The difference between Medicare Part A Class A and Class B

1, the reimbursement rate is different:

Category A drugs are reimbursed 100% according to the reimbursement rate. The specific reimbursement rate varies according to local policies and specific drugs.

2, the efficacy and price of drugs are different:

Category A drugs refer to the national unified development, clinical treatment is necessary, widely used, efficacy, low price of similar drugs. Class B drugs are drugs that can be used for clinical treatment, have good therapeutic effects, and are more expensive than Class A drugs in the same category.

3, the logo is different:

The otc logo of category A is a red mark, the otc logo of category B is a green mark, and category A and category B drugs are covered by medical insurance.

4, the developer of different:

The national unified development of Class A drugs, Class B drugs by the local specific set; there are local labor and social security bureau of the medical insurance Class B varieties have the right to adjust the total amount of transfers in and out of the varieties of the number of control in the varieties of 15%, and the local have no right to make adjustments to the medical insurance Class A varieties.

Expanded:

November 18, 2018 according to the Shanghai Municipal Bureau of Human Resources and Social Affairs, the city health insurance office news, 17 kinds of national health insurance negotiated access to anti-cancer drugs have recently been included in the Shanghai's 2017 version of the basic medical insurance, work injury insurance and maternity insurance drug catalog. Through preliminary preparations, the update of drug information and the adjustment of the charging system have been completed, and can be fully implemented from November 19th.

It is reported that the 17 anti-cancer drugs newly admitted through the national health insurance negotiation are all drugs with high clinical value, high innovation and high patient benefit necessary for the treatment of hematological tumors and solid tumors, of which four drugs, including cetuximab, have been included in Shanghai's health insurance payment first, and the rest of the 13 kinds have been included in all of them this time.

These drugs are limited to the scope of payment of health insurance and health insurance payment standards are implemented in accordance with national regulations, in which the tumor-targeted drugs health insurance payment is still the continuation of the existing policy in Shanghai, the implementation of personal fixed standard self-responsibility.

Baidu Encyclopedia - Medicare Category A

Baidu Encyclopedia - Medicare Category B

People's Daily Online - Seventeen anticancer drugs included in the Shanghai health insurance