How to become a dual channel pharmacy?

Guangzhou has launched the evaluation of "dual-channel" pharmacies, and will determine the list of "dual-channel" candidate pharmacies based on the comprehensive evaluation ranking and the upper limit of the number of "dual-channel" pharmaci.

On May 16, the Guangzhou Municipal Medical Insurance Bureau issued the "Announcement on Carrying out the Evaluation of "Dual-Channel" Designated Retail Pharmacie.

The number of "dual-channel" pharmacies in the first batch of "dual-channel" pharmacies in each administrative region shall not exceed the following numbers: 8 in Yuexiu District, 4 in Haizhu District, Liwan District, Baiyun District District, Tianhe District, Huangpu District, Panyu District, 3 each, Zengcheng District, Huadu District, Nansha District, Conghua District, 2 ea.

In addition, the "Announcement" also announced the conditions and procedures for the applicati.

Basic requirements for applying for a pharmacy:

Basic requirements for applying for a pharmacy:

The "Announcement" clarifies that designated retail pharmacies that meet the following conditions can voluntarily apply for participation in the assessment:

Abide by relevant national laws and regulations, have no bad business records, and have no administrative penalties or violations of medical insurance agreements in the city within 1 year from the date of declaration (if the establishment is less than 1 year, it will be calculated according to the actual time); the medical insurance fixed-point service agreement has been signe.

It has been 3 months since the signing of the medical insurance fixed-point service agreement

In principle ,the drug preparation rate of "dual-channel" drug varieties in this city shall not be lower than 20% , and relevant agreements on supply guarantee shall be signed with "dual-channel" drug manufacturers (including domestic general agents of imported drugs) or their first-level distributo.

In principle, the drug preparation rate shall not be lower than 20.

It is promised that the retail price of "dual-channel" drugs shall not be higher than the online purchase price of the Guangzhou Pharmaceutical Group's procurement platform

The retail price of "dual-channel" drugs shall not be higher than the online purchase price of Guangzhou Pharmaceutical Group's procurement platform

It has logistics and cold chain conditions suitable for "dual-channel" drug storage and distributi.

Equipped and operated a pharmacy information system with the functions of drug information traceability and direct settlement of patients, and the data of drug purchase, sales and storage have been uploaded to the provincial (city) drug administration platfo.

Evaluation method: According to the final ranking and the upper limit of the number of "dual-channel" pharmacies, the list of "dual-channel" candidate pharmacies will be determined

Evaluation method: According to the final ranking and the upper limit of the number of "dual-channel" pharmacies, the list of "dual-channel" candidate pharmacies will be determined

Comparing with the "Guangzhou "Dual-Channel" Pharmacy Evaluation Item Form", the evaluation team will comprehensively score the written materials submitted by the pharmacies, and rank the comprehensive evaluation scores from high to low according to the administrative region

Rank the comprehensive evaluation scores from high to low according to the administrative region

The evaluation team determines the list of "dual-channel" candidate pharmacies based on the final ranking and the upper limit of the number of "dual-channel" pharmaci.

The evaluation team determines the list of "dual-channel" candidate pharmacies based on the final ranking and the upper limit of the number of "dual-channel" pharmaci.

The municipal medical insurance department conducts an on-site inspection of the "dual-channel" alternative pharmacies, mainly checking the originals of the submitted materials, the actual situation on the spot, and the daily operation of the alternative pharmacies, e.

In addition, if a report is received during the publicity period and it is found that it does not meet the conditions after verification, the corresponding pharmacy evaluation qualification will be cancelled, and its qualification will be replaced by the next application pharmacy in the administrative area that meets the basic conditions, and the procedures in the preceding paragraph will be handl.

Guangzhou: 291 national talks + chronic disease varieties are included in "dual-channel" management, and prescriptions are circulated uniformly

Guangzhou: 291 national talks + chronic disease varieties are included in "dual-channel" management, and prescriptions are circulated uniformly

Previously, in January 2022, the Guangzhou Municipal Medical Insurance Bureau and other three departments jointly issued the "Implementation Rules for the Establishment of a "Dual Channel" Management Mechanism for National Medical Insurance Negotiation Drugs in Guangzhou", which included 291 drugs in the scope of the first batch of "dual channel" drugs in Guangzh.

