Core Points - The 2025 National Medical Insurance Drug List has been officially released, adding 114 new drugs, including 50 innovative drugs, with an overall success rate of 88%, significantly up from 76% in 2024 [1][4] - The first version of the Commercial Health Insurance Innovative Drug List includes 19 drugs, featuring advanced therapies such as CAR-T and T-cell treatments, as well as medications for rare diseases that basic medical insurance cannot currently address [1][4] Summary by Sections National Medical Insurance Drug List - The new drug list will be implemented starting January 1, 2026, replacing the 2024 version [2] - The total number of drugs in the National Medical Insurance Drug List will increase to 3,253, with 1,857 Western medicines and 1,396 traditional Chinese medicines [5] - The list includes treatments for major diseases like triple-negative breast cancer, pancreatic cancer, and lung cancer, as well as medications for rare diseases and chronic conditions [4][5] Commercial Health Insurance Innovative Drug List - The list is a recommendation and includes 19 drugs, with 121 drugs meeting the application criteria [4] - Notable entries include CAR-T therapies and drugs for conditions like short bowel syndrome and Gaucher disease [4] - The commercial health insurance sector is encouraged to design new products based on this innovative drug list [3] Implementation and Management - Local medical insurance departments are tasked with guiding medical institutions on the proper use of the new drug list [3] - A six-month transition period is provided for drugs that were not successfully renewed in the list, allowing continued payment at original rates [2] - The management of the new drug list will involve regular updates to information systems and databases to ensure compliance [2][3] Market Outlook - Analysts suggest that the innovative drug market is expected to continue its upward trend, with recent adjustments in the drug list creating investment opportunities in the pharmaceutical sector [6] - The focus will be on the performance of related pharmaceutical companies and the potential for structural optimization in payment systems for innovative drugs [6]
周末利好来了,两部门重磅发布
Zheng Quan Shi Bao·2025-12-07 10:08