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Since its establishment, the National Medical Insurance Bureau has carried out four medical insurance catalogue access negotiations, accumulatively enabling 250 drugs to enter the medical insurance catalogue through negotiations, with an average reduction of more than 50%, and reducing the burden of patients by about 150 billion yuan
In total, 250 drugs have entered the medical insurance list through negotiation, with an average reduction of more than 50%, and the cumulative burden reduction for patients in 2021 is about 150 billion yuan
01 PD-1
01 PD-1Let's start with the much-anticipated PD-1
Sales amount of PD-1 overall pharmaceutical market in the preliminary list (: million yuan)
Sales amount of PD-1 overall pharmaceutical market in the preliminary list (: million yuan)
Source: China Pharmaceutical Industry Information Center PDB Drug Comprehensive Database
BeiGene's terelizumab has maintained a steady upward trend
On December 17, 2018, China's first domestic PD-1 monoclonal antibody, Junshi Bio's treprelimonumab, was approved for listing
Sindili monoclonal antibody injection was approved for marketing
Carrelizulizumab was approved for marketing
The new indications for the medical insurance payment scope of the terelizumab application are advanced lung cancer second/third line, esophageal squamous cell carcinoma second line, nasopharyngeal carcinoma first line and MSI-H/dMMR solid tumor, in addition to changing a combination drug regimen for the indications in the catalog; The new indications for the application of triprimumab are the first line of nasopharyngeal carcinoma and the first line of esophageal squamous cell carcinoma; The new indications for the application of sindilizumab are the first line of esophageal squamous cell carcinoma and the first line of adenocarcinoma at the junction of the stomach and gastroesophagus; The new indications for the application of carellizumab are nasopharyngeal carcinoma and above, nasopharyngeal carcinoma first line, esophageal cancer first line, and squamous non-small cell lung cancer first line
There are more than four PD-1 companies selected for this health insurance negotiation
02 CAR-T & ADC
02 CAR-T & ADCLet's look at CAR-T and ADC drugs
The overall market data of PDB's comprehensive drug database shows that since its approval, the sales amount of Ricky Olensa injection in 2021 is 30,797,000 yuan, about 24 pieces
ADC drugs that entered the preliminary list this year include Roche enmetrytozumab, Takeda vibutuximab, which entered the preliminary trial for the first time, and Vidicetizumab, which was successfully negotiated last year
ADC overall pharmaceutical market sales amount in the preliminary list (: million yuan)
ADC overall pharmaceutical market sales amount in the preliminary list (: million yuan)
Source: China Pharmaceutical Industry Information Center PDB Drug Comprehensive Database
03 Drugs for rare diseases
03 Drugs for rare diseasesThere are 19 rare disease drugs in the preliminary review list of the medical insurance catalogue
The overall pharmaceutical market sales amount of some rare disease drugs in the preliminary list (: million yuan)
The overall pharmaceutical market sales amount of some rare disease drugs in the preliminary list (: million yuan)
Source: China Pharmaceutical Industry Information Center PDB Drug Comprehensive Database
When the National Health Insurance Bureau launched this year's price negotiations, it made it clear that it would give an appropriate preference
Last year, the average reduction in the seven successfully negotiated rare disease drugs reached 65%, which greatly improved the accessibility
summary
From the past sales data of these innovative drugs and rare disease drugs, it can be seen that there is still a large market space to be tapped, but the situation of the inner volume is also very obvious