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Historical examples of this are drugs like Gleevec that had a high price at release that did not come down with competition

If this same drug also receives FDA approval to treat diabetes or reduce the risk of major adverse cardiovascular events (cardiovascular death, non-fatal myocardial infarction, or non-fatal stroke) in adults with established cardiovascular disease and either obesity or overweight, then it would be considered a Part D drug for those specific uses only Nothing has changed about the underlying rules, but as noted above, some GLP-1 medications have since received FDA approval to treat other medical conditions

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Once-weekly semaglutide as adjunct to automated insulin delivery in adults with type 1 diabetes: a randomised crossover trial