumonitis, opportunistic infections, embryo-fetal toxicity, malignant lymphomas
Most common (>=1%) Upper respiratory tract infection, viral infections, bacterial infections, bronchitis, hypertension, rash, pyrexia, leukopenia
Serious Serious infections (sepsis, pneumonia, cellulitis, abscess, opportunistic infections, tuberculosis), malignancies, liver enzyme elevations, infusion reactions
Postmarketing Infusion-related reactions, melanoma, Merkel cell carcinoma, anaphylactic reaction, sarcoidosis, interstitial lung disease, skin exfoliation, lichenoid reactions, bullous skin reactions
Pharmacology
Methotrexate is a folate analog metabolic inhibitor that inhibits dihydrofolic acid reductase, interfering with DNA synthesis, repair, and cellular replication; in rheumatoid arthritis the mechanism may involve immune function modulation, and in psoriasis it exploits the differential in epithelial cell proliferation rates.
Golimumab is a human monoclonal antibody (TNF-alpha inhibitor) that binds to both the soluble and transmembrane bioactive forms of human TNF-alpha, preventing receptor binding and inhibiting TNF-alpha biological activity, a key mediator of articular inflammation in rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.
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Most Common Insurance
Anthem BCBS
Rasuvo
  • Covered on 5 commercial plans
  • PA (10/12) · Step Therapy (10/12) · Qty limit (9/12)
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Simponi Aria
  • Covered on 5 commercial plans
  • PA (9/12) · Step Therapy (9/12) · Qty limit (0/12)
View full coverage details ›
UnitedHealthcare
Rasuvo
  • Covered on 4 commercial plans
  • PA (0/8) · Step Therapy (0/8) · Qty limit (4/8)
View full coverage details ›
Simponi Aria
  • Covered on 4 commercial plans
  • PA (3/8) · Step Therapy (0/8) · Qty limit (3/8)
View full coverage details ›
Humana
Rasuvo
  • Covered on 0 commercial plans
  • PA (3/3) · Step Therapy (3/3) · Qty limit (2/3)
View full coverage details ›
Simponi Aria
  • Covered on 0 commercial plans
  • PA (3/3) · Step Therapy (2/3) · Qty limit (3/3)
View full coverage details ›
Coverage data sourced from MMIT. Updated monthly.
Savings
No savings programs available for Rasuvo.
Cost estimate not availableAssistance Fund: Ankylosing Spondylitis: Waitlist
Commercial or private insurance
Medicare, Medicaid, VA, TRICARE
Final cost depends on formulary coverage
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RasuvoView full Rasuvo profile
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Clinical data sourced from FDA-approved labeling. Coverage data via MMIT. Updated monthly.