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share統統被原廠占走了，而我們希望在短期之內不但是國產的學名藥能夠製造出來，而且很快地會有market share，會占market share是在醫院的議價，所以我們必須要給它好一點的健保價，才能夠在議價上面有好處。"],["林委員月琴：所以看起來部長是同意的嘛，我們現在應該要共同來設法提升我們學名藥的占有率，因為市場現在的情況是原廠銷售額相較於學名藥一直是遙遙領先，即便是逾專利期5年後還是這樣的一個問題。我就要請問部長，臺灣沒有能力嗎？就是原廠藥價造成我們一直在依賴的時候，我們自己沒有去因應這種可能發生的一些天災人禍、甚至戰爭危機的時候嗎？我們沒有這個能力嗎？另外一個就是在逐年壓低我們國內藥品利潤的制度下，請問一下這個能力可以維持多久？"],["薛部長瑞元：所以我剛剛跟委員報告的就是這個樣子，原廠的市場占有率太高，有一個藥如果是原廠的，目前這個情況很普遍，雖然已經過專利期，但是在過專利期5年之內在市場的市占率是80%，萬一它沒有辦法供應進來的時候，我們國內的廠商縱然有學名藥，它的market share只有20%，所以它的產線是沒有辦法很快地來補充，這個真的是一個國安危機，所以我們正在做調整，我們希望原廠藥在過專利期之後，馬上就會有國產藥廠能夠來生產這個學名藥，可以來取代，而且它的market share一定要占一定的規模以上，才能有足夠的產線能夠應付臨時原廠缺藥的時候能夠替補上來。"],["林委員月琴：所以表示是沒問題的嗎？"],["薛部長瑞元：不是沒問題，現在正在做這個調整，因為過去並沒有這樣的一個調整。"],["林委員月琴：好。根據健保署這次提供的書面資料，食藥署透過西藥供應平台網站作為藥品通路的通報機制，通報後經調查而提供現有替代藥品資訊跟公開徵求其他替代藥品、替代療法；另外一端，依我們的法規要求，我們的製藥在停貨、供貨6個月前要告知健保署，以提早因應。想問的是我們社區藥局依照我們的醫令來開藥，可是臺灣藥品是用品名來建檔的，如果該項缺藥的話，儘管成分相同，可是藥局事實上是不敢使用的，請問怎麼樣解決這個問題？"],["薛部長瑞元：有關這個部分，第一個就是在健保相關的規定裡面也說，如果不指定不可替代的話，藥局是可以用同成分的藥去做直接調劑，這在本來的規定就有。"],["林委員月琴：書面報告也指出，未來鼓勵國內藥廠增加儲備到6個月的用藥，意味著同時要儲備6個月的原料跟藥品，因此就需要增加倉儲、溫控這些設施設備，增加這些設備都是他們的成本喔，可是在原廠藥進口的衝擊下，如果他們的藥品滯銷過期就要銷燬，這也是風險，請問有沒有一些輔導計畫？"],["薛部長瑞元：這個是所謂的必要藥品的品項，我們會要求國內廠商必須在原料的儲存上要準備6個月啦，但是成品、也就是做好的藥，大概是2到3個月的存量，因為如果有原料在的話，隨時他們是可以去做的。"],["林委員月琴：可是重點是如果最後賣不出去的話呢？因為國內真的很喜歡用原廠藥，這樣不是會造成我們國內很大的衝擊嗎？"],["薛部長瑞元：這個會評估啦，主要是說，如果有預期會短缺的時候，它要事先通報，6個月前要通報給我們啦。"],["林委員月琴：疫情過後，各國都投入巨資整頓國內的供應鏈，韓國5年投入50億韓元、美國花費26.1億美元、法國花費150億歐元，臺灣到底有沒有學名藥的產業政策？何時制定？什麼時候公布？"],["薛部長瑞元：如果說是一個所謂整體的政策，我們目前並沒有把它彙整，但是我們部分已經在進行的，比方說剛剛講的健保方面的一些藥價政策，其實其中很重要就是包含學名藥的產業政策。"],["林委員月琴：我覺得面對日、韓不要只是羨慕，我呼籲我們的衛福部儘速提出一個完整的學名藥產業政策。