Mr. Cheng Cheng wrote to the health department. Q: I saw in the newspaper that Shanghai started implementing 688 new essential medicines this year. This is really good news for elderly people who are not very good for us. I Want to know what is the basic drug system? A list of 688 essential medicines? Hope to tell. In response to the questions raised by many citizens, the Shanghai Municipal Health Bureau released an online interpretation of the basic drug system policy on the 11th, pointing out that due to the needs of the patients, the patients can also use the prescribed prescriptions purchased by the primary health care institutions.

What is the basic drug system? What are the main contents?

The Municipal Health Bureau told the public that the national essential medicine system is a major national medical and health policy established to protect people’s health and protect the basic rights of the general public. It is the core of the national drug policy and the basis of the drug supply guarantee system. It involves basic drug selection. , production, circulation, use, pricing, reimbursement, monitoring and evaluation and other links.

The basic national drug system was first implemented at the government-sponsored primary health care institutions (community health service centers). The main contents included the selection and adjustment of national essential drug lists, production and supply guarantees, centralized tender procurement and unified distribution, zero margin sales, and all equipment. Usage, Medicare reimbursement, financial compensation, quality and safety supervision and performance evaluation and other related policy measures.

How many kinds of Shanghai Supplementary Drug Lists?

The "National Essential Drug List (part of primary-level medical institution use)" includes 205 kinds of western medicines, 102 kinds of proprietary Chinese medicines and Chinese medicine decoction pieces that enact national standards. The Catalogue of Supplementary Drugs for Shanghai Primary Health Care Institutions includes 381 medicines (of which 236 are western medicines and 145 are proprietary Chinese medicines). It mainly includes anti-microbial drugs, antipyretic analgesics, cardiovascular system drugs, respiratory system drugs, digestive system drugs, hormones and affecting endocrine drugs, vitamin minerals, blood system drugs and other 24 drugs.

Is it possible to dispense medicine after the implementation of the basic drug system?

The Municipal Health Bureau pointed out that after the implementation of the basic drug system, the community health service center in this Municipality will only be allowed to use drugs in the scope of supplementing drugs for the state's essential medicines and the city’s primary medical and health institutions. It is true that because of the condition of the patient, the patient can also use the prescribed prescription purchased by the primary health care institution.

In the first half of this year, the basic drug directory system will be formally launched and implemented. The 688 kinds of drugs entering 232 community health service centers in the city will all be subject to a “zero margin” and all will be subject to public bidding. By then, the public will go to the community health service center for medical treatment. Medical expenses have fallen by at least 15% over the past. This will further reduce the burden of medical expenses on patients in this city, so that the people can truly benefit from the implementation of the basic drug system.