Pfizer's new crown treatment drug included in medical insurance payment

On March 21, the National Medical Insurance Administration issued the "Notice on Effectively Doing a Good Job in the Current Epidemic Prevention and Control Medical Security Work"
.

The notice mentioned that the new crown treatment drugs included in the scope of medical insurance payment should be adjusted in a timely manner.

The original text is as follows:

The original text is as follows:

The Office of the National Medical Security Administration on effectively doing a good job

Notice on the current epidemic prevention and control medical security work

Medical Insurance Office issued [2022] No.
3

The medical security bureaus of all provinces, autonomous regions, municipalities directly under the Central Government and Xinjiang Production and Construction Corps:

At present, the situation of the new crown pneumonia epidemic is severe and complex, and the prevention and control of the epidemic is at a critical stage.
On March 17, General Secretary Xi Jinping personally presided over a meeting of the Standing Committee of the Political Bureau of the CPC Central Committee.
level, and continuously optimize epidemic prevention and control measures
.

In order to conscientiously implement the decisions and arrangements of the CPC Central Committee and the State Council, serve the current needs of epidemic prevention and control, and further strengthen medical security for the prevention and control of the new crown pneumonia epidemic, the relevant matters are hereby notified as follows

1.
Effectively improve the political position and unify thoughts and actions into the decision-making and deployment of the Party Central Committee

Medical security departments at all levels must fully understand the importance of doing a good job in the current medical security work for the prevention and control of the new crown pneumonia epidemic, and effectively integrate their thoughts and actions into the decision-making and deployment of the Party Central Committee, and always adhere to the people first, life first, and responsibility to protect the soil.
Responsibility to keep the soil
.

It is necessary to strengthen organizational leadership, overcome paralysis, war weariness, fluke mentality, and slack mentality, take the initiative to act and cooperate actively, and pay close attention to the work of epidemic prevention, control and medical security

2.
Actively adapt to changes in the prevention and control situation, and adjust and optimize medical security policies and measures for epidemic prevention and control in a timely manner

All provincial medical security departments should comprehensively consider the epidemic situation in accordance with the "Diagnosis and Treatment Plan for Novel Coronavirus Pneumonia (Trial Version 9)" (hereinafter referred to as the "Diagnosis and Treatment Plan (Trial Version 9)" and the "Prevention and Control Plan for Novel Coronavirus Pneumonia".
According to the needs of prevention and control and the payment ability of medical insurance funds in the region, in accordance with the principles of scientific precision, activeness and stability, and controllable risks, timely adjust and optimize relevant medical insurance policies
.

First, according to the procedures, the new coronavirus antigen detection reagents and corresponding detection items are temporarily included in the catalogue of basic medical insurance medical services in the province
.

The relevant expenses incurred by the insured in the designated primary medical institutions shall be paid in accordance with the current regulations of the overall planning area, and the expenses of purchasing testing reagents in the designated retail pharmacies can be paid using personal accounts

The second is to timely adjust the new crown treatment drugs included in the scope of medical insurance payment
.

For the newly added drugs in the "Diagnosis and Treatment Plan (Ninth Edition for Trial Implementation)", all provincial medical security departments refer to the "Notice of the National Medical Security Administration and the Ministry of Finance on Doing a Good Job in Medical Insurance for Pneumonia Infected by Novel Coronavirus" (National Medical Insurance [2020] ] No.

3.
Strengthen the implementation of various policies and make every effort to do a good job in the normalized epidemic prevention and control medical security work under the new situation

Medical security departments at all levels should refine and improve work measures in accordance with the requirements of a series of documents such as the "Notice of the National Medical Security Administration and the Ministry of Finance on Doing a Good Job in Medical Security for Pneumonia Infected by Novel Coronavirus" (National Medical Insurance Power [2020] No.
5), etc.
Continue to implement policies such as comprehensive protection of medical expenses for confirmed patients
.

Support the normal operation of medical institutions in severely affected areas, and prepay part of the new crown treatment funds according to procedures if necessary

4.
Continue to optimize handling services, and make overall arrangements for handling window protection and service work

All local medical insurance agencies must strictly follow the "Five Offices" of the "Notice of the Office of the National Medical Security Administration on Optimizing Medical Insurance Agency Services to Promote the Prevention and Control of Novel Coronavirus Pneumonia Epidemic" (Guojianbaodian [2020] No.
7) Continue to implement the policy of medical insurance to facilitate the people and benefit the people
.

In accordance with the national requirements for epidemic prevention and control in public service places, conscientiously do a good job of indoor ventilation, sanitation testing, cleaning and disinfection in the medical security handling hall, eliminate the hidden dangers of the epidemic in the handling place, and guide the public to wear masks and consciously accept body temperature detection to protect Good for the health and safety of the public and handling staff

In case of major problems or emergencies in the work of each province, they should take effective measures to deal with them in a timely manner and report to the National Medical Security Administration