After the national drug price negotiations，Treatment of hepatitis B、3 medicines for lung cancer，The price reduction has reached more than half。Current，There are 21 provinces incorporated negotiating drugs into the medical insurance such as Xinnonghe，Save costs for many patients。But most provinces have not incorporated negotiated drugs into urban medical insurance，City residents must enjoy this benefits，Still needs further work。

 

  The prices of Norofir esters for the treatment of hepatitis B are reduced by more than half!

 

  Not only reduced the price，and also included in Xinnonghe Medical Insurance。With this good news，Many patients with hepatitis B can save a lot of medicine for one month of medicine。

 

  As of mid -July，A total of 14 provinces in the country have issued national negotiating drug execution documents，A total of 21 provinces include negotiated drugs into various types of medical insurance compliance expenses。

 

  May 20 this year，The National Health and Family Planning Commission issued the "Notice on Doing a Better Procurement for National Negotiations"，Announced the results of the national drug price negotiations & mdash; & mdash; for the treatment of chronic hepatitis B -Fuvir ester and the oxidininib for treating non -small cell lung cancer、Gefitinib 3 medicines，The price reduction has reached 67%、54%、55%。Notification requirements，Purchase online before the end of June，Connect with medical insurance，By benefit patients as soon as possible。

 

  Half of the price reduction reduces the burden of patients

 

  Infection Department of the First Affiliated Hospital of Kunming Medical University，The reporter saw a chronic hepatitis B patient in his early 20s。He is sick for 8 years，Repeated condition，Almost consumed his family savings。The guy told reporters，The drug currently takes 25 yuan per day，& ldquo; My salary in one month Stake Sports Bettingstake online sports bettingis only 2,000 yuan，The burden is too heavy。& rdquo;

 

  According to his attending doctor、Introduction to Li Wu, Director of the Section，This young patient has just got married for a year，Preparing for fertility，Can only change drugs。& ldquo; Solofovir ester is the most preferred drug，Do not affect fertility。The price is more than half lower，Only 17 yuan per day after the price is reduced，This is a good news for patients。& rdquo;

 

   & ldquo; According to the 2006 chronic hepatitis B epidemiological survey，About 30 million patients with chronic hepatitis B in the country，More than 300,000 people in Yunnan Province。& rdquo; Wei Jia, director of the Viral hepatitis Research Center of Yunnan Province, said，At present, the relatively good original medicine Ensicavir，It costs more than 40 yuan per day，Its generic drugs also need to be 25 yuan per day。and Norofovir ester is not only fast antiviral speed、Low the incidence of drug resistance、High security，and the price is cheaper，17 yuan per day after price reduction，Save a lot of costs for patients。The medicine entered the hospital two weeks ago，He opened a prescription for the patient。

 

  Except for patients with hepatitis B and look forward to good news，Patients with lung cancer can also save money。Yunnan Cancer Hospital、Professor Huang Yunchao, Dean of the Third Affiliated Hospital of Kunming Medical University, said，& ldquo; Lung cancer is the most mortal cancer in my country，Yunnan is a high -incidence area，Especially an old、The incidence of female lung cancer in the Xuanwei area is very high。This time Yunnan will reduce the price of related drugs by more than half，and incorporated into the new rural harmony、Disease Insurance，Reduced a lot of burden to patients，Many patients who cannot be affordable before，I can also use medicine。& rdquo;

 

  May 27th，Yunnan Province took the lead in issuing documents for the results of drug price negotiations。June 15，The official hanging network of negotiated drugs。As of July 27，Wereud (Solofover) sells 2423 boxes，Compared with the original filing price of 999.99 yuan，Save 1.2357 million yuan。As of July 28，Irusa (Gefitinib) sells 397 boxes，Compared with the original price of 4999.66 yuan，Save 1.0487 million yuan; Camina (Exitinib) sales 49 boxes，Compared with the original retail price of 2753 yuan，Save 66,300 yuan。

 

  Director of the International Research Center of Peking University Medical Management International Research Center said: & ldquo; From the perspective of the patient's family，Not only reduced the cost of drug spending on the surface，It also reduces the occurrence of related diseases and the cost of other medicines。& rdquo;

 

  My stake betting appDrug stake betting appreimbursement of medical insurance is still tolerated

 

  The reporter learned，Yunnan has more than 4.7 million poor people，Last year, the per capita net income of farmers was only 8242 yuan，Living 28th in the country。According to the data caused by the National Bureau of Statistics, 40%of the poverty -caused factors due to illness，Yunnan caused poverty due to illness、There are many people returning to the poor，The task of poverty alleviation is more difficult。

 

   & ldquo; Most parts of Yunnan belong to the poverty -stricken areas of the frontiers，It is inconvenient to medication with these two types of diseases.、High cost，Medical security is difficult to bear，Often get sick，The whole family was dragged down，Causes poverty caused by illness、Poverty -stricken phenomenon is common。If Xinnonghe can bear，Achievements to the ground as soon as possible will allow the masses to enjoy the benefits as soon as possible，Reduce medical burden，Realize health poverty alleviation。& rdquo; Zheng Jin, deputy director of the Yunnan Health and Family Planning Commission said。

 

  Negotiation drugs are included in New Rural Hou、Disease Insurance，but，Is the medical insurance in the western region be tolerated?

