Pharmacy Service Agreement 1 Party A: a county medical insurance fund management center.
Party B:
In order to ensure that all urban and rural medical insurance participants enjoy basic medical services and promote the development of social security and health undertakings, in accordance with the Notice of the Ministry of Labor and Social Security, the Ministry of Health and the State Administration of Pharmaceutical Products on Printing and Distributing the Interim Measures for the Administration of Designated Medical Institutions for Basic Medical Insurance for Urban Employees (No.[1999] 14 issued by the Ministry of Human Resources and Social Security), Party A determines Party B as a designated hospital for basic medical insurance according to the Management Rules of Designated Medical Institutions for Provincial Urban Employees × Labor [1999] No.69) and the Implementation Plan for the Reform of Medical Insurance System for Urban Employees (Trial) (Chu Zheng [1999] 174). Service scope: outpatient and inpatient services for medical insurance workers. The agreement is as follows:
Article 1 Party A and Party B shall conscientiously implement the relevant policies and supporting documents of the state, province, city and county. Both sides should educate the insured and medical personnel to consciously abide by the rules and regulations of medical insurance, and both sides have the right to make reasonable suggestions to each other.
Article 2 Party B shall provide the insured with basic medical services in accordance with relevant national laws and regulations and this Agreement, and formulate corresponding measures in accordance with medical insurance policies and regulations to facilitate the insured's medical treatment. Party B has the responsibility to provide Party A with information and data related to basic medical insurance; If Party A needs to consult the medical records of the insured and ask the parties concerned, Party B shall cooperate.
Article 3 In the process of diagnosis and treatment, Party B shall strictly implement the principle of first diagnosis responsibility system and treatment due to illness, and make reasonable examination, treatment, medication and charges.
Article 4 Party A and Party B shall adhere to the service tenet of "patient-centered" and serve the insured warmly; In case of medical accident of the insured during Party B's medical treatment, Party B shall notify Party A within two days from the date of the accident. In case of multiple medical accidents and serious consequences, Party A may unilaterally terminate this Agreement.
Article 5 Party A shall provide the insured with a special medical certificate calendar and prescription, which Party B shall carefully fill in when the insured sees a doctor, and verify his identity and certificate calendar.
Article 6 Party B shall establish outpatient and inpatient medical records for the insured, which shall be clear, accurate and complete, and shall be properly kept for future reference; Outpatient prescription medical records shall be kept for two years, and inpatient medical records shall be kept for fifteen years.
Article 7 Party B must guarantee to provide the insured with medicines and sickbeds that meet the drug list within the scope of basic medical services; Master the scope of medication and hospitalization standards, and Party A will not pay the medical expenses that do not meet the hospitalization conditions and deliberately delay the hospitalization time.
Article 8 For diseases that cannot be diagnosed and treated due to technical and equipment limitations, Party B shall handle the referral and transfer procedures for the insured in strict accordance with regulations and procedures; If the patients that Party B has the ability to treat are transferred out, Party A will not pay the medical expenses after the transfer; Party B shall obtain the consent (signature) of the insured or his family members when providing drugs and medical services beyond the payment scope of basic medical insurance.
Article 9 Party A and Party B shall strictly implement the expense settlement management measures stipulated in this Agreement. Party B shall report the insured's hospitalization expenses, credit card expenses, diagnosis and treatment items, drug list and other related materials to Party A around 10 every month. Upon verification, Party A shall pay the medical expenses meeting the basic medical insurance coverage to Party B before 25th, and deduct the quality guarantee of 10% from the paid medical expenses according to relevant regulations, and settle the accounts together with the year-end assessment.
Article 10 Party B shall enthusiastically provide services for the insured, especially for those who need to recharge their cards in time. If there are special circumstances, Party B shall explain them clearly.
Article 11 During the validity of this agreement, in case of any adjustment of national laws and regulations, both parties shall modify this agreement according to the new regulations; If no agreement can be reached, both parties may terminate the agreement; During the execution of this Agreement, Party B shall promptly notify Party A of any changes in its registered capital, service conditions, service contents and legal representative. For whatever reason, Party A and Party B must notify the other party to terminate the agreement 30 days in advance.
Article 12 This Agreement shall be valid from the date of the month to the date of the month.
Article 13 Upon the expiration of the agreement, both parties may renew the agreement. Matters not covered herein can be supplemented by an exchange of letters, which have the same effect as this Agreement.
