Here is i’d answer, though it may not be really satisfactory.

Medicare may provide payment for a second round of Pluvicto, but coverage depends on your specific Medicare plan and whether the treatment is deemed medically necessary. Medicare does not have a National Coverage Determination (NCD) for Pluvicto, so coverage decisions may rely on Local Coverage Determinations (LCDs) or individual assessments. Additionally, prior authorization may be required, and the coding process can affect payment timelines.
To confirm coverage for a second round, consult your Medicare plan provider or the Medicare Coverage Database.