Medical Insurance Bureau: Medical insurance designated pharmacies need at least 2 licensed pharmacists

Another province issued a "dual-channel" pharmacy application rule: at least 2 licensed pharmacists are registered in the store
.
At least 2 licensed pharmacists in this type of pharmacy Recently, the Shandong Provincial Medical Insurance Bureau issued the "Notice on Applying for Provincial Direct "Dual Channel" Medical Insurance Agreement Management Designated Retail Pharmacies" (hereinafter referred to as the "Notice")
.
According to the "Notice", to apply for a "dual-channel" medical insurance designated pharmacy, eight conditions must be met, one of which requires more than two licensed pharmacists to register in the store
.
The details are as follows: 1.
The declared store has no medical insurance and other related administrative penalties and medical insurance violation investigation records in the past 2 years.
The overall area is more than 100 square meters.
If the business site is leased, a valid lease contract of more than 3 years must be provided; independent medical insurance negotiation is established.
The drug business premises or counter, and the relevant systems for drug management in medical insurance negotiation are sound
.
2.
Equipped with a computer and network system suitable for business services.
While meeting the basic functions of drug purchase, sales and storage, it has the conditions to carry out "one-stop" settlement and can meet the requirements of drug management and service quality
.
3.
There are more than two licensed pharmacists registered in the store, providing prescription review and dispensing, rational drug use guidance and consulting services, and all employees pay social insurance
.
4.
Equipped with more than 20 kinds of nationally negotiated medicines (including provincial special medicines for serious diseases); the sales price of medicines is not higher than the nationally negotiated medical insurance payment price
.
5.
It has storage and distribution facilities and equipment that are suitable for the scale of cold chain drugs, and regularly conducts facility and equipment verification and calibration, which can realize real-time effective detection and regulation of environmental temperature and humidity such as drug display, storage, and distribution, and ensure drug quality
.
6.
Set up a special area for charitable assistance and patient education, establish a system for the use and management of assistance drugs, and assign full-time (part-time) personnel to be responsible for the distribution of charitable assistance drugs and explanation of assistance policies; carry out popular science education on drug use and health management in medical insurance negotiation
.
7.
Meet the conditions such as electronic traceability of the sold drugs
.
8.
Those who have obtained the qualification of DTP pharmacy will be given priority, and those who have no "dual channel" in the area will be given priority..
At the same time, the "Notice" also announced the "Provincial "Dual Channel" Medical Insurance Agreement Management Designated Retail Pharmacy Evaluation Standard Form" (hereinafter referred to as the "Standard Form")
.
According to the requirements of the "Notice", those with a score of 95 or more in the on-site review of the medical insurance department are qualified and included in the scope of the proposed new designated publicity
.
The "Standard Table" is divided into 7 items in total, of which the staffing item has a total score of 20 points
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The "Standard Table" stipulates that at least 2 full-time licensed pharmacists must be provided, and no points will be awarded for those who cannot achieve it; 5 points will be deducted for every one who has registered in the store for less than 6 months, and no points will be awarded if a licensed pharmacist is not on duty during business hours
.
The specific standards are as follows: At least 2 licensed pharmacists become standard in "dual-channel" pharmacies.
Notice"
.
According to the requirements of the National Medical Insurance Administration and the National Health Commission, it is necessary to solidly promote the "dual-channel" management, and refine and improve the selection and access of designated pharmacies, patient identification, prescription circulation, direct settlement and fund supervision, etc.
, to effectively improve the negotiation of drugs.
level of supply security
.
At present, all places except Shandong Province have issued similar rules, all of which clearly apply to become a "dual-channel" pharmacy, with at least two licensed pharmacists
.
On the 16th of this month, Jiangshan City, Zhejiang Province required that designated retail pharmacies that meet eight conditions including "no less than two licensed pharmacists and good professional pharmacy service capabilities" can voluntarily apply to become "dual-channel" pharmacies
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On November 23, 2021, the Jiangxi Provincial Medical Insurance Bureau issued the "Interim Measures for Drug Administration for Dual-Channel Negotiations in Jiangxi Province", stating that in order to apply for a dual-channel pharmacy, you must meet "at least 2 licensed pharmacists who are registered in the pharmacy and insured".
12 other conditions
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On October 26 of the same year, the Hebei Provincial Medical Insurance Bureau issued the "Selection Procedures for "Dual-Channel" Designated Retail Pharmacies for National Medical Insurance Negotiations in Hebei Province (Trial)", which clarified that to apply for a "dual-channel" pharmacy, it is necessary to meet the requirements of "having 2 channels".
A full-time licensed pharmacist with name or above, setting up drug administration positions, not part-time or nominal, ensuring that there are pharmacists on the post during business hours, who can master the relevant pharmacy information of negotiated drugs, and provide services such as prescription review and dispensing, and rational drug use guidance; 1 person and above full-time delivery personnel, pharmacy professional and technical personnel account for more than 40% of the total pharmacy personnel” and other 11 conditions
.
The professional development of pharmacies will benefit 580,000 licensed pharmacists.
By the end of December 2021, the cumulative number of licensed pharmacists nationwide during the period of validity was 639,991, and 584,354 licensed pharmacists were registered in drug retail enterprises, accounting for 91.
3% of the total number of registrations
.
Today, major chains are increasing their professional layout and applying to become "dual-channel" pharmacies
.
At the end of last month, Dashenlin announced that it will add 115 stores in 2021 to obtain dual-channel overall planning qualifications
.
There are more than 900 hospital-side pharmacies in Dashenlin, including 504 pharmacies with dual-channel medical insurance financing and coordination qualifications for various diseases, and 120 DTP specialty pharmacies
.
At the same time, the people announced that as of January 21, 2022, a total of 119 stores of the people's large pharmacy nationwide have obtained the qualification of dual-channel overall planning, and it has nearly 1,000 courtyard stores and 145 DTP professional pharmacies
.
The People's Pharmacy has also made it clear that this year, it will continue to increase access to dual-channel medical insurance qualifications by leveraging its own network and layout advantages
.
Compared with ordinary fixed-point retail pharmacies, the Medical Insurance Bureau has put forward higher requirements for fixed-point retail pharmacies that are included in the "dual-channel" management
.
In terms of staffing, at least 2 licensed pharmacists are required, which not only indicates that the state attaches great importance to licensed pharmacists, but also increases the market demand for pharmacists, which is more conducive to the development of licensed pharmacists
.