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国家医保药品“清单”一览
Xin Lang Cai Jing· 2026-01-12 19:03
Core Insights - The latest version of the medical insurance drug list will be implemented on January 1, 2026, with significant updates aimed at improving access to essential medications for insured individuals [1]. Group 1: New Drug Additions - A total of 114 new drugs have been added to the list, with 50 classified as first-class new drugs, marking a record high in both quantity and proportion [2]. - New drugs include treatments for critical conditions such as triple-negative breast cancer and pancreatic cancer, as well as medications for chronic diseases and rare diseases [2]. Group 2: Expanded Payment Coverage - The payment scope has been broadened for 65 drugs, with new indications included for reimbursement, such as additional targets for non-small cell lung cancer treatments and expanded age eligibility for certain rare disease medications [3]. - Adjustments have been made to align payment criteria more closely with clinical practices, such as changing the payment range for certain drugs from "previous chemotherapy" to "past chemotherapy" [3]. - Some drugs have had restrictions removed or modified, while ensuring that reimbursement is still aligned with clinical guidelines [3]. Group 3: Drug Removal and Transition Policies - A total of 29 drugs have been removed from the list, primarily those that have been clinically obsolete or not produced for an extended period [4]. - A transition policy has been established for drugs that were removed but had not successfully renewed their contracts, allowing a 6-month period for insured individuals to purchase these drugs at the original reimbursement standards [4].
114种新药“入保”,百姓“药篮子”再升级
Zheng Quan Shi Bao· 2026-01-08 02:07
Core Viewpoint - The implementation of the "National Basic Medical Insurance, Maternity Insurance, and Work Injury Insurance Drug List (2025)" aims to optimize the drug reimbursement system, enhancing both the efficiency of medical insurance funds and the accessibility of essential medications for the public [1] Group 1: Drug List Changes - The new drug list includes 114 new drugs, with 50 being innovative first-class drugs, while 29 drugs with lower clinical value have been removed, bringing the total to 3,253 drugs [1] - The updated list covers key areas such as oncology, rare diseases, chronic diseases, and pediatric medications [1] Group 2: New Drug Characteristics - Newly included drugs exhibit three significant characteristics: they either fill clinical treatment gaps, are superior alternatives, or offer better cost-effectiveness [1] - Specific examples include new drugs for treating triple-negative breast cancer and pancreatic cancer, which improve affordability and accessibility for patients [2] Group 3: Payment Scope Adjustments - The payment scope for 65 drugs has been revised to better align with clinical realities, such as expanding the use of certain drugs to a broader patient age range [3] - New conditions have been added for some drugs to prevent misuse while ensuring that medical insurance funds are utilized effectively [3] Group 4: Cost Reduction Initiatives - The combination of price negotiations and medical insurance reimbursements is expected to lower the cost of medications for the public [3] - A new "Commercial Health Insurance Innovative Drug List (2025)" has been introduced, including 19 high-value innovative drugs, which complements basic medical insurance and addresses diverse health needs [3] Group 5: Implementation and Accessibility - The medical insurance department has mandated that medical institutions incorporate newly added drugs into their procurement lists by the end of February [4] - A transition policy allows for a 6-month period during which patients can still purchase removed drugs at previous reimbursement rates [4] - A new feature for querying the updated basic medical insurance drug list has been launched on the National Medical Insurance Bureau's WeChat public account [4]
中新健康丨一针少花两千,新版医保目录调整能省多少钱
Zhong Guo Xin Wen Wang· 2026-01-08 01:45
Core Insights - The recent adjustment to the National Medical Insurance Drug List has significantly reduced the costs of long-acting growth hormone treatments, benefiting many families [1] - The new drug list includes a high proportion of innovative drugs and aims to enhance drug accessibility for patients in urgent clinical need [2] Group 1: New Drug Additions - A total of 114 new drugs have been added to the insurance list, covering critical areas such as oncology, chronic diseases, and rare diseases [2] - The average price reduction for newly added drugs exceeds 60%, significantly alleviating the financial burden on patients [2] - Notable new drugs include innovative treatments for triple-negative breast cancer and pancreatic cancer, as well as long-acting growth hormone for children [2] Group 2: Optimization of Existing Drugs - The payment scope for 65 existing drugs has been optimized, including expanded indications for certain medications [3] - Adjustments have been made to ensure that the descriptions of drug payment scopes align more closely with clinical realities [3] Group 3: Policy Measures - The government has implemented a series of policies to ensure that negotiated drugs are effectively integrated into hospitals and accessible to patients [3] - Medical institutions are required to hold pharmacy meetings to incorporate new drugs into their procurement lists by February 2026 [3] Group 4: Industry Impact - The adjustment has led to the removal of 29 drugs that have lower efficacy or better alternatives available, thereby optimizing the use of medical insurance funds [4] - The inclusion of numerous innovative drugs indicates a strengthening of domestic pharmaceutical companies' research and development capabilities [4][5] - Major companies like Heng Rui Medicine and Innovent Biologics have successfully introduced multiple innovative drugs into the new insurance list [5]
一针少花两千,新版医保目录调整能省多少钱
Zhong Guo Xin Wen Wang· 2026-01-08 01:28
