NHSA Advances Record 674 Drugs in 2026 Insurance Catalog Review with 92% Preliminary Pass Rate

China’s National Healthcare Security Administration (NHSA) released preliminary formal review results for the 2026 National Drug Catalog adjustment, advancing a record 674 generic drug names from 818 submission packages received between June 1–10, 2026. The process covers both the National Catalog of Drugs for Basic Medical Insurance, Maternity Insurance, and Work-Related Injury Insurance and the Commercial Insurance Innovative Drug Catalog.

Submission & Review Statistics

CategorySubmittedPassedPass Rate
Out-of-list applications37533489%
Within-catalog applications22922397%
Commercial insurance catalog (external)575393%
Commercial insurance catalog (internal)11100%
Overall (excluding pre-submitted)66261192%

Key Metrics & Year-over-Year Comparison

Metric20262025Change
Total submission packages818718+100
Generic drug names674633+41
Preliminary pass rate92%84%+8 ppt
New drugs (past 5 years)343N/ANew tracking

Pre-Submission Activity Summary

  • 49 generic names pre-submitted for out-of-list inclusion (including 2 with simultaneous new indication applications)
  • 11 generic names within basic catalog pre-submitted for new indications
  • 4 generic names pre-submitted for inclusion outside commercial insurance innovative drug catalog

Strategic Implications

  • Market Access Acceleration: The 92% preliminary pass rate—up 8 percentage points from 2025—indicates NHSA’s streamlined evaluation process while maintaining quality standards
  • Innovation Focus: Majority of submissions represent new drugs, with 343 newly approved generic drugs from the past five years submitted under Criterion 1 (outside catalog)
  • Industry Confidence: Record submission volume reflects growing pharmaceutical industry confidence in China’s national insurance reimbursement framework
  • Patient Impact: Successful catalog inclusion will expand patient access to innovative therapies across basic medical, maternity, and work-related injury insurance coverage

The preliminary clearance sets the stage for the next phase of price negotiations and final inclusion decisions, positioning manufacturers for competitive advantage in China’s healthcare market.

Forward-Looking Statements
This brief contains forward-looking information regarding regulatory processes and market expectations. Actual outcomes may vary based on final NHSA decisions, pricing negotiations, and market dynamics.-Fineline Info & Tech