Medicare Coverage for Aduhelm Only in Studies
CMS has issued its long-awaited National Coverage Determination (NCD) on Medicare coverage of only FDA traditionally approved monoclonal antibodies that target amyloid (or plaque) for treating Alzheimer’s disease, which is a significant blow to Biogen’s controversial accelerated approval of Aduhelm (aducanumab). Additionally, CMS says that as part of its NCD it will provide “enhanced access and coverage for people with Medicare participating in CMS-approved studies, such as a data collection through routine clinical practice or registries.”