What are alternative treatments to bimzelx (bimekizumab) for Psoriatic Arthritis (PsA) if it's not covered by insurance?

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Last updated: December 11, 2025View editorial policy

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Alternative Treatments to Bimekizumab for Psoriatic Arthritis

If bimekizumab (Bimzelx) is not covered by insurance, TNF inhibitors should be your first-line alternative, as they remain the preferred initial biologic therapy for PsA according to ACR/NPF guidelines, with other IL-17 inhibitors like secukinumab or ixekizumab serving as comparable mechanistic alternatives. 1

First-Tier Alternatives: TNF Inhibitors

TNF inhibitors are conditionally recommended as the preferred first biologic choice for active PsA and include: 1

  • Adalimumab (Humira) - 40 mg every 2 weeks subcutaneously 2
  • Etanercept (Enbrel) - 50 mg weekly subcutaneously 3
  • Infliximab (Remicade) - IV infusion dosing 3
  • Golimumab (Simponi) - 50 mg monthly subcutaneously 3
  • Certolizumab (Cimzia) - 200-400 mg dosing 3

These agents have the most extensive long-term safety data and proven efficacy in slowing radiographic progression of joint disease. 3

Second-Tier Alternatives: Other IL-17 Inhibitors (Most Similar to Bimekizumab)

Since bimekizumab is an IL-17A/F inhibitor, the most mechanistically comparable alternatives are other IL-17 pathway inhibitors: 4, 2

  • Secukinumab (Cosentyx) - 150 mg or 300 mg subcutaneously, conditionally recommended over IL-12/23 inhibitors for patients with severe psoriasis 1, 5
  • Ixekizumab (Taltz) - IL-17A inhibitor with similar mechanism 3

Note: Bimekizumab demonstrated superior ACR70 response compared to secukinumab 150 mg and 300 mg at 52 weeks in head-to-head comparisons, but secukinumab remains an effective alternative when bimekizumab is unavailable. 5

Third-Tier Alternatives: IL-12/23 Inhibitors

  • Ustekinumab (Stelara) - targets IL-12/23 pathway, conditionally recommended especially if patient prefers less frequent dosing (every 12 weeks after loading) 1
  • Particularly useful if patient has concomitant inflammatory bowel disease 1

Fourth-Tier Alternatives: Non-Biologic Options

Oral targeted synthetic DMARDs for patients who prefer oral therapy or have contraindications to biologics: 1

  • Tofacitinib (Xeljanz) - JAK inhibitor, conditionally recommended over apremilast 1, 3
  • Apremilast (Otezol) - phosphodiesterase-4 inhibitor, less effective than biologics but safer in patients with recurrent infections 1, 3

Fifth-Tier Alternative: T-Cell Costimulation Modulator

  • Abatacept (Orencia) - conditionally recommended particularly for patients with recurrent serious infections where TNF inhibitors may be contraindicated 1, 6

Treatment Selection Algorithm Based on Patient Characteristics

If patient has severe psoriasis (≥3% body surface area): Prioritize IL-17 inhibitors (secukinumab, ixekizumab) or IL-12/23 inhibitors (ustekinumab) over TNF inhibitors 1

If patient has concomitant inflammatory bowel disease: Avoid IL-17 inhibitors; use ustekinumab (IL-12/23 inhibitor) or TNF inhibitors instead 1, 7

If patient has recurrent or serious infections: Consider abatacept over TNF inhibitors; avoid tofacitinib if recurrent candida infections 1, 6

If patient has contraindications to TNF inhibitors (congestive heart failure, demyelinating disease, recurrent infections): Use IL-17 inhibitors, IL-12/23 inhibitors, abatacept, or tofacitinib 1

If patient prefers oral medication: Use tofacitinib over apremilast (more effective), or apremilast if biologics are inappropriate 1, 3

If patient prefers less frequent dosing: Ustekinumab (every 12 weeks) is preferred 1

Critical Insurance Coverage Considerations

Most insurance formularies cover TNF inhibitors as first-line biologics before approving IL-17 or IL-12/23 inhibitors, which aligns with guideline recommendations. 1 You may need to demonstrate inadequate response to at least one TNF inhibitor before insurance will approve secukinumab or other IL-17 inhibitors as step-therapy alternatives to bimekizumab.

Important Safety Caveat

Never combine two biologic agents simultaneously - the ACR/NPF guidelines explicitly recommend switching between biologics rather than combining them due to unpredictable immune dysregulation and lack of safety data. 6

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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