被医保“拒绝”的百万贵药，等来了商保谈判机会

Core Points - The annual National Medical Insurance Negotiation ("Guo Tan") is taking place in Beijing from October 30, lasting about 4-5 days, with a focus on both essential drugs and innovative drugs [1] - A new "Commercial Insurance Innovative Drug Directory" has been established to address the high pricing of new drugs, which will begin negotiations on November 1 [1][2] - The negotiation process for the Commercial Insurance Innovative Drug Directory includes multiple stages such as company application, formal review, expert evaluation, and price negotiation [2] - The expected price reduction for drugs entering the Commercial Insurance Innovative Drug Directory is anticipated to be lower than the 50%-60% average seen in previous negotiations for basic medical insurance, possibly between 10%-30% [3][4] - A total of 79 new drugs have applied for both the basic medical insurance directory and the Commercial Insurance Innovative Drug Directory, indicating a broad coverage of diseases [5][6] Industry Insights - The Commercial Insurance Innovative Drug Directory aims to provide new opportunities for high-priced drugs that previously struggled to enter the basic medical insurance directory [9][10] - The directory is designed to encourage pharmaceutical companies to participate by offering policy commitments that provide greater flexibility in pricing and reimbursement [10][12] - The directory's implementation will require careful consideration of how to balance the interests of various stakeholders, including government departments, insurance companies, and pharmaceutical firms [13][14] - The inclusion of CAR-T therapies in the directory highlights the ongoing challenges and potential for high-priced innovative drugs within the healthcare system [7][8]