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記者陳柏翰∕台北報導
健保署22日指出，10月起將針對e抗原陰性慢性B肝、肝纖維化病患，放寬口服B肝抗病毒藥物給付標準，預計約增2.1萬人受惠，健保藥費支出約新台幣7.32億元。
健保署表示，為達成世界衛生組織（WHO）於2030年消除病毒性肝炎的目標，放寬口服B肝抗病毒藥物健保給付。
這次放寬範圍包含e抗原陰性慢性B肝病人，由半年內2次以上肝指數異常（ALT≧正常值2倍）才能用藥，放寬為1次；肝纖維化程度由重度纖維化（≧F3）放寬為中度纖維化（≧F2）即可用藥。
健保署長石崇良指出，B肝口服藥品自民國92年10月1日起納入健保給付，並持續擴增給付範圍；這次擴增給付規定，除參考專家意見，也參採美國、歐洲、亞太等國際指引，讓國內肝炎防治與國際接軌，更呼應WHO及國家肝炎防治政策，提升治療涵蓋率，期降低肝硬化及肝癌風險，減少後續醫療費用。
針對B肝口服藥給付，健保署說，根據現行規定，全台約有28萬人受惠，每人每年藥費約4.2萬元，1個療程需要2到3年時間；這次放寬約增2.1萬人受惠，健保藥費支出約7.32億元。
