Aduhelm In Medicaid: States Must Cover, CMS Official Says

Medicaid’s pharmacy director says the Biogen Alzheimer’s drug is ‘currently a covered outpatient drug.’ As the payer of last resort, Medicaid could find itself significantly impacted by a Medicare national coverage decision.

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The US Medicaid program is emphasizing that Biogen, Inc./Eisai Co., Ltd.’s Aduhelm (aducanumab) for Alzheimer’s disease must be a covered outpatient drug as the manufacturer has a drug rebate agreement with the program.

The Center for Medicare and Medicaid Services is advising states they must cover Aduhelm under existing participation by Biogen in...

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