Dan vi ban hanh.Bo Y t€Chung tim: 89 Y t~Ngay )'y: 21101/2020 14:2) :25H~ thong VOffice 89 Y re

BO Y TE CONG HOA xX HOI CHi) NGHiA VIJ;:TNAMDQc I~p - T ...·do - H~nh phuc

_.._.- _. ,_S~tO-t--4:W20/TT-BYT Ha N(3i,ngaY16 thong OJ ndm 2020~--S"d~Ti.Y·TiHfATB1E]o,j HlJ_!Uf· - '" /' ~! r-<A1"'T(~: Vb hT jrf~C"'lJ J~I 'LV .~ ~. ,,< ¥;l ~~>L..I ,

I so': ~a..J .:': THONG TU'tNga"(22"~~:n,a:d6!~Jung Thong nr sa 30/2018fIT-BYT ngay 30 thang 10 narn 2018

cua BQ trutrng BQ Y t~ ban hanh Danh m...c va ty I~, di~u ki~n thanh roandai voi thudc boa duoc, sinh pham, thudc phong x~ va chfit danh dfiu thufic

pham vi dUQ'Cbuo'ng cila ngll'{ti tham gia bao hi~m y t~

Can cu' Ludt baa hiJm y ti sb 25120081QH12 ngay 14 thang 11 nam 2008cta dU9'Csua d6i, b6 sung mot sb fJiJu thea Ludt sb 46120141QH13 ngay 13thang 6 ndm 2014;

Can cu' Nghi dinh sb 75120171NfJ-CPngay 20 thang 6 nam 2017 cua Chinhphu quy dinh chtrc nang, nhiem v~, quyen han va co'cdu t6 cht'rcclla B(3Y tei;

Thea dJ nght cua V1;ttru6ng V{IBaa hidm y d,B{>tru:6ng B{>Y ti ban hanh Thong tu' slea d6i, b6 sung Thong tu s6

30120181TT-BYT ngay 30 thang 10 nam 2018 cua B{>trU'cmgB(3 Y tei ban hanhDanh m1;tcva ry l?, ai~u ki?n thanh toan dbi val thu6c hoa du'9'c, sinh ph6rn,thu6c phong xt;l va chdt dlmh ddu thu{>cphqm vi dU9'Chuong cua ngu'oi thamgia baa hidm y ti,

Di~u 1. Sll'a d3i, be. sung m{HsB nQi dung IllJ'O'ngdftn ciia Thong tu· s630/2018/TT-BYT ngay 30 thang 10 n3m 2018 clla BQ tnro'ng BQ Y t~ banhanh .Danh ml}c va tY l~, di~u ki~n thanh toan dai voi thuBc hoa dll'Q'c,sinhphfim, thuBc phong x~ va chfit danh dfiu thuQc ph:.;tmvi duQ'c IllJ'o'ng cllanguoi tham gia bao hi~m y t~ (sau day gQi t~t ta Thong ttl' sB 30/2018/TT­BYT) nhu sau:

1. Sua d6i, b6 sung y thu chin di~m d khoan 1 f)i~u 2 nhu sau: "Truonghgp co sa kha111 b¢nh, chua b¢nh th1,l'chi¢n dich V\l ky thu~t oUQ'cc§p c6 th~mguy~n phS duy¢t thi dugc su dl,mg thu6c d~ thvc hi~n dich V\l ky thu~t d6 (baog6m ca nhung thu6c guy dinh t?i h?ng b~nh vi~n cao hon). Co sa kham b~nh,chua b¢nh t6ng hgp, gui danh m\lC thu6c cho co quan bao hiSm xa hQi d~ lamco sa thanh tmin.".

2. Sua d6i, b6 sung diSm c khoan 1 f)i~u 5 nhu sau: "f)~ xuAt va trlnh BQtrU'cmgBQ Y tS ban himh nguyen t~c, tieu chi xay dVng Danh ITI\lC thu6c; c~pnh~t, oi~u chinh Danh mvc thu6e bao dam dap ung v6i nhu c~u c1j~ll tri va phLlhgp v6i kha nang thanh toan ella Quy bilO hi~m y t~.".

Di~u 2. 8ifa dBi, be. sung ten thuBc, dU'o'ng dung, ghi chu cua mQt s6thuBc va mo' rQng b:.;tngb~nh vi~n clla mQt sa thuBc t~i Ph ... l...c 01 Danh*-

muc thu6c hoa dinrc, sinh pharn thuQ pham vi dU'f}'churmg cua nguoi thamgia bao hi~m Y' t~ ban hanh kern theo hong hi s6 30/2018rrT-BYT nhu sau:

1. Sua d6i, b6 sung 05 ten thuoc u sau:

a) Sua d6i ten thu6c s6 thir nr 33 (cot s6 2) nhu sau: "Prothionamid";

b) Sua d6i ten thu6c s6 thir t 425 (cQt s6 2) nhir sau: "Pinene +camphene + cineol + fenchone + borneo + anethol";

? " , Ic) Sua doi ten thuoc so thir nr 449 (cQt so 2) nhu sau: "Etamsylat";

d) Sua dbi ten thuoc s6 thir t 518 (c,Qt 2) nhu sau: "Felodipin +metoprolol tartrat";

e) Sua d6i ten thuoc s6 thir tu 799 (cot s6 2) nhu sau: "Thiamazol".

