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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
news flash· 2025-08-02 07:17
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].
我国7月1日起全面实施医保药品扫码结算
Bei Jing Shang Bao· 2025-06-18 00:52
Group 1 - The National Healthcare Security Administration (NHSA) has made significant progress in addressing issues related to the management of medical insurance funds, particularly in combating illegal activities such as the resale of "returned drugs" [1] - "Returned drugs" refer to pharmaceuticals that have exited the legitimate distribution channels and re-entered the market, often through illegal means, posing risks to public health and safety [1] - The NHSA has launched a drug traceability information query function on its platform, allowing pharmacies to identify "returned drugs" through scanning, thereby ensuring the legality of drug sources [1][2] Group 2 - As of now, the NHSA has collected a total of 39.885 billion drug traceability codes to assist in combating the "returned drug" issue [2] - The NHSA plans to enhance the regulatory application of drug traceability codes, focusing on building a big data regulatory model to combat illegal drug trading and other violations [2] - The NHSA has initiated a special action to combat the production and sale of counterfeit and inferior drugs, with the first phase of verification tasks completed and several cases of "returned drugs" being addressed [2]