| Rosacea

Rhofade vs Zilxi

Side-by-side clinical, coverage, and cost comparison for rosacea.
Deep comparison between: Rhofade vs Zilxi with Prescriber.AI
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Safety signalsZilxi has a higher rate of injection site reactions vs Rhofade based on FDA-approved prescribing information
Coverage gaps3 major payers require step therapy for Zilxi but not Rhofade, including UnitedHealthcare
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Rhofade
Zilxi
At A Glance
Topical
Daily
Alpha-1A adrenoceptor agonist
Topical
Daily
Tetracycline derivative
Indications
  • Rosacea
  • Rosacea
Dosing
Rosacea Apply a pea-sized amount once daily in a thin layer to cover the entire face (forehead, nose, each cheek, and chin), avoiding the eyes and lips; wash hands immediately after applying.
Rosacea Apply a cherry-sized amount of foam to the entire face once daily at least 1 hour before bedtime; do not bathe, shower, or swim for at least 1 hour after application.
Contraindications
—
  • Hypersensitivity to any tetracycline or any other ingredient in ZILXI
Adverse Reactions
Most common (>=1%) application site dermatitis, worsening inflammatory lesions of rosacea, application site pruritus, application site erythema, application site pain
Most common (>=1%) Diarrhea
Pharmacology
Oxymetazoline is an alpha 1A adrenoceptor agonist that acts as a vasoconstrictor when applied topically to the face.
Minocycline is a semi-synthetic derivative of tetracycline; its mechanism of action for the treatment of inflammatory lesions of rosacea is unknown.
Enter your patient's insuranceCheck specific coverage details for your patient.
Most Common Insurance
Anthem BCBS
Rhofade
  • Covered on 5 commercial plans
  • PA (9/12) · Step Therapy (6/12) · Qty limit (9/12)
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Zilxi
  • Covered on 5 commercial plans
  • PA (4/12) · Step Therapy (4/12) · Qty limit (9/12)
View full coverage details ›
UnitedHealthcare
Rhofade
  • Covered on 4 commercial plans
  • PA (5/8) · Step Therapy (0/8) · Qty limit (1/8)
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Zilxi
  • Covered on 4 commercial plans
  • PA (3/8) · Step Therapy (3/8) · Qty limit (3/8)
View full coverage details ›
Humana
Rhofade
  • Covered on 0 commercial plans
  • PA (1/3) · Step Therapy (2/3) · Qty limit (3/3)
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Zilxi
  • Covered on 0 commercial plans
  • PA (2/3) · Step Therapy (2/3) · Qty limit (2/3)
View full coverage details ›
Coverage data sourced from MMIT. Updated monthly.
Savings
No savings programs available for Rhofade.
No savings programs available for Zilxi.
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RhofadeView full Rhofade profile
ZilxiView full Zilxi profile
Clinical data sourced from FDA-approved labeling. Coverage data via MMIT. Updated monthly.