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DiscussionRepatha, side effects and what comes next?
Heart & Blood Health | Last Active: 5 days ago | Replies (80)Comment receiving replies
Replies to "Thanks, Janell, for bringing up Inclisiran. My doctor prescribed it but Medicare would not pay until..."
I plan to ask my doctor to prescribe Leqvio (inclisiran) and was interested to see comments about Medicare lack of coverage. According to the CMS.gov website showing drug pricing, (https://www.cms.gov/medicare/payment/part-b-drugs/asp-pricing-files) Part B (not Part D drug plans) does cover Leqvio, although I'm not sure if Advantage Plans might not put restrictions (such as requiring Repatha step therapy). So it appears that Medicare itself is not obstruction. I guess I'll find out of Traditional Medicare also requires step therapy prior to covering inclisiran. I'm curious if others on Medicare who take inclisiran have other experiences with this drug.