The medical insurance practicing pharmacist is here.

The Interim Measures for the Administration of Essential Medical Insurance Drugs, which began this month, make it clear that the payment of medical insurance drugs must meet the conditions of "review by a pharmacist or practicing pharmacist in accordance with the prescribed procedures".
from the current market feedback, there are already places to start piloting the initiative.
In accordance with the Measures for the Administration of Practicing Pharmacists in Taixing City's Medical Security Fixed-point Retail Pharmacies (Trial), the Medical Security Fund shall not pay for prescription drug charges audited by medical insurance practicing pharmacists and non-medical insurance practicing pharmacists who suspend service agreements, or for prescription drug costs admissiled by designated pharmacies that fail to update the information of medical insurance practicing pharmacists in a timely manner.
simple understanding is that there are three cases, fixed-point pharmacies selling medical insurance drugs, medical security funds do not pay.
- Pharmacy managers today on the matter consulted taixing City Health Insurance Bureau, has been confirmed.
see here, a lot of people may be asking, what is a medicare pharmacist? It is reported that medical insurance practicing pharmacists, full name of medical security fixed-point retail pharmacy practicing pharmacists, refers to the qualified practicing pharmacists, registered to practice in fixed-point pharmacies, and with the medical security agencies signed a medical insurance service agreement of the practicing pharmacists.
other words, in Taixing City, Jiangsu Province, if a fixed-point pharmacy wants to swipe a health insurance card to sell medical insurance drugs, it must have a medical insurance practitioner's review, otherwise health insurance will not be paid.
, a special contributor to the account, told the author that in Huzhou, Zhejiang Province, medical insurance payments must also be reviewed by pharmacists.
"If the drug is oversized, the health insurance will not be paid, and the fee will be paid by the prescriber."
," he says, "but it may be good for people who don't have health insurance because they have less health insurance and they can sell flexibly."
"" health insurance departments often go to pharmacies to check whether a practicing pharmacist is on the job, and drug sales related to the situation.
"Li Sibo, a practicing pharmacist at Liaoxi Pharmaceutical Chain Co., Ltd., also said, "In the form of documents issued, more attention is paid to practicing pharmacists."
, it's a good thing to have control over the cost of health care, to be vetted, to make the most of it.
"Practicing pharmacists control, the implementation of medical insurance control fees in accordance with The city of Taixing documents, to meet the "to obtain the qualification of practicing pharmacists, and in the city's corresponding fixed-point pharmacy registration;
same time, the medical insurance practicing pharmacists to take points assessment management, according to the severity of the violation, the deduction score is set to 12 points, 6 points, 2 points three blocks.
if the deduction reaches a certain range, or is interviewed, or notified, or the service agreement is lifted, or listed as a person who has lost faith in the field of health care, is recorded in the health insurance integrity file.
Yuhua also told the author, "This is the initiative of medical insurance fee control, but also to regulate the prescription review of practicing pharmacists, this provision is extended from the management of medical insurance practitioners." Li Weijun, a special contributor to the
account, also said that the implementation of the policy is linked to two things, one is to close the loophole in the health insurance brush from the pharmacist level;
" is now mainly to block the health care brush and steal brush.
," he said, "prescription outflows are also on the agenda, and authorities are concerned that prescription outflows are turning into uncontrollable ways of brushing health insurance, trying to get through pharmacists."
" good practice pharmacists, is expected to raise wages from the current situation, health care management issues and practicing pharmacists are more and more closely linked.
In addition to the medical insurance drug needs to be reviewed by a practicing pharmacist, the latest reply from the National Health Insurance Administration also said that it will introduce standards for regulating pharmaceutical services as soon as possible, speed up pharmacy law legislation, and support the development of pharmaceutical services.
the second edition of the "Pharmacist Law" clearly states that pharmacists and practicing pharmacists in Medical institutions in China will be unified management, adopting the "unified examination, classification registration, classification management" approach.
22 September, the National Health Insurance Administration's response to this also mentioned that the relevant system design and specific content is being further solicited and demonstrated.
, according to the National Health Insurance Administration's plan, will be through the "pharmacy service fee" to compensate for the cost of pharmaceutical expertise.
also made clear that the next step will actively cooperate with the Drug Administration, the Health and Health Commission and other relevant departments to do a good job in pharmaceutical management of medical institutions, overall consideration of the cost and value of pharmaceutical services, to support the development of pharmaceutical services.
according to the National Health Insurance Administration replied, since the practicing pharmacists will be combined with the hospital pharmacists management, the hospital pharmacists enjoy the treatment of the practicing pharmacists will also be used.
the current situation, hospitals have started to pilot "pharmacy service charges" and have obtained the support of the health insurance fund.
and so on, it is sooner or later to support the reasonable remuneration of practicing pharmacists through "pharmacy fees" (which are supported by the Health Insurance Fund).
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