tci Part B Insider - 2005 Issue 6

Coverage: 'Off-Label' Cancer Drug Trials May Run Off Rails, Providers Worry

Some think that expansion will actually derail 2000 advanceA Medicare coverage decision to expand coverage for some chemotherapy drugs should seem like a good thing.But the Centers for Medicare and Medicaid Services' plan to boost coverage for four colorectal cancer drugs ignited a blaze of controversy. CMS proposed to cover routine patient care costs of clinical trials involving "off-label" uses of oxaliplatin, irinotecan, bevacizumab and cetuximab. The nine clinical trials would look into the effectiveness of these drugs in non-recurring colorectal cancer. Medicare already covers the drugs for colorectal cancer that resists other treatments.But cancer providers worried...

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