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Home » China’s new drug insurance: lifeline for patients or squeeze on big pharmaceutical firms?
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China’s new drug insurance: lifeline for patients or squeeze on big pharmaceutical firms?

adminBy adminDecember 16, 2025No Comments2 Mins Read
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Mainland China’s 17 million Alzheimer’s patients can, for the first time, pay less out of pocket for a costly drug touted as “historic” and “the beginning of the end” for the memory-robbing disease after Beijing launched a commercial insurance innovative drug list in an effort to make medicines more accessible and affordable.

Leqembi, developed by Japan’s Eisai and costing a mainland Chinese patient about US$28,400 a year, could see its price cut by half after it was added to the inaugural edition of commercial insurance for innovative drugs unveiled last week. The list includes US drug maker Eli Lilly’s Kisunla, which has been described by international media as a “turning point” in the fight against Alzheimer’s.

The commercial insurance formulary covered some medicines that were not yet eligible for reimbursement under the country’s National Reimbursement Drug List (NRDL), state-run news agency Xinhua said on December 8.

The new scheme offers a lifeline to patients desperate for options and marks a small win for global novel drug makers, which gain access to China’s market of more than 1.4 billion people.

Progress, however, comes at a price. Macquarie Capital, citing an industry expert, estimated that list prices for included drugs were being trimmed by about 15 to 50 per cent. The final out-of-pocket share for each drug would likely hinge on case-by-case pricing talks between drug developers and Chinese insurance companies.

Leqembi, which costs a mainland Chinese patient about US$28,400 a year, may see its out-of-pocket price cut by half. Photo: Getty Images
Leqembi, which costs a mainland Chinese patient about US$28,400 a year, may see its out-of-pocket price cut by half. Photo: Getty Images

For years, some innovative drugs have struggled to enter China’s vast market as makers have been unwilling or unable to slash their prices deep enough to meet NRDL requirements. Average NRDL discounts agreed between the government and drug makers in November are expected to exceed 60 per cent, following cuts of about 63 per cent in last year’s round.



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