药品追溯码
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倒查两年半,剑指医院、药店违规乱象!又一省启动医保飞检
21世纪经济报道· 2025-07-05 07:27
Core Viewpoint - The article discusses the upcoming provincial-level inspections of medical insurance funds in Hunan, emphasizing the importance of safeguarding these funds for the benefit of insured individuals and the overall healthcare system [2][5]. Group 1: Overview of Inspections - The Hunan Provincial Medical Insurance Bureau announced a special inspection of medical insurance funds from July to September 2025, covering the usage from January 1, 2023, to June 30, 2025 [2]. - The inspections aim to enhance the supervision of medical insurance funds, with a focus on high-risk areas and behaviors, including fraudulent practices in medical institutions and retail pharmacies [7][10]. Group 2: Inspection Methodology - The inspections will utilize a "no prior notice" approach, allowing for unannounced checks at designated medical institutions [9]. - Key features of the inspections include a cross-checking mechanism, high professional standards, and the formation of specialized teams to improve efficiency [10]. Group 3: Targeted Areas of Concern - Specific areas of focus include fraudulent hospital admissions, excessive hospitalization rates, and violations related to prescription transfers and drug procurement [10][11]. - Retail pharmacies will be scrutinized for fraudulent practices such as falsifying prescriptions and engaging in drug trafficking [11]. Group 4: Broader Regulatory Context - The article highlights ongoing efforts to combat medical insurance fraud, including recent cases of significant fraud involving millions in claims [15]. - The introduction of smart regulatory measures, such as the mandatory scanning of drug traceability codes for insurance settlements, aims to reduce fraudulent activities [16]. Group 5: Involvement of Third Parties - Third-party organizations are increasingly involved in the oversight of medical insurance fund usage, enhancing the regulatory framework through data-driven approaches [17].
药品追溯码7月1日起全面应用 将实现医保基金支付全程精准追溯
Yang Guang Wang· 2025-06-30 00:53
Group 1 - The National Medical Insurance Administration has announced the full implementation of drug traceability codes starting July 1, which will serve as an "electronic ID" for drugs, requiring medical institutions to record and trace information throughout the entire process of drug payment [1][2] - Medical institutions and retail pharmacies must accurately collect and verify drug traceability codes and upload this information to a national unified medical insurance information platform and drug traceability system [1][2] - A special action has been initiated to combat fraud and illegal activities in the pharmaceutical sector, with the first phase of inspections already completed and a new round of checks scheduled for August [1] Group 2 - The traceability code is a key factor in establishing verification and acceptance systems for drug procurement, and institutions are urged to avoid accepting or trading in returned drugs [2]
药监局公布5起典型案例:“清源”行动纵深推进
2 1 Shi Ji Jing Ji Bao Dao· 2025-06-20 10:25
Core Viewpoint - The National Medical Products Administration (NMPA) has launched a "Clean Source" action to combat illegal activities in the pharmaceutical distribution sector, ensuring public health and safety amid rising issues like counterfeit drugs and illegal online sales [1][2][3]. Group 1: Regulatory Actions - The "Clean Source" action was initiated in April 2023, focusing on eliminating risks and illegal practices in drug distribution, with a commitment to continue until November 2025 [2][5]. - The NMPA has emphasized the importance of cross-departmental collaboration and the use of digital monitoring tools, such as drug traceability codes, to enhance regulatory effectiveness [6][7]. Group 2: Case Examples - Five typical cases of violations were reported, including illegal procurement and sales of drugs, with penalties ranging from fines to the revocation of operating licenses [3][4]. - Specific cases include a pharmacy in Guangdong fined 1.3 million yuan for illegal drug procurement and a pharmacy in Jiangxi penalized for selling drugs without proper qualifications [3][4]. Group 3: Industry Impact - The initiative aims to establish a transparent and compliant pharmaceutical distribution system, promoting industry compliance and enhancing public trust in drug safety [3][6]. - The focus on digital upgrades in drug monitoring is expected to shift regulatory practices from reactive to proactive, improving overall drug safety [6][7].