以上，謝謝。"],["薛部長瑞元：這個我們有一部分必須要跟經濟部來一起來討論。"],["林委員月琴：好，再麻煩衛福部，謝謝。"],["薛部長瑞元：謝謝。"],["主席：謝謝林月琴委員的質詢。","接下來請盧縣一委員進行質詢。"]],"agenda":{"page_end":210,"meet_id":"委員會-11-1-26-4","speakers":["王育敏","陳昭姿","陳菁徽","林月琴","盧縣一","邱鎮軍","廖偉翔","黃秀芳","蘇清泉","涂權吉","王正旭","林德福","王鴻薇","羅廷瑋","李彥秀","林淑芬","黃健豪","謝衣鳯","鍾佳濱","林憶君","劉建國","陳瑩","楊曜","楊瓊瓔"],"page_start":133,"meetingDate":["2024-03-07"],"gazette_id":"1130901","agenda_lcidc_ids":["1130901_00003"],"meet_name":"立法院第11屆第1會期社會福利及衛生環境委員會第4次全體委員會議紀錄","content":"邀請衛生福利部部長、中央健康保險署、食品藥物管理署就「健保藥價調整，藥廠停產慢性病用\n藥之因應作為」進行專題報告，並備質詢","agenda_id":"1130901_00002"}},"transcript":{"id":"149455","pyannote":{"name":"ronny","tool":"pyannote","data":{"url":"https://ivod.ly.gov.tw/Play/Clip/1M/149455","tool":"pyannote","id":"149455-pyannote"},"job_id":"kEAzkhdm9usoT7l2","queued_at":"2024-06-02 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498.311, \"score\": 0.0}, {\"word\": \"部\", \"start\": 498.311, \"end\": 498.371, \"score\": 0.667}, {\"word\": \"提\", \"start\": 498.371, \"end\": 498.491, \"score\": 0.833}, {\"word\": \"出\", \"start\": 498.491, \"end\": 498.511, \"score\": 0.0}, {\"word\": \"完\", \"start\": 498.511, \"end\": 498.871, \"score\": 0.934}, {\"word\": \"整\", \"start\": 498.871, \"end\": 499.111, \"score\": 0.916}, {\"word\": \"的\", \"start\": 499.111, \"end\": 499.291, \"score\": 0.988}, {\"word\": \"學\", \"start\": 499.291, \"end\": 499.511, \"score\": 0.909}, {\"word\": \"民\", \"start\": 499.511, \"end\": 499.791, \"score\": 0.861}, {\"word\": \"藥\"}, {\"word\": \"產\"}, {\"word\": \"業\"}, {\"word\": \"政\", \"start\": 499.791, \"end\": 499.991, \"score\": 0.901}, {\"word\": \"策\", \"start\": 499.991, \"end\": 500.011, \"score\": 0.0}], \"language\": \"zh\"}","srt":"1\n00:00:08,394 --> 00:00:11,435\n有請我們的衛福部部長。好,請部長。委員好。好,部長好。