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The National Health Insurance Administration shouted: Friends, please stop selling drugs to drug dealers!

author:Linqu County Financial Media Center

In recent years, with the continuous improvement of the level of medical insurance reimbursement, the gradual expansion of the scope of drugs in the medical insurance catalog, especially the steady progress of the reform of employee medical insurance outpatient mutual aid security, it is more convenient for the people to buy drugs and drugs, and hospitals, pharmacies, clinics, and even online can purchase drugs and be reimbursed by medical insurance. However, while the policy of benefiting the people brings benefits and convenience to the whole people, it also makes some criminals think crookedly, and many drug dealers induce the insured to participate in drug trading through "high-price recycling". This kind of disguised recovery of the drugs purchased by the insured after enjoying the reimbursement of medical insurance, and reselling them in a different guise, is the "reflux drug" of medical insurance.

Participate in the trading of "reflux drugs", harm others and yourself, don't be careless!

The National Health Insurance Administration shouted: Friends, please stop selling drugs to drug dealers!

Is it possible to deal with the medicine in your hand in this way?

In some places, the medical insurance policy is good, and the reimbursement ratio for some special diseases is high, and patients can prescribe drugs with a total price of more than 100 yuan at their own expense of 10 yuan, even if they are sold at half price of 50 yuan, there is still money to be made?

Some patients have a mild illness, but describe the serious condition to the doctor, and ask for the medicine to be prescribed according to the upper dosage, eat one and sell three servings, both cure the disease and make money?

Some people are sick and prescribe too many medicines, and it is a waste to be idle, and it is a pity to throw them away, so why not sell them all and make a little money to subsidize the family?

There are also some people whose medicine at home is about to expire, and someone happens to collect it at a high price, so they simply sell it, anyway, they don't lose money?

Friends who hold such thoughts, please read our article patiently, and do not become an accomplice of drug dealers because of greed for small profits, causing irreparable losses to yourself and others.

What are the dangers of "reflux drugs"?

First, "fake drugs" are harmful to people, some drug dealers sell real drugs to small clinics with scattered medicines, and then fill the real medicine box with fake drugs and sell them to pharmacies, so that if the patient accidentally takes it, it will not only affect the treatment effect, but also be more likely to endanger life!

The second is that "expired drugs" are misleading, because the expiration date of the drug is not directly printed on the tablets, and many drug dealers remove the expiring or expired drugs from the original packaging and then put them into new medicine boxes. Patients can only see the new date on the new medicine box, and do not know that they are taking expired medicine.

The third is the "wrong drug" killing, and some drug dealers often cause confusion in the process of dismantling and reassembling "reflux drugs", dosage specifications and drug types. Children who take adult drugs can be life-threatening, patients who need to promote blood circulation can die directly after taking coagulation drugs, and some special drugs for mental anesthesia and analgesia are even resold as drugs to young children who pursue novelty...... Huang from Longyan, Fujian Province, became addicted to drugs but had no income, and embarked on the road of "selling and smoking" in order to take drugs. She repeatedly sold tramadol hydrochloride, federal cough lotion, and Aoting cough drops to school students and young people in society for huge profits by mailing, direct delivery, and direct peddling at her rented residence, and was later arrested by the public security organs. Such interests are sinky and murderous!

Fourth, "cheating insurance" traps people. In 2020, the Medical Insurance Bureau of Jinhua City, Zhejiang Province, through big data analysis, found that the medical insurance data of hemophilia patient Hu Mouliang was abnormal, and after in-depth investigation, it was found that Hu Mouliang held a multi-person medical insurance code, falsely prescribed hemophilia treatment drugs in many hospitals, and then published advertisements for selling drugs in the national hemophilia group, and sold the drugs at prices ranging from 1% to 2% for profit. Hu Mouliang was finally sentenced to 10 years and six months, and his wife knew that he had committed a crime, but still assisted him in prescribing and sending medicine, and could not escape legal punishment. The son is still young, and his parents are two criminals, so defrauding and cheating will eventually harm others and himself!

