本文梳理了我国社会药房发展现状,分析了国家集中带量采购政策及其试行成效,在总结药品医保支付标准及实践现状的基础上,对国家集中带量采购下社会药房的药品医保支付标准问题进行探讨,重点分析参与集中采购的医保定点社会药房及医保定点药房非集采药品的支付标准,建议结合各地实际与科学手段,鼓励采用建立相关支付激励机制、联盟采购、适当加价等手段进行有效探索,以实现合理用药、医保控费与药房赢利的多赢局面。
<<This paper introduces the current development situation of social pharmacies in China,analyzes the national centralized volume-based procurement policy and the outcomes after its trial implementation,and probes into the pharmaceutical insurance payment criteria of social pharmacies under the national volume-based procurement policy on the basis of summarizing the pharmaceutical insurance payment criteria and their practice. Focus on the analysis of payment standards for pharmaceutical insurance designated social pharmacies participating in centralized procurement and non-collected drugs in designated medical insurance pharmacies. It is recommended to combine local practical and scientific means to encourage the effective exploration of the establishment of relevant payment incentive mechanisms,alliance procurement,and appropriate price increases. Realize a win-win situation of rational drug use,medical insurance control fees and pharmacy profits.
<<Keywords: | Social PharmaciesNational Centralized Volume-based ProcurementPharmaceutical Insurance Payment Criteria |