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北京医保9月1日起新增513种药品 抗癌药将报销

2017-08-31 14:11:13   中国经济网

经济日报-中国经济网北京8月31日讯(记者 施晓娟)经济日报-中国经济网记者从北京市人力资源和社会保障局获悉,北京市人力社保局为进一步完善本市基本医疗保险、工伤保险和生育保险药品报销范围管理,保障参保人员基本医疗用药,今日发布《关于将多拉司琼注射剂等药品纳入本市基本医疗保险、工伤保险和生育保险药品报销范围有关问题的通知》(以下简称《通知》通知),《通知》要求,9月1日起,将国家医药目录新增的多拉司琼注射剂等477种药品和36种国家谈判药品,共计513种药品纳入北京市医保报销范围。

《通知》要求,各定点医疗机构要严格执行临床诊疗规范和基本医疗保险有关规定,按照合理检查、合理治疗、合理用药的要求,保障参保人员基本用药需求。

《通知》强调,各医疗保险经办机构要采取有效措施,做好参保人员医药费用审核结算工作,并做好有关药品费用统计分析和监测,不断加强医疗保险基金使用管理,提高医疗保险基金使用效率。

今年7月,人力资源和社会保障部公布了36种国家谈判药品,包括31个西药和5个中成药。其中西药中有15个是抗癌靶向药,覆盖肺癌、胃癌、乳腺癌、结直肠癌、淋巴瘤、骨髓瘤等癌种;其他分别为治疗心血管病、肾病、眼病、精神病、抗感染、糖尿病等重大疾病或慢性病的药物。

据了解,与2016年平均零售价相比,谈判药品的平均降幅达到44%,最高的达到70%,大部分进口药品谈判后的支付标准低于周边国际市场价格,大大减轻了我国患者的医疗费用负担。

附:

  北京市基本医疗保险、工伤保险和生育保险新增国家谈判药品品种、限定支付范围及医保支付标准

  北京市基本医疗保险、工伤保险和生育保险新增药品品种及限定支付范围

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