Conditions for pharmacies to apply for designated medical insurance qualifications

The conditions for pharmacies to apply for designated medical insurance qualifications are as follows:

1, officially operating at the registered address for at least 3 months;

2. There are at least/kloc-0 pharmacists who have obtained the qualification certificates of licensed pharmacists or have the professional and technical qualification certificates of pharmacy, clinical pharmacy and traditional Chinese medicine, and the registered place is the location of retail pharmacies. Pharmacists must sign a labor contract for more than 1 year and within the contract period;

3. At least two full-time (part-time) medical insurance managers who are familiar with medical insurance laws and regulations and related systems are responsible for the management of medical insurance expenses, and have signed labor contracts of 1 year or more during the contract period;

4, according to the requirements of drug quality management standards, carry out drug classification and zoning management, and set clear medical insurance drug labels for the drugs sold;

5. Having a medical insurance drug management system, a financial management system, a medical insurance personnel management system, a statistical information management system and a medical insurance expense settlement system that meet the management requirements of the medical insurance agreement;

6, with information system technology and interface standards that meet the requirements of medical insurance agreement management, realize effective docking with medical insurance information system, provide direct online settlement for insured personnel, establish basic databases such as medical insurance drugs, and use national unified medical insurance codes according to regulations;

7, in line with laws and regulations and other conditions stipulated by the provincial and above medical security administrative departments.

Drug storage conditions:

1, drug storage room and drug storage room are required items, which meet the requirements of Code for the Construction of Drug Storage Rooms;

2. Temperature and humidity recording device, which requires the drug storage room to be equipped with temperature and humidity recording device;

3, drug storage shelves, drug storage room need to set up drug storage shelves, in line with the requirements of drug storage shelves;

4, drug cleaning and disinfection room, required to set up a drug cleaning and disinfection room, in line with the requirements of drug cleaning and disinfection room;

5. Safety standards and requirements meet the relevant requirements of the Regulations on Drug Safety Management.

To sum up, the conditions for pharmacies to apply for designated medical insurance qualifications are: holding a drug business license and business license, specializing in drug retail business; It has passed the drug classification management acceptance by the drug supervision department; Has passed or will pass GSP certification within the time limit prescribed by the state; There are licensed (Chinese) pharmacists or licensed (Chinese) pharmacists who review and allocate prescriptions during business hours; The drug preparation rate of varieties in the basic medical insurance drug list is above 60%;

Legal basis:

Article 31 of People's Republic of China (PRC) Social Insurance Law

According to the needs of management services, social insurance agencies can sign service agreements with medical institutions and pharmaceutical business units to standardize medical service behavior.

Medical institutions shall provide reasonable and necessary medical services for the insured.