Is the national medical insurance negotiating medicine difficult to buy?Quanzhou opens two channels: fixed -point hospitals and pharmacies

"Double channels" allow patients to buy medicines and can be reimbursed

Quanzhou.com August 24 (Reporter Guo Yaying Intern Wu Yue Correspondent Wang Yueqing) In order to solve the problem of "difficult to buy medicine" for national medical insurance negotiation drugs, in November last year, Quanzhou Medical Insurance Department opened the "dual passage" of national talks and promoted fixed -point medicine The institution guarantees the supply of related drugs, so that the insured can also enjoy medical insurance reimbursement policies to purchase national negotiating drugs at the "dual -channel" pharmacy. For more than half a year of policy implementation, many patients in Quanzhou have not only bought "national talks" in designated hospitals and pharmacies, but they can also be reimbursed after buying.

97 kinds of "national talks" are included in the "dual channel"

The management mechanism of Guotan Pharmaceutical's "dual channel" refers to the reasonable needs of national medical insurance negotiating drug supply guarantees and clinical use through two channels: designated medical institutions and fixed -point retail pharmacies, and simultaneously incorporate the mechanism of medical insurance payment. Popularly speaking, it is a national medical insurance negotiation drug that is included in the "dual channel". Patients can buy through two channels of hospitals and pharmacies.

Last year, Mr. Lin, an insurer of the employee medical insurance, went to the hospital for examination because of lumbar back pain. He was confirmed that he had an adverse spinalitis. "The effect of this medicine is very good, but the price is more expensive. It takes more than 2,900 yuan per pin to be included in the 'negotiating medicine', which is a great economic burden for the family." I said that the medicine was incorporated into the 'dual channel'. When I got it, I found that it only cost more than 300 yuan at the self -funding, which really reduced our burden. "

The reporter learned that since the implementation of the "dual channel" mechanism of the national negotiation drugs, Quanzhou has strictly implemented the "three -fixed management", that is, a medical institution, a retail pharmacy, and a responsible physician. Passage "drug purchase directory. The Zuchu monoclonal antibody injection purchased by Mr. Lin is one of them.

So, how do patients enjoy the convenience brought by the "dual channel"? "Insurance patients can take the medical insurance card to find us 'dual channel' permissions doctors. After the doctor diagnose the diagnosis, consider whether the patient needs to use the" dual -channel "medicine. If necessary, the doctor can prescribe the electronic prescription. The electronic prescription is reviewed. After the review, the prescription flows to the 'dual -channel' pharmacy or directly prescribed medicine in the pharmacy. "Chen Guoyang, director and deputy chief physician of the Department of Rheumatology and Deputy Chief of the Municipal Hospital of the First Municipal Hospital, said.

There are 23 "dual -channel" designated medical institutions and retail pharmacies in the city

In order to better implement the "dual channel" mechanism, from last year, the Quanzhou medical insurance department continued to increase policy publicity and continuously strengthened the transformation of information channels. At present, a total of 15 fixed -point three -level public comprehensive medical institutions and close -up medical institutions are fully included in the "dual channel" management, and there are 8 retail pharmacies in the "dual channel" retail pharmacy.

The reporter learned that, with the electronic prescription of responsible physicians, patients can inquire about the "dual channel" service under the "Minzhi" APP "medical insurance service" to query nearby pharmaceutical stores nearby. Settlement.

"The national negotiating medicine 'dual -channel" mechanism is based on consolidating the main responsibility of medical institutions, adding the drug reimbursement channel of retail pharmacies. "Xiao Jingwei, deputy head of the drug procurement supervision department of the Municipal Medical Insurance Bureau, said," In order to ensure medical insurance for medical insurance Fund safety, we continue to strengthen the agreement management of the 'dual -channel' pharmaceutical institution, rely on the province's unified medical insurance information system to achieve the 'dual -channel' purchase process, realize the entire process of drug use process, ensure that the patients participating in the insurance store can be instant instant in a designated pharmacy. Report, enjoy the same medical insurance reimbursement treatment as the drug opening institution. "

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