商务部等9部门:优化定点零售药店门诊统筹服务
Bei Jing Shang Bao·2026-01-22 09:20

Core Viewpoint - The Ministry of Commerce and nine other departments have issued opinions to promote the high-quality development of the retail pharmaceutical industry, focusing on optimizing services and payment methods for insured individuals purchasing medications at designated retail pharmacies [1] Group 1: Policy Enhancements - The opinions emphasize the optimization of outpatient comprehensive services at designated retail pharmacies, allowing insured individuals to purchase medications listed in the medical insurance catalog using prescriptions from designated medical institutions, with costs covered by the medical insurance fund as per regulations [1] - The policy allows for the same medical insurance treatment policies for outpatient comprehensive payment standards, payment ratios, and maximum payment limits at designated retail pharmacies as those applied to grassroots medical institutions in the same region [1] Group 2: Financial and Operational Improvements - The opinions support the use of employee medical insurance personal accounts to cover out-of-pocket medical expenses incurred by insured individuals and their insured close relatives when purchasing medications at designated retail pharmacies [1] - There is a focus on optimizing the settlement methods between the medical insurance fund and retail pharmacies to effectively reduce settlement times and enhance efficiency [1] - The policy aims to optimize the resource allocation planning for designated retail pharmacies, promoting a reasonable layout in conjunction with the construction of convenient living circles [1]

商务部等9部门:优化定点零售药店门诊统筹服务 - Reportify