Advisory Board March 25, 2024
CMS on Thursday announced that Medicare Part D drug benefit plans can cover weight-loss drugs for patients who have a history of heart disease and are using the drugs to prevent heart attacks and strokes.
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Medicare will cover certain weight-loss drugs
Currently, federal law prevents Medicare Part D plans from covering obesity medications for weight loss alone. However, CMS’ new guidance states that Medicare Part D plans can cover anti-obesity medications provided the drugs receive approval for “an additional medically accepted indication.”
“For example, a drug that receives FDA approval for chronic weight management alone would not be considered a Part D drug,” CMS said. “[But] if this same drug...
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