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Medicare And Alzheimer’s Drugs: Pressure To Relax Coverage Restrictions Rising Wtih Donanemab Data

 
• By Cathy Kelly

Lilly's donanemab may be the second amyloid-targeting drug for Alzheimer’s headed toward a traditional US Food and Drug Administration approval this year, setting up a showdown with Medicare over its coverage with evidence development requirements.

The Heat Is On Medicare • Source: Shutterstock

Eli Lilly and Company’s recently released topline results from its pivotal Phase III trial on donanemab in Alzheimer’s disease showed a significant clinical benefit, bolstering the company’s position that the Centers for Medicare and Medicaid Services should allow unrestricted Medicare coverage once the drug is approved.

Early results from Lilly’s TRAILBLAZER-ALZ 2 trial, released 3 May, show a 35% slowing in clinical cognitive decline for early...

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