From September 1st, these eight drugstores can't swipe their cards and sell them

according to the documents of the State Administration of Health Insurance, the Interim Measures for the Administration of Drug Use in Basic Medical Insurance (hereinafter referred to as the Measures) will be implemented from September 1, 2020.It should be noted that the Basic Medical Insurance Drug Catalog, formulated in the Measures, states that eight categories of medicines may not be included in the catalogue. The specifics are as follows: 1, the main tonic drugs; 2, medicines containing the country's precious and endangered wildlife herbs; 3, health drugs; 4, preventive vaccines and contraceptives; 5, drugs that mainly enhance sexual function, treat hair loss, lose weight, beauty, quit smoking, abstive alcohol, etc.; 6, drugs that cannot be charged separately for reasons such as inclusion in the treatment program; 7, alcohol preparations, tea preparations, all kinds of fruity preparations (except for children in special cases), Oral dosages and oral bubbly agents (except in special circumstances); 8, other drugs that do not comply with the provisions of basic medical insurance.If not included in the catalog, it also means that these eight types of medical insurance will not be reimbursed, the simple understanding is that retail pharmacies can not use health insurance card credit card sales.Medical insurance personal accounts, the prohibition of brushing health care productsJust recently, the State Health Insurance Administration on the establishment of a sound basic medical insurance outpatient co-payment guarantee mechanism (draft for comments) once again clear, to regulate the scope of use of individual accounts.According to the regulations, individual accounts may not be used for other expenses such as public health expenses, sports fitness or health care consumption that are not covered by basic medical insurance.However, the scope of use of health insurance personal accounts has been liberalized accordingly. According to the draft, the personal account of medical insurance may be used to cover the medical expenses borne by individuals in medical institutions designated for medical treatment by employees themselves and their spouses, parents and children, as well as the expenses borne by individuals in the purchase of medicines and medical supplies at designated retail pharmacies.A large number of drugs, to be transferred out of health insuranceIn addition, in accordance with the Measures, the administrative department of medical security to establish and improve the dynamic adjustment mechanism, in principle, once a year adjustment. Adjustment factors related to the demand for medical insurance drug protection, the income and expenditure of basic medical insurance funds, affordability, directory management priorities and so on.In accordance with the requirements of the Measures, if any of the following drugs are found in the Drug Catalog, the Drug Catalog shall be transferred directly out of the Drug Catalog after expert review: 1, the drug that has been revoked, revoked or cancelled by the drug regulatory department; 2. Drugs included in the negative list by the relevant departments; 3, drugs assessed to be more risky than beneficial after taking into account such factors as clinical value, adverse reactions and drug economy; 4. Drugs entering the Drug Catalog by means of fraud and other irregularities; 5, other situations that should be directly transferred by the State.Drugs in the Drug Catalog, which meet one of the following conditions, may be called out of the Drug Catalog after expert review and other prescribed procedures: 1, drugs in the same therapeutic field, the price or cost is significantly higher and there is no reasonable reason; 2, the clinical value is not accurate, can be better replaced by drugs; 3, other drugs that do not meet the conditions of safety, ability, economy and so on.At the same time, the three departments of the State Health Insurance Administration issued the "Notice on doing a good job in 2020 urban and rural residents of basic medical security" clearly: to gradually unify the scope of payment of medical insurance drugs, the establishment of negotiations on the implementation of drug implementation monitoring mechanism, the formulation of three-year digestion plan for additional varieties in the provinces.According to the requirements, the local supplement of the varieties in the medical insurance catalogue, requiring the transfer of the catalogue in batches within three years, the proportion of three-year clean-up varieties is 40%, 40%, 20%. (E drug manager)