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| There were 2,873 new drug catalogs for medical insurance reimbursement |
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| Author：中國銘鉉 企劃部 Release Time：2017-9-6 15:52:45 Number Browse：819 |
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Medical network - on September 6, on September 5, the reporter learns from the city people club bureau, from September 1, Qingdao execution of the national basic medical insurance, inductrial injury insurance and maternity insurance drug catalogue (2017 edition), a new drug dosage forms or 570, 260, delimits the scope of payment of the drug state directory delete 31 drug. After the adjustment, the scope of medical medicine for the candidate of Qingdao was further expanded, and the number of drug varieties reached 2,873.
All new drugs in the national directory are included
In the first half of this year, the ministry of human resources released a catalogue of basic medical insurance, work-related injury insurance and maternity insurance for 2017. In order to ensure the timely selection of new medicines for the whole city, Qingdao has been the first to adjust the category of the first class drugs in the country's 2017 catalogue in June. After the adjustment, the scope of medical medicine for the candidate of Qingdao was further expanded, and the number of drug varieties reached 2,873.
The directory adjustment mainly aimed at national directory of class b drugs, including new argonaut Melanesia dean oral often release dosage forms and pharmaceutical dosage forms or 570, adjust the omega-3 fish oil fat emulsion injection 260 qualified to pay limits such as medicines, drugs, such as national directory delete ribavirin nose drops in 31.
Among them, the newly added drugs are set according to the relevant regulations to include the proportion before the integration, which belongs to the clinical necessity, and the drug that has the therapeutic effect sets a low conceited proportion; The main adjuvant treatment and the drug prone to clinical abuse, appropriately increase the personal conceit ratio; It belongs to national and provincial basic medicine reference class management, do not set the proportion of conceit.
The state has negotiated 36 drugs in sync
In July, the ministry of state announced 36 kinds of negotiation drugs. Most of these drugs are expensive, effective, and clinically essential. These include anti-tumor targeting drugs for lung cancer, stomach cancer, breast cancer, colorectal cancer, lymphoma, myeloma, and other chronic diseases such as diabetes, kidney disease and cardiovascular disease. The price of medicines has been greatly reduced through the negotiation of national unity organizations.
According to the staff of the municipal bureau of social affairs, Qingdao has included the new category of pharmaceutical products and 36 national negotiating drugs in the scope of the reimbursement of pharmaceutical products in this municipality since September 1. Among them, 26 medicines belong to the special medicines of Qingdao. In order to ensure the smooth implementation of the policy changes, the 26 kinds of drugs by apt management adjustment for basic medical insurance b drugs, ginseng protect patients in the use of such drugs, with the approval of the hospital medical insurance to do audit, agency orgnaization of social security for the record, can be in for a pharmacy to buy medicine and immediate settlement.
The settlement process of drug purchase and drug purchase
City people club bureau officials said, ginseng protect patients in the use of basic medical insurance directory within the scope of the special supply drugs, should go first to join or designated hospital outpatient service a serious illness belongs to orgnaization of social insurance agency to apply for, qualified for drug treatment, the related medical professional health care service should carry the fixed-point hospital physician issue of medical records and prescription, and confirmed by the fixed-point hospital health care do audit, instant settlement may be in for a pharmacy. The special medicine within the scope of the basic medical insurance shall be carried out in accordance with the relevant provisions of the basic medical insurance catalogue, which shall be prescribed by the health service physician. For medical record without the fixed-point hospital health care or prescription, beyond security office approval for phase compensation quantity, beyond limit directory or other situation does not conform to the stipulations of the health care management, cannot be connected to the settlement.
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