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Trial-Only Medicare Coverage Proposed For PET Alzheimer’s Scans

Beta amyloid positron emission tomography scans to help diagnose dementia would only be covered by Medicare as part of a clinical trial under a proposed national coverage decision. Eli Lilly requested broader coverage for its Amyvid PET imaging agent.

CMS is proposing to limit coverage of beta amyloid positron emission tomography to help diagnosis dementia and neurodegenerative disease only to patients enrolled in qualifying clinical trials. The decision is a setback for Eli Lilly & Co. and its PET imaging agent Amyvid.

Last July, Lilly requested that CMS reconsider its national non-coverage policy for beta amyloid PET scans. CMS initiated a national coverage analysis on the topic in October. (See Also see...

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