创新药“首单”频现，患者用药门槛降低

Core Insights - The new medical insurance directory has entered a substantial implementation phase, with multiple innovative drugs, including Tislelizumab and Fuzhengzhu, being covered by insurance in various hospitals, indicating a reduction in access barriers for patients [1][3] - The adjustment includes 114 new drugs and introduces a dual insurance model, combining basic medical insurance with commercial health insurance, which opens payment channels for high-value drugs in oncology and rare diseases [1][3] Group 1: Innovative Drug Inclusion - The rapid inclusion of innovative drugs in the new medical insurance directory reflects increased support for "true innovation" with high clinical value, as evidenced by the inclusion of 124 unique products [3] - Notably, Tislelizumab, the first targeted drug for thyroid eye disease in China, was included in the insurance directory within a year of its market launch, filling a 70-year treatment gap [3] - Heng Rui Medicine emerged as a significant beneficiary, with 20 products and indications adjusted, including 10 new drugs, enhancing patient access to innovative therapies [3][4] Group 2: Commercial Health Insurance Impact - The introduction of the commercial health insurance directory provides a secondary market for high-value drugs, with price reductions ranging from 15% to 50%, which is less severe than the typical 60% cuts seen in basic medical insurance [6] - The inclusion of five CAR-T therapy products in the commercial insurance directory marks a significant breakthrough for high-priced treatments, which previously struggled to gain insurance coverage [5][6] - The dual-directory model creates a payment system that supports innovation while allowing for profitable pricing strategies for pharmaceutical companies [7][11] Group 3: Market Dynamics and Adjustments - The adjustment process also involved the removal of 29 drugs from the insurance directory, including Benarutide, which faced competition from more effective alternatives, highlighting the dynamic nature of the market [9][10] - The exit of certain drugs signals a shift towards prioritizing high-efficiency and urgently needed medications, enhancing the overall efficiency of the medical insurance fund [11] - Companies are encouraged to focus on true innovation rather than "me-too" products, aligning their research and development strategies with the evolving insurance landscape [5][11]