Workflow
康悦达
icon
Search documents
重大突破!自费一针上百万元,5款抗癌药纳入商业保险
Mei Ri Jing Ji Xin Wen· 2025-12-07 22:20
Core Insights - The 2025 National Medical Insurance Directory and the first Commercial Health Insurance Innovative Drug Directory were announced, marking a significant development in the pharmaceutical industry [1][3][10] - A total of 114 new drugs were added to the National Medical Insurance Directory, including 50 innovative drugs, which is expected to enhance patient access and support sustainable investment in drug development [1][2][3] National Medical Insurance Directory - The 2025 National Medical Insurance Directory includes 114 new drugs, with 50 classified as innovative drugs, such as Tislelizumab and domestic ADC drugs [1][3] - Companies like Kelun-Biotech and Kangnuo have successfully included their innovative drugs in the directory, reflecting strong government support for domestic innovation [3][4] - The total number of drugs in the National Medical Insurance Directory has increased to 3,253, with significant improvements in coverage for critical areas like oncology and chronic diseases [5][6] Commercial Health Insurance Innovative Drug Directory - The newly introduced Commercial Health Insurance Innovative Drug Directory includes five CAR-T cell therapies and several high-cost drugs for rare diseases, enhancing accessibility for patients [1][6][8] - The directory allows innovative drug companies to explore new payment channels outside of traditional medical insurance, potentially increasing patient access to high-value therapies [11][12] - The pricing for drugs in the Commercial Health Insurance Directory is expected to be more flexible, allowing for negotiations between companies and insurers, which could lead to better affordability for patients [8][12] Industry Impact - The introduction of the Commercial Health Insurance Innovative Drug Directory is seen as a milestone for improving drug accessibility and affordability, particularly for high-cost therapies [7][9][12] - The past decade has witnessed significant growth in China's innovative drug sector, with the new directory marking a pivotal moment in the industry's evolution [10][11] - The dual-track payment framework established by the National Medical Insurance and Commercial Health Insurance is expected to foster a more robust ecosystem for drug research and application in China [12]
国家医保目录新增114种药品
Mei Ri Jing Ji Xin Wen· 2025-12-07 13:33
Core Points - The 2025 National Medical Insurance Directory has added 114 new drugs, including 50 innovative drugs, which will significantly enhance patient access to essential medications [1][3][6] - The introduction of the Commercial Health Insurance Innovative Drug Directory marks a pivotal moment for innovative drug accessibility, allowing companies to explore new payment channels beyond traditional insurance [12][13] - The overall number of drugs in the National Medical Insurance Directory has increased to 3,253, with a notable focus on critical areas such as oncology, chronic diseases, and rare diseases [6][11] Group 1: National Medical Insurance Directory - The 2025 National Medical Insurance Directory includes 114 new drugs, with 50 classified as innovative drugs, such as Tislelizumab and domestic ADCs [1][3] - The directory aims to bridge gaps in basic medical insurance coverage for major diseases like triple-negative breast cancer and lung cancer [3][4] - The total number of drugs in the National Medical Insurance Directory has risen to 3,253, enhancing coverage for key disease areas [6] Group 2: Commercial Health Insurance Innovative Drug Directory - The Commercial Health Insurance Innovative Drug Directory includes five CAR-T cell therapies and two Alzheimer's disease drugs, addressing previously limited access due to high costs [1][7] - The directory allows innovative drug companies to seek new payment avenues, enhancing the affordability and accessibility of high-value drugs [12][13] - The introduction of this directory is seen as a significant milestone in improving patient access to innovative therapies [8][9] Group 3: Industry Impact and Future Outlook - The past decade has seen a surge in China's innovative drug development, with the 2025 directory marking a new phase in business development for the industry [11] - The dual-track payment framework of basic insurance and commercial insurance is expected to stimulate the market for innovative drugs [13] - Companies are encouraged to collaborate with insurance providers to enhance patient coverage and awareness of health insurance options [12][13]
国家医保目录新增114种药品:5款百万元CAR-T疗法纳入商保,企业代表直呼这是“重要里程碑”
Mei Ri Jing Ji Xin Wen· 2025-12-07 13:15
每经记者|金喆 陈星 每经编辑|贾运可 12月7日,2025创新药高质量发展大会在广州白云国际会议中心召开,1000多人的会场座无虚席。当天 的重要议程之一,是公布《国家基本医疗保险、生育保险和工伤保险药品目录(2025年)》(以下简称 国家医保目录)及首版《商业健康保险创新药品目录(2025年)》(以下简称商保创新药目录)。 《每日经济新闻》记者在现场看到,药明巨诺副总裁樊琳接受了印有"2025商业健康保险创新药目录"字 样的荣誉展示牌,其公司产品"瑞基奥仑赛注射液"名称标注于展示牌下方。对于此次产品纳入商保创新 药目录,樊琳表示,药明巨诺已经等了4年。 记者了解到,2025年国家医保目录成功新增114种药品,其中有50种是一类创新药,包括替尔泊肽、国 产ADC(抗体偶联药物)芦康沙妥珠单抗等明星药物。商保创新药目录则覆盖了5款国产CAR-T(嵌合 抗原受体T细胞免疫疗法)细胞药物、2款进口阿尔茨海默病药物及罕见病药物。 会场中,弥漫着一种超越单个企业捷报的、更具普遍意义的振奋。对于所有新纳入国家医保目录的药品 而言,它们从实验室到患者手中的"最后一公里"将因医保支付的托底而大大提速,医药企业研发投资的 可 ...