2. Sua d6i duong dung cua 03 thu c nhu san:

a) Sua d6i duong dung thuoc 1m tinib s6 thir nr 390 (cot s6 3) nhu sau:"uong";

b) Sua d6i dirong dung thuoc Nil tinib s6 thir tir 391 (cQt s6 3) nhu sau:"uong";

c) Sua d6i duong dung thuoc Dun dich 19C mau dung trong than nhan tao(bicarbonat hoac acetat) s6 thir tu 889 (cot s6 3) nhu sau: "dung dich thamphan".

3. Sua d6i, b6 sung nQidung ghi c u cua 16 thu6c nhu sau:

a) Sua d6i nQi dung ghi chu thu6 Irnatinib s6 thu t\]' 390 (cQt s6 8) nhasau: "Quy bao hi~rn y tS thanh tmin diSu ri b~nh b~ch c~u tuy m~n (CML) ho?cu rna d~m d~ day ruQt (GIST); thanh toan 80%.";

b) Sua d6i nQi dung ghi chu thu6c Nilotinib s6 thu t\1'391 (ce)t s6 8) nhusau: "Quy bao hi~m y tS thanh toan khi iSu tr! b~nh b~ch c~u tuy m~n (CML)khong dung n~p ho~c khang l~i vai thu6c Imatinib;! thanh toan 80%.";

c) B6 sung nQi dung ghi chu thu6 Lansoprazol s6 thu tt;r 670 (cQt s6 8)nhu sau: "Quy bao hi~m y tS thanh toa theo chi d~nh trong ta huang d~n sud\lng thu6c kern thea h6 sO'dang ky thu' c eta etugc c~p phep ho~c huang d~nch~n doan va diSu trj cua BQY tS ho~c c i dinh dV phong 10et d~ day ta trimg,xu~t huySt tieu hoa t~i d~ day, ta trang do tress a b~nh nhan h6i suc tfch cvc.";

d) Sua d6i ne)i dung ghi chu th 6c Omeprazol s6 thu t\1' 675, thu6cEsomeprazol s6 thtr t\1'676, Pantoprazol s thu t\1'677, Rabeprazol s6 thu tv 678(ce)t s6 8) nhu sau: "Quy bao hi~m y tS tanh toan thea chi dinh trong ta huangd~n sCI'd\lng thu6~ kem thea h6 sO'dang 'thu6c aa dugc c~p phep ho?c huangd~n ch~n doan va diSu tri clla Be) Y tS ho~c chi dinh d\1'phong 10et d~ day ta trang,xu~t huySt tieu h6a t~i d~ day, ta trang do s ress (}b~nh nhan h6i sue tich cvc.";

d) Sua dbi ne)i dung ghi chu thu ~c Tinh be)t este hoa (hydroxyethylstarch), s6 thu 1\,474 (C9t s&8) nhu sau: 'Quy bao hiem y ttl thanh loan diSu tr~

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giam thS tich tuAn hoan do m~t mau c~p khi sir dung dich truyen dan thuankhong cai thien lam sang; di~u tri di~u tri s6t xu~t huyet Dengue nang theaHuang d~n chan doan va di~u tri s6t xu~t huyet Dengue cua BO Y te.";

e) B6 sung noi dung ghi chu cua 03 thuoc, bao gem Atorvastatin s6 thir ttl566, Fenofibrat s6 thir tv 571, Simvastatin s6 thir tu 577 (cot s6 8) nhtr sau: "D6ivoi tram y tS xa, quy bao hiSm y t@thanh toan thea hirong d~n chin doan va diSutri r6i loan lipid mau cua BQY tS.";

g) Sua d6i nQi dung ghi chu thuoc L-Omithin - L- aspartat s6 thir tu 729(cot s6 8) nhu sau: "Quy bao hiSm y tS thanh toan diSu tri benh nao do gan urgiai doan 2 tro len theo h~ thong phan loai West Haven.";

h) Sua d6i noi dung ghi chu thu6c Liraglutide, s6 thu t~r 787 (cot s6 8)nhu sau:

"Quy bao hiSm y tS thanh toan 30% cho nguai b~nh dai thao ducmg tip 2dap ung d6ng thai cac tieu chi sau:

