How to check whether the drug is in the medical insurance catalogue?

1. Open the WeChat APP of iPhone 13 system and iOS 15 mobile phone, and click the magnifying glass icon in the upper right corner of the home interface.

2. Search for city services in the search box.

3. Click on the city service applet in the search results and click on the service hall.

4. Click to see a doctor and then click the medical insurance drug list query.

5. In the query interface, enter the drug name and click Search.

The "Remarks" column marked with "△" refers to the drugs paid by the basic medical insurance pooling fund when the insured person is hospitalized and the drugs paid by the personal account when he is out-patient. After the establishment of outpatient co-ordination (Medicaid for civil servants) as a whole area, the outpatient use of insured persons will be temporarily included in the payment scope of outpatient co-ordination fund (Medicaid for civil servants) according to the original provisions. Work injury insurance and maternity insurance drugs are not subject to this restriction. There are more than 2000 kinds of drugs in the social security catalogue. Generally, Class A drugs can enjoy full coverage, while Class C drugs need to bear all the expenses, while Class B drugs will be charged 80% and bear 20% of the expenses.

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.

The list of Class B drugs shall be adjusted by all provinces, autonomous regions and municipalities directly under the Central Government according to their own conditions. This kind of medicine is included in the scope of payment of basic medical insurance fund after the employees pay a certain percentage of the expenses, and the expenses are paid according to the basic medical insurance payment standard.

The following drugs do not belong to the scope of reimbursement of basic medical insurance: drugs that mainly play a nourishing role; Some medicinal animals and animal organs, dried fruits (water); Various wine preparations brewed with Chinese herbal medicines and Chinese herbal pieces; Fruit-flavored preparations and oral effervescent agents in various drugs; Blood products and protein products (except for special indications and first aid and rescue); Other drugs that are not paid by the basic medical insurance fund as stipulated by the administrative department of social insurance.

Medical insurance reimbursement shows that restricted drugs refer to self-funded drugs, that is, drugs that are not within the scope of reimbursement.