The differences between Medicare A and Medicare B are as follows:

1. The reimbursement ratio is different;

All expenses of Class A drugs are reimbursed by the medical insurance fund, while those of Class B drugs are borne by the insured and the rest are reimbursed by the medical insurance fund;

2. Different concepts;

Class A drugs are basically unified in China and can meet the most basic needs of clinical treatment, while Class B drugs are optional drugs with definite curative effect and relatively high price or treatment cost.

3. Different prices;

the price of class a drugs is relatively low, which shall be uniformly formulated by the state and shall not be adjusted by all localities, while the price of class b drugs is slightly higher, which shall be formulated by the state and adjusted by all localities according to the actual situation;

4. Different marks;

OTC of Class A drug is red, and OTC of Class B drug is green;

5. Different sales channels;

class a drugs must be sold in pharmacies, and class b drugs can be retailed in pharmacies or other commercial enterprises approved by drug supervision departments.

Payment standard of medical insurance drugs:

1. Class A drugs: usually basic drugs or drugs for treating common diseases and frequently-occurring diseases; Medical insurance can basically be fully reimbursed;

2. Class B drugs: including some drugs with definite therapeutic effect but higher price; The proportion of medical insurance reimbursement is low, and patients need to pay a certain proportion;

3. Special drugs: Some special drugs may require patients to pay in advance before reimbursement, or be reimbursed according to a specific proportion;

4. Self-funded drugs: drugs that are not covered by medical insurance reimbursement need to be borne by patients themselves.

To sum up, the difference between Medicare A and Medicare B lies in the reimbursement ratio, concept, price, labeling and sales channels. The expenses of Class A drugs are all reimbursed by the medical insurance fund, while the expenses of Class B drugs are partly borne by the insured. Class A drugs are basically unified drugs in China, which can meet the basic needs of clinical treatment, while Class B drugs are alternative drugs with definite curative effect and relatively high price. The price of Class A drugs is uniformly set by the state and cannot be adjusted, while the price of Class B drugs is slightly higher, which can be appropriately adjusted according to the actual situation. The OTC mark of Class A drugs is red, and the OTC mark of Class B drugs is green. Class A drugs must be sold in pharmacies, while Class B drugs can be retailed in pharmacies or other commercial enterprises.

Legal basis:

Interim Measures for the Administration of the Scope of Medication in the Basic Medical Insurance for Urban Employees

Article 8

The expenses incurred by the participants in the basic medical insurance in using the drugs in the Drug List shall be paid according to the following principles. The expenses incurred in using the drugs listed in Category A shall be paid according to the provisions of the basic medical insurance. The expenses incurred by using the drugs in the "Class B Catalogue" shall be paid by the insured at a certain proportion, and then paid according to the provisions of the basic medical insurance. The specific proportion of individual pays shall be stipulated by the overall planning area and reported to the administrative departments of labor security of provinces, autonomous regions and municipalities directly under the Central Government for the record. The expenses incurred in the use of Chinese herbal pieces shall be paid according to the provisions of the basic medical insurance, except for the drugs that are not paid by the basic medical insurance fund.