Retail pharmacy medical insurance violation system

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Article I In order to strengthen and standardize the management of urban workers' basic medical insurance designated retail pharmacies, according to the "State Council's decision on the establishment of a basic medical insurance system for urban workers" (Guo Fa [1998] No. 44), the formulation of these measures. Article 2 The designated retail pharmacies referred to in these Measures refer to the retail pharmacies that provide out-of-prescription dispensing services for urban workers' basic medical insurance participants, as examined by the labor security administrative departments of the co-ordination areas and determined by the social insurance agencies. Prescription dispensing refers to the behavior of insured persons holding prescriptions from designated medical institutions and purchasing medicines at designated retail pharmacies. Article 3 of the designated retail pharmacy review and determination of the principles are: to ensure the variety and quality of basic medical insurance medicines; the introduction of competition mechanism, reasonable control of the cost of pharmaceutical services; to facilitate the participants to purchase medicines after medical treatment and easy to manage. Article 4 designated retail pharmacies shall have the following qualifications and conditions: (a) hold the "Drug Business Enterprise License", "Drug Business Enterprise Certificate of Compliance" and "Business License", qualified by the annual inspection of the drug supervision and management department; (b) comply with the "Chinese People's **** and the State Drug Administration Law" and the relevant laws and regulations, have a sound and perfect quality assurance system for drugs, to ensure that the supply of medicines is safe, effective and the quality of service; ( (f) Strictly implement the relevant policies and regulations of the medical insurance system for urban workers, have a standardized internal management system, and be equipped with the necessary management personnel and equipment. Article 5 A retail pharmacy willing to undertake the designated services of the basic medical insurance for urban workers shall submit a written application to the labor security administrative department of the coordinating area and provide the following materials: (1) copies of the license, certificate of conformity and business license of the drug business enterprise; (2) documents certifying the titles of the pharmacy technicians above the level of pharmacist; (3) a list of the types of drugs in operation and the income and expenditure of the business in the previous year; (4) the supervision and inspection of the drug supervision and pricing department and the price department; and (5) documents certifying the qualification and qualification of the business staff. supervision and management, price department supervision and inspection of qualified documents; (e) labor security administrative department of other materials. Article 6 The administrative department of labor security examines the qualification of a retail pharmacy based on the retail pharmacy's application and the materials provided. Article 7: The social insurance agency of the coordinating area shall determine the designated retail pharmacies within the scope of the retail pharmacies that have obtained the qualification of designated retail pharmacies, issue the signboards of the designated retail pharmacies, and publicize them to the society, so as to provide the insured persons with choices of purchasing medicines. Article 8 The social insurance agency shall sign an agreement with the designated retail pharmacy, including the scope of service, service content, service quality, drug billing methods, as well as the audit and control of drug costs, etc., to clarify the responsibilities, rights and obligations of both parties. The agreement is generally valid for one year. Either party violates the agreement, the other party has the right to terminate the agreement, but must notify the other party and the insured in advance, and report to the labor security administrative department for the record. Article 9 of the external prescription must be issued by a physician of the designated medical institution, with the signature of the physician and the seal of the designated medical institution. The prescription should be reviewed and signed by a pharmacist and kept for more than 2 years for verification. Article 10 of the designated retail pharmacies should be equipped with full-time (part-time) management personnel, and social insurance agencies **** with the management of the work. External prescriptions should be managed separately and accounted for separately. The designated retail pharmacies shall regularly report to the social insurance agencies in the coordinating area on their prescription dispensing services and the costs incurred. Article 11 The social insurance agency shall strengthen the inspection of the prescription dispensing service of the designated retail pharmacy and the audit of the expenses. The designated retail pharmacies are obliged to provide information and account lists related to the expense audit. Article 12 The social insurance agency shall settle the fees in full and on time in accordance with the relevant policies and regulations of the basic medical insurance and the agreements signed with the designated retail pharmacies. The social insurance agency shall not pay for any expenses that violate the regulations. Article 13 The administrative department of labor security shall organize the supervision and management of drugs, price, pharmaceutical industry authorities and other relevant departments to strengthen the supervision and inspection of prescription dispensing services and management of designated retail pharmacies. The qualifications of designated retail pharmacies shall be reviewed annually. For designated retail pharmacies that violate the regulations, the labor security administrative department may, depending on the circumstances, order them to make corrections within a certain period of time, or cancel their qualifications as designated pharmacies. Article XIV designated retail pharmacy application form by the Ministry of Labor and Social Security style. Article XV of the provinces (autonomous regions and municipalities directly under the Central Government) labor security administrative departments can be based on these measures to develop implementation details. Article XVI of these measures from the date of publication of the implementation

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