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Experts underscore "pull" incentives to boost profits.
The drug, which was FDA-approved last month, went toe to toe with moxifloxacin.
The FDA proposes a 2-year implementation period after it finalizes the guidance.
A letter argues that the EPA has ignored other federal agencies and scientific evidence.
Lefamulin approval was supported by two phase 3 trials involving moxifloxacin.
The shorter, simpler regimen with the new drug is poised to improve treatment against a difficult disease and to lower costs.
The report shows a substantial drop in the use of nearly all medically important antibiotics from 2013 to 2017.
CMS will boost payments for the use of new antibiotics and for treating patients who have drug-resistant infections.
Officials have confirmed 127 cases in 33 states, and 26 people have been hospitalized.
One patient is dead and one ill after contracting drug-resistant E coli after FMT.
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