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際關稅的競爭之外"},{"start":74.185,"end":103.244,"text":"結果將引發藥品的價格波動所以當然目前整個也會去衝擊到我們的藥品的供應鏈所以可能會造成國產藥品的出口售主和進口藥價可能會比較貴還有我們的藥品的供應也會產生新藥退出臺灣市場而且國產藥事實上是會缺乏原料藥所以想問部長這是攸關我們國家藥品供應鏈的事也是整個藥業界所關注的大事"},{"start":103.824,"end":130.501,"text":"衛福部不能沒有對策你這邊要怎麼應對好謝謝委員的詢問那我想我們足夠的藥品醫材跟相關的一個物品的確是對保護我們全國人民健康非常重要的事情所以這個事情是平常我們就在做的事情因為因應不時之需所以我們在藥品方面我們當然那個"},{"start":132.678,"end":159.323,"text":"第一個會列出一個藥品的必要清單那當然在藥事法也有規定如果在六個月當中可能會將來會缺乏六個月應該要在六個月前就應該要告知我們來做應應的一個前瞻性的處理那第二個當然就是如果藥品短缺有一個通報平台"},{"start":160.283,"end":178.153,"text":"那這個平台也能夠隨時來營營第三個當然我們有更不管是在食藥署這邊或是在健保署因為大部分的藥物都是健保署所以那個所以如果說它的成本真的有增加"},{"start":179.233,"end":195.376,"text":"那麼當然可以有一個可以提報他的成本來申請然後我們有一個公式來做一個調整這些機制其實過去都已經進行得很順暢那目前來講並沒有直接的"},{"start":196.872,"end":213.477,"text":"並沒有對這個藥品直接的衝擊當然我們覺得我們一定要非常的小心預先來準備那至於說如果可以的話是不是我們兩位署長有沒有要補充的請我們食藥史的江署長做簡要的補充一下"},{"start":216.172,"end":237.319,"text":"食藥署這邊做我們做檢要補充我們做了整體的盤點因為以食藥署就是藥物供給跟藥物有效性跟安全性是我們最主要的一個前提所以美國的衝擊這一次我們其實對於進口跟國內的輸入的藥大概是佔27%其中美國的部分呢其實佔1.86%我們用藥證來講總共216項"},{"start":241.46,"end":270.601,"text":"整體我覺得衝擊特別特別明顯的會是在所謂他在專利期以內的有60張看起來是佔0.5%那其中我們特別特別要去注意的是因為美國進來的幾項我們會提早因應也跟健保署這邊做很好的溝通包含我們的血液的製劑然後抗腫瘤的藥物神經疾病的用藥那我們也有看到有少部分是罕見疾病的部分那這部分我們也充分的溝通"},{"start":271.161,"end":294.713,"text":"因為現在所謂的關稅的衝擊的部分就如部長剛才提到的因為還沒有明顯的變動雙方都是零關稅的對於這個藥因為健康的部分藥物的部分值得高的規格跟高的高度因此就互相是豁免了相關的關稅所以因此我們好 等一下我覺得再讓署長再做補充因為下一頁也是剛剛講的零關稅"},{"start":296.074,"end":318.819,"text":"所以台灣健保的那個收窄的藥品大概一萬四千多項其中從美國進口的藥品品項大概一百七十七項一年佔我們健保藥費的支出大概十%左右所以台灣藥品的超過六成都是來自國外所以對藥價跟供應波動非常的敏感所以這次波"},{"start":320.139,"end":347.554,"text":"這一波的危機不是只有在美國可能還是可能是全球所以時書長這邊西藥進口商他倡議就是說是不是應該要承認以獲得美國FDA或歐盟的EMA核准的處方簽以縮短我們的查驗登記的程序跟時間降低國際藥品輸入門檻所以健保署對此的態度如何甚至是不是可以能夠"},{"start":349.354,"end":358.439,"text":"兩方在美國那邊甚至在我們台灣是不是也都可以爭取彼此的承認先做一點點補充因為是新藥"},{"start":362.748,"end":388.702,"text":"精準的高高精準的藥物新藥在國際上FDA審過了是不是所謂的平行的一個承認的概念嗎那我們對於精準的一些高度的新的用藥來講對於一些疾病尖端的治療我們認為這個是有很大的空間可以去討論的因為國內目前對於藥證的審查裡面有幾種一般普通的審查那有部分其實是加速的審查"},{"start":389.21,"end":394.896,"text":"對 