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Once again, Vertex Pharmaceuticals and a U.K. government agency are at odds over the value of life-saving cystic fibrosis medicines.

In draft guidance published late last week, the National Institute for Health and Care Excellence stated that a groundbreaking treatment called Trikafta and two other cystic fibrosis medications sold by the company offer notable clinical benefits, but are not cost-effective. A final recommendation, though, will not be released until the agency has digested public comments and holds further deliberations.

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The preliminary recommendation does not alter reimbursement for people who have been treated with the Vertex medicines since the company reached a four-year deal with the government in 2019. But if the current agency recommendation is finalized, anyone with the disease — an inherited disorder that causes severe damage to the lungs and other organs — will not have access going forward.

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