Biogen’s Plea To Medicare: Just Cover The Aduhelm Clinical Trial Population

Company discusses its strategy for negotiating a change in the recently-proposed Medicare coverage decision for Alzheimer’s drugs during a presentation to analysts.

Medicare Is US Gatekeeper For Alzheimer's Drug Access • Source: Alamy

Biogen, Inc. will push the Centers for Medicare and Medicaid Services to change its draft national coverage determination for currently marketed and future amyloid-directed Alzheimer’s drugs to allow coverage for the types of patients that were studied in the company’s trials, without any requirement for further research, executives said during a 13 January call with investors.

The company strongly opposes limiting coverage to patients participating in new randomized controlled trials under a policy known as coverage with evidence development (CED), as CMS has proposed

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