那剛剛你有提到有4568項藥品要調整,可是你沒有提到的是其中3590項的藥品事實上是國內藥廠生產的,但佔了78.6%,\n\n2\n00:00:33,686 --> 00:00:34,206\n林月琴議員\n\n3\n00:01:02,881 --> 00:01:21,282\n那問題出在我們的健保的那個藥費的制度歐美先進國家那的確他們有專業技術然後可是專利期過後國內的藥廠生產的學名藥應該是會有更穩定的供應還有呢藥價是比較低的還有\n\n4\n00:01:21,834 --> 00:01:21,994\n林月琴議員\n\n5\n00:01:47,918 --> 00:02:08,726\n以藥品費用支出目標制來管制我們的藥費的目的在於我們的控制健保的藥費支出可總不能在缺藥的時候產生危機所以不知道健保署這邊有沒有因應的對策對策是什麼我先跟委員說明我非常贊同委員所說的這個會影響到國安因為一旦是\n\n6\n00:02:10,766 --> 00:02:34,391\n如果你完全仰賴原廠藥的話那一旦這個輸入的路徑有受到影響的時候我們馬上就缺藥所以國內的廠商要扶植起來做學名藥那現在剛剛委員提的那個比例是對的因為我們現在是對於原廠藥過專利期的是砍得最多\n\n7\n00:02:35,331 --> 00:02:52,872\n因為在專利期他已經受到保障了那所以過了專利期應該就是要大幅的去調降那我們對原廠藥的話如果他在過專利期之後他可以開始來做學名藥的時候我們給他鼓勵所以在健保的合價我們新的制度就是\n\n8\n00:02:53,873 --> 00:03:17,581\n當原廠要過專利期,比如說我們從100塊把它砍到60塊的時候,那我們給學名藥,國產學名藥的是66塊,比那個還高。原因就是本來的marketshare通通給原廠佔走了,那我們希望在短期之內,你不但是國產的這個學名藥能夠製造出來,而且很快的會有marketshare。\n\n9\n00:03:18,381 --> 00:03:23,783\n所以看起來部長是同意的嘛因為我們現在應該要共同來提升就設法提升我們學民要的那個佔有率\n\n10\n00:03:37,376 --> 00:03:53,029\n市場現在原廠的銷售額遠高過於相較於學民藥它一直遙遙領先即便事實上是與專利期5年後還是這樣子的一個問題那我就要問部長說台灣沒有能力自備我們的那個就是原廠\n\n11\n00:03:53,909 --> 00:03:54,570\n所以我剛剛跟委員報告就是這個樣子\n\n12\n00:04:15,758 --> 00:04:32,145\n國產的原廠的市場佔有率太高所以有一個藥如果說原廠的目前這個很普遍他雖然過專利期但是在過專利期5年之內的話他還在市場的市佔率的話是80%\n\n13\n00:04:33,866 --> 00:04:51,826\n萬一他就是說沒有辦法供應進來的時候我們國內的廠商縱然有學名藥他只MarketShare只有20%所以他的產線是沒有辦法很快的來補充的這個是真的是一個國安危機所以我們現在正在調整這樣子我們希望說原廠藥\n\n14\n00:04:52,807 --> 00:04:56,210\n所以表示是沒問題的嗎?不是沒問題,現在正在做這個調整因為過去的話並沒有這樣子的一個調整\n\n15\n00:05:23,800 --> 00:05:40,485\n根據健保署這次提供的書面資料那食藥署透過西藥供應平臺網站作為藥品的通路的一個通報機制通報後經調查而提供現有的替代藥品資訊跟公開徵求其他替代藥品\n\n16\n00:05:41,045 --> 00:06:04,380\n那替代療法另外一端依我們的法規要求我們的製藥在停或供貨六個月前要告知健保署以提早營業想問的是我們社區藥局依照我們的依令來開藥可是臺灣藥品是用品名來建檔的如果該項缺藥的話那儘管成分相同可是藥局事實上是他不敢使用那怎麼樣解決這個問題\n\n17\n00:06:05,694 --> 00:06:23,833\n這部分的話第一個就是我們的規定裡面健保相關規定裡面也說在如果不指定這一個不可替代的話那它藥局是可以把它用同成分的去做直接調劑這是在本來的規定就有\n\n18\n00:06:26,015 --> 00:06:39,391\n書面報告也指出未來鼓勵國內藥廠增加除到6個月的用藥意味同時要儲備6個月的一個原料跟藥品的話增加倉儲、溫控這些設施設備\n\n19\n00:06:43,720 --> 00:07:12,574\n增加這些設備都是他們的成本喔那他們的成本可是在我們的原廠藥進口的衝擊下如果滯銷就過期銷毀也是風險有沒有一些輔導計畫根本報告這個是所謂的必要藥品的這個品項那我們會要求我們國內的廠商必須原料要儲存是準備6個月啦但是成品就做好的大概2到3個月的這個存量\n\n20\n00:07:13,354 --> 