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Medical insurance can be reimbursed drugs catalog
Legal analysis: China's medical insurance reimbursement drug catalog mainly has three parts: western medicines, proprietary Chinese medicines and traditional Chinese medicine tablets, of which 1133 and 1137 varieties of western medicines, 927 varieties of proprietary Chinese medicines, and 47 varieties of ethnomedicines are permitted to pay for the expenses by the basic medical insurance and the workers' compensation insurance fund respectively. The medical insurance and workers' compensation insurance funds are not allowed to pay for 127 types and one category of traditional Chinese medicine. Among them, 99 kinds of single-prescription are not paid, and 28 kinds and 1 category of both single and compound prescriptions are not paid.
Legal basis: "National Basic Medical Insurance Diagnostic and Treatment Program Scope" Article 1 The basic medical insurance diagnostic and treatment program refers to a variety of medical technology and labor projects and the use of instruments, equipment and medical materials for diagnosis and treatment projects that meet the following conditions: (a) clinical diagnosis and treatment is necessary, safe and effective, and the cost of appropriate diagnostic and treatment projects; (b) by the price, the health department has set a fee for diagnostic and treatment projects; (c) clinical diagnostic and treatment projects; (d) by the price, health department has set a fee for diagnostic and treatment projects; (e) by the price, health department has set a standard. (c) diagnostic and treatment items within the scope of designated medical services provided by designated medical institutions for the insured. The scope of the diagnosis and treatment items of the basic medical insurance adopts the exclusion method, and stipulates the scope of the diagnosis and treatment items for which the basic medical insurance fund will not pay the fees and those for which the basic medical insurance fund will not pay part of the fees. The diagnosis and treatment items for which the basic medical insurance fund will not pay the fees are mainly those that are not necessary for clinical diagnosis and treatment, whose effects are uncertain, or those that belong to the special-needed medical services. The basic medical insurance fund to pay part of the cost of diagnosis and treatment programs, mainly some clinical diagnosis and treatment is necessary, the effect of certain but expensive diagnosis and treatment programs.
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