The IL-23 class is splitting
across two benefits at once

Anti-IL-23

The dual-benefit claims analysis

$47.3B in 2025 gross claims. One molecule split three ways. The first oral IL-23 agent. And a class that moved from dermatology to gastroenterology without anyone calling it.

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The class
A $47.3B class no single benefit can see.

IL-23 is a signalling protein that drives inflammation in psoriasis, psoriatic arthritis and inflammatory bowel disease; blocking it is how this class works. It is built from two subunits, and which one a drug targets defines the generation. p40 agents bind a subunit IL-23 shares with IL-12, so they switch off both pathways — that is Stelara and its biosimilars. p19 agents bind the subunit unique to IL-23, hitting one pathway instead of two — Skyrizi, Tremfya, Ilumya, Omvoh.

885K
Patients
$47.3B
Gross spend, 2025
1.9M
Pharmacy claims, 2025
90K
Medical admins, 2025
Where the class is dispensed
Patients, by benefit path
Pharmacy claims by mechanism
p40 (Stelara family) vs p19-selective

2026 is excluded from year-over-year comparisons throughout: the panel is capped at 2026-06-30, so it is a half year.

The shift
p19-selective agents overtook the p40 originator in 2022 — and never gave it back.

One molecule, three products

Stelara now competes against its own authorized generic and eight ustekinumab biosimilars. The p40 line on this chart is all three combined.

p19 is not one drug

Skyrizi, Tremfya, Ilumya and Omvoh are four distinct launches with different indications and different routes.

The class moved to GI

What began as a dermatology class is now majority inflammatory-bowel-disease by diagnosed patients — see the indication slide.

p19 agents accounted for 74.2% of all class events in 2025, across both benefits.

Pharmacy claims by mechanism
Full calendar years only
2.4K
p19, 2017
1.4M
p19, 2025
The contest
Skyrizi leads the class. The ustekinumab molecule is fragmenting beneath it.
Pharmacy claims by product
2025, full year
Class leader vs legacy originator
2025 pharmacy claims
Skyrizi (risankizumab)
891K
48.1% share
Stelara (brand)
420K
22.6% share
All agents
2025 pharmacy claims
Skyrizi (risankizumab)
891,480
Tremfya (guselkumab)
465,575
Stelara (brand)
420,006
Ustekinumab biosimilar
65,798
Omvoh (mirikizumab)
7,165
Ilumya (tildrakizumab)
4,113
Ustekinumab authorized generic
1,067

Stelara, Janssen's own authorized generic and 8 FDA-approved biosimilars all deliver the same molecule — ustekinumab. Shown apart, the brand still holds 22.6% of class claims while biosimilars have taken 3.5% in their first full year. Added back together the molecule still trails Skyrizi by 405K pharmacy claims. Entry is more concentrated than the count suggests: two products carry 78.4% of biosimilar volume.

Launch ramps
Monthly pharmacy volume, from first fill.
Pharmacy claims per month
Each agent from its own first fill · p19 next-gen vs the p40 incumbent · panel capped at 2026-06-30
Skyrizi (risankizumab) · p19
Tremfya (guselkumab) · p19
Stelara (brand) · p40
Ustekinumab biosimilar · p40
891K
Skyrizi claims, 2025
420K
Stelara claims, 2025
2017
Tremfya launches — the first p19-selective agent.
2019
Skyrizi launches and begins the fastest ramp in the class.
2023
Skyrizi IV induction appears on the medical benefit for inflammatory bowel disease.
2025
First US ustekinumab biosimilar fill (Wezlana, January).
2026
Icotyde — the first oral IL-23-receptor agent — reaches patients in March.

The signal: Biosimilars crossed the Stelara brand on monthly pharmacy claims in April 2026 — sixteen months after the first US biosimilar fill.

Real-world dosing
Observed intervals match the label, agent by agent.

Median gap between consecutive fills for the same patient. No dosing schedule was supplied to the query — the regimens below were recovered from refill timing alone, and 5 of 7 agents land their most common gap exactly on the label interval.

