CMS Proposes Rule That Could Leave Antidepressants ‘Unprotected’

January 20th, 2014 by Qui Tam

The Centers for Medicare & Medicaid Services released a proposed rule this week that could allow Medicare Part D plans to curtail coverage for antidepressants.

The rule would remove antidepressants and immunosuppressants from so-called “protected” status in 2015 and would potentially ax antipsychotics from the list a year later.

For classes of drugs that are on protected status, plans must carry all “or substantially all” of the drugs in that class on their formularies.

The new rule will be published in the Federal Register on January 10.  Comments are due by March 7.

Leave a Reply