{"id":50157,"date":"2025-12-08T20:43:42","date_gmt":"2025-12-08T12:43:42","guid":{"rendered":"https:\/\/flcube.com\/?p=50157"},"modified":"2025-12-08T20:43:43","modified_gmt":"2025-12-08T12:43:43","slug":"nhsa-2025-drug-lists-add-114-medical-insurance-drugs-19-commercial","status":"publish","type":"post","link":"https:\/\/flcube.com\/?p=50157","title":{"rendered":"NHSA 2025 Drug Lists Add 114 Medical Insurance Drugs, 19 Commercial"},"content":{"rendered":"\n<p>The <strong>National Healthcare Security Administration (NHSA)<\/strong> released the <strong>2025 National Medical Insurance Drug List<\/strong> and <strong>Commercial Insurance Drug List<\/strong>, adding <strong>114 drugs<\/strong> to the medical insurance directory and <strong>19<\/strong> to the commercial insurance directory. The new lists take effect <strong>January\u202f1\u202f2026<\/strong>, with specific implementation guidelines for medical institutions and insurance reimbursement rules.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-key-numbers-2025-drug-list-updates\">Key Numbers: 2025 Drug List Updates<\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>List Type<\/th><th>Drugs Added<\/th><th>Implementation Date<\/th><th>Notable Changes<\/th><\/tr><\/thead><tbody><tr><td><strong>Medical Insurance Directory<\/strong><\/td><td>114<\/td><td>01\u202fJan\u202f2026<\/td><td>98 Western drugs via negotiation, 7 TCMs via negotiation, 7 Western via bidding, 2 from centralized procurement<\/td><\/tr><tr><td><strong>Commercial Insurance Directory<\/strong><\/td><td>19<\/td><td>01\u202fJan\u202f2026<\/td><td>Separate reimbursement track; not counted in basic insurance self-pay ratio<\/td><\/tr><tr><td><strong>Time from Approval to Inclusion<\/strong><\/td><td>1 year 5 months (average)<\/td><td>\u2014<\/td><td>Faster than historical 2\u2011year average<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-implementation-guidelines-for-medical-institutions\">Implementation Guidelines for Medical Institutions<\/h2>\n\n\n\n<p><strong>Procurement Requirements:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pharmacy committee meetings must be convened by <strong>end\u2011of\u2011February\u202f2026<\/strong><\/li>\n\n\n\n<li>Institutions must adjust drug procurement or establish temporary green channels<\/li>\n\n\n\n<li>Negotiated drugs exempt from &#8220;one\u2011product, two\u2011specification&#8221; limits<\/li>\n\n\n\n<li><strong>Access barriers prohibited<\/strong>: No hindrance due to\u533b\u4fddbudget limits, formulary size restrictions, or drug expenditure ratio caps<\/li>\n<\/ul>\n\n\n\n<p><strong>Regional Encouragement:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>All regions encouraged to promote connection with designated medical institutions and pharmacies<\/li>\n\n\n\n<li>Support for integrating Commercial Insurance Directory stocking into <strong>&#8220;Medical Insurance Drug Cloud Platform&#8221;<\/strong><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-commercial-insurance-directory-key-provisions\">Commercial Insurance Directory: Key Provisions<\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>Provision<\/th><th>Details<\/th><\/tr><\/thead><tbody><tr><td><strong>Reimbursement Status<\/strong><\/td><td>Medical insurance funds will <strong>not reimburse<\/strong> these drugs<\/td><\/tr><tr><td><strong>Monitoring Exclusion<\/strong><\/td><td>Not counted in basic medical insurance self\u2011pay ratio indicator<\/td><\/tr><tr><td><strong>Procurement Scope<\/strong><\/td><td>Not included in national centralized drug procurement monitoring<\/td><\/tr><tr><td><strong>DRG\/Payment Method<\/strong><\/td><td>Application cases covered by commercial health insurance may be excluded from DRG\/bundled payment after audit<\/td><\/tr><tr><td><strong>Pharmacy Stocking<\/strong><\/td><td>Provincial\u533b\u4fdddepartments can explore supporting retail pharmacies to stock Commercial Insurance Directory drugs<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-drug-breakdown-amp-list-changes\">Drug Breakdown &amp; List Changes<\/h2>\n\n\n\n<p><strong>114 Medical Insurance Drugs Added:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>98 Western drugs<\/strong>: Via negotiation<\/li>\n\n\n\n<li><strong>7 Traditional Chinese Medicines (TCMs)<\/strong>: Via negotiation<\/li>\n\n\n\n<li><strong>7 Western drugs<\/strong>: Via competitive bidding<\/li>\n\n\n\n<li><strong>2 drugs<\/strong>: Directly transferred from National Centralized Drug Procurement<\/li>\n<\/ul>\n\n\n\n<p><strong>56 drugs<\/strong>: Converted from negotiated\/competitive-bid to routine access status<\/p>\n\n\n\n<p><strong>25 drugs<\/strong>: Removed from routine list<\/p>\n\n\n\n<p><strong>4 drugs<\/strong>: Specifications reduced on routine list<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-forward-looking-implementation-measures\">Forward-Looking Implementation Measures<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Real-world evaluations<\/strong>: Conditional drugs encouraged to conduct comprehensive value evaluations for medical insurance<\/li>\n\n\n\n<li><strong>One-stop settlement<\/strong>: Conditional regions encouraged to explore integrated settlement for medical insurance, work-related injury insurance, and commercial insurance<\/li>\n\n\n\n<li><strong>Price monitoring<\/strong>: Provincial departments to monitor end-user prices at both medical institutions and retail pharmacies<\/li>\n<\/ul>\n\n\n\n<p><strong>Forward\u2011Looking Statements<\/strong><br>This brief contains forward\u2011looking statements regarding implementation timelines, insurance reimbursement impacts, and pharmaceutical market dynamics. Actual outcomes may differ due to regional execution variations, policy adjustments, and market adoption rates.<a href=\"https:\/\/flcube.com\/\">-Fineline Info &amp; Tech<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The National Healthcare Security Administration (NHSA) released the 2025 National Medical Insurance Drug List and&#8230;<\/p>\n","protected":false},"author":1,"featured_media":50158,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"googlesitekit_rrm_CAownpewDA:productID":"","_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[4],"tags":[67,75,74],"class_list":["post-50157","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-policy-regulatory","tag-nhsa-prev-smia","tag-price-negotiations","tag-rdl"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.6 (Yoast SEO v27.5) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>NHSA 2025 Drug Lists Add 114 Medical Insurance Drugs, 19 Commercial - Insight, China&#039;s Pharmaceutical Industry<\/title>\n<meta name=\"description\" content=\"The National Healthcare Security Administration (NHSA) released the 2025 National Medical Insurance Drug List and Commercial Insurance Drug List, adding 114 drugs to the medical insurance directory and 19 to the commercial insurance directory. 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