国家医保局公布应用药品追溯码打击回流药专项行动典型案例

Core Viewpoint - The National Healthcare Security Administration (NHSA) has launched a nationwide campaign to combat fraud and illegal activities in the pharmaceutical sector using drug traceability codes, resulting in multiple cases of illegal resale of reimbursed drugs being uncovered [1][14]. Group 1: Case Summaries - In Ulanqab City, Inner Mongolia, a community health service station was found to have sold drugs with duplicate traceability codes, leading to the recovery of 3,678 yuan in healthcare funds and a fine of 7,356 yuan [2]. - In Dezhou City, Shandong Province, a village health clinic was discovered to have sold drugs with traceability codes that had been reimbursed multiple times, resulting in a three-month suspension of its healthcare service agreement [3]. - A health clinic in Dazhu District, Chongqing, was found to have engaged in illegal drug exchanges, leading to a six-month suspension of its healthcare service agreement and penalties for the responsible personnel [4]. - A clinic in Suining City, Sichuan Province, was implicated in reselling drugs that had been previously reimbursed, resulting in penalties and recovery of healthcare funds [5]. - In Longli County, Guizhou Province, a health service was found to have resold drugs obtained through fraudulent means, leading to the recovery of 1,521.67 yuan in healthcare funds [7]. - A pharmacy in Nanyang City, Henan Province, was involved in the resale of drugs with duplicate traceability codes, resulting in the recovery of 67,200 yuan in healthcare funds and administrative penalties [8]. - In Wuzhong City, Ningxia, a pharmacy was found to have resold drugs that had been reimbursed, leading to a three-month suspension of its healthcare service agreement [9]. - Two insured individuals in Hangzhou, Zhejiang Province, were found to have illegally resold drugs, resulting in a loss of 439,854.73 yuan in healthcare funds [10]. - In Shuangyashan City, Heilongjiang Province, an individual was found to have resold drugs, leading to the recovery of 55,269.2 yuan in healthcare funds [11][12]. - An insured individual in Quanzhou City, Fujian Province, was found to have resold drugs, resulting in a loss of 5,139.45 yuan in healthcare funds [13]. Group 2: Impact of Drug Traceability Codes - The implementation of drug traceability codes has led to the collection of 53.098 billion drug traceability codes, significantly enhancing the monitoring and regulation of drug sales [13][14]. - The success of the traceability system is attributed to the collaborative efforts of regulatory bodies, pharmaceutical companies, and the active participation of the public in verifying drug authenticity [14].