CMS Eyes Coverage For OTC Preventive Services Without Prescription, Seeks Input

By Amy Lotven / September 29, 2023 at 7:08 PM
The Biden administration said Friday (Sept. 29) it intends to require individual and group health plan issuers, including employer plans, to cover over-the-counter preventive services without cost-sharing or a prescription, including birth control, tobacco cessation products and breastfeeding supplies, and seeks stakeholder input on potential challenges. The policy shift comes months after FDA approved the first OTC birth control product, at which time CMS affirmed that plans were not required to cover those products without a prescription under the Affordable...

Not a subscriber? Sign up for 30 days free access to exclusive, detailed reporting on drug pricing reforms, Medicaid policy, FDA news and much more.