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Japan Names 77 ‘OTC‑Like’ Drug Ingredients for Proposed Special Fee

Officials say the plan targets prescriptions with over‑the‑counter alternatives to curb insurance spending.

Overview

  • The health ministry presented a draft list identifying 77 active ingredients—about 1,100 products—as candidates for an added charge on patient co‑payments.
  • Examples on the draft list include Hildoid gel and Loxonin tablets, which have comparable over‑the‑counter options.
  • A ministry advisory panel approved a reform outline that would add a 25% surcharge to these drugs while keeping them insured, with implementation eyed for March 2027, according to Nishinippon.
  • Exemptions under consideration include children and patients with designated intractable diseases or cancer, the paper reported.
  • The measure remains a proposal subject to consultations and formal adoption, and the government plans to submit related legislation in the next ordinary Diet session.