Wegovy to be covered by US Medicare for heart disease patients

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Wegovy to be covered by US Medicare for heart disease patients
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PC party leader attends the protest in support of fishermen | SaltWire #newsupdate #newfoundlandWASHINGTON - Heart patients insured under the U.S. Medicare program would be covered for Novo Nordisk's weight-loss drug Wegovy as long as it is prescribed to reduce their risk of heart attacks and strokes, the agency overseeing the program said on Thursday.

"CMS has issued guidance to Medicare Part D plans stating that anti-obesity medications that receive FDA approval for an additional medically accepted indication can be considered a Part D drug for that specific use," a CMS spokesperson said in an emailed statement. Medicare's coverage of Wegovy opens the drug up to government price negotiations under President Joe Biden's Inflation Reduction Act. CMS has said the prices it negotiates will apply to drugs that share the same active ingredient rather than specific brands.

Medicare is barred from covering certain drugs including those used to treat anorexia, weight loss, and weight gain, under the Social Security Act. CMS said in its guidance that weight loss drugs still cannot be covered when used solely to treat obesity.

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