法国将为患者报销抗肥胖药物费用
France To Reimburse Patients For Anti-Obesity Drugs

原始链接: https://www.zerohedge.com/medical/france-reimburse-patients-anti-obesity-drugs

法国已成为首个为 Wegovy 和 Mounjaro 等减肥药物提供永久性政府报销的欧盟国家,该政策于 6 月中旬生效。卫生部长斯蒂芬妮·里斯特(Stéphanie Rist)宣布,政府将承担 65% 的费用;对于患有糖尿病或高血压等合并症且患有严重肥胖症(BMI 超过 35 或 40)的患者,政府将提供 100% 的报销。该计划旨在帮助那些原本可能需要手术的患者,预计每年耗资约 1 亿欧元。 此前,英国、瑞士和日本也采取了类似的举措,对 GLP-1 受体激动剂进行补贴。与此同时,美国在联邦医疗保险(Medicare)覆盖此类药物方面也有了最新进展。唐纳德·特朗普总统宣布,计划从 7 月起将部分减肥药物的 Medicare 每月费用上限设定为 50 美元。此外,美国医疗保险和医疗补助服务中心(CMS)正通过一项针对 Medicare D 部分受益人的过渡计划来扩大获取渠道,同时该机构也在继续评估有关价格谈判和扩大保险覆盖范围的长期模式。

相关文章

原文

Authored by Guy Birchall via The Epoch Times,

France is set to begin reimbursing severely obese people for the cost of weight-loss drugs, French Health Minister Stéphanie Rist said on May 28.

Wegovy at a pharmacy in London on March 8, 2024. Hollie Adams/Reuters

She said that Paris would subsidize the use of Danish company Novo Nordisk's Wegovy and American pharma giant Eli Lilly's Mounjaro from mid-June.

"I am quite proud, because we are the first country in the European Union to provide reimbursement ... on a permanent basis," Rist told French broadcaster TFI.

Officially, reimbursement will cover 65 percent of the cost of the weight-loss drugs, "but almost all patients will be covered" in full if they have "comorbidities, such as high blood pressure or diabetes," she said.

"For the vast majority, it will be 100 percent reimbursement," Rist added.

She said the eligibility criteria for the scheme would remain strict.

"It was decided to reimburse these medicines for people with severe obesity, with a body mass index above 35 with comorbidities, or above 40. These are people who may be candidates for surgery, for an operation to treat their obesity, and who will be able to receive these medicines if the doctor considers that they should be prescribed," Rist said.

She estimated the cost to French public finances at "around 100 million euros [$116 million] annually."

Elsewhere in Europe, though outside the EU, the UK and Switzerland both subsidize the use of similar weight-loss medications, known as glucagon-like peptide-1 receptor agonists (GLP-1s).

GLP-1s are hormones produced naturally within the body that regulate blood sugar and suppress appetite.

The UK's National Health Service (NHS) offers limited access to such drugs, with medications prescribed and a standard prescription fee of 9.90 pounds per item (about $13.26), or free, depending on the patient's circumstances.

In Switzerland, people who meet certain criteria are also eligible for reimbursement for the use of Wegovy under the government's mandatory health insurance scheme.

Further afield, Japan operates a scheme similar to Switzerland's, while Canada last month approved the sale of generic versions of semaglutide, the active ingredient in Ozempic and Wegovy, paving the way for more widespread subsidized prescriptions for the medication. In Canada, the availability of subsidized Ozempic varies by province.

In the United States, U.S. President Donald Trump said on May 1 that Medicare patients will soon be able to obtain coverage for weight-loss drugs for $50 per month.

Speaking at an event in Florida, Trump said coverage for weight-loss and diabetes medications will begin in July.

"Today, I'm thrilled to announce that starting on July 1, we will also provide Medicare patients with the coverage for weight-loss drugs like Ozempic, Zepbound, Wegovy," he said. "So if it was $1,300, now it's $50. And the $1,300 doesn't cover a whole month. So it's really even more than that. So it's now down to $50."

In December 2025, the Centers for Medicare & Medicaid Services (CMS) announced a voluntary model known as Better Approaches to Lifestyle and Nutrition for Comprehensive Health to expand access to GLP-1 medications for weight management and metabolic health, allowing Medicare Part D plans and state Medicaid agencies to cover the drugs while negotiating lower prices.

The model, which would enable the CMS to negotiate directly with pharmaceutical companies for lower prices and standard terms of coverage, was initially expected to launch in January 2027, but officials said in April it would be delayed "pending further evaluation and data collection."

The CMS said in April that it would extend its bridge program, a short-term solution to provide eligible Medicare Part D beneficiaries with access to certain GLP-1 drugs, until December 2027.

Part D refers to the prescription drug benefit run by private insurers approved by Medicare. CMS stated on its website that the bridge program would "operate outside of the Medicare Part D benefit's coverage and payment flow."

Overweight people walk through the city center in Glasgow, Scotland, on Oct. 10, 2006. Jeff J. Mitchell/Getty Images
联系我们 contact @ memedata.com