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Budget Bill Makes End Run Around Medicare Payment Policy For Omidria, Amyvid

 
• By Cathy Kelly

Surprise provision directs favorable Medicare Part B reimbursement for a handful of therapeutics beginning later this year.

Female athletes running towards finish line on track field

A provision in the US omnibus budget bill circumvents Medicare Part B reimbursement policy by reinstating "pass-through" payments in certain narrowly drawn circumstances.

The bill is a disappointment to the broader bioharma industry in that it does not provide a hoped-for reduction in Medicare Part D discounts required for branded drugs. Also see "No Deal: Omnibus Spending Bill Moves Without Part D Discount Relief" - Pink Sheet, 23 March, 2018

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