Class-A medicines of Jiangxi include in the medical insurance and pay fully The new medicines catalogue was carried out from September
Class-A medicines of Jiangxi include in the medical insurance and pay fully The new medicines catalogue was carried out from September
In order to improve the medical treatment, industrial injury, birth insurance system, improve the masses' guarantee level, realized the goal that everybody enjoyed basic medical treatment ensured progressively, yesterday, saved human resources and the social security drawing room (hereafter referred to as " province people protected the drawing room " )Issue <
>(hereafter referred to as " medicines catalogue ") . It is reported, before August 31 this year, our province will finish the medicines data and upgrade the work, will begin to carry out and use the new edition " medicines catalogue " on September 1. Meanwhile, 2005 version " basic medical insurance and industrial injury insurance medicines catalogue of Jiangxi Province " will be out of use. Industrial injury, birth insurance do not divide class-B medicines of Class A while paying to it is introduced, the 2010 version " medicines catalogue " of our province is divided into Western medicine, Chinese medicine and three parts of traditional Chinese medicine decoction pieces. Among them, Western medicine part and Chinese medicine part adopt entry law, stipulate the fund permits paying medicines of the expenses. The basic medical insurance distinguishes A, Class B while paying, insurance and birth insurance of industrial injury do not divide A, Class B while paying. Some listed traditional Chinese medicine decoction pieces of traditional Chinese medicine decoction pieces is refused to pay traditional Chinese medicine decoction pieces of the expenses by basic medical insurance, industrial injury insurance and parenting insured fund, including plant traditional Chinese medicine decoction pieces 127 and a classification. Among them, folk prescription is refused what has been paid is 99 kinds; It is refused that single, compound what has been paid has 28 kinds and a classification. Personnel use the expenses that traditional Chinese medicine decoction pieces happens outside Western medicine, Chinese medicine and catalogue in the catalogue to effect an insurance, pay the standard to carry out according to basic medical insurance, industrial injury insurance and relevant regulations of the birth insurance specifically. Class-A medicines include in the medical insurance and pay our province of the range to require, every pool area can't presume separately to class-A medicines listed in " medicines catalogue " individual pays the proportion for itself fully, class-A medicines should include in the basic medical insurance and pay according to the regulation fully. Meanwhile, the class-B medicines individual pays the proportion for itself to presume in unison from every range of the whole city of fund endurance of market foundation of setting up area in " medicines catalogue ", confirm, pay according to the regulation of the basic medical insurance again according to 15% or 10% in principle. Each the city of setting up area presumes class-B medicines have been implemented since one pair of proportion situations need the newspaper and save human resources and social security drawing room and is put on record. In addition, " medicines catalogue" some class-B medicines implement the whole province pay way in unison. Western medicine ( The 951st) The peritoneum dialyses the whole province of the liquid and does not presume individual of class-B medicines pays the proportion for itself, include in basic Medical Benefits Funds and pay according to the regulation fully. Similar medicines are unsuitable to superpose and use and encourage a doctor in our province of first-selected low priced medicine to require, every pool area should strengthen the fixed medical organization and retail the guidance management that the pharmacy uses " medicines catalogue " by fixed position. The doctor must accord with the principle of making a diagnosis and giving treatment of of Western medicine while opening the Western medicine prescription, opening the Chinese medicine prescription must follow Chinese medicine and construct, manage the principle and pay attention to French side medicine dialectically, minimum to it classifies similar medicines under to be unsuitable to superpose using in principle as to every. To diagnosing that opens Chinese medicine, diagnoses that opens unreasonable using medicine, behaviors such as using medicine and drug abuse,etc. repeatedly such as Western medicine according to Chinese medicine according to Western medicine, will punish and include in the fixed agreement and manage. " medicines catalogue " requires, every pool area want, take measures, encourage doctor according to Class B under Class A first, inject preparation, clear up after the dosage form slow often first behind the oral preparation first ' Accuse of) Clear up principles such as dosage forms,etc. and choose medicines, encourage the pharmacist to choose cheap medicines in the same assortment dosage form while allocating medicines at first. The catalogue one can presume that pay the limit " medicines catalogue " to require at most with variety dosage form medicines, it is classified and paid management that every pool area should improve the administration of medical insurance. As to medicines of the same assortment dosage form specification in " medicines catalogue ", can explore that presume that pay the limit standard at most. Rescue medicines outside the catalogue needed with special disease treatment to clinic promptly, set up the fixed reporting system of medical organization and define corresponding verification management. As to medicines that can be used in oneself medicine and treat in " medicines catalogue ", stipulate in principle: Personnel are paid by the basic medical insurance pool fund while using in hospital to effect an insurance; The personal account of pot life of the clinic is paid. As to not listing medicines catalogue in " compound medicine composed of Western medicine varieties in the catalogue ' Including including the great infusion of medicine) ,It higher than it medicines that the prices made up if its price and,it can if you can't treat by medicineses class-B as, pay regulation, concrete management saves human resources and social security drawing room to make separately. The radiosiotope medicine will include compound medicine in the 2005 version " basic medical insurance and industrial injury insurance medicines catalogue of Jiangxi Province " of the range in the medical service item, if made up by it a folk prescription composition in " national basic medical insurance, industrial injury insurance and birth insurance medicines catalogue " ' 2009 version) Inside,last it medicines that the prices made up its price and,it can postpone not if you can't use, issue medicine managements compounding temporarily. In addition, the radiosiotope medicine not listed in of 2010 version " medicines catalogue ", will include in the scope of project of medical care and manage, every pool area can still be carried out according to the original policy before issuing in the concrete method. It is reported, the new edition " medicines catalogue " will begin to carry out on September 1. Meanwhile, 2005 version " basic medical insurance and industrial injury insurance medicines catalogue of Jiangxi Province " are out of use. Document / my sha of the reporter stone roc's intern
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