Medicare Coverage Of PET Pharmaceutical Agents Needs Revamp, Industry Says

A broad range of stakeholders are asking CMS to remove national non-coverage language for newly approved radiopharmaceuticals used in positron emission tomography to allow speedier access to new tools for diagnosing Alzheimer’s and other diseases.

The device industry, specialty societies and other stakeholders say CMS should open up coverage for all FDA-approved radiopharmaceuticals for use in positron emission tomography as soon as they come on the market and not limit them to the four diagnostic agents singled out for Medicare coverage.

“We strongly believe that future FDA approved imaging agents should not be non-covered by Medicare following FDA approval,” the World Molecular Imaging Society writes in Aug. 8 comments to CMS

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