Differences between essential medicines in the medical insurance catalog

The New Rural Cooperative Medical Care Drug Reimbursement Catalog is the New Rural Cooperative Medical Drug Reimbursement Catalog. This catalog has no specific definition and varies from place to place. Basically, it is formulated based on the principles of clinical necessity, common use, and low price.

There are two types of essential medicine catalogues.

One is the national essential medicines catalogue, which can be found online. It contains 520 kinds of drugs, also called the 520 catalogue.

The second is the local essential medicine list, which is supplemented by the national essential medicine list. Jiangxi has the largest number of more than 1,000 medicines.

The essential medicine list is mainly composed of commonly used clinical medicines, which are basic medicines. The most frequently used medicines.

The list of low-price drugs is calculated based on the daily consumption amount. If the daily consumption amount of Western medicine does not exceed 3 yuan, and the daily consumption amount of traditional Chinese medicine does not exceed 5 yuan, you can apply for low-price drugs. It varies from place to place. Low Price Drugs is an active catalog and is subject to change at any time.

The New Rural Cooperative Medical System is only applicable to the reimbursement of the New Rural Cooperative Medical Care. Therefore, primary medical institutions use a larger proportion and the reimbursement ratio is higher within the limit.

The current policy implemented by the essential drug catalog is similar to Class A medical insurance, which means that the reimbursement ratio of essential drugs is the highest and the scope of application is not limited.

The low-price drug catalog is only a threshold for hospital procurement, and its scope of application is not limited. It is not directly related to reimbursement, but drugs purchased through low-price drugs are generally included in the local medical insurance catalog.

The implementation of the New Rural Cooperative Medical System is relatively small now. Basically, they are mainly basic medicines and low-priced medicines.

You can understand it this way, the new rural cooperative medical care catalog is approximately equal to the basic medicines basic equipment list + the low-price medicine basic medicine equipment list.

The three types you mentioned are attributes of the drug itself, and the scope of execution is also different. The three catalogs may overlap, but the priority for implementation is essential drugs, low-priced drugs that have won bids, and new rural cooperative medical care.

The new rural cooperative medical care catalog is about to be phased out. Generally, the new rural cooperative medical care reimbursement catalog does not exist in places where essential medicine procurement and low-priced drug procurement have been carried out.

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