Where to search for medical insurance drug information

2024-04-03

"Where can I buy drugs from the medical insurance drug catalog?". In response to issues of general concern to society, the relevant person in charge of the National Medical Insurance Administration recently provided detailed answers. The total number of drugs in the catalog reaches 3088. Q: What is the National Medical Insurance Drug Catalog? Answer: In order to ensure the basic medical needs of insured individuals and standardize the management of basic medical insurance medication, the country has formulated a list of medical insurance drugs. The medical expenses incurred by insured individuals in designated medical institutions that comply with the medical insurance drug catalog shall be paid by the medical insurance fund in accordance with regulations. The National Medical Insurance Administration has established and improved a dynamic adjustment mechanism for the list of medical insurance drugs. The list of medical insurance drugs should be adjusted once a year in principle, and drugs that meet basic conditions such as clinical necessity, safety and effectiveness, and reasonable prices should be included in the list of medical insurance drugs. After 6 rounds of adjustment, a total of 744 drugs have been added to the medical insurance drug catalog, including 446 newly negotiated ones, covering all 31 treatment areas in the catalog. Among the drugs admitted through negotiation, there were 100 drugs for tumors and 93 drugs for chronic diseases such as hypertension, diabetes and psychosis. Most of the drugs included in the catalog through negotiations are newly launched and clinically valuable drugs in recent years, with a large number of new mechanisms and new target drugs included in the catalog. Before 2017, there was no tumor targeted drug listed in the medical insurance catalog. The 2023 version of the catalog already has 74 tumor targeted drugs, many of which have diversified the selection of targeted drugs across different generations in the treatment field. At the same time, a total of 395 drugs with uncertain therapeutic effects, easy abuse, and clinically phased out or about to be delisted have been retrieved over the past 6 years. At present, the total number of drugs in the national medical insurance drug list has reached 3088, including 1698 western medicines and 1390 traditional Chinese patent medicines and simple preparations; There are 892 types of traditional Chinese medicine decoction pieces. National medical insurance negotiation drug information can be accessed through multiple channels: Where can I find specific information about medical insurance drugs? If a patient makes their first visit to a tertiary hospital and prescribes a national medical insurance negotiated medication that needs to be taken for a long time, and after a course of treatment, they want to go to a community hospital but don't know if they have it, where can they find this information? Answer: The drug information of the medical insurance drug catalog can be queried through the national medical insurance service platform, the national medical insurance service platform APP, and the WeChat official account of the National Medical Insurance Bureau on the official website of the National Medical Insurance Bureau. For example, if you use the WeChat official account of the National Health Insurance Bureau to query, enter the official account first, click "WeChat service", find the "National Health Insurance Drug Directory Query", and enter the query page. Enter the specific drug name, click search, and you can learn detailed information such as whether the drug is in the directory, the classification of the drug, and the specific reimbursement category. You can also select "Drug Classification" or "Medical Insurance Reimbursement Category" to filter according to your own needs. As for which medical institutions are equipped with national medical insurance negotiation drugs, the "Query of National Medical Insurance Negotiation Drug Allocation Institutions during the Agreement Period" and the national medical insurance service platform on the official website of the National Medical Insurance Bureau can be found in the "WeChat service" of the WeChat official account of the National Medical Insurance Bureau

Edit:GuoGuo    Responsible editor:FangZhiYou

Source:people.cnle

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