Anthem Denies Coverage For Eteplirsen, Citing Lack Of Clinical Efficacy

The move to deny coverage for an approved orphan drug is ‘highly unusual,' NORD VP says. 'We certainly hope this isn’t going to set a precedent.'

National health insurer Anthem Inc. has determined it won’t cover Sarepta Therapeutics Inc.’s drug for Duchenne muscular dystrophy Exondys 51 (eteplirsen) because the drug lacks data showing it is clinically effective.

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