Core Insights - The recent adjustment to the National Medical Insurance Drug List has significantly reduced the costs of long-acting growth hormone treatments, benefiting many families [1] - The new drug list includes a substantial number of innovative drugs, with an average price reduction of over 60%, aimed at improving patient access to essential medications [2] Group 1: New Drug Additions - A total of 114 new drugs have been added to the insurance list, covering critical areas such as oncology, chronic diseases, and rare diseases [2] - Notable new drugs include innovative treatments for triple-negative breast cancer and pancreatic cancer, as well as long-acting growth hormone for children [2][4] - The new drugs are characterized by either filling clinical treatment gaps, being superior to existing options, or offering better cost-effectiveness [2] Group 2: Existing Drug Adjustments - The payment scope for 65 existing drugs has been optimized, including expanding the target population for certain medications [3] - Adjustments have been made to align drug descriptions more closely with clinical realities, facilitating easier prescription by healthcare providers [3] Group 3: Policy and Industry Impact - The adjustment aims to optimize the use of medical insurance funds, allowing for the introduction of innovative drugs while removing less effective ones [4] - The removal of 29 drugs primarily targets those with lower cost-effectiveness or available alternatives, with minimal impact on most patients [4] - The inclusion of numerous innovative drugs reflects the strengthening of domestic pharmaceutical companies' R&D capabilities [5] Group 4: Financial Implications - The National Medical Insurance Bureau has adjusted the drug list for eight consecutive years, adding a total of 949 new drugs, with significant financial implications for the pharmaceutical market [5] - The insurance fund has spent over 460 billion yuan on negotiated drug expenditures, driving sales growth exceeding 600 billion yuan [5]
2025年医保药品目录变更情况汇总!国家医保局发布药品“清单”
Xin Lang Cai Jing· 2026-01-07 10:07
Core Insights - The latest medical insurance drug list has been officially implemented as of January 1, 2026, featuring significant updates that enhance accessibility and affordability for insured individuals [1]. Group 1: New Drug Additions - A total of 114 new drugs have been added to the list, with 50 classified as new category 1 drugs, marking a record high in both quantity and proportion [2][3]. - Notable new drugs include treatments for triple-negative breast cancer, pancreatic cancer, and various chronic conditions, such as long-acting growth hormone injections and diabetes medications [3]. Group 2: Expanded Payment Scope - The payment scope has been broadened to include 65 drugs with new indications, allowing for better access to treatments for conditions like non-small cell lung cancer and rare diseases [4]. - Adjustments have been made to align payment criteria more closely with clinical practices, such as changing the payment criteria for certain drugs to reflect actual treatment scenarios [4]. Group 3: Restrictions and Conditions - New restrictions have been introduced for certain drugs to prevent misuse, ensuring that insurance funds are utilized effectively [5]. - Some drugs have had non-core restrictions removed, but the fundamental usage requirements remain unchanged, emphasizing the need for clinical discretion [5]. Group 4: Structural Adjustments - A total of 29 drugs have been removed from the list, primarily those that have been clinically obsolete or are no longer in production [6]. - A transition period of six months has been established for drugs that were removed but were under negotiation, allowing insured individuals to continue purchasing them at previous reimbursement rates until June 2026 [6]. Group 5: User Accessibility - The National Medical Insurance Bureau has launched a new feature on its WeChat account for users to query the updated basic medical insurance drug list easily [6].
新华鲜报|用药利好事关你我!国家医保药品“清单”一览
Xin Hua She· 2026-01-07 03:48
Core Insights - The latest medical insurance drug list will be implemented on January 1, 2026, featuring significant updates that focus on clinical needs and expand access to essential medications [1] Group 1: New Drug Additions - A total of 114 new drugs have been added to the list, with 50 classified as first-class new drugs, marking a record high in both quantity and proportion [1] - Notable new drugs include treatments for triple-negative breast cancer, pancreatic cancer, and long-acting growth hormone injections for children with growth deficiencies [3] Group 2: Expanded Payment Coverage - The payment coverage has been expanded for 65 drugs, with new indications included for existing medications, such as additional targets for non-small cell lung cancer treatments and broader age eligibility for rare disease treatments [4] - Adjustments have been made to payment criteria to better align with clinical practices, such as changing the payment range for certain drugs from "previous chemotherapy" to "past chemotherapy" [4] Group 3: Restrictions and Adjustments - New limitations have been introduced for certain drugs to prevent misuse, ensuring that insurance funds are utilized effectively [5] - Some drugs have had non-core restrictions removed, but the fundamental usage requirements remain unchanged, such as the diabetes medication semaglutide [5] Group 4: Drug List Structure and Transition Policies - The updated list has removed 29 drugs that are either clinically obsolete or have not been produced for an extended period, including several that did not successfully renew their negotiation agreements [6] - A transition policy has been established, allowing a 6-month period for patients to purchase removed drugs at previous reimbursement standards [6] - A new query function for the basic medical insurance directory has been launched on the National Medical Insurance Bureau's WeChat account for easier access to the updated list [6]
用药利好!国家医保药品“清单”一览
Xin Lang Cai Jing· 2026-01-07 00:39
Core Insights - The latest medical insurance drug list will be implemented on January 1, 2026, featuring significant updates that benefit insured individuals [1][9]. Group 1: New Drug Additions - A total of 114 new drugs have been added to the list, with 50 classified as first-class new drugs, marking a record high in both quantity and proportion [10]. - New drugs include treatments for critical conditions such as triple-negative breast cancer and pancreatic cancer, as well as medications for growth hormone deficiency in children and diabetes [12]. Group 2: Expanded Payment Coverage - The payment scope has been expanded for 65 drugs, with new indications included for several medications, such as additional targets for non-small cell lung cancer treatment and expanded age eligibility for narcolepsy treatment [4][12]. - Adjustments have been made to payment criteria to better align with clinical practices, such as changing the payment scope for certain drugs from "previous chemotherapy" to "past chemotherapy" [4][12]. Group 3: Drug Removals - A total of 29 drugs have been removed from the list, primarily those that have been clinically obsolete or not produced for an extended period [5][14]. - A transition policy has been established, allowing a 6-month period for insured individuals to purchase removed drugs at the original reimbursement standards [14]. Group 4: Accessibility and User Support - The National Medical Insurance Bureau has launched a new function on its WeChat public account for users to query the updated basic medical insurance directory [8][16].
