Xi'an will have newly added fixed -point retail pharmacies for chronic diseases.

In order to meet the needs of chronic disease insured personnel, on August 26, Xi'an Medical Security Economic Affairs Office Service Center issued a notice on newly added fixed -point retail pharmacies in chronic diseases. The principle of "the medical security agency has selected the qualified retail pharmacy in the city as a fixed -point retail pharmacy in our city in a fixed -point retail pharmacy.

Declapse the fixed -point retail pharmacy for chronic diseases need to meet 16 conditions

Xi'an Medical Guarantee Service Center has clearly stipulated the application conditions for the application of fixed -point retail pharmacies in chronic diseases. The pharmacy is required to meet the following conditions:

(1) In the administrative area of ​​Xi'an (including Xixian New District), a fixed retail pharmacy medical insurance service agreement has been signed for three years;

(2) The actual operating area of ​​the pharmacy reaches 80 square meters (inclusive), and the chronic disease service area is set and there are clear marks. The service area should include prescription audit areas, deployment areas, pharmaceutical service areas, patient mission areas, etc.;

(3) Establish and improve the internal management system and financial system corresponding to the medical insurance policy of chronic disease;

(4) Divided partitions and classification management of medicines and other products have obvious regional logos;

(5) At least 2 professional (and part -time) professional (and) personnel who are familiar with medical insurance laws and regulations and related systems are responsible for chronic disease management, and signed a labor contract for more than 1 year and within the contract period;

(6) Equipped with pharmacists who have obtained qualifications for practicing pharmacist or have a professional and technical qualification certificate with pharmacy, clinical pharmacy, and traditional Chinese medicine, and registered in the place where the pharmacy is located. Provide pharmacy services for chronic disease insured personnel;

(7) With the requirements of information system construction that meets the needs of chronic disease management in our city, the system interface standards must be embedded, which can upload chronic disease settlement information and deposit data in real time;

(8) Establish basic databases such as medical insurance and drugs and chronic diseases, and use national unified medical insurance codes in accordance with regulations;

(9) Installing the monitoring equipment, it can monitor the drug service and medical insurance settlement in real time, and save the monitoring information records of no less than one year;

(10) Improve the internal management system, there is a complete drug sales and deposit management system to ensure that drugs enter the warehouse, outbound and inventory data consistent, and the drugs and taxes and lists with the actual purchase of drugs, varieties, specifications, specifications, specifications, specifications, specifications, specifications, specifications, specifications, specifications, and specifications. The same information is consistent;

(11) Drugs that supply and reserve meet the needs of patients with chronic diseases. The pharmaceutical specifications reached more than 2,000, and the facilities and equipment with drug storage conditions are suitable;

(12) Drug prices should be marked clearly to achieve integrity operations, standardized management, and convenient patients. Provide medical insurance services including: real -name construction files, data review, cost control, medication guidance, etc.;

(13) The pharmacy has been suspended without violation of medical insurance provisions within one year, and the administrative penalties of medical security and market supervision departments have been punished by medical insurance and illegal acts within three years.

(14) The quality and safety and credit rating of pharmacy pharmacies is "B" level or above;

(15) If the legal representative, the person in charge of the enterprise or the actual controller of the pharmacy execute the information disclosure network in China, there is no illegal and dishonesty;

(16) Other conditions stipulated in the relevant laws and regulations of medical security.

After the application information began on September 1st

Chronic diseases fixed -point retail pharmacies are declared according to quarterly. In the first month of each quarter, designated retail pharmacies fill in the "Application Form for Xi'an Medical Guarantee Chronic Diseases Pharmaceutical Store" and submit the application information to the medical security agency management agency managed by the agreement. On September 1, 2022, the application information of fixed -point retail pharmacies of chronic diseases began, and then accepted for quarterly. The district and county medical security agencies will review the integrity and authenticity of the information submitted by the designated retail pharmacy for chronic diseases. If the conditions and the information are complete, the application is accepted; We will notify the pharmacy to make up for one -time during working days.

At the same time, the district and county medical security agencies will also organize an evaluation team or entrusting third -party institution to conduct inspections and evaluations in accordance with the "Investigation and Evaluation Form for the Pharmaceutical Reporting Pharmacy in Xi'an Medical Security Chronic Diseases". The members of the assessment group consist of professionals such as medical security, market supervision, financial management, information technology, and pharmaceutical retail industry associations. The assessment time does not exceed 3 months. After 3 months of evaluation, the application can be submitted again after 3 months. If the evaluation is still unqualified, it shall not apply again within one year. The Xi'an Medical Security Economic Office Service Center is responsible for establishing an expert library. The Municipal Medical Guarantee Service Center will be filed. After investigating and evaluating the evaluation of the medical security agency of Xi'an Medical Guarantee Service Center, it will publicize the list of fixed -point retail pharmacies of chronic diseases to the society. The publicity period is 5 working days.

The district and county medical security agencies and non -objections have no objections to have no objections to a fixed -point retail pharmacy, negotiating negotiations, and reaching an agreed opinion, signing the service agreement of a fixed -point retail pharmacy for chronic diseases, and reporting to the administrative department of the same level for the record. The list of fixed -point retail pharmacies in the service center of Xi'an Medical Guarantee Economic Office will be announced to the public.

If these situations occur, the medical insurance service agreement will be lifted

The medical security agency will strengthen the supervision and management of fixed -point retail pharmacies in chronic diseases, innovate supervision methods, and establish a dynamic management mechanism. If there is one of the following circumstances, the medical insurance service agreement of chronic disease stores will be lifted. ) The medical insurance agreement has not rectified or rectified in accordance with two or more during the validity period of the medical insurance agreement or not in place during the period of the validity period.

(2) An incident of major drug quality and safety occurred;

(3) Those who apply for improper means such as fraudulent and other non -proper means to obtain a fixed -point retail pharmacy qualification of chronic diseases;

(4) Those who fake and alter the "enter, sell, deposit" bills and accounts, forgery prescriptions or the cost of insured personnel are cheated;

(5) Replace non -medical insurance or other goods for medical insurance and drugs, sell medical insurance or obtain medical security funds;

(6) For non -fixed -point retail pharmacies, fixed retail pharmacies or other institutions during the suspension of the medical insurance agreement for medical insurance costs;

(7) Transfer or gift the medical insurance settlement equipment to others to change the site;

(8) Rejecting, obstructing or not cooperating with the medical insurance department to carry out intelligent review, performance assessment, etc., the circumstances are bad;

(9) If the major information is found to be changed but it has not been changed;

(10) During the inspection, the medical insurance department found that there were major violations of laws and regulations in fixed -point retail pharmacies of chronic diseases and may cause major losses of medical security funds;

(11) If a license or business license or business license is revoked or canceled;

(12) If the administrative penalty decision made in accordance with the law in accordance with the law;

(13) In violation of the relevant laws and regulations of the market supervision and management department, the quality and safety credit level of pharmaceutical companies is "C" level and below;

(14) The legal representative, the person in charge of the enterprise, or the actual controller cannot fulfill the agreement on the medical insurance agreement, or violates the law and dishonest;

(15) The fixed -point pharmacy actively proposes the termination of the medical insurance agreement and the consent of the medical security department;

(16) Due to relocation and decoration, it cannot provide medical insurance services for patients with chronic diseases for more than 6 months;

(17) The agreement shall be lifted according to the medical insurance agreement.

Xi'an Newspaper All Media Reporter Ma Xiang Editor Yang Xue

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