 

  New Rural Cooperative Management Department Calculated Discovery，New Nonghe can completely cover most of the cost。Xie Xinying, director of the grassroots department of the Yunnan Provincial Health and Family Planning Commission, introduced，Lung Cancer has been included in the treatment of major diseases in Xinnonghe's major illness in Yunnan Province，Reimbursement of 4238 cases last year，Originally spent about 150,000 yuan a year，Only 75,000 & mdash; 80,000 yuan at the negotiation price。Last year，New Nonghe's cumulative balance of 4.05 billion yuan，This year's per capita fundraising increased by 70 yuan，Participating residents reached more than 30 million people。This part of the cost，It will not have much impact on the overall plate。& ldquo; The next step is to imitate the method of overall treatment of a major illness clinic，Let patients with lung cancer used for this part of the medication can also prescribe medicine in the clinic，Integrated into the reimbursement scope。& rdquo;

 

  Hepatitis B calculated at 2.1%& mdash; 2.2%calculation，The total number of patients is about 1 million cases，After reimbursement 50%，New Nonghe needs to spend 2.94 billion yuan，It will have a large impact on the total capital plate。So，Yunnan considers subsidies to patients with hepatitis B，For example, the total subsidy of two or three thousand yuan per year，Determine the amount according to the specific situation。

 

  & ldquo; Reimbursement of Xinnonghe plus major stake betting appillness insurance，The actual compensation My stake betting appratio of patients has reached more than 70%。plus these compensation methods，The burden of two types of patients will be greatly reduced。& rdquo; Xie Xinying said。

 

  Shi Luwen said，& ldquo; The negotiation price has been landed one after another，The price reduction pressure will be formed on similar drugs，The beneficiary patient will be larger。& rdquo;

 

  Urban residents have not yet enjoyed reimbursement

 

  To implement the negotiation results, there are still a large number of supporting work to do.

 

  Jiang Yu, an associate researcher at the Macroeconomic Research Center of the Development Research Center of the State Council: Which level of medical institutions can use these three drugs? Which groups should be preferred?。It is recommended to start from the large hospital，Let the poor people enjoy the benefits first，Following poverty as soon as possible，At the same time。Of course，Also guarantee supply。& rdquo;

 

  Yang Lijuan, Director of the Director of the Pharmaceutical Division of the Yunnan Provincial Health and Family Planning Commission, said，Xinnonghe belongs to the management of the Health and Family Planning Commission，After the calculation, the network will be implemented soon。Since then，Her discussion with three pharmaceutical companies，Communicate with the Charity Federation of the Pharmaceutical Department of the Pharmaceutical Pharmaceutical Drugs of the Pulmonary Cancer，You can still enjoy the discount of gifted medicine after the execution is determined，and medical insurance with urban residents、Communication for urban employee medical insurance management departments and human social departments，I hope to be included in urban medical insurance as soon as possible。

 

  Like Yunnan，Other provinces also quickly incorporate three negotiated drugs into New Rural Cooperative or Great Disease Insurance，But for various reasons，Except for a few provinces，Not incorporated into urban medical insurance for the time being。This is for a large number of urban insured patients，The burden is still heavier。

 

  Reporter interviewed Wei Jia that day，I met a patient who wanted to replace Norofover.。This patient's mother is ready to buy medicine from abroad。When Wei Jia told her the news that this medicine was introduced to domestic and price reduction sales，Mother and daughter are happy。but，Because the patient participates in Kunming employee medical insurance，and the medicine is not included in employee medical insurance，Patients have used the outpatient clinic for more than 1,000 yuan in overall costs，Still need a large amount of cost。According to the reporter's understanding，Kunming urban residents 'medical insurance and New Rural Hehe have been merged into urban and rural residents' medical stake sports betting appinsurance，Insured residents in the stake sports betting appcity cannot enjoy the policy benefits。& ldquo; All are the same disease，New Nong Nonghe Reimbursement instead，When can our urban residents enjoy the affordable stake betting appreimbursement of medical insurance? & rdquo; The mother's mother said。

 

   & ldquo; In fact, we are most concerned about two questions，When the patient can buy it，One is whether medical insurance can be reimbursed。& rdquo; Wei Jia also proposed，Other drugs used in other common diseases are also very expensive，I hope that the country can negotiate as soon as possible，Let patients with other diseases enjoy benefits。

 

  Huang Yunchao also made similar suggestions，That is to allow residents of participating cities and towns as soon as possible to reimburse fees，At the same time, non -hospitalized patients can also be reimbursed。

 

  Except for the problem of medical insurance connection，There are also problems with different supply progress。Some pharmaceutical companies have not been included in the local bidding procurement procedure，Afraid of being unable to enter the hospital's procurement directory，More worried about medical insurance、New Nonghe Fund Security Questions, etc.。Communication，Pharmaceutical companies actively supply，and expressed the resolute execution of the negotiation results，benefit more patients。

 

  & ldquo; later，Drugs negotiated by the state will be more。Hope to straighten the mechanism，Establish a national joint implementation system，Let the place be executed smoother，Let the people unload the burden of seeing a doctor as soon as possible。& rdquo; Yang Lijuan said。