Hunan Daily reported on February 24 (all media reporter Duan Hanmin correspondent Mo Xiankun) The Provincial Medical Insurance Bureau recently issued the “Notice on Carrying out the Adjustment of the 2022 Medical Institution Preparation Catalogue” (referred to as the “Notice”) to adjust western medicine, The preparation catalogue of two aspects of Chinese patent medicines specifically includes three contents: preparation transfer, information change and preparation transfer.
The “Notice” stipulates that the newly declared medical institution preparations included in the scope of medical insurance reimbursement shall be the currently valid drugs approved by the Provincial Food and Drug Administration before December 31, 2021 (inclusive). According to the latest registration information of the drug regulatory department, the drug registration information in the preparation catalog is updated and improved. Medical institutions applying for adjustment of the medical insurance payment standard for preparations must provide cost calculation materials. Those who have been banned from production, sale and use by the provincial drug regulatory department, and those who have been found to have other requirements and conditions that do not meet the medical insurance drug use requirements and conditions after expert review, will be transferred out according to the procedures. Drugs are classified according to their therapeutic areas, pharmacological effects, functional indications, etc., and experts are organized to review them by category.
The “Notice” requires that the following medical institutions are not included in the payment scope of basic medical insurance: medicines that mainly play a nourishing role; medicines containing national precious and endangered wild animals and plants; health medicines; preventive vaccines and Contraceptives; medicines mainly for enhancing sexual function, treatment of hair loss, weight loss, beauty, smoking cessation, alcohol cessation, etc.; medicines that cannot be charged separately due to being included in the diagnosis and treatment items; alcohol preparations, tea preparations, and various fruit-flavored preparations (except for children’s medicines under special circumstances), oral buccal preparations and oral effervescent preparations (except under special circumstances), etc.; other medicines that do not meet the basic medical insurance drug regulations.
How do medical institutions report? The “Notice” clarifies that each contracted medical institution shall apply to the municipal (state)-level medical security administrative department; it shall apply to the provincial medical security bureau in the provincial hospital of Changbu.
[Editor: Zhou Di]