Article 14 This Agreement is made in duplicate, each party holds one copy, which has the same effect.
Party A:
Party B:
Legal representative:
Legal representative:
date month year
Pharmacy service agreement 2 Party A: coordinate regional social insurance agencies.
Party B: ×× designated retail drugstore
According to the relevant provisions of the Interim Measures for the Administration of Designated Retail Pharmacies for Basic Medical Insurance issued by the Ministry of Labor and Social Security and the State Administration of Pharmaceutical Products (No.KLOC-0/999 issued by the Ministry of Labor and Social Security), in order to ensure that retail pharmacies can better provide basic drug services for insured persons in medical insurance coverage, Party A determines Party B as the designated retail pharmacy for basic medical insurance. Through negotiation, Party A and Party B reach the following agreement:
Article 1 Party A and Party B shall strictly abide by the Drug Administration Law of People's Republic of China (PRC), the Decision of the State Council on Establishing the Basic Medical Insurance System for Urban Employees, the Interim Measures for the Administration of Designated Retail Drugstores with Basic Medical Insurance, the Implementation Plan for Basic Medical Insurance for Urban Employees and relevant laws and regulations, and strictly implement the drug price policies stipulated by the state and provinces, autonomous regions and municipalities directly under the Central Government.
Article 2 According to the relevant national laws and regulations and the agreement in this Agreement, Party B must ensure that the drugs are qualified, safe and effective when providing the basic medical insurance prescription service for the insured.
Party B must be equipped with full-time (part-time) management personnel and computer hardware system matching the basic medical insurance. Party A is responsible for providing relevant software.
Article 3 Party A shall timely inform Party B of the information and adjustment of the basic medical insurance policy and the changes of the insured personnel.
Article 4 Party B shall hang the signboard of the designated retail pharmacy made by Party A in a prominent position in the pharmacy, so as to facilitate patients to identify and purchase drugs.
Article 5. The insured person comes to Party B with a prescription (referred to as an external prescription) issued by a doctor in a designated medical institution, and Party B needs to check whether the related items of its basic medical insurance certificate are consistent with the prescription held, and can make adjustments only after it is accurate.
Article 6. The insured comes to Party B with a prescription for external use, and Party B shall carefully fill the prescription in strict accordance with the relevant provisions of the national prescription. Party B shall bear the responsibility for pharmaceutical affairs caused by improper dispensing.
Article 7 Party B shall not refuse the insured's request for dispensing drugs according to external prescriptions without justifiable reasons. If there is any doubt about the compatibility or dosage of the external prescription, the insured shall be informed, and the original prescription doctor will revise it before dispensing.
Article 8 The insured shall go to Party B with a prescription to fill the prescription. If Party B cannot complete prescription dispensing for various reasons, it shall inform the insured and be responsible for contacting other designated pharmacies for dispensing.
Article 9 When the insured comes to Party B with a prescription issued by a designated medical institution, Party B shall issue a receipt and keep it for future reference after dispensing.
If it is necessary to pay cash (the insured person bears the medical expenses personally) or his personal account is exhausted, Party B shall issue a cash receipt.
Article 10 Party B shall submit to Party A a list of drug expenses purchased by the insured in Party B's personal account according to regulations (monthly, bimonthly and quarterly) for verification (including the name of the insured, insurance certificate number, prescription medical institution, prescription quantity, drug name, quantity and drug expenses, etc.). ).
Article 11 Under any of the following circumstances, Party B shall be responsible for the drug expenses submitted by Party B to Party A for review:
(1) If the prescription is inconsistent with the data items related to the basic medical insurance certificate, Party B will still accept it;
(2) Party B still accepts the forged, altered or false prescription held by the insured;
(3) Failing to use drugs according to the prescription;
(four) the prescription does not belong to the basic medical insurance coverage;
(five) counterfeit drugs and inferior drugs appear in the drugs sold;
(six) in violation of the national price policy, the price of drugs sold is higher than the national price, and the difference should be recovered.
Article 12 Party B sells counterfeit drugs, inferior drugs, inferior drugs and other drugs. And the pharmacy conspires with the hospital to defraud the medical insurance, and Party A will not pay the relevant expenses. And depending on the seriousness of the case, it is suggested that the labor and social security department order it to correct or cancel its designated qualification within a time limit.
Article 13 If Party A finds repeated payment of drugs, it will be deducted from the next payment.
