In order to reduce the economic burden of patients and continuously improve the level of drug protection for insured people, the National Medical Insurance Administration has adjusted the "National Basic Medical Insurance, Work-related Injury Insurance and Maternity Insurance Drug Catalogue". Currently, there are 3,159 drugs in the catalog, including 1,396 Western medicines, 1,336 Chinese patent medicines (including 95 ethnic medicines), 427 drugs negotiated during the agreement period, and Chinese herbal medicines with national standards, covering various clinical treatment areas.
What is the National Basic Medical Insurance Drug Catalog? Which drugs have been included in the National Basic Medical Insurance Drug Catalog? How to check the drug information in the Medical Insurance Catalog? This guide tells you.
01
What is the National Basic Medical Insurance Drug Catalog?
In order to ensure the basic medical needs of insured persons and standardize the management of basic medical insurance drug use, the state has formulated a basic medical insurance drug catalog. The medical insurance fund shall pay the relevant medical expenses incurred by insured persons in accordance with the medical insurance drug catalog in accordance with the regulations.
Since its establishment in 2018, the National Health Insurance Administration has established and improved a dynamic adjustment mechanism for the medical insurance drug catalog. In principle, the medical insurance drug catalog will be adjusted once a year, and drugs that meet the basic conditions such as clinical necessity, safety and effectiveness, and reasonable prices will be included in the medical insurance drug catalog.
02
How to query the drug information in the medical insurance directory?
Step 1: Enter the WeChat official account of the "National Medical Insurance Administration", click on Medical Insurance Services → National Medical Insurance Drug Directory to query, and enter the query page.
Step 2: Enter the specific drug name and click search to find out whether the drug is within the scope of the medical insurance directory, the drug classification, and the specific reimbursement category.
You can also select "Drug Classification" or "Medical Insurance Reimbursement Category" to filter according to your needs.
