| Rheumatoid Arthritis

Rayos vs Renflexis

Side-by-side clinical, coverage, and cost comparison for rheumatoid arthritis.
Deep comparison between: Rayos vs Renflexis with Prescriber.AI
AI compares prescribing info and payer-specific access barriers across 1,200+ formularies. Here's a preview of what prescribers are already asking.
Safety signalsRenflexis has a higher rate of injection site reactions vs Rayos based on FDA-approved prescribing information
Coverage gaps3 major payers require step therapy for Renflexis but not Rayos, including UnitedHealthcare
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Rayos
Renflexis
At A Glance
Oral
Daily
Corticosteroid
IV infusion
Every 6-8 weeks
TNF-alpha antagonist
Indications
  • Dermatitis, Atopic
  • Allergic rhinitis (disorder)
  • Serum Sickness
  • Dermatitis Herpetiformis
  • Contact Dermatitis
  • Exfoliative dermatitis
  • Mycosis Fungoides
  • Pemphigus
  • Erythema Multiforme
  • Congenital Adrenal Hyperplasia
  • Hypercalcemia
  • thyroiditis; nonsuppurative
  • Adrenal gland hypofunction
  • Crohn Disease
  • Ulcerative Colitis
  • Autoimmune hemolytic anemia
  • Anemia, Diamond-Blackfan
  • Immune thrombocytopenic purpura
  • Pure Red-Cell Aplasia
  • Acute leukemia
  • Lymphoma, Non-Hodgkin
  • Multiple Sclerosis
  • Cerebral Edema
  • Ophthalmia, Sympathetic
  • Uveitis
  • Chronic Obstructive Airway Disease
  • Aspergillosis, Allergic Bronchopulmonary
  • Aspiration pneumonitis
  • Asthma
  • Tuberculosis
  • Extrinsic allergic alveolitis
  • Bronchiolitis Obliterans Organizing Pneumonia
  • Idiopathic eosinophilic pneumonitis
  • Idiopathic Pulmonary Fibrosis
  • Pneumonia, Lipid
  • Sarcoidosis
  • Nephrotic Syndrome
  • Primary gout
  • Ankylosing spondylitis
  • Dermatomyositis
  • Polymyalgia Rheumatica
  • Arthritis, Psoriatic
  • Polychondritis, Relapsing
  • Rheumatoid Arthritis
  • Sjogren's Syndrome
  • Lupus Erythematosus, Systemic
  • Vasculitis
  • Trichinellosis
  • Tuberculosis, Meningeal
  • Crohn Disease
  • Ulcerative Colitis
  • Rheumatoid Arthritis
  • Ankylosing spondylitis
  • Arthritis, Psoriatic
  • Psoriasis vulgaris
Dosing
All indications Initial dose 5-60 mg once daily with food; RAYOS releases active substance approximately 4 hours after intake. Titrate to lowest effective maintenance dose; withdraw gradually after long-term or high-dose therapy.
Crohn Disease, Ulcerative Colitis, Arthritis, Psoriatic, Psoriasis vulgaris 5 mg/kg IV induction at 0, 2, and 6 weeks, then 5 mg/kg every 8 weeks; pediatric patients >= 6 years with Crohn Disease or Ulcerative Colitis receive the same regimen.
Rheumatoid Arthritis 3 mg/kg IV induction at 0, 2, and 6 weeks, then 3 mg/kg every 8 weeks in combination with methotrexate; may increase up to 10 mg/kg every 8 weeks or every 4 weeks for incomplete response.
Ankylosing spondylitis 5 mg/kg IV induction at 0, 2, and 6 weeks, then 5 mg/kg every 6 weeks.
Contraindications
  • Known hypersensitivity to prednisone or any excipient
  • Doses >5 mg/kg in patients with moderate or severe heart failure
  • Previous severe hypersensitivity reaction to infliximab products, any inactive ingredient of RENFLEXIS, or any murine proteins
Adverse Reactions
Most common Fluid retention, altered glucose tolerance, elevated blood pressure, behavioral and mood changes, increased appetite and weight gain
Serious Anaphylaxis, cardiac arrest, circulatory collapse, congestive heart failure, myocardial rupture, pulmonary edema, peptic ulcer with perforation and hemorrhage, osteonecrosis, pathologic fracture, adrenocortical insufficiency, convulsions, increased intracranial pressure
Postmarketing No new safety concerns identified beyond those established for immediate-release prednisone
Most common (>10%) Infections (upper respiratory, sinusitis, pharyngitis), infusion-related reactions, headache, abdominal pain
Serious Serious infections (pneumonia, cellulitis, abscess, sepsis, tuberculosis), hepatotoxicity, malignancies, severe infusion reactions
Postmarketing Neutropenia, agranulocytosis, interstitial lung disease, Stevens-Johnson Syndrome, toxic epidermal necrolysis, acute liver failure, anaphylactic shock, cerebrovascular accidents, myocardial ischemia/infarction
Pharmacology
Prednisone is a synthetic corticosteroid with potent anti-inflammatory and immunosuppressive properties that suppresses inflammatory processes (edema, capillary dilatation, leukocyte migration), modifies immune responses, and produces metabolic effects including promotion of gluconeogenesis, protein catabolism, and altered calcium and electrolyte balance.
TNF-alpha antagonist; infliximab-abda is a chimeric IgG1kappa monoclonal antibody that neutralizes TNF-alpha by binding with high affinity to soluble and transmembrane forms of TNF-alpha, inhibiting receptor binding and suppressing downstream pro-inflammatory activity.
Enter your patient's insuranceCheck specific coverage details for your patient.
Most Common Insurance
Anthem BCBS
Rayos
  • Covered on 5 commercial plans
  • PA (6/12) · Step Therapy (1/12) · Qty limit (0/12)
View full coverage details ›
Renflexis
  • Covered on 5 commercial plans
  • PA (10/12) · Step Therapy (10/12) · Qty limit (0/12)
View full coverage details ›
UnitedHealthcare
Rayos
  • Covered on 4 commercial plans
  • PA (0/8) · Step Therapy (0/8) · Qty limit (0/8)
View full coverage details ›
Renflexis
  • Covered on 4 commercial plans
  • PA (0/8) · Step Therapy (0/8) · Qty limit (0/8)
View full coverage details ›
Humana
Rayos
  • Covered on 0 commercial plans
  • PA (1/3) · Step Therapy (0/3) · Qty limit (0/3)
View full coverage details ›
Renflexis
  • Covered on 0 commercial plans
  • PA (3/3) · Step Therapy (3/3) · Qty limit (0/3)
View full coverage details ›
Coverage data sourced from MMIT. Updated monthly.
Savings
No savings programs available for Rayos.
No savings programs available for Renflexis.
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RayosView full Rayos profile
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Clinical data sourced from FDA-approved labeling. Coverage data via MMIT. Updated monthly.