Article 14 Party A shall make provisional payment within × days from the date when Party B serves the application for medicine fee. The temporary payment shall be paid to the designated drugstore on schedule according to 90% of the total amount after examination, and the remaining 65,438+00% shall be kept as the deposit, and shall be settled at the latest on ×× day of the following year according to the year-end assessment.
Article 15 When Party B applies to Party A for payment of the insured's prescription drug expenses, it shall regularly declare the list of drug expenses to Party A and apply for verification and payment.
Article 16 In order to review the medical insurance payment demand, Party A requests Party B to provide explanations, or sends someone to inquire about or call the adjustment records, prescriptions, bills, receipts and related documents, and Party B shall provide detailed explanations and related documents, and shall not refuse.
Article 17 During the term of the agreement, Party B shall notify Party A in advance of the change of its address and name, and terminate the agreement. At the same time, Party B shall go to Party A with the relevant documents of change registration to go through the declaration formalities again. If Party B's Pharmaceutical Trading Enterprise License, Pharmaceutical Trading Enterprise Certificate and Business License are revoked, this agreement shall be terminated as of the date of revocation. Where Party B changes its legal representative, it shall be regarded as a change of special subject from the date of approval by the competent medical department, and both parties shall change the agreement or terminate the original agreement.
Article 18 If both parties terminate this Agreement for any reason, they must notify each other × days in advance.
Article 19 When Party A and Party B have a dispute or breach of contract in drug fee settlement, they may apply to the labor and social security administrative department at the same level for administrative reconsideration or bring an administrative lawsuit to the people's court in accordance with the relevant provisions of the Administrative Reconsideration Law of People's Republic of China (PRC) and the Administrative Procedure Law of the People's Republic of China.
Article 20 Where Party B violates relevant national laws and regulations, it shall be handled according to relevant regulations.
Article 21 Matters not covered in this Agreement may be supplemented by an exchange of letters, which have the same effect as this Agreement.
Article 22 The validity period of this agreement is 1 year, from ××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××
Article 23 Upon the expiration of the agreement, both parties can renew it within 1 month before the expiration of the agreement through consultation.
Article 24 This Agreement is made in duplicate, each party holds one copy, which has the same effect.
Party A: Coordinating regional institutions.
Meeting with Party B: Designated Retail Pharmacy
Insurance agency
Legal representative:
Year, month, year, month
Pharmacy Service Agreement 3 Party A: xxxx
Party B: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
According to the relevant provisions of the Interim Measures for the Administration of Designated Retail Drugstores for Basic Medical Insurance issued by the Ministry of Labor and Social Security and the State Administration of Pharmaceutical Products (No.KLOC-0/999 issued by the Ministry of Labor and Social Security), in order to ensure that retail pharmacies can better provide basic medical services for insured persons in medical insurance coverage, Party A determines Party B as a designated retail drugstore for basic medical insurance. Through negotiation, Party A and Party B reach the following agreement:
Rule number one. Party A and Party B shall strictly abide by the Drug Administration Law of People's Republic of China (PRC), the Decision of the State Council on Establishing the Basic Medical Insurance System for Urban Employees, the Interim Measures for the Administration of Designated Retail Drugstores with Basic Medical Insurance, the Implementation Plan for Basic Medical Insurance for Urban Employees and relevant laws and regulations, and strictly implement the drug price policies stipulated by the state, provinces, autonomous regions and municipalities directly under the Central Government.
Article 2. In accordance with the relevant national laws and regulations and the provisions of this agreement, Party B must ensure that the drugs are qualified, safe and effective when providing the basic medical insurance prescription service for the insured.
Party B must be equipped with full-time (part-time) management personnel and computer hardware system matching the basic medical insurance. Party A is responsible for providing relevant software.
Article 3. Party A shall inform Party B of the information and adjustment of the basic medical insurance policy and the change of the insured in time.
Article 4. Party B shall hang the signboard of the designated retail pharmacy made by Party A in a prominent position in the pharmacy, so as to facilitate patients to identify and purchase drugs.
Article 5. The insured person comes to Party B with a prescription (referred to as an external prescription) issued by a doctor in a designated medical institution, and Party B needs to check whether the related items of its basic medical insurance certificate are consistent with the prescription held, and can make adjustments only after it is accurate.
Article 6. The insured comes to Party B with a prescription for external use, and Party B shall carefully fill the prescription in strict accordance with relevant state regulations. Party B shall bear the responsibility for pharmaceutical affairs caused by improper dispensing.
