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Cancer Support

Silent Type

(10,826 posts)

1. Don't have a definitive answer, but Medicare will cover some off-label use, clinical trials, etc. And

Reply to pnwmom (Original post)

Tue Aug 5, 2025, 11:00 PM

Aug 5

manufacturers do offer coupons sometimes and they might offer assistance in getting off-label approval.

Medicare also has coverage policies for getting exceptions that an attorney might be able to expedite:

Here’s an example, and there are others: https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33394&ver=54&

Sorry about your friend, hope something works.

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Has anyone had experience with higher appeals for the use of cancer drugs off label? [View all] pnwmom Aug 5 OP

Don't have a definitive answer, but Medicare will cover some off-label use, clinical trials, etc. And Silent Type Aug 5 #1