What kind of drugs are covered by medical insurance?

Medical insurance drugs must meet the following conditions: drugs that are necessary for prevention and treatment, safe and effective, suitable for dosage form, reasonable, and fairly accessible to the public. The State Food Administration stipulates that the medical insurance category is divided into two categories: A and B (mainly according to **), and the list of Class A drugs cannot be adjusted in various places, and Class B drugs can be adjusted by 15% according to the specific situation.

Class A drugs are directly reimbursed according to regulations, while Class B drugs require patients to pay a certain fee first, and then be reimbursed according to the reimbursement standards of various places.

If you are insured in Chinese Life, generally if you are hospitalized, you can say hello to the doctor in advance and try to use Class A drugs.

In August, the National Health Insurance Administration announced a new version of the National Medical Insurance Drug Catalog, requiring all provinces and cities to strictly implement the National Medical Insurance Drug Catalog, and not to formulate their own catalog or use workarounds to increase the drugs in the catalog, and make it clear that all provinces and cities should gradually adjust the previously increased Class B drugs within 3 years, and finally be consistent with the National Medical Insurance Drug Catalog.

2.The new version of the National Medical Insurance Drug Catalogue not only adds new drugs, but also deletes drugs with low clinical value, obvious abuse, and better alternatives that have been revoked by the national drug regulatory department, as well as drugs that are under the key monitoring of the national health department.

In accordance with the requirements of the state, Beijing has also deleted the drugs deleted by the state from the municipal medical insurance drug list.

As a result, some drugs are no longer covered by medical insurance.

Many of the drugs included in the medical insurance are commonly used drugs and can basically meet the needs of patients.

The drugs included in the medical insurance adopt the access system, that is to say, each drug is listed, and the amount is too large to be listed here. What is certain is that health care, health care, nourishment, etc. are not included.

Drugs that are covered by medical insurance include, such as cold medicines. Basic medical medications will be available.

What are the drugs covered by medical insurance, and there are many drugs that are included in medical insurance, and generally some basic drugs are included in that medical insurance.

There are 190,000 kinds of drugs in the country, and only 2,000 kinds are reported by social security.

The types and quantities of drugs that can be reimbursed by China's social security.

1. Reimbursement of drugs for basic medical insurance.

The drugs included in the scope of basic medical insurance are divided into two types: Class A and Class B. Class A drugs refer to drugs that are basically unified across the country and can ensure the basic needs of clinical practice. The cost of such drugs is included in the scope of basic medical insurance** and is paid according to the standard of basic medical insurance.

The list of Class B drugs is adjusted by the provinces, autonomous regions and municipalities directly under the Central Government according to their own conditions, and such drugs are first paid by employees for a certain percentage of the cost, and then included in the scope of basic medical insurance, and paid according to the standard of basic medical insurance.

Answer: Drugs covered by medical insurance are those that are included in the "Basic Medical Insurance Drug Catalog". That is, drugs that can be reimbursed by medical insurance. When the state determines the drug varieties of the "Basic Medical Insurance Drug Catalog", it is to consider the basic needs of clinical practice, and also consider the economic differences between regions, and pay equal attention to Chinese and Western medicines.

The drugs included in the "Basic Medical Insurance Drug Catalogue" are clinically necessary, safe and effective, reasonable, easy to use, and can be guaranteed by the market, and meet one of the following conditions: 1. Drugs included in the Chinese Pharmacopoeia (current edition), 2. Drugs that meet the standards issued by the State Food and Drug Administration, and 3. Drugs approved by the State Food and Drug Administration for formal import.

Drugs that cannot be included in the scope of drugs in the "Basic Medical Insurance Drug Catalogue": 1. Drugs that mainly play a nutritional and tonic role, 2. Some animals and animal organs, dried fruits that can be used for medicine, 3. All kinds of wine preparations prepared with Chinese herbal medicines, 4. Fruity preparations and oral effervescent agents in various drugs, 5. Blood products, protein products (except for special indications and first aid and rescue), 6. Other drugs that are not paid by medical insurance according to the Ministry of Labor and Social Security.

That's too much, the new version of the medical insurance catalog includes a total of 2,709 drugs, compared with the 2017 version, 218 drugs are transferred in, 154 drugs are transferred out, a net increase of 64. 70 new drugs were included in the National Reimbursement Drug List, with an average decline.

If you want to know the specific drugs, you can go to the National Medical Security Administration to check, in fact, you can ask the doctor to prescribe drugs within the scope of medical insurance as much as possible when you seek medical treatment. The follow-up medical insurance reimbursement can allow the company's personnel to help, but because our company does not have a personnel specialist, we are the personnel platform that pays social security to assist us in applying for medical treatment.

1. Jiuwei Qiang Huo Pill (granules, oral liquid).

2. Zheng Bupleurum drink granules.

3. Cold and heat clearing oral liquid (granules, capsules).

4 kudzu root decoction granules.

5 cold capsules.

6. Cinnamon granules are limited to outpatient use.

7. Bupleurum injection.

8. Cold clear capsules (tablets).

9 Yinqiao detoxification pills (granules, capsules, tablets).

10 Chai Hu pills (oral liquid).

11 Chai silver oral liquid.

12 anti-induction tablets.

13 antelope cold tablets (capsules).

14 Lingqiao antidote pills (tablets, granules).

15 cold tablets.

16 cold and antipyretic granules.

17 melon cream antipyretic capsules.

