【省医保局】陕西全面实行定点零售药店医保药品“依码支付”

Core Viewpoint - Shaanxi province has implemented new regulations requiring all designated retail pharmacies to collect and upload drug traceability codes when selling medical insurance drugs, with non-compliance resulting in non-reimbursement by medical insurance [1][2] Group 1: Drug Traceability System - The drug traceability code serves as an "electronic ID" for pharmaceuticals, ensuring each drug has a unique sales record to prevent counterfeit or swapped drugs [1] - The traceability system currently covers 12 coordinated areas in Shaanxi, connecting nearly 23,000 designated medical institutions and over 15,000 retail pharmacies [1] Group 2: Payment and Compliance - The "code-based payment" system allows medical insurance departments to settle payments based on the traceability codes, enhancing both drug safety and the security of medical insurance funds [1] - Medical insurance will not reimburse costs for drugs that should have been traced but were not, although this does not affect the normal process of medical treatment and reimbursement for insured individuals [1] Group 3: Public Awareness and Reporting - The provincial medical insurance bureau encourages insured individuals to actively request pharmacies to scan codes and verify traceability information when purchasing drugs [2] - Consumers are advised to report any discrepancies found during the verification process, such as previously sold drugs, to the medical insurance department [2]