下月起实施！广东医保最新通知！
<section data-role="outer" label="edit by 135editor"><p style="text-align:justify;letter-spacing: 0.578px;line-height: 2em;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="font-family: Helvetica, Arial, sans-serif; font-size: 16px; text-indent: 0em; outline: 0px; letter-spacing: 2px; visibility: visible;">近日，广东省医疗保障局官网最新发布了《广东省医疗保障局关于做好医保药品单独支付保障工作的通知》（以下简称《通知》），《通知》明确，广东自</span><span style="font-family: Helvetica, Arial, sans-serif; font-size: 16px; text-indent: 0em; letter-spacing: 0.544px; outline: 0px; visibility: visible; color: rgb(216, 40, 33);"><strong><span style="outline: 0px;letter-spacing: 2px;visibility: visible;">2023年9月1日起</span></strong></span><strong style="font-family: Helvetica, Arial, sans-serif; font-size: 16px; text-indent: 0em; letter-spacing: 0.544px;"><span style="outline: 0px;visibility: visible;color: rgb(216, 40, 33);"><span style="outline: 0px;letter-spacing: 2px;visibility: visible;">实施医保药品单独支付保障工作，</span><span style="outline: 0px;letter-spacing: 2px;visibility: visible;"><strong style="outline: 0px;visibility: visible;">实施</strong></span></span></strong><span style="font-family: Helvetica, Arial, sans-serif; font-size: 16px; text-indent: 0em; outline: 0px; letter-spacing: 2px; visibility: visible; color: rgb(216, 40, 33);"><strong style="outline: 0px;visibility: visible;">范围包括403个药物，试行期限2年。</strong></span><br/></p><section data-role="outer" label="edit by 135editor" data-mpa-powered-by="yiban.io" style="margin-bottom: 24px;outline: 0px;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);visibility: visible;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><section data-tools="135编辑器" data-id="130250" style="outline: 0px;visibility: visible;"><section style="outline: 0px;visibility: visible;"><section style="outline: 0px;visibility: visible;"><section data-tools="135编辑器" data-id="130250" style="outline: 0px;visibility: visible;"><section style="outline: 0px;visibility: visible;"><section style="outline: 0px;visibility: visible;"><section style="outline: 0px;visibility: visible;"><p style="outline: 0px;text-indent: 0em;visibility: visible;"><br/></p></section></section></section></section><section data-role="paragraph" style="outline: 0px;visibility: visible;"><p style="padding: 6px; text-align: center;"><br/></p></section></section></section><section style="outline: 0px;"><section style="outline: 0px;"><section style="outline: 0px;"><p style="outline: 0px;text-indent: 0em;line-height: 2em;"><br/></p><section data-role="title" data-tools="135编辑器" data-id="117815"><section style="margin: 20px auto;"><section style="display: flex;justify-content: center;"><section style="transform-style: preserve-3d;"><section style="display: flex;justify-content: flex-start;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="width: 15px;height: 15px;background-color: rgb(0, 59, 156);overflow: hidden;"><br/></section></section><section style="padding-right: 2px;padding-left: 2px;margin-top: -13px;margin-bottom: -13px;transform: translateZ(12px);"><section style="padding: 2px;"><section style="background: linear-gradient(to right, rgb(22, 73, 210), rgb(37, 94, 248));font-size: 16px;color: rgb(255, 255, 255);padding: 5px 20px;letter-spacing: 1.5px;"><strong data-brushtype="text">何为“单独支付”？