| Ulcerative Colitis

Cyltezo vs Rayos

Side-by-side clinical, coverage, and cost comparison for ulcerative colitis.
Deep comparison between: Cyltezo vs Rayos with Prescriber.AI
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Safety signalsRayos has a higher rate of injection site reactions vs Cyltezo based on FDA-approved prescribing information
Coverage gaps3 major payers require step therapy for Rayos but not Cyltezo, including UnitedHealthcare
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Cyltezo
Rayos
At A Glance
SC injection
Every other week
TNF-alpha inhibitor
Oral
Daily
Corticosteroid
Indications
  • Rheumatoid Arthritis
  • Arthritis, Psoriatic
  • Ankylosing spondylitis
  • Crohn Disease
  • Ulcerative Colitis
  • Psoriasis vulgaris
  • Panuveitis
  • 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
Dosing
Rheumatoid Arthritis, Arthritis, Psoriatic, Ankylosing spondylitis 40 mg every other week SC; some RA patients not receiving MTX may benefit from 40 mg every week or 80 mg every other week.
Crohn Disease, Ulcerative Colitis 160 mg on Day 1, 80 mg on Day 15, then 40 mg every other week SC starting Day 29.
Psoriasis vulgaris, Panuveitis 80 mg initial dose, then 40 mg every other week SC starting 1 week after initial dose.
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.
Contraindications
—
  • Known hypersensitivity to prednisone or any excipient
Adverse Reactions
Most common (>=5%) Injection site reactions, upper respiratory infection, headache, rash, sinusitis, accidental injury, nausea, urinary tract infection, flu syndrome, abdominal pain, hyperlipidemia, back pain, hypertension, hematuria
Serious Serious infections (pneumonia, septic arthritis, cellulitis, diverticulitis, pyelonephritis), malignancies, acute liver failure, hepatitis B reactivation, neurologic reactions, hematological reactions, heart failure, autoimmunity
Postmarketing Diverticulitis, large bowel perforations, pancreatitis, liver failure, autoimmune hepatitis, sarcoidosis, Merkel Cell Carcinoma, demyelinating disorders, cerebrovascular accident, interstitial lung disease, pulmonary embolism, Stevens Johnson Syndrome, cutaneous vasculitis, erythema multiforme, new or worsening psoriasis, alopecia, systemic vasculitis, deep vein thrombosis
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
Pharmacology
Adalimumab-adbm is a TNF-alpha antagonist that binds specifically to TNF-alpha and blocks its interaction with the p55 and p75 cell surface TNF receptors, modulating inflammatory responses and reducing concentrations of acute phase reactants such as CRP and ESR.
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.
Enter your patient's insuranceCheck specific coverage details for your patient.
Most Common Insurance
Anthem BCBS
Cyltezo
  • Covered on 5 commercial plans
  • PA (10/12) · Step Therapy (10/12) · Qty limit (9/12)
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Rayos
  • Covered on 5 commercial plans
  • PA (6/12) · Step Therapy (1/12) · Qty limit (0/12)
View full coverage details ›
UnitedHealthcare
Cyltezo
  • Covered on 4 commercial plans
  • PA (1/8) · Step Therapy (0/8) · Qty limit (1/8)
View full coverage details ›
Rayos
  • Covered on 4 commercial plans
  • PA (0/8) · Step Therapy (0/8) · Qty limit (0/8)
View full coverage details ›
Humana
Cyltezo
  • Covered on 0 commercial plans
  • PA (3/3) · Step Therapy (2/3) · Qty limit (3/3)
View full coverage details ›
Rayos
  • Covered on 0 commercial plans
  • PA (1/3) · Step Therapy (0/3) · Qty limit (0/3)
View full coverage details ›
Coverage data sourced from MMIT. Updated monthly.
Savings
No savings programs available for Cyltezo.
No savings programs available for Rayos.
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Clinical data sourced from FDA-approved labeling. Coverage data via MMIT. Updated monthly.