regulatory
confidence high
sentiment negative
materiality 0.80
CMS denies Caldolor separate Medicare reimbursement under NOPAIN Act for CY2025
CUMBERLAND PHARMACEUTICALS INC
- CMS excluded Caldolor from NOPAIN Act separate payment list announced Nov 1, 2024 for CY2025.
- CMS concluded Caldolor does not qualify because FDA indication lacks mention of post-operative use.
- Company submitted comments in July 2023 and July 2024 arguing Caldolor meets statutory requirements.
- Company says majority of Caldolor use is surgical and FDA approval based on post-surgical pain studies.
- Cumberland is evaluating options; calls CMS determination inconsistent with NOPAIN Act intent.