The fifth round of national medical insurance and drug catalog adjustment is officially launched, with these characteristics →

Author:Changjiang Daily Time:2022.06.30

On June 29, the "Adjustment Work Plan for the Adjustment of National Basic Medical Insurance, Work Injury Insurance and Maternity Insurance Drug Catalogs" and related documents were officially announced, marking the official launch of the fifth round of national medical insurance category adjustment since the establishment of the State Medical Insurance Administration Essence

Compared with the previous round of directory adjustment, this adjustment has the following characteristics:

The first is to optimize the scope of the application and appropriately tilt to special groups such as patients with rare diseases. The application conditions for the adjustment of the rare medical drugs this time did not set the time limit for "approval of listing after January 1, 2017", and at the same time increased the country's drugs that are included in the country's encouragement of imitation drugs and encouraged the R & D application for children's drug lists can be declared this year's medical insurance Table of contents.

The second is to improve the admission method, and the payment standards are determined simultaneously when non -exclusive drug access.

The third is to improve renewal rules, which is more conducive to stable expectations. Exclusive drugs that have not changed the exclusive pharmaceutical period (4 years), but have not changed in the conventional directory management; Drugs that affect the small budget (less than 1 times) can also be simply renewed. The above practice is conducive to stabilizing the expectations of enterprises and society.

According to the arrangement, the national medical insurance category adjustment procedures in 2022 are still divided into five stages of preparation, declaration, expert review, negotiation/bidding, and announced results. If the progress is smooth, the declaration will be officially launched on July 1, the results will be announced in November, and the implementation of the landing on January 1 next year will be implemented.

(Source: CCTV News Client)

【Edit: Shang Pei】

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