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Novo Nordisk’s Cardiovascular Claim For Wegovy Will Enable Medicare Coverage, CBO Assumes

 
• By Cathy Kelly

Medicare has not issued a policy allowing for Part D coverage of obesity drugs with additional health claims like Wegovy’s. But expectations are growing that it will.

Question May Now Be How Soon Medicare Will Officially Cover The Drug. • Source: Shutterstock

US Food and Drug Administration approval of a cardiovascular benefit claim for Novo Nordisk A/S’s obesity drug Wegovy (semaglutide) may be the answer to gaining Medicare Part D coverage for the drug, according to the Congressional Budget Office.

Wegovy’s new indication, approved 8 March 2024, provides for use of the GLP-1 agonist in combination with a reduced calorie diet and increased physical activity to lower the risk of major adverse cardiovascular events (cardiovascular death, non-fatal myocardial infarction, or non-fatal stroke) in adults with established cardiovascular disease and either obesity or overweight

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