</strong></section></section></section><section style="display: flex;justify-content: flex-end;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="width: 15px;height: 15px;background-color: rgb(0, 59, 156);"><br/></section></section></section></section></section></section></section></section></section></section></section><section data-role="outer" style="margin-bottom: 24px;outline: 0px;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><section data-role="paragraph" style="outline: 0px;"><section data-role="paragraph" style="outline: 0px;"><p style="outline: 0px;text-indent: 0em;line-height: 2em;"><span style="text-indent: 0em;caret-color: red;outline-style: initial;letter-spacing: 2px;font-size: 16px;font-family: Helvetica, Arial, sans-serif;">单独支付，是指参保患者就医期间使用国谈药（包括协议期内和已转为医保目录常规药品的国家医保谈判药品、竞价药品，下同）时，</span><span style="text-indent: 0em;letter-spacing: 0.544px;caret-color: red;color: #d82821;"><strong><span style="outline-style: initial;letter-spacing: 2px;font-size: 16px;font-family: Helvetica, Arial, sans-serif;">药品费用由基本医疗保险统筹基金与定点医疗机构单列结算，不纳入相关额度。</span></strong></span></p></section></section></section><section data-role="outer" style="margin-bottom: 24px;outline: 0px;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><section data-tools="135编辑器" data-id="130637" style="outline: 0px;"><section style="outline: 0px;"><section style="outline: 0px;"><section data-autoskip="1" style="outline: 0px;"><p style="outline: 0px;text-indent: 0em;line-height: 2em;"><span style="font-size: 16px;font-family: Helvetica, Arial, sans-serif;"><strong style="outline: 0px;color: rgb(0, 122, 170);letter-spacing: 0.544px;font-size: var(--articleFontsize);"></strong></span></p><section data-role="title" data-tools="135编辑器" data-id="117815"><section style="margin: 20px auto;"><section style="display: flex;justify-content: center;"><section style="transform-style: preserve-3d;"><section style="display: flex;justify-content: flex-start;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="width: 15px;height: 15px;background-color: rgb(0, 59, 156);overflow: hidden;"><br/></section></section><section style="padding-right: 2px;padding-left: 2px;margin-top: -13px;margin-bottom: -13px;transform: translateZ(12px);"><section style="padding: 2px;"><section style="background: linear-gradient(to right, rgb(22, 73, 210), rgb(37, 94, 248));font-size: 16px;color: rgb(255, 255, 255);padding: 5px 20px;letter-spacing: 1.5px;"><strong data-brushtype="text">单独支付药品范围</strong></section></section></section><section style="display: flex;justify-content: flex-end;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="width: 15px;height: 15px;background-color: rgb(0, 59, 156);"><br/></section></section></section></section></section></section></section></section></section></section></section><section data-role="outer" style="margin-bottom: 24px;outline: 0px;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><section data-role="paragraph" style="outline: 0px;"><p style="outline: 0px;text-indent: 0em;line-height: 2em;"><span style="outline: 0px;letter-spacing: 2px;font-size: 16px;font-family: Helvetica, Arial, sans-serif;">省医保局指出，医保药品目录内的国谈药及其同通用名同具体剂型药品、“岭南名方”医疗机构制剂，纳入基本医疗保险统筹基金单独支付范围（以下简称单独支付药品）。</span></p></section></section><p style="text-align:justify;outline: 0px;letter-spacing: 0.544px;text-indent: 0em;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="outline: 0px;letter-spacing: 2px;font-size: 16px;font-family: Helvetica, Arial, sans-serif;">单独支付药品的限定支付范围与医保药品目录保持一致，执行统一的医保支付标准。</span></p><p style="text-align:justify;outline: 0px;letter-spacing: 0.544px;text-indent: 0em;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><br/></p><p style="text-align:justify;outline: 0px;letter-spacing: 0.544px;text-indent: 0em;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="outline: 0px;letter-spacing: 2px;font-size: 16px;font-family: Helvetica, Arial, sans-serif;">根据通知，此次试行的范围为2023年广东省医保药品单独支付范围</span><span style="color:#D82821;"><strong><span style="outline: 0px;letter-spacing: 2px;font-size: 16px;font-family: Helvetica, Arial, sans-serif;">共计403个药品，</span></strong></span><span style="outline: 0px;letter-spacing: 2px;font-size: 16px;text-decoration: underline;font-family: Helvetica, Arial, sans-serif;">其中协议期内国家医保谈判药品为346个，竞价药品为17个，转为医保药品目录内常规药品的原国谈药40个。