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Introduction: The Interim Measures for the Administration of Drug Use in Basic Medical Insurance issued by the State Administration of Medical Security came into effect on September 1.
Interim Measures for the Administration of Essential Medical Insurance Drugs issued by the State Administration of Health Insurance came into effect on September 1.
"the dynamic adjustment of the list of medical insurance drugs" in the Measures has become the focus of attention, which drugs are no longer included in the list of health insurance? Chen Qiuxuan, Deputy Director of the Health Industry Development Research Center of the Chinese Academy of Social Sciences: The dynamic adjustment of the drug catalogue is a very important means to improve the efficiency of the whole medical insurance, from the monitoring of drug use found that there are obviously some unreasonable behavior, (for example) this drug is very good, but there may be a better alternative medicine, then we should replace it from a scientific point of view.
noteworthy, the Interim Measures for the Administration of Essential Medical Insurance Drug Use stipulates that eight categories of drugs, such as medicines, health care drugs and preventive vaccines, which mainly play a tonic role, shall not be included in medical insurance.
Xiong Xianjun, Director of the Medical Administration Department of the National Health Insurance Administration: In the process of expert evaluation, we do not look at the ingredients in a prescription, containing no tonics, but to see the functional treatment of this medicine, it is not a tonic to improve living standards and quality of life of those drugs.
if it's a therapeutic drug, even though it contains ginseng or deer antlers, we're still putting it in the catalog.
also more concerned about the issue of preventive vaccines not included in health insurance, experts said, preventive vaccines are not included in health insurance, the most important is in accordance with the provisions of the Social Insurance Law of the People's Republic of China.
Xiong Xianjun, Director of the Medical Administration Department of the National Health Insurance Administration: The expenditure of the Health Insurance Fund can only be used for medical expenses for the treatment of diseases, especially those basic vaccines, which should be borne by public health services, so our health insurance is not included.
drugs are not reimbursable? What are the criteria for the transfer of drugs into and out of the Drug Catalog? Which can be paid for with the Health Care Fund? The relevant provisions of the Interim Measures for the Administration of Drug Use in Basic Medical Insurance are understood in a diagram.