2025年国谈落幕：双目录同步，创新药目录降价建议区间或为15%～50%

Core Insights - The national medical insurance negotiation concluded with significant changes, including the introduction of an innovative drug directory and a new price negotiation mechanism involving both domestic and foreign pharmaceutical companies [1][15] - The negotiation focused on price reductions ranging from 15% to 50%, with a particular emphasis on CAR-T therapies, which are expected to have a limited number of entries in the innovative drug directory [1][3][15] Group 1: Innovative Drug Directory - The innovative drug directory negotiation was a first, allowing for a new pricing negotiation mechanism between pharmaceutical companies and commercial insurance [1][15] - The number of drugs entering the innovative drug directory is expected to be limited, with estimates suggesting around 20 drugs may be included [1][3] - CAR-T therapies are a focal point, with successful negotiations reported for some products, indicating a competitive landscape for pricing [3][4] Group 2: Pricing Strategies - Pharmaceutical companies are presented with options to report under different categories, influencing their pricing strategies and negotiation approaches [2][10] - The negotiation dynamics reveal a split in strategies, with some companies prioritizing market share through price reductions, while others aim to maintain premium pricing for innovative products [10][11] - The expected price reductions for CAR-T therapies are under scrutiny, with some companies indicating that achieving a reduction below 15% may be challenging [3][4] Group 3: Commercial Insurance Impact - The introduction of the innovative drug directory is seen as a potential game-changer for how CAR-T therapies are covered under commercial insurance, although the actual impact remains to be seen [5][15] - There is skepticism regarding the inclusion of rare disease drugs in the commercial insurance directory, as insurers are less inclined to cover high-cost, low-volume medications [14][15] - The overall goal of the negotiations is to establish a sustainable market-based payment mechanism for innovative drugs, leveraging both public and commercial insurance [15]