- Tren 40 tu6i, BMI > 23, m~c dai thao duang tip 2, co b~nh ly tim m~chho?c tang huYStap;

- Khong kiSm soat duang huySt (HbA 1C>9) sau thai gian 3 thang;- Suy th~n n6ng do CrCl <59 ml/phllt.";i) Sua d6i noi dung ghi chu thu6c Immune globulin, s6 thlr t~r803 (cot s6

8) nhu sau: "Quy bilOhiSm y tS thanh toan di@utri xu~t huySt gi3m tiSu c§u tvmiSn khong dap Ung vai corticoid, hOi chung Gui1lain Barre, b~nh Kawasaki;di@utri nhiSm trung n~ng co giam IgG; diSu tri thay thS cho b~nh nh€mthi@uh\1tIgG; di~u tri b~nh tay-chan-mi~ng; di~u tri phoi nhiSm sai, di@utt! sai khi cotlnh tr~ng nhiSm trung n?ng ho?c tinh tr~ng suy ho h~p tiSn triSn nhanh ho?cviem nao theo huang d~n ehcln doan va diSu tri sai CllaBo Y tS.";

k) Sua d6i nQi dung ghi Chll thu6c Ranibizumab s6 thu tv 856 (cot s6 8)nhu sau: "Quy bao hiSm y tS thanh toan di~u tri t~i khoa m~t ella cac b~nh vi~nh~ng d?c bi~t; b~nh vi~n chuyen khoa m~t h~ng I, II; b~nh vi~n Hfru Nghj,Th6ng Nh~t va C Da N~ng d6i vai d6i tuqng thea Huo-ng d~n s6 52-HD/BTCTW ngay 02 thang 12 nam 2005 cua Ban T6 chuc Trung uang dang kykham b~nh, chua b~nh bao hiSm y tS ban d~u t~i b~nh vj~n.";

1) Sua d6i no! dung ghi chu thu6e Galantamin, d~ng tiem, s6 thu tv 938,(cQt s6 8) nhu sau:

"Quy bao hiSm y tS thanh toan di~u trj:- B~nh ly thAnkinh ngo~i vi lien quan dSn r6i lo~n v?n dong trong truang

hgp nguai b~nh nQi tro;- Li~t v~n QQngsau khi m~c b~nh tuy s6ng;- M~t kha nang v?n dong sau dot quy', li~t nao a tre em;- Li~t rUQtva bang quang sau ph~u thu~t;- Giai doc Atropin va ch~t tuang tv Atropin*

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Di~u 3. Hi~u Il!c thi hanh,

Thong tir nay co hieu luc thi ha kS tir ngay 01 thang 3 nam 2020.f) 'A 4 Q d' h h A .j.leu . uy In C uyen tiep

Truong hop nguo: benh co the bao hiSm y t~ vao 119itru sau ngay 31thang 12 nam 2018 nhung tnroc ngay 01 thang 03 nam 2020 va con dang diSutr] tai co so' kharn benh, chua benh thi thirc hien thea quy dinh tai Thong tir s630/20 18/TT-BYT cho d~n khi ngiroi b~ ra vien; bao gom ca vi~c ke dan thu6ccho nguoi benh ngay sau khi kSt thuc v ~c diSu tri n9i tni.

Trong qua trinh thirc hien n~u co ho khan.virong mic dS nghi cac ca quan,t6 chirc, ca nh311phan anh bang van ban SB9 Y tS dSxem xet, giai quy~t./.#I

Noi nhiin:- Uy ban OlC v5n d~ xii hQi ella Quoc hOi (dS gi' m sat);- Van phong Chinh phu (V~LKGVX; C6ng bao; C<1ngthong tin di911tl'r);

- Pho thil tuang ya Duc Dam CdS bao cao);- Cac ThCrtnrcmg;- Cac SQ, CO' quan ngang BQ, CO' quan thuQc CP;- Bao hi~11lxfl hQi Yi9t Nam;- USND cac tlnh, thanh ph6 tn,!'e thllQc TW;- KiSm toan Nhit nll'oe;- SO'Y t6 cae tinh, thanh ph6 tr~c thuQc TW;- Bao hi~m xii hOi BO Qu6c phong;- C\lC KiSm tra van ban QPPL (80 TU'phap);- Cae BY, Vi9n c6 giU'('mg b~nh tr~c thuoc Bo t8;- CI,ICQuan Y- BQP; Cve Y t~- BCA;e\IC Y tS - BQ GT - VT;

- Y tS cae b<),nganh;- Cae Vv, Cve, Te, TTrS, VPB;- C6ng thong tin di9n tl'r BYT;- LlfU: VT, BH (02), PC (02),

Nguy~n Tru'o'ng SO'n