2022 National Medical Insurance Drug Catalog adjustment work started

Author:Xinhuanet Time:2022.06.30

Xinhua News Agency, Beijing, June 30th (Reporter Peng Yunjia) "Adjustment of National Basic Medical Insurance, Work Injury Insurance and Maternity Insurance Drug Catalogs in 2022" and related documents were officially announced recently, marking a new round of national medical insurance and drug catalog adjustment work officially official start up.

According to the relevant person in charge of the National Medical Insurance Bureau, this year's adjustment work will firmly grasp the institutional positioning of "guaranteeing basic", focusing on the drugs that have high clinical value, reasonable prices, and can meet basic medical needs into the directory.

Compared with previous years of directory adjustment, this round of medical insurance category adjustment and optimization declaration scope is appropriately tilted to special groups such as patients with rare diseases and children. Among them, the application conditions for rare medical drugs have not set up the time limit for "approval of listing after January 1, 2017". At the same time, drugs that are included in the state encouraging imitation drugs and encouraging research and development of children's drug lists can declare this year's medical insurance directory.

This round of medical insurance catalogs have been adjusted and improved, and the payment standards are simultaneously determined simultaneously during non -exclusive drug access. It mainly solves the problem of unspeakable drugs that the general -purpose drug cannot be included in the directory due to the high price of individual enterprises. The admission method draws on the principle of negotiations, and the experts calculate to determine the willingness to pay for medical insurance. Then the enterprise quotes itself. As long as one company involves and the quotation is lower than the willingness to pay for medical insurance, the general name can be included in the directory, and the minimum quotation is used as the general name. Payment standards.

The work plan also adjusts the renewal rules, incorporating unique medicines, experienced two agreement periods, but not changing the payment standards and payment scope of the payment scope. The medicines can also be simply renewed.

According to reports, according to the current arrangements, if the progress is smooth, the new round of national medical insurance category adjustment will be officially launched on July 1, 2022, the results of the results announced in November, and the implementation of the landing on January 1, 2023.

【Edit: Huang Yuhan】

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