医保商保双“目录”发布

Core Insights - The release of the "dual directories" marks a significant step in building a multi-tiered medical insurance system and supporting the development of innovative drug industries in China [1] Group 1: Medical Insurance Coverage - The adjusted national medical insurance drug directory now includes a total of 3,253 drugs, comprising 1,857 Western medicines and 1,396 traditional Chinese medicines [2] - The 2025 national medical insurance drug directory includes drugs that fill gaps in basic medical insurance coverage, addressing major diseases such as triple-negative breast cancer, pancreatic cancer, and lung cancer, as well as rare diseases and chronic conditions [2] - Notable companies like Innovent Biologics and Jiangsu Hengrui Medicine have multiple products included in the 2025 national medical insurance drug directory, covering various therapeutic areas [2] Group 2: Commercial Health Insurance - The first edition of the "Commercial Health Insurance Innovative Drug Directory" focuses on high-innovation drugs that provide significant clinical value but are currently too expensive for basic medical insurance coverage [2][3] - A total of 19 drugs have been included in this directory, including cutting-edge treatments for cancer and rare diseases, as well as Alzheimer's disease [3] Group 3: Policy and Capital Resonance - Recent policies have optimized medical insurance spending and structure, increasing support for innovative drugs and medical devices [4] - Over the past seven years, 835 drugs have been newly included in the medical insurance payment scope, with 149 of them being innovative drugs [4] - The introduction of the commercial health insurance innovative drug directory is seen as a crucial measure to address payment challenges and promote the development of truly clinically valuable drugs [4] Group 4: Industry Outlook - The pharmaceutical industry is expected to enter a new phase of policy stabilization, industrial upgrading, and internationalization over the next five years [5] - The convergence of demand, policy, and supply is anticipated to enhance the prosperity of the pharmaceutical sector [5]