</span></p><p style="text-align:left;outline: 0px;letter-spacing: 0.544px;text-indent: 0em;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="font-size: 16px;font-family: Helvetica, Arial, sans-serif;"><strong style="outline: 0px;color: rgb(0, 122, 170);font-size: var(--articleFontsize);letter-spacing: 0.034em;text-align: justify;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"></strong></span></p><section data-role="outer" label="edit by 135editor" style="outline: 0px;letter-spacing: 0.544px;text-align: center;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><section data-role="paragraph" style="outline: 0px;height: 0px;overflow: hidden;"><br style="outline: 0px;"/></section><section data-role="title" data-tools="135编辑器" data-id="117815"><section style="margin: 20px auto;"><section style="display: flex;justify-content: center;"><section style="transform-style: preserve-3d;"><section style="display: flex;justify-content: flex-start;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="width: 15px;height: 15px;background-color: rgb(0, 59, 156);overflow: hidden;"><br/></section></section><section style="padding-right: 2px;padding-left: 2px;margin-top: -13px;margin-bottom: -13px;transform: translateZ(12px);"><section style="background-color: rgb(255, 255, 255);padding: 2px;"><section style="background: linear-gradient(to right, rgb(22, 73, 210), rgb(37, 94, 248));font-size: 16px;color: rgb(255, 255, 255);padding: 5px 20px;letter-spacing: 1.5px;"><strong data-brushtype="text">2023年广东省医保药品单独支付范围（试行）</strong></section></section></section><section style="display: flex;justify-content: flex-end;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="width: 15px;height: 15px;background-color: rgb(0, 59, 156);overflow: hidden;"><br/></section></section></section></section></section></section><section style="outline: 0px;text-align: justify;letter-spacing: 0.544px;"><p style="text-align:center;outline: 0px;line-height: 1.75em;"><span style="outline: 0px;font-size: 14px;color: rgb(127, 127, 127);font-family: Helvetica, Arial, sans-serif;">（上下滑动查看）</span></p><section style="outline: 0px;letter-spacing: 0.544px;text-align: center;font-size: 16px;"><section style="margin-top: 10px;margin-bottom: 10px;outline: 0px;"><section style="outline: 0px;"><section data-tools="135编辑器" data-id="111180" style="outline: 0px;"><section style="margin: 10px auto;outline: 0px;"><section data-width="100%" style="outline: 0px;overflow-y: auto;height: 400px;width: 100%;display: inline-block;"><section style="outline: 0px;"><section data-autoskip="1" style="outline: 0px;color: rgb(51, 51, 51);text-align: justify;line-height: 1.75em;letter-spacing: 1.5px;font-size: 14px;"><section data-role="paragraph" style="outline: 0px;"><section data-role="title" data-tools="135编辑器" data-id="115674" style="outline: 0px;"><p style="outline: 0px;line-height: 2em;"><strong style="line-height: 2em;"><span style="font-family: Helvetica, Arial, sans-serif;">一、协议期内国家医保谈判药品（346个）</span></strong></p><p style="outline: 0px; line-height: 2em; text-align: center;"><br/></p><p style="outline: 0px; line-height: 2em; text-align: center;"><br/></p><p style="outline: 0px; line-height: 2em; text-align: center;"><br/></p><p style="outline: 0px; line-height: 2em; text-align: center;"><br/></p><p style="outline: 0px;line-height: 2em;"><strong style="line-height: 2em;"><span style="font-family: Helvetica, Arial, sans-serif;">二、竞价药品（17个）</span></strong></p><p style="outline: 0px; line-height: 2em; text-align: