九论小编 发表于 2023-9-25 14:46:56

事关职工购药!江西下月执行

<section style="margin-top: 0px; margin-right: 0px; margin-bottom: unset; margin-left: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; font-size: 17px; letter-spacing: 0.578px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255); visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section style="margin: 10px 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; text-align: center; visibility: visible;"><section style="margin-top: 0px; margin-right: 0px; margin-bottom: unset; margin-left: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; border-width: 1px; border-style: dashed; border-color: rgb(111, 200, 115); border-radius: 5px; visibility: visible;"><section style="margin-top: 0px; margin-right: 0px; margin-bottom: unset; margin-left: 0px; padding: 15px 14px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; color: rgb(50, 50, 50); letter-spacing: 2px; font-size: 14px; line-height: 1.75em; text-align: justify; transform: rotateZ(0deg); visibility: visible;"><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; text-indent: 2em; visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; color: rgb(0, 0, 0); font-size: 18px; visibility: visible;">9月22日,记者从省医保局获悉,该局下发《关于做好药店纳入门诊统筹管理和定点医药机构管理办法政策衔接有关事项的通知》,我省职工医保参保人员凭江西省医保定点医疗机构符合条件的医师为其开具的处方(纸质或电子处方),到我省门诊统筹定点零售药店,购买医保目录内药品发生的费用,可由医保基金按规定予以支付,该通知自今年10月1日起执行。</span></p></section></section><section style="margin-top: -45px; margin-right: 0px; margin-bottom: unset; margin-left: auto; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; width: 70px; visibility: visible;"><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;"></p></section></section></section><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; font-size: 17px; letter-spacing: 0.578px; white-space: normal; background-color: rgb(255, 255, 255); text-align: center; visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; color: rgb(2, 30, 170); font-size: 18px; visibility: visible;"><strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; visibility: visible;">职工医保参保人员在门诊统筹定点零售药店购药可享报销</strong></span></p><p></p><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; font-size: 17px; letter-spacing: 0.578px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255); text-indent: 2em; visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; color: rgb(2, 30, 170); font-size: 18px; visibility: visible;"><strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; visibility: visible;"><br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; visibility: visible;"/></strong></span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; font-size: 17px; letter-spacing: 0.578px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255); text-indent: 2em; visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px; visibility: visible;">据介绍,<span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; color: rgb(255, 41, 65); visibility: visible;"><strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; visibility: visible;">我省职工医保参保人员凭江西省医保定点医疗机构符合条件的医师为其开具的处方(纸质或电子处方),到我省门诊统筹定点零售药店,购买医保目录内药品发生的费用,可由医保基金按规定予以支付。</strong></span></span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; font-size: 17px; letter-spacing: 0.578px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255); text-indent: 2em; visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; color: rgb(255, 41, 65); font-size: 18px; visibility: visible;"><strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; visibility: visible;"><br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; visibility: visible;"/></strong></span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; font-size: 17px; letter-spacing: 0.578px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255); text-indent: 2em; visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px; visibility: visible;">经我省卫生健康行业主管部门批准获得互联网医院资质,依托我省实体定点医疗机构,签订医保协议后,成为我省医保定点互联网医院。在接入省医保电子处方流转平台之后,职工医保参保人员凭其符合条件的医师开具的电子处方,到门诊统筹定点零售药店,购买医保目录内药品发生的费用,可由医保基金按规定予以支付。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; font-size: 17px; letter-spacing: 0.578px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255); text-indent: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; font-size: 17px; letter-spacing: 0.578px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255); text-indent: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">此外,定点零售药店应当凭处方销售医保目录内处方药,药师应当对处方进行审核、签字后调剂配发药品。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; font-size: 17px; letter-spacing: 0.578px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255); text-indent: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; font-size: 17px; letter-spacing: 0.578px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255); text-indent: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">我省定点医疗机构可按照《长期处方管理规范(试行)》,为符合条件的参保患者开具长期处方。长期处方一般4周以内,最长不超过12周。</span></section><p></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; font-size: 17px; letter-spacing: 0.578px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255); box-sizing: border-box !important; overflow-wrap: break-word !important;"><br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; font-size: 17px; letter-spacing: 0.578px; white-space: normal; background-color: rgb(255, 255, 255); text-align: center; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;"><strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; color: rgb(2, 30, 170);">为参保人代购药品需出示相关证件</span></strong></span></p><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; font-size: 17px; letter-spacing: 0.578px; white-space: normal; background-color: rgb(255, 255, 255); text-align: center; box-sizing: border-box !important; overflow-wrap: break-word !important;"><br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></p><p></p><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; font-size: 17px; letter-spacing: 0.578px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255); text-indent: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">门诊统筹定点零售药店收到符合条件的外配处方或电子处方后,应当核对参保人员有效身份凭证,做到人证相符,特殊情况下为参保人代购药品的应当出示本人和被代购人身份证(职工医保个人账户家庭共济除外)。定点零售药店应当为参保人员提供医保药品费用直接结算单据和相关资料,参保人员或购药人应在购药清单上签字确认。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; font-size: 17px; letter-spacing: 0.578px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255); text-indent: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; font-size: 17px; letter-spacing: 0.578px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255); text-indent: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">门诊统筹定点零售药店根据参保人员需要可提供配送服务,配送费用不纳入医保支付范围。</span></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; font-size: 17px; letter-spacing: 0.578px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255); text-indent: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><br style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"/></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; font-size: 17px; letter-spacing: 0.578px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255); text-indent: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 18px;">参保患者凭有效处方在职工医保门诊统筹定点零售药店购买医保目录内药品,且符合支付范围的费用在定点零售药店实行直接结算,参保人员只需支付个人负担费用;属于医保基金支付的费用,由医保经办机构与定点零售药店按协议规定结算。门诊统筹定点零售药店应规范上传患者诊断信息、药品名称、单价、数量、包装规格等实际药品结算信息。</span></section><p></p><p><br/></p><p><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 2px; max-inline-size: 100%; cursor: text; color: rgb(136, 136, 136); box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; max-inline-size: 100%; cursor: text; font-family: -apple-system, BlinkMacSystemFont, Arial, sans-serif;">来</span></strong></span><strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; white-space: normal; color: rgb(136, 136, 136); letter-spacing: 2px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-family: -apple-system, BlinkMacSystemFont, Arial, sans-serif;">源<strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;">:江南都市报</strong></strong></strong></span></strong></p><link rel="stylesheet" href="//bbs.jjxw.cn/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_ree" id="wcn_editor_css"/>
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