首版医保“双目录”出炉！新增药品超四成为一类创新药，CAR-T等19种药品进商保创新药目录

Core Insights - The release of the 2025 National Basic Medical Insurance, Maternity Insurance, and Work Injury Insurance Drug Catalogs marks a significant step in enhancing drug accessibility and innovation in China, with a total of 114 new drugs added to the basic insurance catalog, including 50 innovative drugs, achieving an overall success rate of 88%, up from 76% in 2024 [1][5][9]. Summary by Sections Basic Medical Insurance Drug Catalog - A total of 114 new drugs were successfully added, with 50 classified as innovative drugs, reflecting an overall success rate of 88% [5][9]. - The total number of drugs in the national insurance catalog now stands at 3,253, including 1,857 Western medicines and 1,396 traditional Chinese medicines, with significant improvements in coverage for critical areas such as cancer, chronic diseases, mental health, rare diseases, and pediatric medications [5][9]. - The catalog includes drugs that fill gaps in basic insurance coverage, such as treatments for triple-negative breast cancer, pancreatic cancer, and other major diseases [9]. Commercial Health Insurance Innovative Drug Catalog - The first edition of the Commercial Health Insurance Innovative Drug Catalog includes 19 drugs, with a focus on high clinical value and innovation, particularly in oncology, rare diseases, and chronic conditions [11][12]. - Notable inclusions are CAR-T therapies and treatments for rare diseases like neuroblastoma and Gaucher disease, as well as Alzheimer's disease medications [11][12]. - The catalog emphasizes the distinction between basic insurance, which focuses on essential and proven therapies, and commercial insurance, which supports cutting-edge innovations [11][12]. Future Implications - The introduction of these catalogs is expected to enhance clinical medication standards and boost confidence in pharmaceutical R&D, ensuring better healthcare and injury treatment for the public [8]. - The ongoing adjustments to the drug catalogs reflect a commitment to improving the accessibility of innovative drugs and encouraging pharmaceutical companies to invest in research and development [10][11].