Observed median interval vs. the label
Days between consecutive pharmacy fills · marker = label maintenance interval
Omvoh (mirikizumab) p19 1,528 patients · median 28 d · mode 28 d · label 28 d
Ustekinumab authorized generic p40 1,180 patients · median 47 d · mode 28 d · label 56 d
Ustekinumab biosimilar p40 29,751 patients · median 49 d · mode 28 d · label 56 d
Tremfya (guselkumab) p19 203,234 patients · median 55 d · mode 56 d · label 56 d
Stelara (brand) p40 256,382 patients · median 57 d · mode 56 d · label 56 d
Skyrizi (risankizumab) p19 350,307 patients · median 79 d · mode 84 d · label 84 d
Ilumya (tildrakizumab) p19 3,533 patients · median 85 d · mode 84 d · label 84 d
28d · 4 wk56d · 8 wk84d · 12 wk
Observed median gap Label maintenance interval

The signal: the median runs slightly under label because refill gaps measure acquisition — patients collect before running out. The mode is the sharper read, and it lands on 28, 56 and 84 days: exact 4-, 8- and 12-week multiples, recovered from claim timing alone. Icotyde is excluded — a daily oral has no comparable interval, and with 890 intervals across four months its modal gap reads as launch noise.

Indication mix
A dermatology class that became a gastroenterology class.
Diagnosed patients by indication

2025, full year. Counted per diagnosis, not per patient — one patient can carry more than one, so shares are of recorded diagnoses.

Each drug crossed at a different time

Stelara crossed in 2019: by 2025, 79.9% of its recorded diagnoses were Crohn’s or colitis rather than psoriasis. Skyrizi and Tremfya are climbing but have not crossed — 47.9% and 32.1%. Skyrizi’s Crohn’s population went from 7 patients in 2019 to 33,708. Biosimilars inherit the skew at 79.7%.

These counts cover patients with at least one medical claim carrying a relevant diagnosis — roughly 40% of the treated base. Read the shares as shares of the diagnosed subset.

Who administers
Three specialties, not one.

Anti-VEGF is a retina story and SGLT-2 a primary-care one. IL-23 splits across three specialties treating three different diseases with the same molecules — and gastroenterology now administers 48.9% of medical-benefit volume against dermatology's 6.1%, the clearest single measure of where this class has moved.

Medical-benefit administrations by injector specialty
2025 and prior, to the panel cut · NUCC taxonomy on the administering NPI
6 agents carry medical-benefit volume: Ilumya, Omvoh, Skyrizi, Stelara, Tremfya, Ustekinumab biosimilar. Icotyde (oral) and the ustekinumab authorized generic are pharmacy-only and never appear here.
Gastroenterology
48.9%
Rheumatology
6.2%
Dermatology
6.1%
Internal medicine
3.4%
Pediatrics
0.3%
Other (unclassified)
35.2%
Bars are shares of all 334,421 administrations; bar length is relative to the largest specialty. Other is taxonomy codes that do not resolve to a mapped specialty root, shown last rather than by rank.

The signal: a class with three prescriber populations has three formulary fights, three sales forces and three competitive sets. Read it as one dermatology market and the gastroenterology volume — the larger and faster-growing half — is invisible. Medical benefit only: pharmacy claims do not carry a provider specialty, so they are excluded here rather than shown as a spurious category.

Site of care
IV induction is an office procedure, not a hospital one.

Where the class’s intravenous administrations actually happen, 2025 full year. Covers the 5 agents with intravenous volume: Omvoh, Skyrizi, Stelara, Tremfya, Ustekinumab biosimilar.

IV administrations by site
Office
57.6%
Other
29.3%
Hospital Outpatient
13.1%
Of IV administrations
delivered in an office
57.6%
39,730 administrations

A meaningful share of rows resolve to Other — the place-of-service field is a proprietary numeric scheme and is sparsely populated. Treat the office share as a floor.

Payer mix
Commercial pays for most of the class.

Pharmacy claims by payment type, 2025 full year. All 7 agents in the class: Ilumya, Omvoh, Skyrizi, Stelara, Tremfya, Ustekinumab authorized generic, Ustekinumab biosimilar.

Pharmacy claims by payer
2025, all agents
Commercial
1,395,472
Medicare
253,893
Medicaid
111,635
Other
94,204
Share of claims

Commercial concentration

75.2% of 2025 pharmacy claims are commercial — a higher concentration than most specialty classes, and the reason formulary decisions move this market so quickly.

