221 pharmacies do not allow bonuses

Hebei Province has included all the 221 negotiated drugs in the current national medical insurance catalogue into the "dual-channel" management, and pharmacies are not allowed to add bonuses
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National talks on drugs, pharmacies do not allow additions

Recently, the Hebei Provincial Medical Security Bureau and the Hebei Provincial Health Commission jointly issued the "Notice on Doing a Good Job in the "Dual Channel" Management of Drugs in National Medical Insurance Negotiations" (hereinafter referred to as the "Notice"), and the current national medical insurance catalog All 221 negotiated drugs are included in the "dual channel" management
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In the interpretation of the "Notice", the Hebei Provincial Medical Insurance Bureau pointed out that the inclusion of designated retail pharmacies in the "dual-channel" management must meet the following three conditions: one is to realize the circulation and traceability of electronic prescriptions; the other is to upload drugs in real time.
"Save" data and settlement fees; third, the negotiated drugs sold are not allowed to be added
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Participants who seek medical treatment due to illness will enjoy the same medical insurance benefits as designated medical institutions when they purchase negotiated drugs at the "dual-channel" designated retail pharmacies
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Each coordinating area should sign a "dual channel" medical insurance service agreement with a "dual channel" designated retail pharmacy to clarify the rights and obligations of both parties
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Centralized procurement of medicines, pharmacies increase the price by up to 15%

Prior to this, many provinces have issued documents delineating the "red line" for the pricing of centralized procurement of drugs in pharmacies
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For example, in October last year, the Hunan Provincial Medical Insurance Bureau issued the "Notice on Strengthening the Management of Retail Pharmacies Participating in the National Central Procurement Agreement", allowing retail pharmacies participating in the national centralized procurement to increase the price by no more than 15% on the basis of the selected price.
Sales
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In June of the same year, the Zhejiang Provincial Medical Insurance Bureau also mentioned in the “Notice of Zhejiang Province to Improve the Function of the Centralized Drug Purchasing Platform and Promote the Reform of the Full Coverage of Medical Insurance Drug Payment Standards” that designated public medical institutions and private medical institutions implement the same payment standards for medical insurance drugs.
, The payment standard for medical insurance drugs in designated retail pharmacies is uniformly implemented according to the payment standard of medical institutions with a 15% increase, and the maximum amount of floating is not more than 200 yuan based on the smallest package
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These rules are mainly for centralized procurement of medicines, rather than national and provincial negotiations for medicines
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The 15% red line for centralized procurement of drugs is mainly to ensure the operating profit of pharmacies and the enthusiasm for participating in centralized procurement, while maintaining the stability of the prices of centralized procurement.
However, some people in the industry believe that even a 15% increase in the top grid may not cover all pharmacies.
Operating costs
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Prior to Hebei Province, many provinces set a 15% red line for the pricing of drugs collected in pharmacies, but there were few explicit regulations on nationally negotiated drugs
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Speed ​​up the circulation of electronic prescriptions to form a guarantee force

The "Notice" issued by Hebei Province this time contains a total of 8 content including negotiated drugs that are included in the "dual channel" management, and promoted the rational deployment of negotiated drugs in designated medical institutions

The "Notice" pointed out that it is necessary to give full play to the advantages of designated retail pharmacies with wide distribution, high degree of marketization, and flexible service, and to complement each other with designated medical institutions.

At the same time, it is necessary to clarify the responsibilities of physicians for related drugs, and according to the reasonable needs of the insured personnel, write electronic prescriptions for negotiated drugs in accordance with regulations, conduct review and evaluation of patients, and provide medication guidance

"Dual-channel" designated retail pharmacies must be directly connected to the national unified medical insurance information platform in accordance with the national medical insurance information platform designated medical institution interface specifications to realize the circulation and traceability of electronic prescriptions, or self-build a fully functional, unified medical insurance information with the country The platform is directly connected to the "import, sell, and store" system, which uploads the drug "import, sell, and store" data in a true, comprehensive, accurate, and real-time manner and the types, specifications, prices, and cost information of the drugs purchased by the insured personnel

Medical insurance agencies at all levels will also strengthen the supervision of the "dual-channel" designated retail pharmacies, and regularly inspect the "dual-channel" designated retail pharmacies on the "purchase, sale, and storage" of drugs negotiated

Hebei Province also stipulates that before the end of the next month (November), each coordinating area must select and determine at least one “dual-channel” designated retail pharmacy in accordance with procedures, and provide negotiated drug medication security services as required, and report before December 10 The status of delivery work

The list of 221 nationally negotiated drugs is as follows:

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