1. different prices: class A drugs in the same class of drugs in the price is relatively low, to ensure that the clinical The price is different: Class A medicines are less expensive among similar medicines and can ensure the basic needs of clinical treatment. Class B drugs are more expensive than Class A drugs in the same category, and can be used for clinical treatment options with good efficacy
2. Different reimbursement ratios: Class A drugs are included in the scope of the Basic Medical Insurance Fund, and are paid in accordance with the "Basic Medical Insurance Payment Criteria". When a participant uses "Class A" drugs, the full amount can be included in the reimbursement scope. When the insured person uses "Class B" drugs, if the proportion of personal burden is not labeled, the individual has to bear a certain proportion of the drug costs (different regulations in different places), and the rest is included in the scope of payment of the medical insurance fund.
3. The sales channels are different: Class A drugs can only be sold in pharmacies, while Class B drugs can be sold not only in pharmacies, but also in hotels or stores that have been approved by the drug administration.
The catalog of diagnostic and therapeutic items is divided into "Class A items" and "Class B items", and the differences between Class A and Class B items are as follows:
1. Different concepts: Class A items are clinically necessary for diagnosis and treatment, safe and effective, and appropriate costs. The concept is different: Class A catalog items are clinically necessary, safe and effective, and cost-appropriate diagnostic and treatment items. Category B catalog of diagnostic and treatment items are available for clinical diagnosis and treatment options, the effect is determined, but need to control the use of appropriate diagnostic and treatment items.
2. The reimbursement rates are different: Category A items are fully covered by the reimbursement, while Category B items require individuals to bear part of the cost upfront, and the rest of the cost is covered by the reimbursement.
Basic medical insurance drug list refers to the list of drugs that are necessary for the clinical treatment of employees and are included in the scope of payment of basic medical insurance, which is a way of managing the scope of drugs used in basic medical insurance. Its main role is to control the scope of the basic medical insurance payment of drug costs, is the basis for social insurance agencies to pay for the drug costs of the insured. Its purpose is to safeguard the basic medical needs of insured persons and ensure the smooth income and expenditure of the medical insurance fund. It consists of two parts: the Class A Catalog and the Class B Catalog.
Legal basis:
Social Insurance Law of the People's Republic of China Article 2
The State establishes a social insurance system for basic old-age pension insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance and other social insurance systems, and guarantees the right of citizens to obtain material assistance from the State and society in accordance with the law in the event of old age, sickness, industrial injury, unemployment and maternity.
Article 26 The standards of treatment for basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with the provisions of the State.
Article 28 Medical expenses that conform to the basic medical insurance drug catalog, diagnostic and therapeutic items, standards of medical service facilities, as well as those for emergency and rescue shall be paid from the basic medical insurance fund in accordance with the state regulations.