医保药品，牵动万家。 最新版医保药品目录已于2026年1月1日正式落地实施。此次调整有哪些新亮点？为参保人带来哪些利好？国家医保局7日进行了解读。 聚焦临床急需，1类新药数量创新高——目录新增114种药品，50种为1类新药。 "无论是比例还是数量，均创历年新高。"国家医保局医药服务管理司司长黄心宇说。新增药品涵盖肿瘤、罕见病、慢性病等。 为方便临床用药，用于提升白细胞数量的拓培非格司亭注射液等药品，支付范围从"前次化疗"调整为"既往化疗"，更贴近临床实际，还有一些 集采药品取消支付范围标注，根据药品说明书即可。 针对少数药品的滥用风险，目录新增限定条件，如明确烟酰胺仅限烟酰胺缺乏症患者可报销，确保医保基金用在"刀刃上"。 一些药品的支付范围删减非核心限定内容，但并不改变用药要求。如糖尿病用药司美格鲁肽，删除了"在运动和饮食控制基础上"，调整后临床 医生仍需根据药品说明书用药。 国家医保局微信公众号已上线新版基本医保目录查询功能。（图片来自国家医保局） 动态"吐故纳新"，目录结构更合理——调出29种药品，均为已被临床淘汰、或长期未生产供应的药品。 2025年2月20日，一家药企实验人员在检验生物制品蛋白分子量。 ...

医保药品，牵动万家。 最新版医保药品目录已于2026年1月1日正式落地实施。此次调整有哪些新亮点？为参保人带来哪些利 好？国家医保局7日进行了解读。 聚焦临床急需，1类新药数量创新高——目录新增114种药品，50种为1类新药。 "无论是比例还是数量，均创历年新高。"国家医保局医药服务管理司司长黄心宇说。新增药品涵盖肿 瘤、罕见病、慢性病等。 2025年2月 20日，一家药企实验人员在检验生物制品蛋白分子量。新华社记者 孙凡越 摄 一批备受关注的新药顺利"入保"：如用于治疗三阴性乳腺癌的芦康沙妥珠、胰腺癌用药伊立替康脂质体 等；用于改善内源性生长激素缺乏所致儿童生长缓慢的长效生长激素针；一年两针的降血脂针英克司兰 钠、糖尿病用药替尔泊肽等新药；流感用药昂拉地韦片、玛舒拉沙韦片等。 支付范围"再扩围"，"救命药"更快更可及——65种药品的支付范围有了新变化。 梳理可以发现，不少药品的新增适应症被纳入支付范围，如治疗非小细胞肺癌的阿美替尼片新增两个新 靶点、治疗罕见病发作性睡病的盐酸替洛利生片拓展至6岁及以上患者、曲普瑞林新增子宫内膜异位症 等，符合条件的参保人可享受相关待遇。 为方便临床用药，用于提升白细胞数量的 ...

医保药品，牵动万家。 最新版医保药品目录已于2026年1月1日正式落地实施。此次调整有哪些新亮点？为参保人带来哪些利好？国家医保局7日进行了解读。 聚焦临床急需，1类新药数量创新高——目录新增114种药品，50种为1类新药。 "无论是比例还是数量，均创历年新高。"国家医保局医药服务管理司司长黄心宇说。新增药品涵盖肿瘤、罕见病、慢性病等。 2025年2月20日，一家药企实验人员在检验生物制品蛋白分子量。新华社记者 孙凡越 摄 一批备受关注的新药顺利"入保"：如用于治疗三阴性乳腺癌的芦康沙妥珠、胰腺癌用药伊立替康脂质体等；用于改善内源性生长激素缺乏所 致儿童生长缓慢的长效生长激素针；一年两针的降血脂针英克司兰钠、糖尿病用药替尔泊肽等新药；流感用药昂拉地韦片、玛舒拉沙韦片等。 支付范围"再扩围"，"救命药"更快更可及——65种药品的支付范围有了新变化。 梳理可以发现，不少药品的新增适应症被纳入支付范围，如治疗非小细胞肺癌的阿美替尼片新增两个新靶点、治疗罕见病发作性睡病的盐酸 替洛利生片拓展至6岁及以上患者、曲普瑞林新增子宫内膜异位症等，符合条件的参保人可享受相关待遇。 为方便临床用药，用于提升白细胞数量的拓培非格司 ...