center;"><br/></p></section><p style="outline: 0px;line-height: 2em;"><strong style="line-height: 2em;"><span style="font-family: Helvetica, Arial, sans-serif;">三、转为医保药品目录内常规药品的原国谈药（40个）</span></strong></p><p style="outline: 0px; line-height: 2em; text-align: center;"><br/></p><p style="outline: 0px; line-height: 2em; text-align: center;"><br/></p></section></section></section></section></section></section></section></section></section></section><p style="text-align:center;outline: 0px;letter-spacing: 0.544px;line-height: 2em;"><br/></p></section><section data-role="title" data-tools="135编辑器" data-id="117815"><section style="margin: 20px auto;"><section style="display: flex;justify-content: center;"><section style="transform-style: preserve-3d;"><section style="padding-right: 2px;padding-left: 2px;margin-top: -13px;margin-bottom: -13px;transform: translateZ(12px);"><section style="background-color: rgb(255, 255, 255);padding: 2px;"><section style="background: linear-gradient(to right, rgb(22, 73, 210), rgb(37, 94, 248));font-size: 16px;color: rgb(255, 255, 255);padding: 5px 20px;letter-spacing: 1.5px;"><strong data-brushtype="text">门诊单独支付政策</strong></section></section></section><section style="display: flex;justify-content: flex-end;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="width: 15px;height: 15px;background-color: rgb(0, 59, 156);"><br/></section></section></section></section></section></section><p style="text-align:justify;outline: 0px;letter-spacing: 0.544px;text-indent: 0em;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="outline: 0px;letter-spacing: 2px;font-size: 16px;font-family: Helvetica, Arial, sans-serif;" draggable="true">参保人在基本医疗保险定点医疗机构（以下简称定点医疗机构）普通门诊就医发生的单独支付药品费用，由基本医疗保险统筹基金单独支付，不设起付线，不纳入门诊统筹按人头包干额度，不单独设立最高支付限额，直接计入基本医疗保险统筹基金年度最高支付限额，政策范围内支付比例不低于就医医疗机构普通门诊统筹标准。</span></p><p style="text-align:justify;outline: 0px;letter-spacing: 0.544px;text-indent: 0em;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><br/></p><p style="text-align:justify;outline: 0px;letter-spacing: 0.544px;text-indent: 0em;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="outline: 0px;letter-spacing: 2px;font-size: 16px;font-family: Helvetica, Arial, sans-serif;">要提醒的是，因为门诊特定病种已享受特殊保障，参保人门特就医发生的单独支付药品费用仍执行各地现行政策，不实行单独支付。</span></p><p style="text-align: center;"><br/></p><section data-role="outer" style="margin-bottom: 24px;outline: 0px;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><section style="outline: 0px;"><section style="outline: 0px;"><section data-role="title" data-tools="135编辑器" data-id="117815"><section style="margin: 20px auto;"><section style="display: flex;justify-content: center;"><section style="transform-style: preserve-3d;"><section style="display: flex;justify-content: flex-start;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="width: 15px;height: 15px;background-color: rgb(0, 59, 156);overflow: hidden;"><br/></section></section><section style="padding-right: 2px;padding-left: 2px;margin-top: -13px;margin-bottom: -13px;transform: translateZ(12px);"><section style="padding: 2px;"><section style="background: linear-gradient(to right, rgb(22, 73, 210), rgb(37, 94, 248));font-size: 16px;color: rgb(255, 255, 255);padding: 5px 20px;letter-spacing: 1.5px;"><strong data-brushtype="text">住院单独支付政策</strong></section></section></section><section style="display: flex;justify-content: flex-end;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="width: 15px;height: 15px;background-color: rgb(0, 59, 156);"><br/></section></section></section></section></section></section></section></section></section><p style="text-align:justify;outline: 0px;letter-spacing: 0.544px;text-indent: 0em;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="outline: 0px;letter-spacing: 2px;font-size: 16px;font-family: Helvetica, Arial, sans-serif;">参保人在定点医疗机构住院、急诊留院观察、日间病房（以下统称为住院）等发生的单独支付药品费用，由基本医疗保险统筹基金单独支付，不列入本次住院的医疗总费用核算范围。