新华鲜报丨用药利好事关你我!国家医保药品“清单”一览
Xin Hua Wang· 2026-01-06 23:41
Core Insights - The latest medical insurance drug list will be implemented on January 1, 2026, featuring significant updates that focus on clinical needs and patient benefits [1] Group 1: New Drug Additions - A total of 114 new drugs have been added to the list, with 50 classified as first-class new drugs, marking a record high in both quantity and proportion [1] - Notable new drugs include treatments for triple-negative breast cancer, pancreatic cancer, and long-acting growth hormone injections for children with growth deficiencies [3] Group 2: Expanded Payment Scope - The payment scope has been broadened to include 65 drugs with new indications, such as additional targets for non-small cell lung cancer and expanded age eligibility for narcolepsy treatment [4] - Adjustments have been made to payment criteria to better align with clinical practices, such as changing the eligibility for certain drugs from "previous chemotherapy" to "prior chemotherapy" [4] Group 3: Restrictions and Adjustments - New limitations have been introduced for certain drugs to prevent misuse, ensuring that insurance funds are utilized effectively [5] - Some drugs have had non-core restrictions removed, but the fundamental usage requirements remain unchanged, such as the diabetes medication semaglutide [5] Group 4: Drug Removal and Transition Policies - A total of 29 drugs have been removed from the list, primarily those that are clinically obsolete or no longer produced [6] - A transition period of six months has been established for patients to continue purchasing removed drugs at previous reimbursement standards [6] Group 5: Accessibility Features - The National Medical Insurance Bureau has launched a new feature on its WeChat account for users to query the updated basic medical insurance directory [6]
新力量NewForce总第4919期
Group 1: Company Research - The company, CSPC Pharmaceutical Group (01093), is rated as "Buy" with a target price of HKD 10.03, representing a potential upside of 31.3% from the current price of HKD 7.64[5][6]. - The market capitalization of CSPC Pharmaceutical Group is HKD 880.32 billion, with 11.522 billion shares issued[5]. - The adjusted net profit for the first three quarters of 2025 decreased by 15.2%, with revenue at HKD 19.89 billion, down 12.3% year-on-year[6]. Group 2: Financial Performance - The gross profit margin for the company is 65.6%, with a decrease in sales and administrative expense ratios by 4.4 and 0.8 percentage points to 31.1% and 3.1%, respectively[6]. - R&D expenses as a percentage of revenue increased by 6.3 percentage points to 27.1%[6]. - The net profit attributable to shareholders was HKD 3.51 billion, down 7.1%, with a net profit margin of 15.5%, a decrease of 2.1 percentage points[6]. Group 3: Segment Performance - The revenue from the finished drug segment was HKD 15.45 billion, down 17.2%, with a 25.5% decline in drug revenue to HKD 13.91 billion[6][7]. - The raw material drug segment saw revenue of HKD 1.79 billion, up 22.3%, while the functional food segment reported revenue of HKD 1.43 billion, up 11.2%[6][7]. - The profit margin for the finished drug segment was 20.9%, down 1.8 percentage points, while the vitamin C segment's profit margin increased by 3.6 percentage points to 11.0%[6][7]. Group 4: Future Outlook - The company plans to maintain dividends in the second half of the year at least at the same level as the first half, which was HKD 0.14 per share[6]. - The target market value for CSPC Pharmaceutical Group is estimated at HKD 116.5 billion, with a corresponding price-to-earnings ratio of 25.2 times for 2025 and 29.4 times for 2026[9].
“药篮子”上新!2025年医保商保“双目录”发布
Xin Hua She· 2025-12-07 22:53
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].