FDA Approves First Rapid-Acting Insulin Biosimilar: MerilogTM (insulin aspart-szjj)

On February 14, 2025, the FDA approved the first rapid-acting insulin biosimilar, MerilogTM (insulin aspart-szjj) manufactured by Sanofi Aventis. MerilogTM is expected to reach the U.S. market in July 2025 and will require prescriber approval before pharmacies can substitute for other insulin aspart products such as Fiasp® or NovoLog®.

MerilogTM is the third insulin biosimilar approved by FDA (along with RezvoglarTM and Semglee®).

PAAS Tips:

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  • Review the November 2024 article, Understanding Biologic Substitutions – New Tool Available! for a refresher on terms used to describe biologic products such as reference product, biosimilar, and interchangeable
  • Remember to document prescriber approvals for substitution with a clinical note on the prescription or in your pharmacy software

Eric Hartkopf, PharmD