00:07:40,533\n因為如果有原料在的話當然隨時他們是可以去做的可是重點是如果今天進口的那個他最後事實上賣不出去那因為國內真的很喜歡是用原廠藥那也不是造成我們國內很大的衝擊嗎這會評估啦這主要是說他如果那個有預期是會就是說短缺的時候他要事先要通報這事先6個月前要通報給我們\n\n21\n00:07:43,146 --> 00:08:06,294\n疫情過後我們各國都投入巨資來整對國內的供應鏈韓國五年投資了50億韓元美國花費了26.1億元那法國花了150歐元那臺灣到底有沒有學民藥的產業政策何時制定然後什麼時候公布\n\n22\n00:08:08,276 --> 00:08:17,631\n如果說一個整體的所謂的這個政策的話我們目前就並沒有把它彙整但是我們部分已經在進行的比如說\n\n23\n00:08:18,291 --> 00:08:20,011\n衛福部提出完整的學民藥產業政策\n\n","tsv":"start\tend\ttext\n8394\t11435\t有請我們的衛福部部長。好,請部長。委員好。好,部長好。那剛剛你有提到有4568項藥品要調整,可是你沒有提到的是其中3590項的藥品事實上是國內藥廠生產的,但佔了78.6%,\n33686\t34206\t林月琴議員\n62881\t81282\t那問題出在我們的健保的那個藥費的制度歐美先進國家那的確他們有專業技術然後可是專利期過後國內的藥廠生產的學名藥應該是會有更穩定的供應還有呢藥價是比較低的還有\n81834\t81994\t林月琴議員\n107918\t128726\t以藥品費用支出目標制來管制我們的藥費的目的在於我們的控制健保的藥費支出可總不能在缺藥的時候產生危機所以不知道健保署這邊有沒有因應的對策對策是什麼我先跟委員說明我非常贊同委員所說的這個會影響到國安因為一旦是\n130766\t154391\t如果你完全仰賴原廠藥的話那一旦這個輸入的路徑有受到影響的時候我們馬上就缺藥所以國內的廠商要扶植起來做學名藥那現在剛剛委員提的那個比例是對的因為我們現在是對於原廠藥過專利期的是砍得最多\n155331\t172872\t因為在專利期他已經受到保障了那所以過了專利期應該就是要大幅的去調降那我們對原廠藥的話如果他在過專利期之後他可以開始來做學名藥的時候我們給他鼓勵所以在健保的合價我們新的制度就是\n173873\t197581\t當原廠要過專利期,比如說我們從100塊把它砍到60塊的時候,那我們給學名藥,國產學名藥的是66塊,比那個還高。原因就是本來的market share通通給原廠佔走了,那我們希望在短期之內,你不但是國產的這個學名藥能夠製造出來,而且很快的會有market share。\n198381\t203783\t所以看起來部長是同意的嘛因為我們現在應該要共同來提升就設法提升我們學民要的那個佔有率\n217376\t233029\t市場現在原廠的銷售額遠高過於相較於學民藥它一直遙遙領先即便事實上是與專利期5年後還是這樣子的一個問題那我就要問部長說台灣沒有能力自備我們的那個就是原廠\n233909\t234570\t所以我剛剛跟委員報告就是這個樣子\n255758\t272145\t國產的原廠的市場佔有率太高所以有一個藥如果說原廠的目前這個很普遍他雖然過專利期但是在過專利期5年之內的話他還在市場的市佔率的話是80%\n273866\t291826\t萬一他就是說沒有辦法供應進來的時候我們國內的廠商縱然有學名藥他只MarketShare只有20%所以他的產線是沒有辦法很快的來補充的這個是真的是一個國安危機所以我們現在正在調整這樣子我們希望說原廠藥\n292807\t296210\t所以表示是沒問題的嗎?