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How to manage prescriptions for Class A and B drugs under medical insurance and external prescriptions

It can be managed as follows:

First, standardize external prescriptions, that is, external prescriptions must be issued by doctors at designated medical institutions, with the signature of the doctor and the exclusive seal of the designated medical institution.

The second is to prevent the "monopoly" of prescription dispensing by designated medical institutions. It must be clear whether insured persons can maintain prescription dispensing. It is not the designated medical institutions that have the final say, but the insured persons themselves. It was decided that once an insured person expresses his/her willingness to dispense prescriptions, the designated medical institution should immediately issue a stamped certificate.

The third is strict prescription review, that is, designated retail pharmacies must strictly follow prescription review, formula and review procedures for dispensing medicines. No medicines can be dispensed without the signature of the designated retail pharmacy pharmacist, and the dispensed prescriptions must be kept for 2 years. The above is for reference.

The medical insurance prescription management system of the hospital medical insurance department:

1. All drug prescriptions used in medical insurance must be approved by the director in charge of business before they can be distributed.

2. The prescription must be written with a pen, the items must be filled in completely, the handwriting must be clear, and it must be signed by the doctor. If a change is required, the physician must sign the change.

3. Pharmacy personnel have the right to return prescriptions that do not meet regulations or have incompatible prescriptions.

4. Each prescription is limited to three days' supply and cannot exceed five drugs. Chronic diseases can be prescribed for seven days' supply, and prescription limit management is implemented.

5. Prescriptions for poisons, anesthetics, and limited-drama drugs must use special prescriptions, and their dosage must not exceed the prescribed commonly used dosage.

6. The prescription is valid on the same day. If it exceeds the time limit, it must be re-prescribed by a doctor before it can be dispensed.

7. The prescriptions should be bound into a book every day and the number of prescriptions, amount, etc. should be counted and packed and stored on a monthly basis. General prescriptions are kept for one year for future reference, prescriptions for narcotic drugs are kept for three years and prescriptions for toxic and psychotropic drugs are kept for two years for future reference.