全链条打击!多部门运用追溯码查处倒卖“回流药”等问题
Yang Shi Xin Wen· 2025-06-18 02:01
Core Viewpoint - The National Medical Insurance Administration, in collaboration with various government departments, is conducting a nationwide special rectification campaign to address prominent issues in medical insurance fund management, focusing on the illegal trade of "returned drugs" [1][2]. Group 1: Regulatory Actions - A special rectification campaign has been launched to investigate the illegal sale of "returned drugs" through the use of drug traceability codes as a key tool [1]. - The campaign has already completed its first phase of verification, resulting in the identification and prosecution of several cases involving the illegal trade of "returned drugs" [1]. - Starting from July 1, 2023, designated medical institutions are required to scan drugs before settling medical insurance fund payments [2]. Group 2: Drug Safety Concerns - The illegal trade of "returned drugs" not only jeopardizes the safety of medical insurance funds but also poses significant risks to public health, as some of these drugs may be expired or improperly stored [2]. - The National Medical Insurance Administration emphasizes that pharmacies have a responsibility to rigorously verify the sources of the drugs they purchase [2]. Group 3: Traceability and Compliance - As of now, a total of 39.885 billion drug traceability codes have been collected since the nationwide implementation of drug traceability code collection began in 2024 [1]. - The public consensus on "verifying codes before buying drugs and scanning codes before selling drugs" has largely been established, with approximately 5 million people checking drug authenticity daily [1]. - Pharmacies are encouraged to use the National Medical Insurance Service Platform App to verify the legitimacy of drugs and avoid engaging in the trade of "returned drugs" [3].
多部门运用追溯码查处倒卖“回流药”等问题
news flash· 2025-06-18 00:41
Core Viewpoint - The National Healthcare Security Administration (NHSA) is conducting a nationwide special rectification of prominent issues in medical insurance fund management, focusing on the abnormal tracking codes of drugs and the illegal resale of "returned drugs" by designated medical institutions [1] Group 1: Regulatory Actions - The NHSA, in collaboration with the Supreme People's Court, the Supreme People's Procuratorate, and the Ministry of Public Security, is implementing comprehensive inspections of designated medical institutions suspected of selling "returned drugs" [1] - Starting from July 1 of this year, designated medical institutions are required to scan tracking codes during the sales process before settling medical insurance funds [1] - The NHSA emphasizes the importance of using drug tracking codes and will work with relevant departments to rigorously combat the resale of "returned drugs" across all stages of the supply chain [1] Group 2: Responsibilities of Pharmacies - Pharmacies, as drug operating enterprises, have the responsibility to strictly verify the sources of the drugs they purchase [1] - The NHSA calls on designated medical institutions to not only request invoices during procurement but also to use the NHSA's app to confirm whether the drugs have been settled through medical insurance funds, ensuring they do not accept or trade "returned drugs" [1]
14部委为今年医药反腐纠风划重点,系统纠治医疗服务乱象
Di Yi Cai Jing· 2025-06-13 14:03
Core Viewpoint - The article emphasizes the need for a "zero tolerance" approach towards unethical behavior among medical personnel, highlighting the importance of maintaining public interest, patient rights, and the integrity of the healthcare industry [1][7]. Group 1: Regulatory Measures - The National Health Commission and 14 other ministries have issued a notification to continue anti-corruption efforts in the medical field, focusing on preventing the resurgence of unethical practices [2]. - The notification outlines a comprehensive approach to address corruption in the pharmaceutical procurement and medical service sectors, emphasizing the need for enhanced oversight and accountability [3][8]. - A "penetrating audit" approach will be implemented to cover the entire pharmaceutical supply chain, ensuring compliance and preventing conflicts of interest [3][4]. Group 2: Focus Areas for Governance - Key areas of focus include drug production, high-value medical consumables, medical equipment, and the management of healthcare institutions [3][5]. - The notification stresses the importance of protecting patient privacy and addressing illegal activities in areas such as genetic testing, assisted reproduction, and medical aesthetics [6][8]. - The regulation of internet medical practices will be intensified, targeting illegal online prescriptions and fraudulent medical advertising [6][8]. Group 3: Strengthening Ethical Standards - The notification calls for strict enforcement of ethical standards within medical institutions, with a focus on daily education and guidance for medical staff [7]. - A mechanism will be explored to link ethical evaluations with job appointments, title assessments, and compensation distribution, fostering a transparent industry environment [7][8]. - The emphasis on "zero tolerance" for unethical behavior aims to protect public interests and uphold the rights of patients [1][7].
