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what medicines can be reimbursed? where can i check the national medical insurance drug catalog? the answer from the national medical insurance administration is here

what do category a and category b in the medical insurance reimbursement categories mean? which drugs are not included in the national basic medical insurance drug list? focusing on the public's concerns, the national medical insurance administration has recently provided answers.

data from the national medical insurance administration shows that currently, the number of western medicines and chinese patent medicines in the national medical insurance drug catalog has increased to 3,088, and more and more tumor treatment drugs and rare disease drugs have been included in the catalog.

according to reports, western medicines and chinese patent medicines in the medical insurance drug catalog are divided into two categories: a and b."class a drugs"it refers to drugs that are necessary for clinical treatment, are widely used, have definite curative effects, and have lower prices or treatment costs among similar drugs.when an insured person uses such drugs, the full amount can be included in the reimbursement scope, and then reimbursed according to the prescribed proportion.

"class b drugs"it refers to drugs that are available for clinical treatment, have definite curative effects, and are slightly higher in price or treatment cost than "category a drugs" among similar drugs.when insured persons use such drugs, they need to pay a certain proportion out of their own pocket, and the remaining part will be included in the scope of reimbursement, and then reimbursed according to the prescribed proportion.

according to relevant regulations, drugs that are not included in the national medical insurance drug catalog include: drugs that mainly have a nourishing effect; drugs containing national rare and endangered wild animals and plants; health care drugs; preventive vaccines and contraceptives; drugs that mainly enhance sexual function. , drugs for the treatment of hair loss, weight loss, beautification, smoking cessation, alcohol withdrawal, etc.; drugs that cannot be charged separately due to being included in diagnosis and treatment items and other reasons; wine preparations, tea preparations, and various fruit-flavored preparations (except for children's medicines under special circumstances) ), buccal preparations and oral effervescent preparations (except under special circumstances), etc.; other drugs that do not comply with the basic medical insurance medication regulations.

how to check the national medical insurance drug catalog? the reporter learned that the wechat public account of the national medical insurance administration has launched the national medical insurance drug catalog query function. enter the specific drug name and click search to learn whether the drug is within the scope of the medical insurance catalog, its drug classification, and specific reimbursement categories and other detailed information.