The following drugs do not belong to the basic medical insurance reimbursement scope:
1, which is mainly a tonic drug;
2. Some animals and animal organs and dried fruits that can be used as medicine;
3. Various wine preparations brewed with Chinese herbal medicines and Chinese herbal pieces;
4. Fruity preparations and oral effervescent agents in various drugs;
5, blood products, protein products, special indications and first aid, rescue except;
6, the provisions of the administrative department of social insurance basic medical insurance fund does not pay for other drugs.
The basic medical insurance treatment project shall meet the following conditions:
1, clinical diagnosis and treatment must be safe and effective, and the cost is appropriate;
2. The charging standard shall be formulated by the price department;
3, by the designated medical institutions to provide medical services within the designated scope for the insured.
Legal basis: Article 28 of the Social Insurance Law of People's Republic of China (PRC).
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
Article 30
The following medical expenses are not included in the payment scope of the basic medical insurance fund:
(a) shall be paid by the industrial injury insurance fund;
(2) It shall be borne by a third party;
(three) shall be borne by public health;
(4) Go abroad for medical treatment.