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No Medicare Drug Coverage for ‘Off Label’ Use (access required)

An Alexandria U.S. District Court upholds denial of Medicare Part D coverage for myco­phenolate mofetil, brand name CellCept, for off-label treatment of systemic sclerosis with interstitial lung disease and pulmonary fibrosis; although an ALJ found the drug should be covered ...

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One storm, two claims for coverage (access required)

Ice Storm Icy Branch FEA

When an ice storm knocked trees onto the porch of her barn in March of 2013, ClaraBelle Wheeler thought she could handle the matter herself. After inspecting the damage, she paid cash to a couple of “day laborers” to make ...

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