那我們現在是不是可以 我說因為孝敬偶像去倡議說是不是可以"},{"start":395.717,"end":420.033,"text":"整個查驗的那個可以縮短查驗登記的程序跟時間來降低這個部分是縮短查驗登記的時間事實上我們食藥署這邊持續在進行當中那至於我們剛才看到的是說我們假如國外FDA承認的它的藥物裡面非常多種舉例它有很多的學民的用藥它勢必如果是直接平行的話那這部分我們其實不是那麼支持"},{"start":420.493,"end":432.892,"text":"因為它很快速就會佔據整個台灣的學民用藥以及本土的藥業的發展的所以這個知識體大我們要重新思考但對於新的藥物專利杞仁藥物假如有個機會讓"},{"start":434.813,"end":463.27,"text":"民眾提早可以用到這是我們持續在做加速審查也是我們持續在做的一件事情那再麻煩我們的食藥署這邊那那西藥進口商比較擔心產業受到的衝擊所以國產製藥也在4月藥商也在4月14號也提出幾項訴求了所以首先先問部長三大公協會他要求政府在健康台灣全社會訪問任性政策推動上"},{"start":464.49,"end":480.282,"text":"應該把社區藥局跟藥廠還有我們的醫財廠整個產業界的都能夠在你們開會裡邊納入他們一起來做討論那在這邊你可不可以給出具體的承諾"},{"start":481.577,"end":506.128,"text":"如果在全社會防疫任性裡面我們很清楚委員裡面就是有藥界的代表所以大概有什麼意見在這個防疫任性的一個委員會裡面都會有有藥廠跟醫材廠嗎 甚至社區藥局足夠代表嗎應該是 因為民和有限嘛所以我們目前是邀請藥師公會理事長"},{"start":507.288,"end":524.441,"text":"在裡面擔任委員,他也提供很寶貴的意見,協助了我們整個醫療的一個韌性那至於剛剛您提的這三大公會的訴求,我們很感謝我們健保署非常的用心,針對這一直的訴求在去年11月21號公告的一些"},{"start":529.805,"end":558.209,"text":"政策 那到1月20已經那個 這一段期間真的健保署的同仁也很辛苦把大家的意見再整理得好希望送到部裡面的時候能夠很快的來公告 來真正給給國內的製藥最大的一個幫助這部分請那個市長補充一點市長這邊也在他的第二個訴求事實上是能夠促進學民藥的替代所以你這部分 因為我看你們製藥事實上是規劃當中可不可以加速"},{"start":559.109,"end":573.795,"text":"跟委員報告對於這個我們國內的整個健保一萬四千多個品項裡頭其實83%是屬於國內製造是佔了很大宗的那但是呢它的整個申報金額大概只有23%所以如何就簡單的講說它是這個"},{"start":576.556,"end":601.287,"text":"物聯價美啦所以我們是很希望去多鼓勵這個學民藥或者生物相似藥的使用所以我們在去年開始推動這個學民使用這個生物相似藥的這個獎勵措施所以本來它的佔率只有7%今年一年直施下來大概提升到13%那我們希望朝向30%這個目標來前進所以今年下半年還會再擴大那麼這個化學"},{"start":604.648,"end":620.641,"text":"化療的學名藥大概什麼時候下半年因為我們還要經過那個專家會議清單出來然後共同擬定會議通過就可以那楊署長這邊他的第三個訴求是因未來預期我們國際藥價的漲價對國產"},{"start":624.133,"end":644.31,"text":"我們的藥商一定會產生一些衝擊那健保要價要及時反映市場價格做調動是不是說到這邊也有我們在這個藥品支付標準第34條跟35條它都有因應這個如果生產供應鏈改變成本不敷的時候可以提出這個臨時的調整藥價這個是有這個機制可以來進行所以這個機制都有"},{"start":650.953,"end":667.786,"text":"本來原定4月要公布實施的叫做全民健康保險藥物給付項目跟支付標準跟全民健康保險藥品價格跟調整的作業辦法這兩項那請問一下署長月底前可不可以如期公布實施"},{"start":668.326,"end":680.501,"text":"跟委員報告 