The selection criteria for Jiangxi "dual channel" pharmacies are here!

Following Hebei, another province has introduced the selection criteria for dual-channel pharmacies
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The selection criteria for dual-channel pharmacies are here On November 23, the Jiangxi Provincial Medical Insurance Bureau issued the "Interim Measures for the Administration of Dual-channel Negotiation Drugs in Jiangxi Province" (hereinafter referred to as the "Measures"), and it is clearly implemented from December 1, 2021
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The "Measures" pointed out that dual-channel medicines implement the "dual-channel three-regulated management" of designated medical institutions (hereinafter referred to as dual-channel medical institutions), designated responsible physicians (hereinafter referred to as responsible physicians), and designated retail pharmacies (hereinafter referred to as dual-channel pharmacies).
And mutual recognition within the province
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For the selection of retail pharmacies, according to the "Measures", to apply to become a dual-channel pharmacy, the following 12 conditions must be met: 1.
Complete organizational structure, improve internal regulations, qualifications and regulations, good reputation, set up special service positions, and allocate full-time Personnel; 2.
Complete the implementation of the national medical insurance information business coding standards; 3.
Establish a dual-channel drug quality and safety full-process supervision and "purchase, sales, and storage" full-process recording and management system, and implement security responsibilities for storage, distribution, and use , The whole process of medicine can be traced to ensure quality and safety
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The "import, sale, and storage" of dual-channel drugs are included in the whole-process supervision of medical insurance informatization to ensure the safe and reasonable use of medical insurance drugs; 4.
In the past three years, no violations of laws and regulations have been notified by market supervision or drug regulatory authorities; 5.
In the past three years, The designated retail pharmacy medical insurance service agreement has not been suspended by the medical insurance department due to violations of the designated retail pharmacy medical insurance service agreement; 6.
The provision of dual-channel medicines in accordance with the supply capacity and agreement requirements has a long-term stable drug supply channel to ensure the supply of dual-channel medicines Guarantee, and satisfy the realization of electronic traceability of the drugs sold
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The drug preparation rate of the province’s dual-channel drug varieties is not less than 30%, and a supply cooperation agreement has been signed with the manufacturer of the dual-channel drug that has been equipped (imported drugs can be the domestic general agent); 7.
Provincial medical insurance pays standard prices to sell dual-channel drugs; 8.
At least 2 licensed pharmacists registered in pharmacies and insured shall be equipped; 9.
"Drug Business License" has the business scope of "biological products"
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Sign cold chain transportation and distribution agreements with relevant dual-channel medical institutions
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Possess storage and distribution facilities and equipment commensurate with the scale of cold chain medicines, and the whole process of cold chain management is recorded and traceable; 10.
Injection preparations of dual-channel drugs should be safely and timely delivered to the insured personnel by the dual-channel pharmacy Dual-channel medical institutions for treatment; 11.
Strengthen dual-channel drug use management and policy publicity, establish a personal file for each registered insured person, and fully record their dual-channel drug use information
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12.
Coordinate other relevant requirements of the region
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Many provinces emphasized that at least two licensed pharmacists should be assigned.
Of course, Jiangxi Province is not the first province to introduce the selection rules for dual-channel pharmacies.
As early as the end of last month (October 26), the Hebei Provincial Medical Insurance Bureau issued the "Hebei Province The "Dual Channel" Designated Retail Pharmacy Selection Procedures for the National Medical Insurance Negotiation Drugs at the Level (Trial)"
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It should be noted that the two provinces have clearly stipulated the number of licensed pharmacists, with at least 2 full-time licensed pharmacists; and has been included in the management of designated retail pharmacies for more than 3 years (including 3 years).
In the past three years, there has been no violation of laws or regulations.
