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The OSA pathway as a coverage alternative The December 2024 FDA approval of tirzepatide for moderate-to-severe obstructive sleep apnea created a parallel coverage pathway
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“CMS has issued guidance to Medicare Part D plans stating that anti-obesity medications that receive FDA approval for an additional medically accepted indication can be considered a Part D drug for that specific use,” the spokesperson explained, adding that Medicare coverage “is still not available” to patients only taking the drug to lose weight
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