| calcipotriene (calcipotriol) (Dovonex, Sorilux)Calcipotriene (US name) and calcipotriol (international name) are the same vitamin D analog. | Generic prescription available | Generic calcipotriene cream, ointment, and solution are available by prescription; also sold in combination with betamethasone (Taclonex and generics). source | Known as calcipotriol in Canada (Dovonex and combinations); prescription-only. source |
| desoximetasone (Topicort)Generic desoximetasone products contain the same corticosteroid as the Topicort brand. | Generic prescription available | Prescription corticosteroid available as generic creams, ointments, gels, and sprays. source | Available by prescription in Canada (Topicort and others). source |
| methotrexate (Trexall, Otrexup, Rasuvo)Methotrexate for psoriasis is the same generic molecule used in rheumatology and oncology, at different doses. | Generic prescription available | Oral tablets and injectable forms are long-established prescription generics. source | Generic methotrexate tablets and injections are available by prescription in Canada. source |
| adalimumab (Humira, Amjevita, Hyrimoz)Biosimilar versions of adalimumab are approved, highly similar alternatives to Humira available in both markets. | Biosimilar available | Humira plus multiple FDA-approved biosimilars (e.g., Amjevita, Hyrimoz, Hadlima) have been marketed since 2023; biosimilars are approved alternatives, not generics. source | Humira and several Health Canada-approved adalimumab biosimilars are marketed in Canada. source |
| etanercept (Enbrel, Erelzi, Brenzys)Etanercept biosimilars are approved in both countries but are actually sold only in Canada; in the US, Enbrel remains the only available version until patent expiry. | Biosimilar available | Only Enbrel is sold in the US; FDA-approved biosimilars (Erelzi, Eticovo) cannot launch until Enbrel patents expire (around 2029). source | Etanercept biosimilars (Brenzys, Erelzi) are marketed in Canada alongside Enbrel. source |
| ustekinumab (Stelara, Wezlana, Selarsdi)Biosimilar versions of ustekinumab became available in the US in 2025 and are also approved in Canada. | Biosimilar available | Stelara plus multiple FDA-approved biosimilars (Wezlana, Selarsdi, Pyzchiva, Yesintek and others) launched during 2025; some are designated interchangeable. source | Health Canada-approved ustekinumab biosimilars are marketed alongside Stelara. source |
| apremilast (Otezla)Apremilast is a small-molecule tablet but currently has no marketed US generic. | Brand-only prescription | Otezla tablets are brand-only by prescription; no generic is currently marketed in the US. source | Otezla is available by prescription in Canada. source |
| crisaborole (Eucrisa)Unlike tacrolimus and pimecrolimus, crisaborole has no generic; all products are the Eucrisa brand. | Brand-only prescription | Eucrisa 2% ointment is prescription-only; no generic is available. source | Eucrisa has been available in Canada since 2018; prescription-only, no generic. source |
| deucravacitinib (Sotyktu)Deucravacitinib is available only as the brand Sotyktu. | Brand-only prescription | Sotyktu tablets (approved 2022) are prescription-only; no generic. source | Sotyktu is marketed in Canada by prescription. source |
| roflumilast (Zoryve, Daliresp)The brand-only psoriasis cream and the generic COPD tablet contain the same molecule in different strengths and routes. | Brand-only prescription | Topical roflumilast (Zoryve cream and foam) is brand-only by prescription; oral roflumilast (Daliresp), approved for COPD, is generic. source | Zoryve cream (2023) and foam are approved by Health Canada; prescription-only. source |
| ruxolitinib (Opzelura, Jakafi, Jakavi)The same molecule is sold as the Opzelura skin cream and as oral tablets (Jakafi in the US, Jakavi in Canada) for different diseases. | Brand-only prescription | Opzelura 1.5% cream is prescription-only and brand-only; the same molecule is sold as oral tablets (Jakafi) for blood disorders. source | Opzelura cream authorized by Health Canada in October 2024 for atopic dermatitis and vitiligo; prescription-only. source |
| tapinarof (Vtama, Nduvra)Vtama (US) and Nduvra (Canada) contain the same tapinarof molecule under different brand names. | Brand-only prescription | Vtama 1% cream (psoriasis 2022, atopic dermatitis 2024) is brand-only by prescription. source | Approved by Health Canada in April 2025 under the brand Nduvra for plaque psoriasis; prescription-only. source |
| bimekizumab (Bimzelx)Bimekizumab is available only as the brand Bimzelx. | Biologic — brand only | Bimzelx (approved 2023) is a prescription biologic; no biosimilar. source | Bimzelx is marketed in Canada by prescription (approved 2022). source |
| brodalumab (Siliq)Brodalumab is available only as the brand Siliq in North America. | Biologic — brand only | Siliq is a prescription biologic dispensed under a REMS safety program; no biosimilar. source | Marketed as Siliq in Canada by prescription. source |
| certolizumab pegol (Cimzia)Certolizumab pegol is available only as the brand Cimzia. | Biologic — brand only | Cimzia injection is a prescription biologic; no biosimilar. source | Cimzia is marketed in Canada by prescription. source |
| guselkumab (Tremfya)Guselkumab is available only as the brand Tremfya. | Biologic — brand only | Tremfya is a prescription biologic; no biosimilar. source | Tremfya is marketed in Canada by prescription. source |
| ixekizumab (Taltz)Ixekizumab is available only as the brand Taltz. | Biologic — brand only | Taltz is a prescription biologic; no biosimilar. source | Taltz is marketed in Canada by prescription. source |
| risankizumab (Skyrizi)Risankizumab is available only as the brand Skyrizi. | Biologic — brand only | Skyrizi is a prescription biologic; no biosimilar. source | Skyrizi is marketed in Canada by prescription. source |
| secukinumab (Cosentyx)Secukinumab is available only as the brand Cosentyx in North America. | Biologic — brand only | Cosentyx is a prescription biologic; no biosimilar is marketed in the US. source | Cosentyx is marketed in Canada by prescription. source |
| tildrakizumab (Ilumya)Tildrakizumab is available only as the brand Ilumya in North America. | Biologic — brand only | Ilumya is a prescription biologic; no biosimilar. source | Marketed as Ilumya in Canada by prescription. source |
| gsk2982772GSK2982772 never advanced beyond clinical trials and is not available anywhere. | Investigational — not approved | Investigational RIPK1 inhibitor; psoriasis trials did not meet efficacy goals and development was discontinued; never approved. source | not verified |
| piclidenosonCF101 is the development code for piclidenoson, which remains investigational worldwide. | Investigational — not approved | Investigational oral A3 adenosine receptor agonist (piclidenoson) in phase 3 psoriasis trials; not approved in any market. source | not verified |