不是沒問題,現在正在做這個調整因為過去的話並沒有這樣子的一個調整\n323800\t340485\t根據健保署這次提供的書面資料那食藥署透過西藥供應平臺網站作為藥品的通路的一個通報機制通報後經調查而提供現有的替代藥品資訊跟公開徵求其他替代藥品\n341045\t364380\t那替代療法另外一端依我們的法規要求我們的製藥在停或供貨六個月前要告知健保署以提早營業想問的是我們社區藥局依照我們的依令來開藥可是臺灣藥品是用品名來建檔的如果該項缺藥的話那儘管成分相同可是藥局事實上是他不敢使用那怎麼樣解決這個問題\n365694\t383833\t這部分的話第一個就是我們的規定裡面健保相關規定裡面也說在如果不指定這一個不可替代的話那它藥局是可以把它用同成分的去做直接調劑這是在本來的規定就有\n386015\t399391\t書面報告也指出未來鼓勵國內藥廠增加除到6個月的用藥意味同時要儲備6個月的一個原料跟藥品的話增加倉儲、溫控這些設施設備\n403720\t432574\t增加這些設備都是他們的成本喔那他們的成本可是在我們的原廠藥進口的衝擊下如果滯銷就過期銷毀也是風險有沒有一些輔導計畫根本報告這個是所謂的必要藥品的這個品項那我們會要求我們國內的廠商必須原料要儲存是準備6個月啦但是成品就做好的大概2到3個月的這個存量\n433354\t460533\t因為如果有原料在的話當然隨時他們是可以去做的可是重點是如果今天進口的那個他最後事實上賣不出去那因為國內真的很喜歡是用原廠藥那也不是造成我們國內很大的衝擊嗎這會評估啦這主要是說他如果那個有預期是會就是說短缺的時候他要事先要通報這事先6個月前要通報給我們\n463146\t486294\t疫情過後我們各國都投入巨資來整對國內的供應鏈韓國五年投資了50億韓元美國花費了26.1億元那法國花了150歐元那臺灣到底有沒有學民藥的產業政策何時制定然後什麼時候公布\n488276\t497631\t如果說一個整體的所謂的這個政策的話我們目前就並沒有把它彙整但是我們部分已經在進行的比如說\n498291\t500011\t衛福部提出完整的學民藥產業政策\n","txt":"有請我們的衛福部部長。好,請部長。委員好。好,部長好。那剛剛你有提到有4568項藥品要調整,可是你沒有提到的是其中3590項的藥品事實上是國內藥廠生產的,但佔了78.6%,\n林月琴議員\n那問題出在我們的健保的那個藥費的制度歐美先進國家那的確他們有專業技術然後可是專利期過後國內的藥廠生產的學名藥應該是會有更穩定的供應還有呢藥價是比較低的還有\n林月琴議員\n以藥品費用支出目標制來管制我們的藥費的目的在於我們的控制健保的藥費支出可總不能在缺藥的時候產生危機所以不知道健保署這邊有沒有因應的對策對策是什麼我先跟委員說明我非常贊同委員所說的這個會影響到國安因為一旦是\n如果你完全仰賴原廠藥的話那一旦這個輸入的路徑有受到影響的時候我們馬上就缺藥所以國內的廠商要扶植起來做學名藥那現在剛剛委員提的那個比例是對的因為我們現在是對於原廠藥過專利期的是砍得最多\n因為在專利期他已經受到保障了那所以過了專利期應該就是要大幅的去調降那我們對原廠藥的話如果他在過專利期之後他可以開始來做學名藥的時候我們給他鼓勵所以在健保的合價我們新的制度就是\n當原廠要過專利期,比如說我們從100塊把它砍到60塊的時候,那我們給學名藥,國產學名藥的是66塊,比那個還高。原因就是本來的market share通通給原廠佔走了,那我們希望在短期之內,你不但是國產的這個學名藥能夠製造出來,而且很快的會有market share。\n所以看起來部長是同意的嘛因為我們現在應該要共同來提升就設法提升我們學民要的那個佔有率\n市場現在原廠的銷售額遠高過於相較於學民藥它一直遙遙領先即便事實上是與專利期5年後還是這樣子的一個問題那我就要問部長說台灣沒有能力自備我們的那個就是原廠\n所以我剛剛跟委員報告就是這個樣子\n國產的原廠的市場佔有率太高所以有一個藥如果說原廠的目前這個很普遍他雖然過專利期但是在過專利期5年之內的話他還在市場的市佔率的話是80%\n萬一他就是說沒有辦法供應進來的時候我們國內的廠商縱然有學名藥他只MarketShare只有20%所以他的產線是沒有辦法很快的來補充的這個是真的是一個國安危機所以我們現在正在調整這樣子我們希望說原廠藥\n所以表示是沒問題的嗎?