The behavior was notified by market supervision and drug regulatory authorities, and did not violate the medical insurance service agreement of designated retail pharmacies
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The difference is that the "Measures" of Jiangxi Province emphasizes that the "Pharmaceutical Business License" has a "biological product" business scope, while Hebei Province emphasizes the establishment of a special business area for negotiating drugs, with an area of ​​more than 40 square meters, including independent drug fields.
in warehousing, pharmaceutical sales, pharmaceutical care, patient care and rest
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In accordance with the requirements of the National Medical Insurance Administration, local medical insurance departments must adhere to the principle of “openness, fairness, and justice”, determine selection criteria and procedures, and ensure compliance with qualifications, management practices, good reputation, and reasonable layout, and meet the Designated retail pharmacies with traceability and other conditions are included in the "dual channel" management, and they are proactively disclosed to the public in a timely manner
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Compared with ordinary designated retail pharmacies, higher requirements are put forward for designated retail pharmacies that are included in the "dual channel" management
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The specific requirements are as follows: First, informatization
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Designated retail pharmacies should connect with medical insurance information platforms, electronic prescription circulation platforms, etc.
, to ensure comprehensive, accurate, and timely communication of information on medicines and medical insurance payments
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The second is drug management
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Some negotiated drugs have special requirements for storage, and designated retail pharmacies need to establish a storage and distribution system that meets the requirements to ensure drug quality and safety
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At the same time, professionals are equipped to guide patients in the rational use of drugs to ensure the safety of clinical drug use
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The third is the supervision of medical insurance funds
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Designated retail pharmacies should take more stringent measures to verify the identity of patients to ensure that "prescribed patients" are consistent with "actual medication patients", plug the loopholes of "fraud insurance", and ensure fund security
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In 8 cases, exit management and will no longer be included within two years.
In addition, the National Medical Insurance Bureau has also made it clear that it is necessary to establish a sound "dual channel" exit mechanism for designated retail pharmacies, moderate competition, entry and exit, and dynamic adjustment
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It is reported that Hebei and Jiangxi both have clear regulations on this
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Among them, Hebei Province emphasizes that if a designated retail pharmacy has one of the following circumstances, it will not accept applications for the selection of a "dual channel" designated retail pharmacy: 1.
Failure to perform administrative punishment responsibilities in accordance with the law; 2.
Inconsistent license information; 3.
Falsification Applicants for a fixed point such as improper means, and it has been less than 3 years since the date of discovery; 4.
The legal representative, main person in charge or actual controller has been dismissed from the medical insurance agreement of the original designated retail pharmacy due to serious violations of laws and regulations, less than 5 years 5.
The legal representative, the main person in charge or the actual controller is included in the list of untrustworthy persons; 6.
The designated medical insurance logo is displayed in advance or the medical insurance designated qualification is fraudulently used; 7.
Other non-acceptable circumstances stipulated by law
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The "Measures" of Jiangxi Province mentioned that for dual-channel medical institutions that have not been equipped for a long time or are insufficiently equipped, and the dual-channel drug reserves cannot reach the agreed number, resulting in the insured persons being unable to purchase drugs, the investigation has verified that the total number of drugs has reached once a year.
Reminders should be made; if there are 2 times in a year, interviews and rectification within a time limit will be conducted, and the integrity assessment score of this year will be deducted; if there are 3 times or more in the year, the dual-channel management will be withdrawn and will not be included within two years
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At the same time, dual-channel medical institutions that have one of the following circumstances will withdraw from dual-channel management and cease to be included within two years: 1.
Forgery, alter or alter the bills and accounts of the dual-channel drug "import, sale, and deposit"; 2.
Requirements Or induce insured persons to purchase medicines in designated pharmacies, causing adverse social impact; 3.
Sell dual-channel drugs at prices exceeding the medical insurance payment standards of the province; In the case of dual-channel drug and medical insurance settlement business, but the medical insurance settlement business is less than 10 persons; 5.
Providing false certification materials for the insured person to enjoy dual-channel drug and medical insurance benefits; 6.
Reselling dual-channel drugs for the insured person to obtain illegal benefits, Provide convenience; 7.
Other violations of laws and regulations, or violations of medical insurance service agreements of designated medical institutions that cause loss of medical insurance funds or serious adverse social impact; 8.
Other circumstances that should be withdrawn from dual-channel management as required by the overall planning area
.