Can entecavir be reimbursed, and can entecavir be reimbursed by medical insurance

OK. Entecavir is a guanine nucleoside analogue that inhibits hepatitis B virus (HBV) polymerase. At present, it is mainly used for hepatitis B antiviral**, which has the characteristics of fast onset, strong resistance to hepatitis B virus, and low drug resistance, and is the first choice for antiviral ** in chronic hepatitis B patients.

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.

The following drugs are not covered by the basic medical insurance:

1) Drugs that mainly play a role in nutrition and nourishment;

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 Chinese herbal decoction pieces;

4) Fruit-flavored preparations and oral effervescent agents in various 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 social insurance administrative department.

There is rural medical insurance, go to the Social Security Bureau and ask! In some places, chronic diseases are included in hepatitis B! There are places where there are none.

Legal analysis: Entecavir medical insurance can be reimbursed. At present, domestic drugs** range from 200 yuan to 800 yuan**, and the box is 18 yuan after medical insurance reimbursement.

Medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by the risk of disease. Through the employer and individual payment, the establishment of medical insurance**, after the insured person is sick and incurs medical expenses, the medical insurance institution will give him a certain amount of economic compensation.

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

Article 12 The employer shall pay the basic endowment insurance premiums in accordance with the proportion of the total wages of its employees stipulated by the state, which shall be credited to the basic endowment insurance pool.

Employees shall pay basic pension insurance premiums in accordance with the proportion of their wages and endurance stipulated by the state, and credit them to their personal accounts.

Individually-owned businesses without employees, part-time employees who have not participated in the basic pension insurance in the employer, and other flexibly employed persons who participate in the basic pension insurance shall pay the basic pension insurance premiums in accordance with the provisions of the state, which shall be credited to the basic pension insurance co-ordination and personal accounts respectively.

Article 23 Employees shall participate in the basic medical insurance for employees and limbs, and the employer and the employee shall jointly pay the basic medical insurance premiums in accordance with the provisions of the State.

Individually-owned businesses without employees, part-time employees who have not participated in the basic medical insurance for employees in the employer, and other flexibly employed persons may participate in the basic medical insurance for employees, and the individual shall pay the basic medical insurance premiums in accordance with the provisions of the state.

Article 35 An employer shall pay work-related injury insurance premiums at the rate determined by the social insurance agency in accordance with the total amount of wages of its employees.

Article 44 Employees shall participate in unemployment insurance, and the employer and the employee shall jointly pay unemployment insurance premiums in accordance with the provisions of the State.

Article 53 Employees shall participate in maternity insurance, and the employer shall pay the maternity insurance premiums in accordance with the provisions of the State, and the employees shall not pay the maternity insurance premiums.

Legal Analysis:1To achieve real-time settlement of drug purchase in designated pharmacies, it is necessary to issue an external prescription by a physician and upload the prescription information to the medical insurance information system in real time after receiving medical treatment in a designated medical institution.

2.When the insured person goes to the pharmacy to pick up the medicine, show the prescription and social security card, and the prescription information uploaded by the designated retail pharmacy from the medical insurance network ** designated medical institution, after comparing the information with the paper prescription is true and accurate, the drug information is dispensed according to the drug information of the external prescription, and the drug cost is settled for the insured person with the social security card. 3.

The insured only need to pay the personal burden part, the medical insurance ** pay the cost of the designated pharmacy in advance, the reimbursement cycle of the prescription will be changed from the original months to a few seconds, the settlement reimbursement is in place in one step, and the insured person is more convenient and faster in the designated retail pharmacy Lanai drug purchase reimbursement.

Legal basis: "Social Insurance Law of the People's Republic of China" 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 institutions and the drug camping units. 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.

The Asia-Pacific Guidelines for Chronic Hepatitis B** list entecavir as one of the preferred antiviral drugs, indicating that it is suitable for a large number of chronic hepatitis B patients in China. In 2011, the Ministry of Human Resources and Social Security of Chinese announced a new version of the national medical insurance catalog, in which hepatitis B antiviral drugs include entecavir, telbivudine and lamivudine into the entecavir reimbursement medical insurance. However, there is a difference between the local ** medical insurance catalogue and the national medical insurance catalogue, for example, in Shanghai, entecavir reimbursement medical insurance can be reimbursed 90% according to the Class B standard, and the individual bears 10%.

2.Urban residents' medical insurance and rural medical insurance require hospitalization before entecavir reimbursement medical insurance, and medical insurance patients are not allowed to bring medicine when discharged. According to national regulations, if a patient is diagnosed with decompensated liver cirrhosis, he or she can apply for special diseases.

The drug expenses incurred by patients with special diseases in the clinic in the designated medical institutions at the second level and above can be reimbursed for the outpatient clinics directly related to **, and the ** expenses can be reimbursed according to the hospitalization compensation ratio. However, entecavir reimbursement medical insurance cannot be reimbursed as a special disease for doorlash, and can only reduce the burden of other medicines. The medical insurance for urban employees can be reimbursed for both outpatient and hospitalization, and they can enjoy medical insurance.

Extended reading: [Insurance] How to buy, which one is better, teach you to avoid these insurance"pits"

This is a ** chronic hepatitis B drug, which is within the scope of medical insurance, so it can be reimbursed, if you have a social security card, you can directly make Oak Qingsun use your social security card to buy, you only need to pay a small fee.