Drugs marked with "△" refer to drugs that are paid by the basic medical insurance pooling fund when the insured person is hospitalized and paid by the individual account when the insured person is out-patient.
After the establishment of outpatient co-ordination (formal treatment subsidy funds) as a whole area, the outpatient use of insured personnel will be temporarily included in the payment scope of outpatient co-ordination fund (formal treatment subsidy funds) according to the original provisions. Work injury insurance and maternity insurance drugs are not subject to this restriction.
Extended data:
The basic medical insurance drugs are divided into three parts: western medicine, Chinese patent medicine and Chinese herbal pieces. Among them, 1 133 and 1 137 kinds of western medicines, 927 kinds of Chinese patent medicines and 47 kinds of ethnic medicines are allowed to be paid by the basic medical insurance and industrial injury insurance funds respectively. There are 127 kinds and 1 categories of Chinese herbal pieces that are not paid by medical insurance and industrial injury insurance funds. Among them, 99 kinds of unilateral refusal, 28 kinds of single and multiple refusal, 1.
Basic medical insurance drugs refer to drugs that are necessary to ensure the clinical treatment of employees and are included in the scope of basic medical insurance payment, and are divided into Class A and Class B..
Class A drugs refer to drugs that are basically unified throughout the country and can ensure the basic needs of clinical treatment. The expenses of such drugs are included in the payment scope of the basic medical insurance fund, and the expenses are paid according to the basic medical insurance payment standard.
Class B drugs refer to drugs that the basic medical insurance fund has a certain ability to pay. These drugs are paid by employees according to a certain proportion, and then included in the coverage of the basic medical insurance fund, and paid according to the basic medical insurance payment standard.
Baidu encyclopedia-basic medical insurance drugs