不是沒問題,現在正在做這個調整因為過去的話並沒有這樣子的一個調整\n根據健保署這次提供的書面資料那食藥署透過西藥供應平臺網站作為藥品的通路的一個通報機制通報後經調查而提供現有的替代藥品資訊跟公開徵求其他替代藥品\n那替代療法另外一端依我們的法規要求我們的製藥在停或供貨六個月前要告知健保署以提早營業想問的是我們社區藥局依照我們的依令來開藥可是臺灣藥品是用品名來建檔的如果該項缺藥的話那儘管成分相同可是藥局事實上是他不敢使用那怎麼樣解決這個問題\n這部分的話第一個就是我們的規定裡面健保相關規定裡面也說在如果不指定這一個不可替代的話那它藥局是可以把它用同成分的去做直接調劑這是在本來的規定就有\n書面報告也指出未來鼓勵國內藥廠增加除到6個月的用藥意味同時要儲備6個月的一個原料跟藥品的話增加倉儲、溫控這些設施設備\n增加這些設備都是他們的成本喔那他們的成本可是在我們的原廠藥進口的衝擊下如果滯銷就過期銷毀也是風險有沒有一些輔導計畫根本報告這個是所謂的必要藥品的這個品項那我們會要求我們國內的廠商必須原料要儲存是準備6個月啦但是成品就做好的大概2到3個月的這個存量\n因為如果有原料在的話當然隨時他們是可以去做的可是重點是如果今天進口的那個他最後事實上賣不出去那因為國內真的很喜歡是用原廠藥那也不是造成我們國內很大的衝擊嗎這會評估啦這主要是說他如果那個有預期是會就是說短缺的時候他要事先要通報這事先6個月前要通報給我們\n疫情過後我們各國都投入巨資來整對國內的供應鏈韓國五年投資了50億韓元美國花費了26.1億元那法國花了150歐元那臺灣到底有沒有學民藥的產業政策何時制定然後什麼時候公布\n如果說一個整體的所謂的這個政策的話我們目前就並沒有把它彙整但是我們部分已經在進行的比如說\n衛福部提出完整的學民藥產業政策\n","vtt":"WEBVTT\n\n00:08.394 --> 00:11.435\n有請我們的衛福部部長。好,請部長。委員好。好,部長好。那剛剛你有提到有4568項藥品要調整,可是你沒有提到的是其中3590項的藥品事實上是國內藥廠生產的,但佔了78.6%,\n\n00:33.686 --> 00:34.206\n林月琴議員\n\n01:02.881 --> 01:21.282\n那問題出在我們的健保的那個藥費的制度歐美先進國家那的確他們有專業技術然後可是專利期過後國內的藥廠生產的學名藥應該是會有更穩定的供應還有呢藥價是比較低的還有\n\n01:21.834 --> 01:21.994\n林月琴議員\n\n01:47.918 --> 02:08.726\n以藥品費用支出目標制來管制我們的藥費的目的在於我們的控制健保的藥費支出可總不能在缺藥的時候產生危機所以不知道健保署這邊有沒有因應的對策對策是什麼我先跟委員說明我非常贊同委員所說的這個會影響到國安因為一旦是\n\n02:10.766 --> 02:34.391\n如果你完全仰賴原廠藥的話那一旦這個輸入的路徑有受到影響的時候我們馬上就缺藥所以國內的廠商要扶植起來做學名藥那現在剛剛委員提的那個比例是對的因為我們現在是對於原廠藥過專利期的是砍得最多\n\n02:35.331 --> 02:52.872\n因為在專利期他已經受到保障了那所以過了專利期應該就是要大幅的去調降那我們對原廠藥的話如果他在過專利期之後他可以開始來做學名藥的時候我們給他鼓勵所以在健保的合價我們新的制度就是\n\n02:53.873 --> 03:17.581\n當原廠要過專利期,比如說我們從100塊把它砍到60塊的時候,那我們給學名藥,國產學名藥的是66塊,比那個還高。原因就是本來的marketshare通通給原廠佔走了,那我們希望在短期之內,你不但是國產的這個學名藥能夠製造出來,而且很快的會有marketshare。\n\n03:18.381 --> 03:23.783\n所以看起來部長是同意的嘛因為我們現在應該要共同來提升就設法提升我們學民要的那個佔有率\n\n03:37.376 --> 03:53.029\n市場現在原廠的銷售額遠高過於相較於學民藥它一直遙遙領先即便事實上是與專利期5年後還是這樣子的一個問題那我就要問部長說台灣沒有能力自備我們的那個就是原廠\n\n03:53.909 --> 03:54.570\n所以我剛剛跟委員報告就是這個樣子\n\n04:15.758 --> 04:32.145\n國產的原廠的市場佔有率太高所以有一個藥如果說原廠的目前這個很普遍他雖然過專利期但是在過專利期5年之內的話他還在市場的市佔率的話是80%\n\n04:33.866 --> 04:51.826\n萬一他就是說沒有辦法供應進來的時候我們國內的廠商縱然有學名藥他只MarketShare只有20%所以他的產線是沒有辦法很快的來補充的這個是真的是一個國安危機所以我們現在正在調整這樣子我們希望說原廠藥\n\n04:52.807 --> 04:56.210\n所以表示是沒問題的嗎?