Medicare And Alzheimer’s Drugs: Recent NCDs Mainly Omit Research Requirement, Biogen Notes

Biogen suggests potential precedents in past coverage decisions for upcoming Medicare determination on Aduhelm and other amyloid-directed monoclonal antibodies during earnings call.

Reading The Tea Leaves On Upcoming Medicare Coverage Decision • Source: Alamy

Most of the Medicare national coverage determinations for drugs issued by the Centers for Medicare and Medicaid Services over the past 20 years did not condition reimbursement on further evidence development, Biogen, Inc. US president Alisha Alaimo pointed out.

That could suggest that CMS will not require further evidence generation for Biogen’s recently-approved drug for Alzheimer’s disease Aduhelm, or...

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