The existence of "reflux drugs" has made the whole society pay a huge price. Doctors do not dare to prescribe a large number of medicines, the packaging volume of drugs is getting smaller and smaller, the normal market order of purchase and sale is seriously disrupted, and the medical insurance fund that should be used to save lives is constantly eaten by a small number of lawbreakers.

What are the consequences of participating in "reflux drugs"?

According to Article 41 of the "Regulations on the Supervision and Administration of the Use of Medical Security Funds," individuals who, for the purpose of defrauding the medical security fund, take advantage of the opportunity to enjoy medical security benefits to resell drugs, accept the return of cash, in-kind or obtain other illegal benefits, and cause losses to the medical insurance fund, shall suspend the online settlement of their medical expenses for 3 to 12 months, and impose a fine of not less than 2 times but not more than 5 times the amount obtained by fraud. If the amount involved is large and the circumstances are serious, it will also constitute the crime of fraud and be imprisoned!

Against "drug dealers", the state ministries and commissions have also struck hard. In February 2024, the Supreme People's Court, the Supreme People's Procuratorate, and the Ministry of Public Security jointly issued the Guiding Opinions on Several Issues Concerning the Handling of Criminal Cases of Medical Insurance Fraud, which clearly states that "those who illegally purchase or sell drugs that they know are purchased through medical insurance fraud shall be convicted and punished for the crime of covering up or concealing criminal proceeds in accordance with the provisions of Article 312 of the Criminal Law and relevant judicial interpretations; Sales, in accordance with the provisions of Criminal Law article 266, are to be convicted and punished as the crime of fraud. At the recent press conference jointly held by the "two supreme courts and one department", a typical case of cracking down on the crime of "reflux drugs" insurance fraud was exposed. In this case, Ma Mouyu, a drug dealer, repeatedly used the medical insurance certificates of 11 people, including Zhao Moumou, to falsely seek medical treatment and purchase drugs in a number of hospitals in Beijing, and sold some of the drugs for profit, and was finally sentenced to eight years and three months in prison.

In April 2024, six departments, including the National Health Insurance Administration, the Supreme People's Court, the Supreme People's Procuratorate, the Ministry of Public Security, the Ministry of Finance, and the National Health Commission, jointly deployed the special rectification work on violations of laws and regulations in the medical insurance fund.

Through the intelligent monitoring of medical insurance big data, the medical insurance department will strengthen the screening and analysis of relevant suspicious issues, lock the clues of the problem in a timely manner, and achieve precise strikes. Moreover, the drugs prescribed by hospitals and medical insurance designated pharmacies have a code scanning record, and sooner or later, every box of drugs that is sold will become the most direct evidence of illegal crimes!

So friends, medicine is not an ordinary commodity, it carries the weight of life and the hope of health, do not violate the bottom line of morality and the red line of the law because of greed. The moment you sell your drugs to drug dealers, you lose your conscience, your health, and the future of your family and your family!

Cutting off the "reflux drug" is everyone's responsibility!

Each of us has the right to protect our own health, and we have the responsibility to maintain social fairness and justice. The existence of "drug dealers" is a serious provocation to law and morality. Therefore, friends, stop selling medicines to drug dealers! Please be vigilant, do not buy medicines from unknown sources and with damaged packaging, and still less turn the "life-saving medicines" in your hands into "cash cows" for drug dealers. If you find similar fraud and insurance fraud, please call the national bureau to combat fraud and insurance fraud at 010-89061396 or 010-89061397, or report to the local medical insurance department in time. The medical insurance department will give a reward of up to 200,000 yuan depending on the report.

Let each of us take action to cut off the illegal interest chain of "reflux drugs" and jointly maintain a safe, healthy and harmonious social environment!

Source: WeChat official account of the National Health Insurance Administration

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