謝謝委員很關切這兩個法案這一個是藥價調整辦法主要是要針對如果有國內製造屬於必要藥品品項在三項以下的當年度不調整藥價所以這個我們已經修好了"},{"start":683.544,"end":704.568,"text":"還有一個是支付標準對於國內製造使用國內的原料要都有加成的規定還有鼓勵這個新藥首先在台灣上市或者是在國外上市的兩年內到台灣來製造都有鼓勵的措施那因為是1月20號完成預告所以我們把這個大家的意見意見整理之後已經現在在做簽辦這個月底"},{"start":709.009,"end":710.83,"text":"因為現在是按照程序然後把所有的意見都弄好 弄成一個比較好的法規因為時間有效 稍微再給我一點時間藥品價格波動同樣衝擊我們國產的那個製藥的原"},{"start":730.479,"end":747.953,"text":"原料料的一個價格那我們看那個官務署的那個海關統計2022年自中國進口的原料的金額佔總金額的54%那如果由於中國原料料的價格都是比印度的原料料價格打7折所以從數量來看的話大概中國是佔70%"},{"start":751.007,"end":769.535,"text":"所以不只台灣全球都因為受到這種低價的吸引所以想問部長如果接下來要是抓住原藥料不出口的話台灣的國產製藥必定陷入在困境裡面所以在台灣對中國的高度依賴狀況下你怎麼去因應這個問題"},{"start":770.711,"end":791.419,"text":"好我想這個不管是燃料要用相關的物品第一個真的是全球的趨勢都是強調就地生產就地行銷這個部分可能未來要加強的那當然我們也會所以能不能考量多元化的分散市場的觀念來處理那這個食藥署的署長再補充一下"},{"start":796.055,"end":822.188,"text":"我想委員這邊提到非常關鍵的議題的確我們在原料藥的來源中國跟印度佔的比相當高超過近50%以上所以近年來我們其實是極度的在支持跟國內的新的原料藥的生產比如說在去年裡面我們國內的申請的張數其實高達27張那我們希望未來能夠做分散我們可以看到不管是在歐洲系統"},{"start":823.008,"end":844.96,"text":"還是在亞洲地區的日本都是有機會讓我們政府去爭取的方向所以我想問一下部長能不能對我們的國產製藥廠做價差的貼布因為畢竟我們台灣有三十幾間的原藥藥廠可是每年反而是去外銷所以能不能讓國產的原藥料留在台灣"},{"start":847.063,"end":870.342,"text":"這個請你們去做考慮然後也請食藥署這邊是不是立刻盤點我覺得政府應該要去充分掌握說我們使用中國原藥料這樣的一個潛在危機所以你應該要去了解整個去針對中國的原藥料應該從政府手中的資料去勾結出來能夠去做對照到底哪些"},{"start":871.261,"end":896.951,"text":"優先品項你們這邊要充分掌握最後就是期待是不是因為八大藥業的工會上週都提出說縮短不利醫院採購藥品到期前有效期8個月縮短到6個月那食藥署這邊對這個表示說只要藥品只要在出廠標示的有效期限內都能確保藥效因此有效期限縮短不影響藥效的話那"},{"start":898.769,"end":912.403,"text":"可是卻可以降低到我們的藥商庫存的藥品壓力我不知道部長你的回應這個呼籲藥界的訴求都有它的道理但是它有採購有一定的專家的一個會議"},{"start":913.397,"end":934.875,"text":"這個在部立 因為你問部立業嘛 我請林慶豐執行長簡料的回答一下好 報告委員 最主要是我們的整個聯標是26家部立還有18個縣市還有所有的這個縣市衛生局所啦所以它這個所謂的大小規模不一樣 地域不一樣所以它在這個部分裡面有偏鄉離島那所以他們牽涉到就是他們裡面的"},{"start":935.815,"end":951.804,"text":"需求剛剛部長特別提到說因為我們是一個藥聯標委員會所以裡面有含有各醫院的院長還有藥劑主任還有專家學者所以他們都在統籌裡面也調查所有的醫院還有衛生所的需求所以在這個部分裡面我們也是尊重我們的現在藥聯標委員會它裡面的決議"},{"start":954.005,"end":980.953,"text":"那第三個其實現在現行的體系的醫院包含台大或是退府會或是說軍方還有一些是聯誼他們都是在八個月以上甚至還有一年所以在這部分裡面其實我們都是交給我們的聯邦委員會因為我這邊最後就提出這五項請我們的部長這邊針對這五項後面待會我們會再持續追蹤但後面我也有那個臨時停案我們願意持續努力謝謝"},{"start":984.846,"end":987.449,"text":"好 謝謝 請回 安寧要安重一點"}]}},"supported_relations":[],"relations":[]}