Fi­nal cov­er­age de­ci­sion for some Alzheimer's drugs is al­most here: What to re­mem­ber and what to ex­pect

The wait is al­most over.

The Cen­ters for Medicare and Med­ic­aid Ser­vices some­time in the next few days will fi­nal­ly of­fer its ul­ti­mate de­ci­sion on whether to pay for Bio­gen’s con­tro­ver­sial Alzheimer’s drug and oth­ers that might tar­get the sticky plaques known as amy­loids — a cost­ly ex­pen­di­ture to be sure — even as the drugs have so far failed to es­tab­lish a clin­i­cal ben­e­fit.

Some back­ground: In Jan­u­ary, sev­er­al months af­ter Bio­gen’s R&D chief Al San­drock jumped ship, and not for re­tire­ment, CMS re­leased its draft de­ci­sion say­ing that, start­ing in 90 days, it will on­ly pay for Bio­gen’s Aduhelm and oth­er FDA-ap­proved an­ti-amy­loid mon­o­clon­al an­ti­bod­ies for Alzheimer’s dis­ease un­der CMS-ap­proved ran­dom­ized con­trolled tri­als.

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