More than 1400 drugs removed from health insurance (attached list)

According to incomplete statistics, up to now at least 1400 drugs have been transferred out of the local medical insurance catalog, no longer enjoy medical insurance reimbursement 168 varieties transferred out of health insurance, no longer reimbursed recently, hunan Provincial People's Government website published a message that 168 drugs in Hunan province were transferred out of the health insurance directory.
it is learned that the three-year digestion period in Hunan Province to transfer a total of 408 kinds of drugs, of which 168 kinds this year.
of the 168 varieties that were transferred out of the health insurance list this year, 72 were Western and 96 were traditional Chinese medicines.
this adjustment is the Hunan Provincial Medical Insurance Bureau in accordance with the national medical insurance bureau "for the original provincial drug catalog in accordance with the provisions of the increase of Class B drugs, should be gradually digested within 3 years" requirements, from 2020 in 3 years in accordance with the first year 40%, the second year 40%, the third year 20% of the proportion of the transfer work.
in accordance with the requirements of the Hunan Provincial Medical Insurance Bureau, all places to do a good job in the transfer of digestive varieties, not in any form of alternative reservation, do a good job of digestion and transfer of drugs policy interpretation, guide the agreement medical institutions and fixed-point pharmacies to do a good job of patient replacement drug protection.
it is worth noting that this Hunan transfer out of the medical insurance catalog of the medium-sized drug species, there are many are common in the market of large varieties, including cold detox tablets, silver warp tablets, fennel positive air drop pills, Sichuan beak dew, jade screen oral liquid, compound a gum particles and so on.
the list of 168 varieties of medical insurance catalogue transferred out of Hunan Province: local medical insurance catalog, 117 products were written off recently, Weifang City Medical Insurance Bureau and Weifang Municipal People's Social Bureau jointly issued "on the transfer of some drugs out of the basic medical insurance, industrial injury insurance and maternity insurance drug catalog notice" notice shows that from July 1, the brain caronosine and other 9 kinds of generic drugs out of the health insurance catalog.
in addition, the city of Weifang has written off 117 drugs corresponding to the Weifang City Health Insurance Directory from 8:00 a.m. on July 1.
it is understood that the nine kinds of drugs that have been transferred out of the medical insurance directory, is the previous Shandong Province Medical Insurance Bureau has issued a notice to call for unified transfer out of the provincial medical insurance catalog, that is, the national key monitoring catalog varieties, Weifang City this time to transfer these 9 drugs out of the health insurance, but also to follow the changes in the provincial directory adjustment.
transferred out of the catalogue as follows: In addition, Weifang City also released the city's medical insurance drug catalog write-off of 117 products list.
this is also according to the above-mentioned transfer of nine generic drugs, corresponding to the Weifang City health insurance catalog of specific product list, from the local health insurance insurance directory write-off, that is, the 117 products no longer enjoy medical insurance reimbursement.
the list of cancellations as follows: according to the requirements of the National Health Insurance Administration, the local supplement of the varieties in the medical insurance catalogue, required to be transferred out of the catalogue in batches within three years, the proportion of three years to clean up the varieties are 40%, 40%, 20%.
if this year's clean-up rate does not reach 40 per cent, it can be expected that next year and the following year will be a crucial two years for the provinces to clean up the original supplementary catalogue.
from the current situation, the provinces have done the focus of monitoring catalog drugs to take the lead out of the health insurance directory, some areas directly published the transfer of health insurance provincial supplementary varieties list, and clearly transferred out of the time node.
many provinces have started the clean-up of local health insurance, such as the above-mentioned Hunan has transferred 168 additional varieties.
although some areas have not yet started a large area to clean up the local supplementary varieties, but with the progress of time, the front do not do back to do, according to the requirements of the State Health Insurance Bureau, all local supplementary varieties in 3 years to clear out health insurance is a matter of morning and evening, the local health insurance directory will eventually become history.
Class B OTC, will be transferred out of health insurance in addition to local health insurance clean-up, Class B OTC is no longer included in health insurance is also the drug companies need to focus on.
April this year, the State Medical Insurance Administration issued the "Temporary Measures for the Administration of Drug Use in Basic Medical Insurance (Draft for Comments)," clearly proposed 10 cases not included in the Drug Catalog, in which "Class B OTC drugs are not included in the Drug Catalog" this requirement has aroused widespread concern in the industry.
it is understood that in 2019 the National Health Insurance Directory contains a total of 2709 drugs, of which OTC drugs 617, including Class A OTC drugs 485, Class B OTC drugs 121, Class A and B double trans species 11.
if Class B OTC is no longer included in health insurance, for many pharmaceutical companies, or has a great impact.
for OTC drugs, patients do not need a doctor's diagnostic prescription, can be determined according to the needs of empirical self-treatment, so social pharmacies are the main way to sell OTC drug sales.
But for OTC drugs entering the health insurance catalog, because of the different rules and restrictions on medical insurance credit reimbursement in pharmacies, hospital channels also contribute to OTC drugs can not be ignored sales revenue.
the "Notice of Zhejiang Province's Promotion of the Function of the Centralized Drug Procurement Platform to Promote the Full Coverage Reform Plan of the Standard of Payment of Medical Insurance Drugs", issued by the Zhejiang Provincial Health Insurance Bureau on June 29, which proposes that the fixed-point public medical institutions and private medical institutions implement the same payment standards for medical insurance drugs.
fixed-point retail pharmacy medical insurance drug payment standards unified according to the medical institutions payment standards up to 15% (excluding state and provincial negotiated drugs) to implement, floating amount in the minimum package not more than 200 yuan.
this also means that fixed-point retail pharmacies medical insurance drug payment standards, can only increase the price of 15%, and the maximum can only be increased to 200 yuan.
in addition, a large number of traditional Chinese medicines in the catalogue were capped at the maximum price.
for some enterprises, in addition to focusing on local health insurance clean-up, but also to pay attention to the trend of Class B OTC not included in health insurance.
local health insurance varieties, either successfully enter ingons in the national health insurance catalog within the next two years, or leave the health insurance channel, re-open up new markets, and take the path of zero-cost or retail.
Class B OTC varieties, especially those with a high proportion of hospital channels, by switching to prescription drugs or into double-cross varieties, is a way to avoid transferring out of health insurance.
attached: Some provinces and cities local health insurance clean-up list Yunnan (335 drugs) Jilin (192 drugs) Tianjin (79 drugs) Hebei (171 drugs) June 29, Hebei Province Health Insurance Bureau issued "on digestion in 2020 In order to implement the deployment requirements of the State Health Insurance Administration to "remove the national key monitoring varieties out of the catalogue and complete the digestion of 40% of the additional varieties in the province by the end of June this year," the list of supplementary drugs to be transferred from Hebei Province is now made public, according to the announcement of the temporary retention of supplementary drugs in the medical insurance catalogue of our province.
according to Saibai blue combing, Hebei Province, a total of 171 varieties, these varieties will be transferred out of The Hebei Province health insurance directory from July 1.
Anhui (358 drugs) Tibet (76 drugs)