参保人住院的医保待遇仍执行各地现行政策。</span></p><p style="text-align:center;outline: 0px;letter-spacing: 0.544px;text-indent: 0em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><br/></p><section style="outline: 0px;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><section data-role="title" data-tools="135编辑器" data-id="117815"><section style="margin: 20px auto;"><section style="display: flex;justify-content: center;"><section style="transform-style: preserve-3d;"><section style="display: flex;justify-content: flex-start;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="width: 15px;height: 15px;background-color: rgb(0, 59, 156);overflow: hidden;"><br/></section></section><section style="padding-right: 2px;padding-left: 2px;margin-top: -13px;margin-bottom: -13px;transform: translateZ(12px);"><section style="padding: 2px;"><section style="background: linear-gradient(to right, rgb(22, 73, 210), rgb(37, 94, 248));font-size: 16px;color: rgb(255, 255, 255);padding: 5px 20px;letter-spacing: 1.5px;"><strong data-brushtype="text">单独支付与其他医保政策如何衔接？</strong></section></section></section><section style="display: flex;justify-content: flex-end;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="width: 15px;height: 15px;background-color: rgb(0, 59, 156);overflow: hidden;"><br/></section></section></section></section></section></section><p style="line-height:2em;"><br/></p></section><section style="outline: 0px;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><p style="line-height:2em;"><span style="outline: 0px;text-indent: 0em;letter-spacing: 2px;font-size: 16px;font-family: Helvetica, Arial, sans-serif;">参保人在定点医疗机构发生的单独支付药品费用，经基本医疗保险支付后，按规定纳入大病保险、职工大额医疗费用补助、医疗救助、公务员医疗补助、城市定制型商业健康保险等支付范围。</span></p></section><section style="outline: 0px;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><p style="outline: 0px;text-indent: 0em;letter-spacing: 2px;font-size: 16px;"><br/></p></section><section style="outline: 0px;letter-spacing: 0.544px;text-indent: 0em;background-color: rgb(255, 255, 255);line-height: 1.75em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><p style="line-height:2em;"><span style="outline: 0px;letter-spacing: 2px;font-size: 16px;font-family: Helvetica, Arial, sans-serif;">此外，参保人省内跨市就医的单独支付药品费用执行参保地支付政策，跨省就医的单独支付药品费用执行国家有关规定。</span></p><p style="line-height:2em;"><span style="outline: 0px;letter-spacing: 2px;font-size: 16px;font-family: Helvetica, Arial, sans-serif;"><br/></span></p></section><section style="margin-bottom: 10px; clear: both; min-height: 1em; letter-spacing: 0.578px; word-break: break-all; color: rgb(51, 51, 51); text-align: center; font-family: 微软雅黑, SimHei, 黑体;"><section style="clear: both; min-height: 1em; outline: 0px; color: rgb(0, 0, 0); letter-spacing: 0.544px; text-align: justify; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><section data-role="paragraph" style="letter-spacing: 0.578px;"><section style="caret-color: rgb(0, 0, 0); outline: 0px; letter-spacing: 0.544px; line-height: 1.75em; clear: both; min-height: 1em; font-family: mp-quote, -apple-system-font, Arial, sans-serif;"><p style="text-align: justify; outline: 0px; letter-spacing: 0.544px; line-height: 1.75em;"><span style="outline: 0px; letter-spacing: 0.544px; line-height: 2em; color: rgb(127, 127, 127); font-family: Helvetica, Arial, sans-serif;"><span style="font-size:10px">来源：广东省医疗保障局</span></span></p></section></section></section></section></section><p style="display: none;"><mp-style-type 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