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All New ESRD IV Drugs Should Get Break From Medicare Payment Bundle – Amgen

 
• By Cathy Kelly

CMS should not limit proposed transitional payments for IV and injectable ESRD drugs based on the current criteria for bundling, Amgen says. Company's approach could benefit its new IV caclimimetic drug candidate.

All new intravenous and injectable drugs for patients with end-stage renal disease should be allowed two years of transitional payments from Medicare Part B before being lumped in with other drugs reimbursed under the ESRD payment bundle, Amgen Inc. argues in Aug. 25 comments to the Centers for Medicare and Medicaid Services.

More specifically, CMS should not limit the transitional payments to only those drugs that would not fall into one of the 11 “functional” categories of treatments currently

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