CONG HOA XA HOI CHi) NGHiA VIET NAM. . .DQc l~p - TV do - H~nh phuc

HaN(Ji, ngayOl thing 1lnam 2019

BOYTE

S6:64t9IBYT-BH

V Iv di~n giai chi tiSt cac phu luc thuocQuyet dinh s6 4905/QD-BYT

Kinh giri:- Sa Y tS cac tinh, thanh ph6 true thuoc Trung irong;- Cac benh vien, vien co giirong benh tnrc thuoc BQ Y ts;- Ban Tlnrc hien chinh sach bao hiem y ts, thuoc Bao hiemxii hQi Vi~t Nam;- Y tS cac BQ, nganh.(Sau day goi chung fa cdc don vi)

Ngay 21110/2019, B<) tnrong B<)Y te da ban hanh Quyet dinh s6 4905/QD­BYT v~ viec S~a d6i, b? sung Phu luc s6 05 (danh muc rna thuoc tan diroc) ban ~a~ Ikern thee Quyet dinh so 7603/QD-BYT ngay 25/12/2018 cua B<)tnrong B<)Y te ve Iban hanh b<)rna danh muc dung chung ap dung trong quan ly kham benh, chua benhva thanh toan bao hiem y te (Sau day goi t~t la Quyet dinh s6 4905/QD-BYT). D~ Ithuan tien cho cac don vi trong vi~c thvc hi~n c~p nh~t, b6 sung danh rnvc thu6c kipthai, chinh xac, B<)Y te cung cftp di~n giai chi tiet cac phvlVc trong file "Cac phv lvcdfnh chfnh, sua d6i" ban hanh kern thee quyet dinh s6 4905/QD-BYT nhu sau:

1. Sheet "T6ng hqp" (Cung cftp danh sach, s6 luqng thu6c, s6 luqng ho~t chfttthu<)ccac danh rnvc trong Quyet dinh s6 7603 va Quyet dinh s6 4905).

2. Sheet "Danh rnvc ho~t chftt d6i rna", v6i t6ng s6 19 ho~t ch§t, bao g6rn cacthong tin:

• Ten ho~t chftt;• Ma ho~t chftt thee Quyet dinh 7603;• Ma ho~t chftt dfnh chfnh thee quyet dinh s6 4905 va,• S6 luqng thu6c tuong ling v6i rn6i ho~t chftt.

3. Sheet "Danh rnvc thu6c d6i rna (Can Clivao ho~t chftt d6i rna)", li~t ke danh sachlchi tiet 328 thu8c cua 19 ho~t ch§t d6i rna. I

4. Sheet "Danh rnvc thu6c b6 sung vao phV lvc 05.1 (duqc co quan BHXH thanhtoan)", li~t ke danh sach 06 rna ho~t chftt v6'i s6luqng thu6c tuong lIng nhu sau:

STT Ma hOl;ltchat So lm;mg thuoc1 40.1019 12 40.14 23 40.482 34 40.553 1205 40.759 16 40.774 1

Tong cQng 128

1

--------------------------------------------------------

5. Sheet "Danh rnuc thuoc loai khoi phu luc 05.1 (khong duoc co quan BHXHthanh toan), li~t ke danh sach 04 rna hoat chit voi s6 hrong thuoc nrong irng nhir sau:

STT Ma hoat ch§t S8 lU'O'n~thu8c ' . Ghi chu1 40.180 182 40.324 13 40.328 24 40.30.303 1 L09.ibo thuoc hoat chat Voriconazole

dirong Tiern do Thong tu 30/2018/TT-BYT chi quy dinh thanh tOM d6i voiduonz U6ng

Ton~ cong 22

6. Sheet "Danh muc thuoc b6 sung van phu luc 05.4 (b6 sung van danh mucthuoc loai)", liet ke danh sach 04 rna hoat chit voi s6 hrong thuoc tuong irng nhu sau:

STT Ma hoat chat SolU'O'n~thuoc Ghi chu1 40.180 182 40.324 13 40.328 24 40.30.303 1 L09.ibo thuoc hoat chat Voriconazole

dirong Tiem, do Thong tu 30/2018/TT-BYT chi quy dinh thanh toan d6i voidironz U6ng

Ton~ con~ 22

7. Sheet "Danh muc thuoc loai khoi phu luc 05.4 (b6 sung tro lai phu luc 05.1,thuoc duoc co quan BHXH thanh toan)" , liet ke danh sach 06 rna hoat chit voi s6hrong thu6c tuang (rng nhu sau:

STT Mil hoat chat SolU'O'n~thuoc1 40.1019 12 40.14 23 40.482 34 40.553 1205 40.759 16 40.774 1