根据世界卫生组织预测，全球每年约有10亿例季节性流感病例，包括300万至500万例重症病例。在此 背景下，抗流感药物市场空间广阔。据头豹研究院预测，2024—2028年中国抗流感用药市场规模将以 20.2%的年复合增长率持续增长，到2028年有望达到269亿元。 （资料参考：21世纪经济报道《抗流 感药需求激增：市场"厮杀"升级，谁能抢占C位？》,2025.11.3) 今年，多款国产抗流感创新药密集获批上市，引发市场高度关注，2025年甚至被称为"国产流感创新 药元年"。有业内人士表示，国产流感创新药密集取得进展，是我国医药创新能力持续提升的必然结 果。这背后蕴藏着什么投资机遇？ （资料参考：证券日报《国产创新药破局 为应对流感提供"中国方 案"》，2025.11.12） 国产流感创新药商业化提速 2025年3月至7月，我国有三款抗流感创新药（玛舒拉沙韦片、昂拉地韦片、玛硒洛沙韦片）获批上 市，另有两款药物（玛氘诺沙韦、玛帕西沙韦）完成临床试验，已经提出了上市申请，预计不久将加 入市场竞争。专业人士分析称，目前国产创新药上市以后，销量在稳步提升，反映出这些产品在疗 效、安全性方面获得了认可。 （资料参考：央广 ...

百亿市场待重构，替代空间广阔 今年，多款国产抗流感创新药密集获批上市，引发市场高度关注，2025年甚至被称为"国产流感创新药 元年"。有业内人士表示，国产流感创新药密集取得进展，是我国医药创新能力持续提升的必然结果。 这背后蕴藏着什么投资机遇？（资料参考：证券日报《国产创新药破局 为应对流感提供"中国方 案"》，2025.11.12） 国产流感创新药商业化提速 2025年3月至7月，我国有三款抗流感创新药（玛舒拉沙韦片、昂拉地韦片、玛硒洛沙韦片）获批上市， 另有两款药物（玛氘诺沙韦、玛帕西沙韦）完成临床试验，已经提出了上市申请，预计不久将加入市场 竞争。专业人士分析称，目前国产创新药上市以后，销量在稳步提升，反映出这些产品在疗效、安全性 方面获得了认可。（资料参考：央广网《全国整体进入流感流行季 多款国产流感创新药密集上市》， 2025.11.21；36氪《围剿"流感神药"奥司他韦，药厂卷起"一次治疗"新战场》，2025.11.14） 突破进口药局限，实现多重优化 国产新药与进口流感药玛巴洛沙韦作用机制相同，都是通过抑制流感病毒的CAP帽子结构依赖性内切 酶，从而阻断病毒复制。值得关注的是，这批国产新药并非简 ...

尽管流感新药辈出，目前的国内抗流感药市场整体仍是奥司他韦与玛巴洛沙韦"双雄并立"。 不过，经典老药的颓势也渐显。在今年10月底的第十一批国家药品集采中，东阳光药业的奥司他韦意外 落选，由价格更低的其他仿制药产品取而代之。这意味着，在未来一年中，对奥司他韦颗粒剂已很熟悉 的家长们，在公立医院渠道很难再开出"可威"了。 （文章来源：南方都市报） | 通用名 | 商品名 | 获批时间 | 用法 | 适用人群 | | --- | --- | --- | --- | --- | | 玛舒拉沙韦片 | 伊速达 | 2025年3月 | 单次口服 | 既往健康的12岁及以上青 少年和成人单纯型甲型和乙 型流感患者 | | 昂拉地韦片 | 安容威 | 2025年5月 | 每日一次,连续服用5天 | 成人单纯型甲型流感患者 | | 玛硒洛沙韦片 | 济可舒 | 2025年7月 | 单次口服 | 既往健康的成人单纯型甲 型和乙型流感患者 | | | | | | 面方都市 | 2025年秋冬，流感流行期早于往年，且因主流毒株更换而显得更为来势汹汹。据中国疾控部门最新预 测，流感高峰预计将在12月中下旬到来，广东疾控最新预测是，广东流 ...

