Expenses for Medicines Not Covered by the Health Insurance Fund

Lê Hải

16:03, 11/07/2024

Here is the notable content regulated in Circular 30/2018/TT-BYT recently issued by the Ministry of Health, stipulating the list and the percentage, as well as the conditions for the payment for chemical drugs, radiopharmaceuticals, and markers within the scope covered for participants of health insurance.

To be specific:, Circular 30 stipulates that the health insurance fund does not cover drug costs in the following cases:

- Costs for drugs that have been included in the price of technical services, medical examinations, hospital stays, or the package price per case as per current regulations;- The portion of drug costs that have been paid by the state budget or other sources;- Drugs used in clinical trials or scientific research.

The health insurance fund must pay the drug costs according to the actual quantity used by the patient and the purchase price of the medical examination and treatment facility in accordance with legal regulations.

See details Circular 30/2018/TT-BYT effective from January 01, 2019.

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