Pri­vate in­sur­ers de­cline to cov­er Bio­gen's new Alzheimer's drug in es­ca­lat­ing stand­off — re­port

As the fall­out con­tin­ues from the FDA’s con­tro­ver­sial ap­proval of Bio­gen’s new Alzheimer’s drug Aduhelm, some in­sur­ers are re­port­ed­ly un­will­ing to cov­er the high costs as­so­ci­at­ed with the drug.

At least six af­fil­i­ates of Blue Cross Blue Shield across the coun­try have adopt­ed new poli­cies de­scrib­ing Aduhelm as ei­ther “ex­per­i­men­tal” or “in­ves­ti­ga­tion­al,” the Boston Globe re­port­ed Tues­day evening, say­ing the drug falls out­side cov­ered med­i­cines be­cause it re­mains un­der clin­i­cal re­view. The re­port came a day af­ter the Cen­ters for Medicare & Med­ic­aid Ser­vices opened a nine-month re­view process over lim­it­ing cov­er­age of Aduhelm, which is priced at $56,000 per year.

Endpoints News

Unlock this article instantly by becoming a free subscriber.

You’ll get access to free articles each month, plus you can customize what newsletters get delivered to your inbox each week, including breaking news.