291 Negotiated Drugs 275

The "Implementation Rules" pointed out that for the supply of "dual-channel" medicines, designated medical institutions are the main body, and designated retail pharmacies are the supplemen.

The city's designated medical institutions should give priority to purchasing and using "dual-channel" medicines, and establish in-hospital medicine allocation and adjustment of medical insurance drug catalogu.

The linkage mechanism should be fully equipped with "dual-channel" drugs, and the negotiation of drugs should not be affected by the total amount of medical insurance, the limit on the number of drug catalogs of medical institutions, the proportion of drugs, and the average cost per ti.

"Dual-channel" drug supply, designated medical institutions are the main body, and designated retail pharmacies are the supplemen.

Single-bank payment managementis adopted for negotiated drugs included in the "dual-channel" management, and negotiated drugs that have expired under the agreement are no longer included in single-bank payment manageme.

Single-line payment management

In terms of pharmacy access, "dual-channel" pharmacies will be selected among the city's designated retail pharmacies, and dynamic adjustments
will be implemente.

The selection criteria, procedures and withdrawal mechanism shall be formulated separately by the municipal medical insurance administrative departme.

" Dual-channel" drugs implement unified medical insurance payment policies and medical insurance payment standards in designated medical institutions and "dual-channel" pharmaci.

Dynamic adjustment of "dual-channel" drugs in designated medical institutions and "dual-channel" pharmacies implement unified medical insurance payment policies and medical insurance payment standar.

In terms of the circulation of external prescriptions, it is required to implement the requirements of "designated hospitals, designated pharmacies, designated doctors, designated medicines, and traceability.

Insured patients purchase "dual-channel" medicines from designated designated medical institutions that meet the regulatio.

Corresponding professional medical insurance physicians issue external prescriptions, and choose "dual-channel" pharmacies to purchase drugs according to regulations within the validity period of external prescriptio.

Storage, distribution, and use of "dual-channel" drugs with special regulations and purchased during hospitalization shall be uniformly distributed by "dual-channel" pharmacies to designated medical institutions for use by insured patien.

"Determining hospitals, pharmacies, physicians, drugs, traceability"

External prescriptions issued by medical insurance physicians shall comply with prescription management regulations and long-term prescription management regulations , and the dosage of drugs shall comply with diagnosis and treatment regulations and payment regulations for medical insurance dru.

External prescriptions for "dual-channel" drugs should be issued separately and circulated through the province's unified prescription circulation cent.

Designated medical institutions and "dual-channel" pharmacies should establish an external prescription review system to strengthen the external prescription revi.

External prescriptions issued by medical insurance physicians should comply with prescription management regulations and long-term prescription management standard.

External prescriptions for "dual-channel" drugs should be issued separately and circulated through the province's unified prescription circulation cent.

In terms of medical insurance payment standards, the "Implementation Rules" clarifies that "dual-channel" drugs shall implement unified medical insurance payment policies and medical insurance payment standards in designated medical institutions and "dual-channel" pharmaci.

The first batch of "dual-channel" drugs will be settled as follows:

The “dual-channel” drug costs incurred by outpatient insured patients who purchase medicines for medical treatment according to regulations are part of the personal burden, and are directly settled by the insured patients and “dual-channel” pharmacies; the part that is paid by the social medical insurance pooling fund is paid by "Dual-channel" pharmacies will record the accounts first, and then report and settle the accounts to the medical insurance agency truthfully after monthly summarizati.

For outpatient medical expenses that are paid according to a fixed amount and paid in total, the non-negotiated drug expenses paid by the social medical insurance pooling fund and included in the "dual-channel" management shall be deducted from the medical expenses paid to the designated medical institutions that issue external prescriptio.

Inpatient and insured patients use the "dual-channel" drugs that are dispensed from "dual-channel" pharmacies to designated medical institutions according to regulatio.

Pay to a "dual channel" pharma.

"Dual-channel" drug costs are part of the personal burden, and are directly settled by the insured patients and designated medical institutions; the part that is paid by the social medical insurance pooling fund is first recorded by the designated medical institutions, and is truthfully reported to the medical insurance agency after monthly summarizati.

Office reports and settlemen.

The drug cost of the current external prescription is recorded into the insured patient's hospitalization cost and included in the annual settleme.