两份药品清单，让新药、好药更加触手可及。 聚焦临床急需、医保可负担——进医保的114种药品中，有36个肿瘤用药、12个糖尿病等慢性病用药、 13个抗感染类药品、10个罕见病用药等，29种临床用不上、或有更好替代的药品被调出目录。 一些能够弥补基本医保保障空白的药品进入医保目录，用于治疗三阴性乳腺癌的芦康沙妥珠、胰腺癌用 药伊立替康脂质体、套细胞淋巴瘤用药匹妥布替尼片等"救命药"入围；一年仅需两针就可以有效降低血 脂水平的英克司兰钠、糖尿病用药替尔泊肽等慢性病新药也进了医保。 此次调整中，一款用于治疗KRAS靶点肺癌的新药格外引人关注，这款药有多新？它在2025年5月刚刚 获批。 查询新版医保药品目录，不乏刚获批不久的新药，如流感用药昂拉地韦片、玛舒拉沙韦片等。此次调整 有50种药品为一类创新药，创新药正以更快速度惠及患者。 人力资源社会保障部工伤保险司司长郑玄波介绍，此次调整后，新版国家医保目录内药品总数增至3253 种，其中西药1857种、中成药1396种。 近年来，医保目录持续扩容，但部分救急、救命的创新药在刚上市时价格高昂，基本医保目录难以覆 盖，不少患者依然难以负担。 新华财经广州12月8日电（记者彭 ...

Core Insights - The 2025 National Basic Medical Insurance, Maternity Insurance, and Work Injury Insurance Drug Catalog was released, adding 114 new drugs, including 50 innovative drugs, with an overall success rate of 88%, significantly up from 76% in 2024 [1][2] - The first version of the Commercial Health Insurance Innovative Drug Catalog was also published, including 19 drugs, such as CAR-T therapies and treatments for rare diseases, complementing the basic medical insurance [4][5] Group 1: National Basic Medical Insurance Catalog - The 2025 National Basic Medical Insurance Catalog is the 8th adjustment since the establishment of the National Medical Insurance Bureau, increasing the total number of drugs to 3,253, with 1,857 Western medicines and 1,396 traditional Chinese medicines [2][3] - The new catalog includes drugs that fill gaps in basic medical insurance coverage for major diseases like triple-negative breast cancer and pancreatic cancer, as well as treatments for chronic diseases such as diabetes and autoimmune diseases [2][3] - The adjustment also removed 29 drugs that are either not clinically available or can be replaced by better alternatives [2] Group 2: Commercial Health Insurance Innovative Drug Catalog - The first version of the Commercial Health Insurance Innovative Drug Catalog will be implemented on January 1, 2025, focusing on innovative and cutting-edge drugs, including CAR-T and TCE therapies [4][6] - The catalog aims to clarify the boundary of basic medical insurance coverage and promote the development of a multi-tiered medical insurance system [4][7] - The National Medical Insurance Bureau emphasizes the importance of supporting innovative drugs while maintaining the basic insurance's focus on essential and reliable treatments [6][7] Group 3: Support for Innovation and Market Dynamics - The National Medical Insurance Bureau has been actively supporting innovative drugs, holding multiple meetings to discuss the integration of innovative drugs into insurance coverage [3][6] - The commercial health insurance market has been growing rapidly, with a premium income of 977.3 billion yuan in 2024, reflecting an 8.2% year-on-year increase [7] - The establishment of the Commercial Health Insurance Innovative Drug Catalog is expected to provide a stable outlet for innovative drugs, enhancing their accessibility [7][8]