18 Sangju cold mixture (granules, tablets, oral liquid).

19-dimensional C silver warp tablet.

20 Heavy Sense Tablets This section of the Chinese medicine decoction pieces.

Cold medicines: Contec, white and black, cold granules, double coptis, etc. The gunpowder includes: bezoar to clear the stomach, antelope to clear the lungs, etc. Stomach medicine: Sanjiu Stomach Tai, Morpholine, Stomach Kang, etc. There are also antipyretics.

Which are the commonly used drugs of medical insurance, and the first and second class drugs in the medical insurance catalogue belong to the commonly used drugs of medical insurance.

What are the commonly used drugs for medical insurance? As long as it is domestic, the inexpensive drugs are commonly used in medical insurance, and the imported drugs are not drugs under medical insurance.

Swipe a medical insurance card, when buying drugs, it is not classified as a commonly used drug of medical insurance, as long as it is a card swiped with medical insurance, you can enjoy preferential **.

Nowadays, there are many commonly used drugs in medical insurance, so it is more important for us to choose better medical insurance drugs.

There are too many commonly used drugs in medical insurance, even doctors can't be more comprehensive, and every year the country will be used for medical insurance by some new drugs.

If you use the balance of the individual in the medical insurance card, you can use the medical insurance card for the drugs in the general pharmacy.

Legal analysis: Class A is a guaranteed drug, which can be reimbursed by 100%; The reimbursement ratio of Class B drugs is set by each locality in the medical insurance drug catalog, and the Class A catalog is the guarantee catalog, in which the drugs are 100% reimbursed. Medical insurance drugs refer to the basic medical insurance drugs, and the specific scope is managed through the formulation of the "Basic Medical Insurance Drug Catalog".

The principle of determining the "Drug Catalogue" is: based on the national basic medical insurance drug catalogue, adhere to the clinically necessary, safe and effective, reasonable, easy to use, market guarantee, medical insurance can afford the drugs. At the same time, it is necessary to consider not only the basic needs of clinical practice, but also the economic differences and medication habits between regions, and pay equal attention to Chinese and Western medicines.

Drugs included in the Drug List must specify one of the following conditions:

1) Drugs included in the Pharmacopoeia of the People's Republic of China (current edition);

2) Drugs that meet the standards promulgated by the State Drug Administration;

3) Commodities officially imported with approval from the State Drug Administration;

The following drugs cannot be included in the scope of basic medical insurance:

1) Drugs that mainly play a nutritional tonic role;

2) Some animals and animal organs, dried (water) fruits that can be used for medicine;

3) All kinds of liquor preparations brewed with Chinese herbal medicines and decoction pieces of Chinese medicine;

4) Fruit-flavored preparations and oral effervescent agents in various types of drugs;

5) Blood products and protein products (except for special indications, first aid and rescue);

6) Other drugs that are not paid by the basic medical insurance according to the labor and social security administrative departments at or above the provincial level.

Legal basis: Social Insurance Law of the People's Republic of China

Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with the provisions of the State.

Article 27 Individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, the cumulative contributions reach the number of years prescribed by the State, and they will no longer pay the basic medical insurance premiums after retirement, and enjoy the basic medical insurance benefits in accordance with the provisions of the State; If the number of years prescribed by the state has not been reached, the fee can be paid until the number of years prescribed by the state.

Article 28 In line with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and medical expenses, emergency and rescue medical expenses, in accordance with the provisions of the State from the basic medical insurance **.

Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institution and the drug business unit.

The administrative department of social insurance and the administrative department of health shall establish a system for the settlement of medical expenses for medical treatment in other places to facilitate the insured persons to enjoy basic medical insurance benefits.

Article 30 The following medical expenses are not included in the scope of payment of basic medical insurance**

1) It should be paid out of work-related injury insurance**;

2) It shall be borne by a third party;

3) It should be borne by public health;

4) Seeking medical treatment outside the country.

Medical expenses shall be borne by the third party in accordance with the law, and if the third party does not pay or the third party cannot be determined, the basic medical insurance shall pay in advance. After the basic medical insurance** is paid in advance, it has the right to recover from a third party.

Usually there are several categories of household medicines:

1. Cold medicine. Contec, white plus black, cold granules, double coptis, etc. are OK.

2. Clear gunpowder. The bezoar clears the stomach, the antelope clears the lungs, etc.

3. Antipyretics.

4. Stomach medicine. Sanjiu stomach Tai, morpholine, stomach kang, etc.

5. Painkillers. For example: Fenbid.

6. Antidiarrheal drugs. Berberine, montmorillonite powder, etc.

7. For bruises, such as plasters, iodine wine, band-aids, gauze, etc., you should also prepare some.

The above are more general, and you can generally go to medical insurance, and you can check with the doctor when you prescribe medicine.

1. Cold medicine: white plus black, Sanjiu cold spirit.

2. Cough compound licorice oral liquid, Chuanbei loquat ointment.

3. Antipyretic day and night.

4. Gastrointestinal medicine: Po Chai pills, berberine hydrochloride.

5. External drugs Iodine wine, red syrup, band-aids, eye drops, etc. 6. In addition to ginseng, Korean ginseng, deer antler velvet and other precious medicinal materials, other medicinal materials can be used, hehe, of course, it must also be available in that pharmacy.

PS: Health care products are not allowed to be swiped.

The national essential medicines are all there.

Commonly used drugs for medical insurance do not include brand-name health products, and I open a pharmacy at home, so it is clearer.