TBn~ con~ 128

8. Sheet "Danh m1,lCho~t chfrt b6 sung ph1,l11,lc05.7 (lo~i ho~t chfrt)", li~t kedanh sach 03 ho~t chit C1,lth~ nhu sau:

STT Mil ho~t chAt Ten ho~t chAt DU'Ong dung Mil dU'Ong dung

1 40.328 Mefloquin U6ng 1.01

2 40.180 Ceftezol Tiem 2.10

3 40.324 Amodiaquin U6ng 1.01

9. Sheet "Danh m1,lCho~t chfrt lo~i kh6i ph1,l11,lc05.7 (b6 sung ho~t chfrt, b6sung thu6c duqc ca quan BHXH thanh toan)", li~t ke danh sach 07 ho~t chit C1,lth~nhu sau:

2

STT Mi'i hoat Ten hoat chit DU'Ong dung Mi'i duongchit dung I

1 40.103 D6ng sulfat U6ng 1.01

2 40.480 Nicorandil Tiem 2.l0

3 40.482 Adenosin triphosphat U6ng 1.01

4 40.553 FenofibratU6ng (vien tic 1.01dung cham)

5 40.874 Nandrolon monosodium Nh6 mit 6.01

6 40.937 Rotundin Tiem 2.l0

7 40.1019 Magnesi aspartat + kali aspartat Tiem 2.10I

10. Sheet "Danh muc hoat chit b6 sung phu luc 05.8 (hoat chit loai dirongdung)", liet ke danh sach 04 hoat chAt cu th~ nhu sau:

Mi'i hoat chit Ten hoat chit DU'Ong dung Mi'i dufmg dung

40.103 D6ng sulfat Uong 1.01

40.480 Nicorandil Tiem 2.10

40.874 Nandrolon Nh6 mit 6.01monosodium

40.937 Rotundin Tiem 2.10

STT

2

3

4

11. Sheet "Danh muc thuoc bo diu sao", liet ke danh sach 18 rna hoat chAt vois6 lUQ11gthuoc nrong irng nhu sau:

STT Mi'i hoat chat SolU'O'ngthuBc1 40.l68 952 40.174 333 40.183 1884 40.192 425 40.197 266 40.205 257 40.218 98 40.228 409 40.229 110 ~ 40.230 411 40.231 812 ., 40.250 213 40.258 4314 40.272 815 40.271 1116 40.399 417 40.171 5918 40.172 146

Tong cong 744

3

12. Sheet "Danh muc thuoc b6 sung d~u sao", li~t ke danh sach 10 rna boatchAt voi s6 hrong thuoc tuong irng nhu sau:

STT Ma hoat chat So lU'ong thu8c1 Acid amin* 112 Doripenem" 53 Ertapenem* 34 Imipenem + cilastatin* 55 Meropenem* 136 Fosfomycin" 157 Linezolid* 58 Teicoplanin* 19 Amphotericin B* 2.10 Voriconazole* 5

Tong cong 65

13. Sheet "Danh muc rna duong dung", li~t ke 65 rna dU'Ong dung thuec, trongdo b6 sung 02 rna dU'O'ngdung moi nhir sau:

STT Ma dU'img dung DU'(yngdun~dangdung1 5.11 Duong nQikhi quan2 9.19 Tai ch6 (ngam vao khoang mang bung)

Cong van nay thay th~ cho Cong van s6 62691BYT-BH ngay 24110/2019 v~viec di~n giai cac Phu luc ban hanh kern thea Quyet dinh s6 490S/QD-BYT ngay21110/2019. B9 Y t~ d~ nghi thu twang cac don vi nghien ciru, chi dao cac don vithuoc quyen quan ly, cac khoa, phong co lien quan trong don vi thuc hien ra soat, di~uchinh lai danh rnuc thuoc dang sir dung tai don vi va anh XC;ldanh muc tren Cong ti~pnhan dtr lieu H~ th6ng Thong tin giarn dinh BHYT cua cO'quan bao hi~rn xa h9i theadung quy dinh tC;liquy~t dinh nay, nh~rn bao dam th\fc hi~n trich chuy~n dfr li~u dung,du, kip thai thea qui dinh.

Trong qua trinh t6 ch(rc th\fc hi~n, n~u c6 kh6 khan, vu6ng rn~c phat sinh d~nghi cac cO'sa KBCB phan anh kip thai v~ B9 Y t~ (Vv Bao hi~rn y t~) ho(lc lien h~tr\fc ti~p: ThS. Nguy~n Qu6c Toan, s6 di~n thoC;li0989320049 d~ duQ'c t6ng hqp xernxet, giai quy~t./.

- Nhu tren;- TT. NguySn TruOng Son (d€ b/c);- V\l tru6ng Vl,l BHYT (d~ b/c);- LUll: VT, BH.

TL. BO TRUONGKT. Vl) TRUONG Vl) BAo HIEM Y TE

PHO Vl) TRUONG~~

Nui nhijn:

4