Post-LOE erosion
Sixteen months from first biosimilar fill to crossover.
Ustekinumab molecule, monthly pharmacy claims
Originator vs authorized generic vs biosimilars
Stelara (originator)
Biosimilars
Authorized generic
55.9%
Biosimilar share of molecule
44.1%
Retained by Janssen (brand + AG)
17
Months since first biosimilar fill
2025-01
Wezlana (Optum/Nuvalia) — first US biosimilar fill in the panel.
2025-05
Janssen launches its own unbranded authorized generic.
2026-04
Biosimilars overtake the Stelara brand on monthly claims.

The signal: Share is computed on claim volume, not spend.

Who is treated
A working-age class, with one Medicare outlier.
Patients by age band
All-time
Sex split · All-time
Female · 53%
Male · 47%

Ilumya is a Medicare drug

65.6% of Ilumya patients are 65 or older — by far the sharpest age skew in the class, and consistent with its Medicare-dominant medical-benefit payer mix.

A working-age base

The 35–64 bands carry most of the class — psoriatic disease and inflammatory bowel disease both present in mid-life, and the treated population sits well below Medicare age outside the Ilumya exception.

Every patient in the panel, not a single year — so the newest agents are represented and the counts are lifetime rather than annual. They will therefore run higher than the calendar-year slides. Patients under 18 are excluded from the age chart, and records with no recorded sex are excluded from the split.

Geography
Where IL-23 patients are.
Patients by state
All-time
Lower
Higher
Tap a state
total claims
NY
70K · #1
TX
69K · #2
FL
62K · #3
CA
61K · #4
PA
43K · #5

Masked and null state codes are excluded from the map rather than shown as a state.

Validation · against the filings
Claim volume explains the reported dollars.

Every point below pairs one year of IMX pharmacy claims with the US net sales the manufacturer filed with the SEC for that same year. Nothing is fitted to make them agree — the claims come from the panel, the dollars from the 10-K.

IMX pharmacy claims vs. reported US net sales — 3 agents
One point per agent-year · dashed line = ordinary least squares

Plotted: Skyrizi, the class's fastest-growing franchise. Reported sales are an external benchmark from public filings, not an IMX figure. Stelara is scored to 2024 because its biosimilars reset net price in 2025 — that shift is the next slide.

Skyrizi 2019–2025 R² 0.993
Tremfya 2019–2025 R² 0.979
Stelara 2019–2024 · pre-biosimilar R² 0.901

R² is the share of the year-to-year variation in reported sales that claim volume alone explains. 1.000 would be a perfect straight line.

The signal: across three franchises and seven years, claim volume tracks the filed top line almost exactly. The panel is not a proxy for the market — it is a monthly read on the same quantity the annual report confirms twelve months later.

What's coming
The class is still adding patients
faster than it is adding doses.
2026
The first oral lands. Icotyde reached patients in March 2026. An oral IL-23 agent removes the injection barrier — watch whether it expands the treated population or substitutes within it.
2026–2027
Ustekinumab keeps fragmenting. Eight biosimilars and a Janssen authorized generic are already splitting the molecule. The volume stays in the class; the dollars move.
2026–2028
Inflammatory bowel disease keeps pulling the class. Gastroenterology already administers the plurality of medical-benefit volume, and every label expansion into Crohn’s disease and ulcerative colitis compounds it.
2028+
The next exclusivity cliff. Tremfya and Skyrizi carry the class today. When their exclusivity turns, the ustekinumab curve is the template for what follows.
IL-23 class volume — trajectory
Events (millions) · 2016–2025 IMX actuals · 2026–2030 projected at the recent growth rate

The through-line: growth is patients, not intensity — patients up ~27%/yr while events per patient held flat at ~4.0. At that rate the class reaches ~6.4M events by 2030 (dashed). Growth has decelerated from ~40%/yr since 2016, so read it as a path, not a floor.

1.9M
2025 class
events
~6.4M
Projected events
2030
27%
Patient growth
per year
The class is moving.
Are you seeing
both halves?

IMX Data delivers the claim-level depth behind the p40-to-p19 handover.

Every agent  ·  Every benefit  ·  Every patient.