问真相丨“医保可报销药品仅占2%”，谣言因何而来？医保可报销药品占比该怎么算？

Core Viewpoint - The recent claim that only 3,159 out of over 150,000 approved drugs are included in the national medical insurance directory, representing only 2%, is misleading and based on different statistical standards [1][2]. Group 1: Drug Approval and Insurance Coverage - The National Medical Insurance Bureau clarified that the comparison of the number of approved drugs and those in the insurance directory is flawed due to differing statistical criteria [1][3]. - The number of drugs in the insurance directory (3,159) is based on active ingredients, while the total approved drugs (over 150,000) includes multiple brand names and approval numbers for the same drug [2][3]. - When standardized, the number of approval numbers for the drugs in the insurance directory exceeds 70,000, accounting for approximately 63% of the drugs with sales records in the market [3][6]. Group 2: Drug Directory Adjustments and Clinical Relevance - The National Medical Insurance Bureau has adjusted the drug directory for seven consecutive years, adding 835 drugs and removing 438 that are ineffective or outdated [4][5]. - The current directory includes essential drugs for major diseases, with a focus on maintaining a balance between clinical necessity and economic feasibility [5][6]. - The quality and structure of the drugs in the insurance directory have improved significantly, with a more reasonable cost level and enhanced coverage [6]. Group 3: Policy Implications and Future Considerations - The insurance policy aims to provide basic drug coverage while considering the financial capacity of the insurance fund and the overall social burden [6]. - The focus is on optimizing the structure of the drug directory rather than merely increasing the percentage of covered drugs, emphasizing the importance of addressing significant health needs, especially for chronic diseases [6].