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NHIA Comments on Proposed EIP LCD

September 5, 2025

NHIA submitted comments to the DME MAC medical directors regarding their proposed local coverage determination (LCD) for external infusion pumps (EIPs). DL33794 would expand Medicare Part B coverage for blinatumomab (Blimcyto®, Amgen) for certain indications. NHIA agrees that the expanded access meets the EIP qualifying criteria, but registered concerns about the fragmentation between the DME-infused drug benefit and the HIT services benefit and its lack of sufficient coverage for pharmacy services. NHIA also asked for clarification regarding provider’s ability to use non-proprietary infusion pumps to administer foscarbidopa/foslevodopa (Vyalev™, Abbvie) in the event of a supply chain issue.

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