| Squamous cell carcinoma of skin

Keytruda vs Libtayo

Side-by-side clinical, coverage, and cost comparison for squamous cell carcinoma of skin.
Deep comparison between: Keytruda vs Libtayo 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 signalsLibtayo has a higher rate of injection site reactions vs Keytruda based on FDA-approved prescribing information
Coverage gaps3 major payers require step therapy for Libtayo but not Keytruda, including UnitedHealthcare
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Keytruda
Libtayo
At A Glance
IV infusion
Every 3 weeks or Every 6 weeks
PD-1 inhibitor
IV infusion
Every 3 weeks
PD-1 inhibitor
Indications
  • melanoma
  • Non-Small Cell Lung Carcinoma
  • Malignant Pleural Mesothelioma
  • Squamous cell carcinoma of the head and neck
  • Classic Hodgkin Lymphoma
  • Mediastinal (Thymic) Large B-Cell Lymphoma
  • Urothelial Carcinoma
  • Colorectal Carcinoma
  • Stomach Carcinoma
  • Esophageal carcinoma
  • Cervix carcinoma
  • Liver carcinoma
  • Biliary Tract Cancer
  • Merkel cell carcinoma
  • Renal Cell Carcinoma
  • Endometrial Carcinoma
  • Triple-Negative Breast Carcinoma
  • Malignant neoplasm of ovary
  • Squamous cell carcinoma of skin
  • Squamous cell carcinoma of skin
  • Basal cell carcinoma
  • Non-Small Cell Lung Carcinoma
Dosing
melanoma 200 mg every 3 weeks or 400 mg every 6 weeks IV; 2 mg/kg (up to 200 mg) every 3 weeks IV for pediatrics
Non-Small Cell Lung Carcinoma 200 mg every 3 weeks or 400 mg every 6 weeks IV
Malignant Pleural Mesothelioma 200 mg every 3 weeks or 400 mg every 6 weeks IV
Squamous cell carcinoma of the head and neck 200 mg every 3 weeks or 400 mg every 6 weeks IV
Classic Hodgkin Lymphoma 200 mg every 3 weeks or 400 mg every 6 weeks IV for adults; 2 mg/kg (up to 200 mg) every 3 weeks IV for pediatrics
Mediastinal (Thymic) Large B-Cell Lymphoma 200 mg every 3 weeks or 400 mg every 6 weeks IV for adults; 2 mg/kg (up to 200 mg) every 3 weeks IV for pediatrics
Urothelial Carcinoma 200 mg every 3 weeks or 400 mg every 6 weeks IV
Colorectal Carcinoma 200 mg every 3 weeks or 400 mg every 6 weeks IV for adults; 2 mg/kg (up to 200 mg) every 3 weeks IV for pediatrics
Stomach Carcinoma 200 mg every 3 weeks or 400 mg every 6 weeks IV
Esophageal carcinoma 200 mg every 3 weeks or 400 mg every 6 weeks IV
Cervix carcinoma 200 mg every 3 weeks or 400 mg every 6 weeks IV
Liver carcinoma 200 mg every 3 weeks or 400 mg every 6 weeks IV
Biliary Tract Cancer 200 mg every 3 weeks or 400 mg every 6 weeks IV
Merkel cell carcinoma 200 mg every 3 weeks or 400 mg every 6 weeks IV for adults; 2 mg/kg (up to 200 mg) every 3 weeks IV for pediatrics
Renal Cell Carcinoma 200 mg every 3 weeks or 400 mg every 6 weeks IV as single agent or in combination with axitinib 5 mg orally twice daily or lenvatinib 20 mg orally once daily
Endometrial Carcinoma 200 mg every 3 weeks or 400 mg every 6 weeks IV in combination with carboplatin and paclitaxel, or with lenvatinib 20 mg orally once daily, or as single agent for MSI-H or dMMR tumors
Triple-Negative Breast Carcinoma 200 mg every 3 weeks or 400 mg every 6 weeks IV
Malignant neoplasm of ovary 200 mg every 3 weeks or 400 mg every 6 weeks IV
Squamous cell carcinoma of skin 200 mg every 3 weeks or 400 mg every 6 weeks IV
Squamous cell carcinoma of skin (metastatic/locally advanced) 350 mg IV infusion over 30 minutes every 3 weeks until disease progression, unacceptable toxicity, or up to 24 months.
