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On May 10, the National Medical Insurance Administration issued a notice stating that in order to ensure the smooth implementation of the negotiated drugs for the National Medical Insurance (referred to as the negotiated drugs), improve their guaranteed supply level, and better meet the reasonable drug needs of the insured patients, it was issued in conjunction with the Health Commission.
"Guiding Opinions on Establishing and Improving the "Dual Channel" Management Mechanism for Drugs in National Medical Insurance Negotiations"
.
"Dual channel" refers to the mechanism that meets reasonable needs for negotiating drug supply guarantees and clinical use through two channels, designated medical institutions and designated retail pharmacies, and simultaneously incorporates them into the medical insurance payment mechanism
The "Guiding Opinions" is divided into seven parts, respectively, in terms of classified management, selection of pharmacies, standardized use, improvement of payment policies, optimization of handling management, strengthening of supervision, and strengthening of leadership, etc.
, and put forward requirements for the "dual channel" management of negotiated drugs
.
The purpose of issuing the "Guiding Opinions" is to take advantage of the flexible and widely distributed services of designated retail pharmacies, include them in the scope of negotiated drug supply guarantees, increase drug supply channels and patient medication options, and promote designated retail pharmacies to improve service quality and improve negotiation Access to medicines
For the first time, the "Guiding Opinions" included designated retail pharmacies at the national level into the scope of the supply of medical insurance drugs, and implemented a unified payment policy with medical institutions
.
The promulgation of the "Guiding Opinions" marks a step towards diversification in the supply of negotiated drugs.
Source: National Medical Insurance Administration