“药篮子”上新！2025年医保商保“双目录”发布

Core Insights - The annual adjustment of the National Medical Insurance Drug List has significant implications for public health and access to medications, with 114 new drugs added to the insurance coverage and 19 new drugs included in the commercial insurance innovation drug list [1][2]. Group 1: Drug List Adjustments - A total of 114 drugs have been added to the National Medical Insurance Drug List, including 36 cancer drugs, 12 diabetes medications, 13 anti-infective drugs, and 10 rare disease treatments [2]. - The new list includes essential drugs that fill gaps in basic medical insurance, such as drugs for triple-negative breast cancer and pancreatic cancer, which are critical for patient survival [2]. - The total number of drugs in the National Medical Insurance Drug List has increased to 3,253, comprising 1,857 Western medicines and 1,396 traditional Chinese medicines [2]. Group 2: Commercial Insurance Innovation Drug List - The commercial insurance innovation drug list includes 19 new drugs focusing on high innovation and significant clinical value, such as CAR-T therapies and treatments for rare diseases [3]. - The new policy allows for "three exclusions" for drugs in the commercial insurance innovation list, facilitating patient access to urgently needed medications [3]. Group 3: Market Impact and Future Outlook - The inclusion of high-cost innovative drugs in the commercial insurance list is expected to benefit more patients and encourage pharmaceutical companies to invest in research and development [4]. - Over the past eight years, the National Medical Insurance Drug List has added 949 drugs, with insurance expenditures reaching 460 billion yuan, significantly boosting the pharmaceutical market [5]. - The approval of 69 innovative drugs in 2025 and over 100 overseas authorizations exceeding 100 billion yuan indicates a rapid acceleration in the innovation drug sector in China [5].