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Agilent

要聞時事名企會展招標中標食品檢測生物醫藥能源環境

新增兒童藥品目錄 國家基藥目錄調整要點

2021年11月18日 15:33:24來源:儀器網作者:吳吳吳

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  【儀器網 生物醫藥】 國家基本藥物制度是保證人民基本用藥、助力深化醫改、降低藥品價格、減輕患者用藥負擔的重要保障,國家基本藥物目錄是鞏固國家基本藥物制度的重要舉措。
 
  11月15日,藥物政策與基本藥物制度司就《國家基本藥物制度目錄管理辦法(修訂草案)》(以下簡稱《管理辦法》)發布公開征求意見公告,面向社會公開征求意見,新一輪的國家基本藥物目錄遴選正式開始。
 
  與國際接軌 新增兒童藥品目錄
 
  《管理辦法》第七條指出,本次藥品遴選目錄分為化學藥品和生物制品目錄、重要目錄和兒童藥品目錄,對比以往的國家基藥目錄,今年的目錄增加了“兒童藥品”目錄。
 
  WTO的基藥目錄中有200余種兒童版基藥,相比于WTO,在我國基藥目錄中并沒有專門針對兒童的目錄版本,本次《管理辦法》中新增“兒童藥品”是我國基本藥物與治愈與國際接軌的舉措。新增兒童藥品對WTO兒童藥物清單中的藥物和原基藥目錄以及醫保目錄中的中成藥兒童用藥是一次機遇。
 
  當前藥物配備總數與986相差甚遠 基藥擴容是調整趨勢
 
  我國基藥目錄從1981年至今共發布過五版,第一版目錄中共278種藥物,大家了解最多的307版基藥目錄發布于2009年,目錄總數為307種,2018版現行目錄中共有685種藥物,其中化學藥品和生物制品共417種,中成藥268種。
 
  2019年,國務院辦公廳發布《關于進一步做好短缺藥品供保穩價工作的意見》(以下簡稱《意見》),《意見》中要求“基層醫療衛生機構、二級公立醫院、三級公立醫院基本藥物配備品種數量占比原則上分別不低于90%、80%、60%”,簡稱“986”。
 
  我國目前醫院的藥品配比為59%、45%、39%,與“986”的目標相差甚遠,專家表示,要達到《意見》的“986”藥品比例要求,基藥的數量需要達到900個。
 
  基于三年來臨床用藥的需要和獲批新藥的數量增多,以及第五批六批國采藥品的數量的增多,此次基藥目錄的數量將擴容,且今年是“986”目標實現的關鍵時間點。
 
  除藥品價格外 藥品的臨床價值也是基藥目錄的重要標準
 
  根據《管理辦法》,此次進入目錄的藥品需要滿足疾病防治的基本用藥需求,適應現階段我國的基本國情,價格合理能夠保障供應且可以公平獲得。這也就意味著價格從某種意義上來說可以是進入基藥目錄的敲門磚。
 
  藥品價格固然是重要衡量標準,但卻不是進入基藥目錄的保送證書。據了解,2020年10月國家衛健委曾組織華森、阿斯利康等多家藥企討論基藥政策,會議中國家衛健委表示,基藥不代表低價藥,臨床價值高的高價藥也可進入基藥目錄。
 
  除上述信息外,《管理辦法》中規定基藥遴選應遵循“中西藥并重”的原則,結合國家振興中醫藥的現行趨勢,推斷中成藥的比重將加大,重要經典名方會被優先考慮。
(本文來源:儀器網,轉載請注明出處
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第7屆廣州國際生物技術大會暨展覽會

時間:2022.09.15~2022.09.17 地點:廣州·廣交會展館C區


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