广西实行定点零售药店“无码不结”
Guang Xi Ri Bao· 2025-05-08 01:51
Core Viewpoint - Guangxi has officially implemented a "no code, no settlement" policy for designated retail pharmacies under the medical insurance system, requiring pharmacies to scan traceability codes for medical insurance drug sales to ensure safety and prevent counterfeit drugs [1][2] Group 1: Implementation Details - All designated retail pharmacies in Guangxi must scan traceability codes and upload information to the medical insurance information platform for drug settlement [1] - The traceability code acts as an "electronic ID" for each drug, assigned from production to sales, allowing for quick identification of counterfeit or substandard drugs [1] - As of now, Guangxi has collected 940 million traceability codes covering 19,000 medical institutions [1] Group 2: Consumer Protection Measures - The "no code, no settlement" policy will not affect the purchasing process for insured individuals or the normal reimbursement of medical insurance [1] - For drugs that have not yet been assigned codes, they can be temporarily included in a "no code library" for real-time data collection and review [1] - Consumers can verify their purchase information through the National Medical Insurance Bureau's official app by scanning the traceability code [2] Group 3: Impact on Drug Safety and Fraud Prevention - The implementation of this policy is expected to effectively curb the influx of counterfeit and "returned" drugs into the market, enhancing public safety [2] - It will also utilize big data analysis to combat various fraudulent activities related to medical insurance funds, ensuring safer and more efficient use of these funds [2]
【省医保局】陕西全面实行定点零售药店医保药品“依码支付”
Shan Xi Ri Bao· 2025-04-27 22:45
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]
国家医保局全面推进药品追溯码;药明生物完成出售爱尔兰疫苗设施|医药早参
Mei Ri Jing Ji Xin Wen· 2025-04-01 23:33
Group 1 - The National Medical Insurance Administration has collected a total of 27.309 billion drug traceability codes, covering 31 provinces and regions in China, with over 95% of designated medical institutions connected [1] - The "Medical Insurance Drug and Consumables Traceability Information Query" function on the National Medical Insurance Service Platform App has seen nearly 500,000 daily users since its launch [1] Group 2 - Tianjin Weiming Bio-Pharmaceutical's core product, interferon α2b spray, has been suspended from procurement in multiple regions due to non-compliance with biological activity standards [2] - The suspension of procurement is expected to impact the company's market share and reputation, highlighting the need for improved quality control [2] Group 3 - HRS-9813 capsules developed by Heng Rui Medicine have received clinical trial approval for the treatment of Idiopathic Pulmonary Fibrosis, with the tablet form also in Phase I trials [3] - The dual formulation development is anticipated to enhance the company's competitiveness in the treatment of this condition [3] Group 4 - WuXi Biologics has completed the sale of its Irish vaccine facility for a total consideration of $499.6 million, which includes $407 million paid at closing and $30 million held in escrow [4] - The transaction is expected to optimize asset allocation and improve cash flow, allowing the company to focus on its core business [4] Group 5 - Xinhua Pharmaceutical reported a revenue increase of 4.51% to 8.466 billion yuan for 2024, but net profit decreased by 5.33% to 470 million yuan due to price reductions of key products [5][6] - The decline in profit despite revenue growth reflects intense competition in the pharmaceutical market, necessitating faster new product development and market expansion to enhance profitability [6]