How can targeted drugs be reimbursed by medical insurance?

Legal analysis: Yes. The new drug list includes 36 newly negotiated drugs, of which 15 is a targeted drug for the treatment of malignant tumors. It covers lung cancer, liver cancer, breast cancer, kidney cancer and other malignant tumor diseases. Targeted therapy drugs have good therapeutic effect and high price. There was no reimbursement before. This time, it was included in the medical insurance drug list through national negotiations.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.

Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.