Squamous cell carcinoma of skin (adjuvant) 350 mg IV infusion every 3 weeks for 12 weeks followed by 700 mg every 6 weeks, or 350 mg every 3 weeks, until disease recurrence, unacceptable toxicity, or up to 48 weeks.
Basal cell carcinoma 350 mg IV infusion over 30 minutes every 3 weeks until disease progression, unacceptable toxicity, or up to 24 months.
Non-Small Cell Lung Carcinoma 350 mg IV infusion every 3 weeks as single agent or in combination with platinum-based chemotherapy until disease progression or unacceptable toxicity.
Contraindications
    Adverse Reactions
    Most common (>=20%) fatigue, musculoskeletal pain, decreased appetite, rash, diarrhea, nausea, cough, dyspnea, constipation, pruritus, hypothyroidism
    Serious pneumonitis, colitis, hepatitis, endocrinopathies, nephritis with renal dysfunction, dermatologic adverse reactions, myocarditis, neurological toxicities, infusion-related reactions, immune-mediated adverse reactions
    Postmarketing exocrine pancreatic insufficiency, sclerosing cholangitis
    Most common (>=15%) Fatigue, musculoskeletal pain, rash, diarrhea, anemia.
    Serious Immune-mediated adverse reactions (pneumonitis, colitis, hepatitis, endocrinopathies, nephritis, exfoliative dermatologic conditions, myocarditis, neurological toxicities), infusion-related reactions, allogeneic HSCT complications, pneumonia.
    Pharmacology
    Pembrolizumab is a PD-1 blocking antibody that releases PD-1 pathway-mediated inhibition of the immune response by preventing the interaction of PD-1 with its ligands PD-L1 and PD-L2, thereby restoring anti-tumor immune response.
    Cemiplimab-rwlc is a recombinant human IgG4 monoclonal antibody (PD-1 inhibitor) that binds to PD-1 and blocks its interaction with PD-L1 and PD-L2, releasing PD-1 pathway-mediated inhibition of the immune response, including the anti-tumor immune response.
    Enter your patient's insuranceCheck specific coverage details for your patient.
    Most Common Insurance
    Anthem BCBS
    Keytruda
    • Covered on 5 commercial plans
    • PA (12/12) · Step Therapy (0/12) · Qty limit (0/12)
    View full coverage details ›
    Libtayo
    • Covered on 5 commercial plans
    • PA (10/12) · Step Therapy (0/12) · Qty limit (0/12)
    View full coverage details ›
    UnitedHealthcare
    Keytruda
    • Covered on 4 commercial plans
    • PA (0/8) · Step Therapy (0/8) · Qty limit (0/8)
    View full coverage details ›
    Libtayo
    • Covered on 4 commercial plans
    • PA (0/8) · Step Therapy (0/8) · Qty limit (0/8)
    View full coverage details ›
    Humana
    Keytruda
    • Covered on 0 commercial plans
    • PA (3/3) · Step Therapy (0/3) · Qty limit (2/3)
    View full coverage details ›
    Libtayo
    • Covered on 0 commercial plans
    • PA (3/3) · Step Therapy (0/3) · Qty limit (2/3)
    View full coverage details ›
    Coverage data sourced from MMIT. Updated monthly.
    Savings
    No savings programs available for Keytruda.
    Cost estimate not availableAssistance Fund: Non-Small Cell Lung Cancer (NSCLC)
    Commercial or private insurance
    Medicare, Medicaid, VA, TRICARE
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    Next Steps for Your Patient
    KeytrudaView full Keytruda profile
    LibtayoView full Libtayo profile
    Clinical data sourced from FDA-approved labeling. Coverage data via MMIT. Updated monthly.