Comprehensive medication guide to Eohilia including estimated pricing, availability information, side effects, and how to find it in stock at your local pharmacy.
Estimated Insurance Pricing
Most insurance plans require prior authorization and many patients face coverage denials; eligible commercially insured patients may pay as little as $0 with the manufacturer copay card (up to $2,500/year).
Estimated Cash Pricing
The typical cash price for Eohilia is around $1,930 for a 30-day supply (60 unit-dose packets), with prices ranging from $1,927 to $2,524.
Medfinder Findability Score
40/100
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Eohilia (budesonide oral suspension) is a prescription corticosteroid medication FDA-approved in February 2024 for the treatment of eosinophilic esophagitis (EoE) in patients 11 years of age and older. EoE is a chronic immune-mediated condition where eosinophils (a type of white blood cell) build up in the esophagus, causing inflammation, difficulty swallowing, and food impaction. Eohilia is specifically formulated as a swallowed oral suspension designed to coat the esophagus and reduce this inflammation over a 12-week treatment course.
Eohilia contains budesonide, a synthetic corticosteroid that reduces inflammation in the esophagus by suppressing the immune response and decreasing eosinophil accumulation in esophageal tissue. When swallowed, the suspension coats the lining of the esophagus, delivering the anti-inflammatory medication directly where it's needed. Patients should not eat, drink, or brush their teeth for at least 30 minutes after taking Eohilia to allow the medication to remain in contact with the esophageal tissue.
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Oral suspension 2 mg/10 mL — suspension
The only available form. Taken as 2 mg (10 mL) twice daily for 12 weeks.
Eohilia has a findability score of 40 out of 100, making it moderately difficult to locate. As a specialty medication launched in February 2024, Eohilia is distributed through a limited network of specialty pharmacies rather than standard retail pharmacies. This restricted distribution model means you won't find it at your local CVS or Walgreens. Patients typically need to work with their prescriber's office to identify an in-network specialty pharmacy that carries Eohilia.
Eohilia is most commonly prescribed by gastroenterologists, allergists/immunologists, and pediatric gastroenterologists. Since eosinophilic esophagitis typically requires an endoscopy with biopsy for diagnosis, you'll generally need to see a specialist before starting Eohilia. Follow-up prescriptions may be managed via telehealth in some cases.
No, Eohilia is not a controlled substance and has no DEA scheduling. It is a prescription-only medication but does not carry the restrictions associated with controlled substances.
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Dupixent (dupilumab)
An FDA-approved biologic (IL-4/IL-13 inhibitor) for EoE, administered by injection. Very expensive at approximately $3,700 per month.
Compounded budesonide slurry
An off-label preparation of budesonide mixed with sucralose, commonly used before Eohilia's approval. May be more affordable but is not FDA-approved for EoE.
Fluticasone propionate (swallowed)
An off-label topical corticosteroid swallowed from a metered-dose inhaler, commonly used for EoE.
Proton pump inhibitors (PPIs)
Omeprazole or pantoprazole are often used as first-line treatment, as some EoE patients respond to acid suppression therapy.
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CYP3A4 inhibitors
moderateKetoconazole, itraconazole, ritonavir, indinavir, saquinavir, erythromycin, and cyclosporine can increase budesonide levels in the body, raising the risk of side effects.
Grapefruit juice
moderateCan increase budesonide levels and should be avoided during treatment.
Eohilia is an important treatment option for patients with eosinophilic esophagitis, offering the first FDA-approved budesonide oral suspension specifically designed for this condition. However, its high cash price of nearly $2,000 per month and limited specialty pharmacy distribution can make access challenging. If you're struggling to find Eohilia, contact Takeda's HELP at Hand patient assistance program or use the manufacturer copay card to reduce costs. Medfinder can help you locate specialty pharmacies that have Eohilia in stock near you.
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