Three Putuo "dual -channel" pharmacies benefit more citizens

"I did not expect that I could really use the prescription to buy this medicine, and I could pay the medical insurance as the hospital." Recently, Ms. Xu, a resident, took a paper prescription from the district -level medical institution to The Chinese Medicine Holdings of the National Medicine Holdings on the road, purchased a special -demand medicine for severe dermatitis, Du Puli Single Anti -injection (Daibi). "This kind of medicine has no hospital. I used to go to Shanghai Dermatology Hospital for more medicine." Ms. Xu told reporters that she has always paid attention to the situation of this medicine. I was incorporated into the national medical insurance directory, but I ran several hospitals and were only equipped in the city's dermatology hospital, but it was really not easy to go once. "

Citizens buy "dual -channel" drugs in the "dual channel" pharmacy

Earlier this year, the Putuo District Medical Insurance Center was selected for designated retail pharmacies in the area in accordance with the municipal medical insurance department on the management of the "dual -channel" management of drugs. In June, China Medicine Holding Guoda Fuxing Da Pharmacy Shanghai Chain Co., Ltd. Wuning Road Store, Shanghai Baodao Da Pharmacy Chain Co., Ltd. Lanxi Road Store, Shanghai Hua's Pharmacy Co., Ltd. Qingxuan Branch was officially included in Putuo District "pharmacy. "The three pharmaceutical stores are considered to consider the needs of the radiation area and the citizen's medical treatment, and the maximum allows Putuo citizens to buy medicines that are included in the" dual channel "management at their doorsteps." The relevant person in charge of the Putuo District Medical Insurance Bureau said.

The "dual channel" refers to the supply of two channels for state negotiating drugs through medical insurance medical institutions and medical insurance designated retail pharmacies, and simultaneously incorporates the medical insurance payment mechanism. According to the "Notice on Implementing the" Double Channel "Management Mechanism of National Medical Insurance negotiations" (Shanghai Medical Insurance and Medical Head [2021] No. 40) "Notice on Adaptation to the normalization of national medical insurance negotiations and continuously do a good job of negotiating drugs" (medical insurance letter letter "(medical insurance letter [2021] No. 182), Putuo District is actively implementing the "dual channel" management mechanism of negotiating drugs, and in accordance with the prescribed procedures, the qualifications in the area are qualified, good management, good reputation, safe supply, reasonable layout, and meet the right right right. The fixed retail pharmacies that have achieved electronic traceability such as electronic traceability have been included in the "dual channel" management (referred to as the "dual -channel" pharmacy) to further improve the level of supply and guarantee of negotiated drugs.

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"The" dual channel "pharmacy requires more than three years in principle, the management foundation is better, no major information changes, and the regulations and management systems of the city's medical insurance and drug supervision are carefully implemented. Without medical insurance and drug supervision related penalties within three years Records. "The relevant person in charge of the Putuo District Medical Insurance Bureau introduced to reporters that in addition to" entry conditions "such as qualifications, management specifications, good reputation, and reasonable layout, the" dual -channel "pharmacy must also have pharmaceutical electronic traceability and distribution capabilities, and possess Cold chain drug storage and distribution conditions of the identity verification ability must have strong information system management capabilities to ensure that "prescription patients" and "actual medication patients" are consistent. "Pharmacy must be equipped with 50%of drugs incorporated into the 'dual -channel' management, and have the ability to adjust 1 to 2 days for medicines that are not equipped."

The reporter saw on the National Medicine Holdings of the National Medicine Holdings on Wuning Road that the "dual -channel" pharmacy has an exclusive "dual -channel" pharmaceutical display cabinet, and the injections and other medicines that require low -temperature refrigeration also have independent cold cabinets. "The settlement of the" dual -channel "drugs is also different from the settlement of ordinary medicines. It is necessary to settle in accordance with the medical insurance treatment of the prescription hospital." Pharmacy practicing pharmacist told reporters that citizens should seek medical treatment at a designated hospital, and the doctor prescribed the "dual -channel" drug outside the doctor. After the matching prescription, the citizens took social security cards or related medical insurance vouchers to purchase "dual -channel" drugs.

Taking the "Daibi" purchased by Ms. Xu as an example (Ms. Xu is a medical insurance for employees in the city, and the clinic reimbursement treatment is in a common payment section), she will be prescribed by the "Daibi" externally prescribed at the designated hospital in the secondary medical insurance. When the "dual -channel" pharmacies buy medicine and settlement, the proportion of medical insurance reimbursement was 75%, and the personal undertaking ratio was 25%, which was the same as the reimbursement ratio in the secondary hospital.

If Ms. Xu goes to the designated "Dazi" external prescription at the designated hospital of the third -level medical insurance, when the "dual -channel" medical insurance pharmacy buys medicine and settlement, the medical insurance reimbursement ratio is 70%, and the individual bear is 30%. The ratio is the same.

Delivery

In addition, in order to ensure the safety of citizens' medication, the injection drugs purchased by citizens in the "dual -channel" pharmacy must be distributed to the "dual -channel" pharmacy or a third -party circulation enterprise with corresponding qualifications in accordance with the relevant requirements of the drug supervision and management department, and distribute it to The designated medical institutions of the external prescription shall be allocated and used by the designated medical institution in accordance with regulations.

At present, there are 275 "dual -channel" drugs in this city, mainly negotiating drugs with high clinical value, urgent need for patients, and low alternatives. The municipal medical insurance department will adjust the scope of the city's "dual -channel" drugs in a timely manner in accordance with the actual situation of the city in accordance with the actual situation of the city.

In the next step, the Putuo District Medical Insurance Bureau will further promote the promotion, do a good job of policy interpretation for designated medical institutions, designated pharmacies and citizens, and will strengthen management, refine pharmacies' performance assessments, ensure that the "dual -channel" management mechanism will fall to the end of To implement and benefit more citizens. (Reporter Yi Wen)

Putuo District "Double Channel" pharmacy address

Chinese Medicine Holding Guoda Fuber Pharmacy Shanghai Chain Co., Ltd. Wuning Road Store

Address: No. 378, Dongxin Road, Putuo District

Tel: 021-52906250

Lanxi Road Store, Shanghai Pharmacy Chain Co., Ltd.: No. 237 Lanxi Road, Putuo District

Tel: 021-62548820

Shanghai Hua's Pharmacy Co., Ltd. Qingxuan Branch

Address: No. 929, Taopu Road, Putuo District

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