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Core Insights - The first version of the commercial insurance innovative drug directory has been officially released, listing 121 drugs, marking the approach of a "dual directory" era [1] - The inclusion of commercial health insurance in the directory system by the National Medical Insurance Administration breaks the previous single payment model, providing a new pathway for innovative drugs to overcome payment bottlenecks in clinical applications [1] - The "first commercial insurance, then basic medical insurance" model allows innovative drugs to accumulate real-world data before considering inclusion in the basic medical insurance directory [1] Industry Perspective - The past decade has seen transformative changes in China's innovative drug sector, driven significantly by government policies, yet there are still notable gaps in the commercial logic of the industry [2] - Even innovative drug companies with a market value of 10 billion yuan may struggle to achieve profitability, indicating deficiencies in the payment system [2] - The development of commercial insurance in the payment sector is crucial for establishing a complete commercial loop for innovative drugs, which is essential for sustainable industry growth [2] Company Strategies - Companies like Fosun Pharma have multiple products listed in the initial review of the commercial insurance innovative drug directory, including the CAR-T therapy, which has faced challenges in entering the basic medical insurance negotiations [2][3] - The uncertainty surrounding the commercial insurance system includes issues related to fairness, price negotiation, and the lack of mature operational experience [3] - Companies are exploring differentiated pricing strategies based on pharmacoeconomic evaluations to ensure that patients have access to medications while maintaining profitability [5][6] Regulatory Environment - The "Support Measures for High-Quality Development of Innovative Drugs" outlines how to reasonably determine the medical insurance payment standards for innovative drugs, emphasizing the use of pharmacoeconomic methods [7] - This policy direction aims to balance the demands of the medical insurance fund's sustainability with the recognition of the research and clinical contributions of innovative drugs [7]