Formula for Calculating Prices of Traditional Medicine in Health Insurance Payments

11:43, 11/07/2024

According to the guidance in Official Dispatch 3762/BHXH-DVT, the price of traditional medicine (YHCT) in health insurance (BHYT) payment is calculated according to the following formula:

P₂ = (100 x P₁) / (100 - H₁ - H₂)

Where:

- P₁: Purchasing price of traditional medicine;- P₂: Price of traditional medicine in health insurance payment;- H₁: Actual wastage rate during processing as appraised by the healthcare facility and the Social Insurance agency;- H₂: Wastage rate during storage and distribution as per Circular 49/2011/TT-BYT.

Note: The Social Insurance agency does not cover the costs of drug testing as this has been included in the drug price according to the bidding documents.

Thus, the price of traditional medicine in health insurance payment is determined based on the purchasing price of the traditional medicine, the assessed wastage rate during processing, and the wastage rate during storage and distribution.

See more guidelines in Official Dispatch 3762/BHXH-DVT dated August 25, 2017.

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