不是沒問題,現在正在做這個調整因為過去的話並沒有這樣子的一個調整\n\n05:23.800 --> 05:40.485\n根據健保署這次提供的書面資料那食藥署透過西藥供應平臺網站作為藥品的通路的一個通報機制通報後經調查而提供現有的替代藥品資訊跟公開徵求其他替代藥品\n\n05:41.045 --> 06:04.380\n那替代療法另外一端依我們的法規要求我們的製藥在停或供貨六個月前要告知健保署以提早營業想問的是我們社區藥局依照我們的依令來開藥可是臺灣藥品是用品名來建檔的如果該項缺藥的話那儘管成分相同可是藥局事實上是他不敢使用那怎麼樣解決這個問題\n\n06:05.694 --> 06:23.833\n這部分的話第一個就是我們的規定裡面健保相關規定裡面也說在如果不指定這一個不可替代的話那它藥局是可以把它用同成分的去做直接調劑這是在本來的規定就有\n\n06:26.015 --> 06:39.391\n書面報告也指出未來鼓勵國內藥廠增加除到6個月的用藥意味同時要儲備6個月的一個原料跟藥品的話增加倉儲、溫控這些設施設備\n\n06:43.720 --> 07:12.574\n增加這些設備都是他們的成本喔那他們的成本可是在我們的原廠藥進口的衝擊下如果滯銷就過期銷毀也是風險有沒有一些輔導計畫根本報告這個是所謂的必要藥品的這個品項那我們會要求我們國內的廠商必須原料要儲存是準備6個月啦但是成品就做好的大概2到3個月的這個存量\n\n07:13.354 --> 07:40.533\n因為如果有原料在的話當然隨時他們是可以去做的可是重點是如果今天進口的那個他最後事實上賣不出去那因為國內真的很喜歡是用原廠藥那也不是造成我們國內很大的衝擊嗎這會評估啦這主要是說他如果那個有預期是會就是說短缺的時候他要事先要通報這事先6個月前要通報給我們\n\n07:43.146 --> 08:06.294\n疫情過後我們各國都投入巨資來整對國內的供應鏈韓國五年投資了50億韓元美國花費了26.1億元那法國花了150歐元那臺灣到底有沒有學民藥的產業政策何時制定然後什麼時候公布\n\n08:08.276 --> 08:17.631\n如果說一個整體的所謂的這個政策的話我們目前就並沒有把它彙整但是我們部分已經在進行的比如說\n\n08:18.291 --> 08:20.011\n衛福部提出完整的學民藥產業政策\n\n","segments":[{"start":8.394,"end":11.435,"text":"有請我們的衛福部部長。好,請部長。委員好。好,部長好。那剛剛你有提到有4568項藥品要調整,可是你沒有提到的是其中3590項的藥品事實上是國內藥廠生產的,但佔了78.6%,"},{"start":33.686,"end":34.206,"text":"林月琴議員"},{"start":62.881,"end":81.282,"text":"那問題出在我們的健保的那個藥費的制度歐美先進國家那的確他們有專業技術然後可是專利期過後國內的藥廠生產的學名藥應該是會有更穩定的供應還有呢藥價是比較低的還有"},{"start":81.834,"end":81.994,"text":"林月琴議員"},{"start":107.918,"end":128.726,"text":"以藥品費用支出目標制來管制我們的藥費的目的在於我們的控制健保的藥費支出可總不能在缺藥的時候產生危機所以不知道健保署這邊有沒有因應的對策對策是什麼我先跟委員說明我非常贊同委員所說的這個會影響到國安因為一旦是"},{"start":130.766,"end":154.391,"text":"如果你完全仰賴原廠藥的話那一旦這個輸入的路徑有受到影響的時候我們馬上就缺藥所以國內的廠商要扶植起來做學名藥那現在剛剛委員提的那個比例是對的因為我們現在是對於原廠藥過專利期的是砍得最多"},{"start":155.331,"end":172.872,"text":"因為在專利期他已經受到保障了那所以過了專利期應該就是要大幅的去調降那我們對原廠藥的話如果他在過專利期之後他可以開始來做學名藥的時候我們給他鼓勵所以在健保的合價我們新的制度就是"},{"start":173.873,"end":197.581,"text":"當原廠要過專利期,比如說我們從100塊把它砍到60塊的時候,那我們給學名藥,國產學名藥的是66塊,比那個還高。