Article 7. Party B shall not refuse the insured's request for dispensing drugs according to external prescriptions without justifiable reasons. If there is any doubt about the compatibility or dosage of the external prescription, the insured shall be informed, and the original prescription doctor will revise it before dispensing.
Article 8. The insured goes to Party B with a prescription for external use. If Party B cannot complete prescription dispensing for various reasons, it shall inform the insured and be responsible for contacting other designated pharmacies for dispensing.
Article 9. When the insured comes to Party B with a prescription issued by a designated medical institution, Party B shall issue a receipt and keep the root for verification after dispensing.
If it is necessary to pay cash (the insured person bears the medical expenses personally) or his personal account is exhausted, Party B shall issue a cash receipt.
Article 10 Party B shall submit to Party A a list of medical expenses purchased by the insured from Party B using his personal account according to the regulations (monthly, bimonthly and quarterly) for verification (including the insured's name, insurance certificate number, prescription medical institution, prescription quantity, drug name, quantity and medical expenses, etc.).
Article 11 In case of any of the following circumstances, Party B shall be responsible for the drug expenses submitted by Party B to Party A for review:
(1) If the prescription is inconsistent with the data items related to the basic medical insurance certificate, Party B will still accept it;
(2) Party B still accepts the forged, altered or false prescription held by the insured;
(3) Failing to use drugs according to the prescription;
(four) the prescription does not belong to the basic medical insurance coverage;
(five) counterfeit drugs and inferior drugs appear in the drugs sold;
(six) in violation of the national price policy, the price of drugs sold is higher than the national price, and the difference should be recovered.
Article 12 Where Party B sells counterfeit drugs, inferior drugs, substitutes drugs with materials and other irregularities such as not dispensing drugs according to prescriptions, and pharmacies and hospitals conspire to defraud medical insurance benefits, Party A will not pay the relevant fees. And depending on the seriousness of the case, it is suggested that the labor and social security department order it to correct or cancel its designated qualification within a time limit.
Article 13 If Party A finds duplicate drug charges, it will be deducted from the next payment.
Article 14 Party A shall make temporary payment within _ _ _ days from the date when Party B serves the application for medicine fee. The temporary payment shall be paid to the designated drugstore on schedule according to 90% of the total amount of the audit, and the remaining 65,438+00% shall be kept as the security deposit, which shall be settled before _ _ _ _ at the latest according to the year-end assessment.
Article 15. When Party B applies to Party A to pay the prescription drug expenses for the insured, it shall submit the list of drug expenses to Party A for review and payment on a regular basis.
Article 16 In order to review the demand for medical insurance payment, Party A requires Party B to provide explanations, or send someone to Party B to inquire or call the adjustment records, prescriptions, bills, receipts and related documents. Party B shall explain and provide relevant documents and materials in detail and shall not refuse.
Article 17. During the term of the agreement, if Party B changes its address and name, it shall notify Party A in advance and terminate the agreement. At the same time, Party B shall go to Party A with the relevant documents of change registration to go through the declaration formalities again. If Party B's Pharmaceutical Trading Enterprise License, Pharmaceutical Trading Enterprise Certificate and Business License are revoked, this agreement shall be terminated as of the date of revocation. Where Party B changes its legal representative, it shall be regarded as a change of special subject from the date of approval by the competent medical department, and both parties shall change the agreement or terminate the original agreement.
Article 18. For whatever reason, both parties must notify the other party to terminate this agreement _ _ days in advance.
Article 19. In case of disputes over the settlement of drug fees or breach of contract, Party A and Party B may apply to the administrative department of labor and social security at the same level for administrative reconsideration or bring an administrative lawsuit to the people's court in accordance with the relevant provisions of the Administrative Reconsideration Law of People's Republic of China (PRC) and the Administrative Procedure Law of the People's Republic of China.
Article 20. If Party B violates relevant national laws and regulations, it shall be handled according to relevant regulations.
Article 21. Matters not covered in this agreement can be supplemented by correspondence and have the same effect as this agreement.
Article 22. The validity period of this agreement is 65,438+0 years, and it will take effect on _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
Article 23. Upon the expiration of the agreement, it can be renewed within 1 month before the expiration of the agreement through negotiation between both parties.
Article 24. This agreement is made in duplicate, each party holds one copy, which has the same effect.
Party A: _ _ _ _
Party B: _ _ _
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