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Biogen’s Aduhelm Competitors Boosted By Final CMS Coverage Decision

Eisai, Roche, Lilly Will Have Efficacy Data Much Sooner

 
• By Mandy Jackson

The Center for Medicare and Medicaid Services’ final decision on Medicare coverage favors anti-amyloid antibodies approved for Alzheimer’s disease based on efficacy rather than biomarker data.

rear view of asian senior man sitting outdoors in wheelchair
Medicare coverage of Aduhelm remains restricted to Alzheimer's patients in clinical trials • Source: Alamy

The Center for Medicare and Medicaid Services' final national coverage determination for amyloid-clearing monoclonal antibodies does not open the door further for Biogen, Inc.’s Aduhelm (aducanumab), but it will provide a boost for other Alzheimer's disease candidates. 

The national coverage determination (NCD) maintains CMS's decision to only allow Medicare coverage of products with accelerated approval from the US Food and Drug Administration when Alzheimer’s patients are enrolled...

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