原因就是本來的market share通通給原廠佔走了,那我們希望在短期之內,你不但是國產的這個學名藥能夠製造出來,而且很快的會有market share。"},{"start":198.381,"end":203.783,"text":"所以看起來部長是同意的嘛因為我們現在應該要共同來提升就設法提升我們學民要的那個佔有率"},{"start":217.376,"end":233.029,"text":"市場現在原廠的銷售額遠高過於相較於學民藥它一直遙遙領先即便事實上是與專利期5年後還是這樣子的一個問題那我就要問部長說台灣沒有能力自備我們的那個就是原廠"},{"start":233.909,"end":234.57,"text":"所以我剛剛跟委員報告就是這個樣子"},{"start":255.758,"end":272.145,"text":"國產的原廠的市場佔有率太高所以有一個藥如果說原廠的目前這個很普遍他雖然過專利期但是在過專利期5年之內的話他還在市場的市佔率的話是80%"},{"start":273.866,"end":291.826,"text":"萬一他就是說沒有辦法供應進來的時候我們國內的廠商縱然有學名藥他只MarketShare只有20%所以他的產線是沒有辦法很快的來補充的這個是真的是一個國安危機所以我們現在正在調整這樣子我們希望說原廠藥"},{"start":292.807,"end":296.21,"text":"所以表示是沒問題的嗎?不是沒問題,現在正在做這個調整因為過去的話並沒有這樣子的一個調整"},{"start":323.8,"end":340.485,"text":"根據健保署這次提供的書面資料那食藥署透過西藥供應平臺網站作為藥品的通路的一個通報機制通報後經調查而提供現有的替代藥品資訊跟公開徵求其他替代藥品"},{"start":341.045,"end":364.38,"text":"那替代療法另外一端依我們的法規要求我們的製藥在停或供貨六個月前要告知健保署以提早營業想問的是我們社區藥局依照我們的依令來開藥可是臺灣藥品是用品名來建檔的如果該項缺藥的話那儘管成分相同可是藥局事實上是他不敢使用那怎麼樣解決這個問題"},{"start":365.694,"end":383.833,"text":"這部分的話第一個就是我們的規定裡面健保相關規定裡面也說在如果不指定這一個不可替代的話那它藥局是可以把它用同成分的去做直接調劑這是在本來的規定就有"},{"start":386.015,"end":399.391,"text":"書面報告也指出未來鼓勵國內藥廠增加除到6個月的用藥意味同時要儲備6個月的一個原料跟藥品的話增加倉儲、溫控這些設施設備"},{"start":403.72,"end":432.574,"text":"增加這些設備都是他們的成本喔那他們的成本可是在我們的原廠藥進口的衝擊下如果滯銷就過期銷毀也是風險有沒有一些輔導計畫根本報告這個是所謂的必要藥品的這個品項那我們會要求我們國內的廠商必須原料要儲存是準備6個月啦但是成品就做好的大概2到3個月的這個存量"},{"start":433.354,"end":460.533,"text":"因為如果有原料在的話當然隨時他們是可以去做的可是重點是如果今天進口的那個他最後事實上賣不出去那因為國內真的很喜歡是用原廠藥那也不是造成我們國內很大的衝擊嗎這會評估啦這主要是說他如果那個有預期是會就是說短缺的時候他要事先要通報這事先6個月前要通報給我們"},{"start":463.146,"end":486.294,"text":"疫情過後我們各國都投入巨資來整對國內的供應鏈韓國五年投資了50億韓元美國花費了26.1億元那法國花了150歐元那臺灣到底有沒有學民藥的產業政策何時制定然後什麼時候公布"},{"start":488.276,"end":497.631,"text":"如果說一個整體的所謂的這個政策的話我們目前就並沒有把它彙整但是我們部分已經在進行的比如說"},{"start":498.291,"end":500.011,"text":"衛福部提出完整的學民藥產業政策"}]}}}}