Drugs included in the "dual-channel" management shall, in principle, be determined by the provincial medical insurance administrative department according to the procedures. It is necessary to comprehensively consider factors such as the level of regional economic development, the affordability of medical insurance funds and patients' drug demand, and implement classified management of negotiated drugs. Varieties with high clinical value, urgent need of patients and low substitution should be included in the scope of "dual-channel" drug management in time.
"Dual-channel" drugs can be adjusted regularly according to the situation.
Compared with ordinary designated retail pharmacies, higher requirements are put forward for designated retail pharmacies that meet the management requirements of "dual channels".
The first is information technology.
Designated retail pharmacies should be connected with the medical insurance information platform and the electronic prescription circulation platform to ensure that the communication between drugs and medical insurance payment information is comprehensive, accurate and timely.
The second is drug management.
Some negotiated drugs have special requirements for storage, and designated retail pharmacies need to establish a storage and distribution system that meets the requirements to ensure the quality and safety of drugs. At the same time, it is equipped with professionals to guide patients to use drugs rationally to ensure the safety of clinical medication.
The third is the supervision of medical insurance funds.
Designated retail pharmacies should take stricter measures to verify the identity of patients, ensure that "prescription patients" and "actual users" are consistent, plug the loopholes of "fraudulent insurance fraud" and ensure the safety of funds.