Core Points - The 2025 National Medical Insurance Drug List has been officially released, adding 114 new drugs, including 50 innovative drugs, with an overall success rate of 88%, significantly up from 76% in 2024 [1][4] - The first version of the Commercial Health Insurance Innovative Drug List includes 19 drugs, featuring advanced therapies such as CAR-T and T-cell treatments, as well as medications for rare diseases that basic medical insurance cannot currently address [1][4] Summary by Sections National Medical Insurance Drug List - The new drug list will be implemented starting January 1, 2026, replacing the 2024 version [2] - The total number of drugs in the National Medical Insurance Drug List will increase to 3,253, with 1,857 Western medicines and 1,396 traditional Chinese medicines [5] - The list includes treatments for major diseases like triple-negative breast cancer, pancreatic cancer, and lung cancer, as well as medications for rare diseases and chronic conditions [4][5] Commercial Health Insurance Innovative Drug List - The list is a recommendation and includes 19 drugs, with 121 drugs meeting the application criteria [4] - Notable entries include CAR-T therapies and drugs for conditions like short bowel syndrome and Gaucher disease [4] - The commercial health insurance sector is encouraged to design new products based on this innovative drug list [3] Implementation and Management - Local medical insurance departments are tasked with guiding medical institutions on the proper use of the new drug list [3] - A six-month transition period is provided for drugs that were not successfully renewed in the list, allowing continued payment at original rates [2] - The management of the new drug list will involve regular updates to information systems and databases to ensure compliance [2][3] Market Outlook - Analysts suggest that the innovative drug market is expected to continue its upward trend, with recent adjustments in the drug list creating investment opportunities in the pharmaceutical sector [6] - The focus will be on the performance of related pharmaceutical companies and the potential for structural optimization in payment systems for innovative drugs [6]

Core Viewpoint - The release of the 2025 National Medical Insurance Drug List and the first version of the Commercial Health Insurance Innovative Drug List marks a significant advancement for the innovative drug sector, with a total of 114 new drugs added, including 50 class-one innovative drugs, reflecting an overall success rate of 88%, an increase from 76% in 2024 [1][4]. Group 1: New Drug Additions - The 2025 National Medical Insurance Drug List includes 114 new drugs, of which 50 are classified as class-one innovative drugs [4]. - The new list also incorporates treatments for major diseases such as triple-negative breast cancer, pancreatic cancer, and lung cancer, as well as rare diseases and chronic conditions [5]. - A total of 19 drugs have been included in the first version of the Commercial Health Insurance Innovative Drug List, featuring advanced therapies like CAR-T and T-cell treatments [1][5]. Group 2: Implementation and Management - The new drug lists will take effect on January 1, 2026, and the previous 2024 drug list will be abolished [2]. - Local health insurance departments are required to guide medical institutions in the proper allocation and use of the newly listed drugs, ensuring compliance with the updated drug directory [3]. - A six-month transition period will be provided for drugs that were not successfully renewed in the directory, allowing for continued payment at original rates until June 2026 [2][3]. Group 3: Commercial Health Insurance Integration - Efforts are being made to integrate the Commercial Health Insurance Innovative Drug List into multi-tiered medical insurance systems, promoting the development of inclusive commercial health insurance [3]. - Insurance companies are encouraged to design new products and adjust compensation methods based on the innovative drug list to better meet patient needs [3][5]. - The innovative drug directory serves as a recommendation, and further details on which insurance providers will cover these drugs are pending [5]. Group 4: Market Outlook - The innovative drug sector is expected to continue its upward trend, with recent adjustments in the drug directory enhancing investment opportunities in related pharmaceutical companies [6][7]. - The market has seen a period of adjustment, positioning stock prices and market expectations at relatively reasonable levels, highlighting the investment safety margin and return potential [6][7].