Table 1

Summary of the Taiwan NHI reimbursement criteria for noncirrhotic hepatitis B antiviral treatment*

StatusALTSerum DNA or liver biopsy
HBsAg(+)Decompensation†N/AN/A
HBeAg(+)ALT≥5× ULNN/A
2×≤ALT < 5×ULNDNA ≥20 000 IU/mL or
HBcAg(+) in liver biopsy
HBeAg(−)ALT≥2× ULN twice in 6 months, with interval >3 monthsDNA ≥2000 IU/mL or
HBcAg(+) in liver biopsy
  • *The criteria for HBeAg-positive and HBeAg-negative patients were issued in October 2003 and August 2004, respectively. Treatment duration was extended from 18 months to 3 years in November 2009.

  • †Liver decompensation, defined as prolonged prothrombin time ≥3 s or total bilirubin ≥2.0 mg/dL.

  • ALT, alanine aminotransferase; HBcAg, hepatitis B core antigen; HBeAg, hepatitis B e antigen; HBsAg, hepatitis B surface antigen; N/A, not applicable; NHI, National Health Insurance; ULN, upper limit of normal; ULN, upper limit of normal.