Legal analysis: Class B drugs are drugs that can be used for clinical treatment, have good efficacy, and are more expensive than Class A drugs in the same category, such as the 17 anticancer drugs that have been newly included in the medical insurance drug catalog, including Azacitidine, Cetuximab, Afatinib, and so on. These include Azacitidine, Cetuximab, Afatinib, etc. Class B drugs: OTC labeling for Class B drugs is green. Category A drugs: The OTC logo for Category A is marked in red. The reimbursement rate of Class B drugs varies according to different regions, and generally individuals need to pay 10% or 20%. Category B drugs are not fully covered by the basic medical scope, which varies from region to region, and each region has the right to adjust by 15%. Each region can set a certain individual out-of-pocket percentage for Category B drugs according to the fund's affordability, and then pay according to the provisions of the basic medical insurance. In general, the part of the hospital invoice that requires personal out-of-pocket payment, there is a column after the "price" column, "self-care ratio" will indicate the proportion of personal out-of-pocket payment.
Legal basis: "The Chinese People's **** and the State urban workers basic medical insurance regulations" Article 41 The provincial labor security administrative department in accordance with the relevant provisions of the State, in conjunction with the planning, economic and trade, finance, health administration, drug supervision and management departments to determine the basic medical insurance drug directory.
The provincial labor security administrative department, in accordance with the relevant provisions of the State, in conjunction with the planning, finance, health administration, drug supervision and management departments to determine the basic medical insurance treatment item catalog, the scope of medical service facilities and payment standards.
Using medicines, diagnostic and therapeutic items, and medical service facilities that are not included in the scope of basic medical insurance, the expenses shall not be paid by the integrated fund.
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The above answer is only the current information combined with my understanding of the law, please be careful to reference!
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