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Trump Admin Strikes GLP-1 Drug Deal, Medicare Coverage For Weight Loss To Launch Through CMS Pilot

The Trump administration publicly announced its expected deal with Eli Lilly and Novo Nordisk to lower prices on their blockbuster GLP-1 drugs in exchange for Medicare and Medicaid coverage, with an Eli Lilly spokesperson confirming that Medicare coverage for weight-loss indications will be offered through a CMS pilot program that has yet to be announced.

CMMI To Launch Model Bringing MFN Pricing To Medicaid

Novo, Lilly Among Six New Recipients Of Priority Review Vouchers

FDA To Reveal Next CNPRV Recipients Today, Roll Out New Drug Policy Reforms Within Three Months

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Trump’s Imminent GLP-1 Deal Touted As ‘Win-Win’ For Cutting Prices By Boosting Coverage

The Trump administration’s planned Thursday announcement that Novo Nordisk and Eli Lilly will offer obesity drugs at $149 per month through TrumpRx is touted by an industry expert as a “brilliant” move by the president to achieve a significant price cut in the popular drugs by giving the drug makers an opportunity to significantly boost sales via a new Medicare coverage policy and on the TrumpRx platform.

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The status of a potential pathway out of the 37-day government shutdown remained foggy Thursday (Nov. 6) with House Republicans refusing to commit to a vote on a package that could extend the expiring enhanced ACA subsidies.

Amgen has filed a second lawsuit against the Colorado Prescription Drug Affordability Board (PDAB) after the body voted in favor of implementing an upper payment limit (UPL) on Amgen’s immune system drug Enbrel in October, saying the action is “unconstitutional” and that it will decrease access to patients but doesn’t explain how.

FDA could resume its normal activities and have full-year appropriations finalized under a potential deal to reopen the government reportedly being floated by Senate appropriators.

The American Academy of Pediatrics and other organizations are amending their lawsuit against HHS Secretary Robert F. Kennedy Jr. to demand his hand-picked CDC vaccine advisors be dismissed, saying their selection based on political considerations with minimal vetting was illegal and the panel must be reconstituted with court supervision.

As applications close at midnight Wednesday (Nov. 5) for the GOP megabill’s rural health fund, CMS Administrator Mehmet Oz says all 50 states plan to apply -- and one state is touting its proposals to improve nutrition, strengthen the rural workforce and use telehealth to promote coordination of health care within rural communities.