新增商保创新药目录！2025年医保目录调整启动

Core Points - The adjustment of the national basic medical insurance drug catalog for 2025 has officially started, with a notable addition of a commercial health insurance innovative drug catalog [1][4] - The focus of the 2025 adjustment will be on areas where basic catalog coverage is insufficient, such as encouraging the development of pediatric and rare disease medications [3][4] - Over the past seven years, the national basic medical insurance catalog has undergone regular and dynamic adjustments, successfully negotiating and including a large number of life-saving drugs at reasonable prices [3][4] Group 1 - The 2025 adjustment aims to fill clinical medication gaps and provide better support for patients [3][4] - A total of 835 new drugs have been added to the national basic medical insurance catalog, covering various fields including cancer, chronic diseases, and rare diseases [3][4] - 438 drugs that are ineffective, prone to abuse, or have been eliminated from clinical use have been removed from the catalog, resulting in a more rational structure [3][4] Group 2 - The newly introduced commercial health insurance innovative drug catalog serves as a supplement to the basic catalog, allowing for the inclusion of innovative drugs that cannot yet be reimbursed by the basic insurance [4][5] - Drugs approved for marketing within the last five years or exclusive drugs for rare diseases can be submitted for the commercial health insurance innovative drug catalog [5][6] - The process for a drug to enter the commercial health insurance innovative drug catalog involves expert review and price negotiations among the national medical insurance bureau, commercial insurance companies, and pharmaceutical enterprises [6]