全球制药业洞察 | 2026年展望：美国疫苗承压；商保开辟药企进入中国新路径

Core Insights - The pharmaceutical industry is expected to face increased pressure in the U.S. vaccine sector by 2026, while commercial insurance opens new pathways for drug companies entering the Chinese market [3][9]. Group 1: U.S. Pharmaceutical Pricing and Investment - Concerns regarding U.S. drug pricing reforms have diminished as many pharmaceutical companies commit to significant investments in the U.S. and sign pricing agreements with the government [4]. - Major companies have pledged substantial investments, including Pfizer and Merck at $70 billion each, and Roche at $50 billion, among others, to enhance manufacturing capacity in the U.S. [5]. - The U.S. government has implemented a maximum fair price for certain drugs, with notable price reductions observed in negotiations, such as Merck's Januvia priced at $113 and similar drugs at $80 and $78 [6]. Group 2: Chinese Pharmaceutical Market Dynamics - The 2025 National Medical Insurance Drug List will add 114 new drugs, with expected price reductions of 40%-50% for those included, reflecting a more mature negotiation mechanism [9][11]. - The introduction of a commercial insurance innovation drug list provides an alternative route for international pharmaceutical companies to launch innovative drugs in China, with 19 drugs included, such as CAR-T therapies [11][13]. - The commercial insurance pathway may allow companies to introduce higher-priced drugs if they are unable to meet the 60% price reduction typically required for inclusion in the national insurance list [11].