W

ASHINGTON — Medicaid must cover drugs that the Food and Drug Administration has approved with a lower standard of evidence through its “accelerated approval” program, the Centers for Medicare and Medicaid Services said Wednesday in a letter to states.

This announcement comes at a time when state Medicaid agencies and private insurers are trying to figure out what to do about high-priced drugs with unclear benefits. One example is Exondys 51, Sarepta’s treatment for Duchenne muscular dystrophy, which can cost $300,000 a year. Some patients have struggled to get this drug covered by Medicaid, even though Medicaid is supposed to cover all FDA approved outpatient drugs after the state program signs a pricing agreement with the company.

Unlock this article by subscribing to STAT Plus today. Try it FREE for 30 days and cancel anytime!

SUBSCRIBE TODAY

What is it?

STAT Plus is a premium subscription that delivers daily market-moving biopharma coverage and in-depth science reporting from a team with decades of industry experience.

What's included?

  • Authoritative biopharma coverage and analysis, interviews with industry pioneers, policy analysis, and first looks at cutting edge laboratories and early stage research
  • Subscriber-only networking events and panel discussions across the country
  • Monthly subscriber-only live chats with our reporters and experts in the field
  • Discounted tickets to industry events and early-bird access to industry reports

Leave a Comment

Please enter your name.
Please enter a comment.

Sign up for our Morning Rounds newsletter

Your daily dose of what’s new in health and medicine.

Privacy Policy