What is the reimbursement rate for Class B drugs?

The reimbursement rate of Class B drugs may be different in different regions and medical insurance systems, generally between 30% and 50%, which needs to be determined according to local medical insurance policies.

Class B drugs refer to a class of drugs with good curative effect, high price and narrow application scope. Within the scope of medical insurance, Class B drugs can apply for reimbursement, but the reimbursement ratio may change due to different regions and medical insurance systems. Generally speaking, under the unified national medical insurance system, the proportion of reimbursement for Class B drugs ranges from 30% to 50%, and the specific proportion standard may also change due to regional and policy adjustments. In addition, medical insurance also stipulates the upper limit of reimbursement for each class B drug, and the excess should be borne by itself. In some places, such as some high-consumption cities or special economic regions, Class B drugs may have a higher reimbursement ratio and amount to ensure patients' drug demand. However, there are also some places that limit the scope of reimbursement for Class B drugs to ensure the rational use and balanced distribution of medical insurance funds.

Class B drugs do not meet the minimum reimbursement standards. Can I apply? Class B drugs that do not meet the minimum reimbursement standards can generally apply, but the reimbursement ratio is different from the standard. At the same time, if the class B drugs that need to be applied for are not in the local medical insurance catalogue, they cannot enjoy medical insurance reimbursement.

The reimbursement rate of Class B drugs may be different in different regions and medical insurance systems, generally between 30% and 50%, which needs to be determined according to local medical insurance policies. If the class B drugs that need to be applied for are not in the local medical insurance catalogue, they cannot enjoy medical insurance reimbursement. It should be noted that the medical insurance fund is limited and needs to be used rationally and distributed in a balanced way.

Legal basis:

People's Republic of China (PRC) Social Insurance Law Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance to protect citizens' right to get material help from the state and society in the event of old age, illness, industrial injury, unemployment and maternity. Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations. Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.