YOGYAKARTA The Health Insurance Administration Agency (BPJS) is a state institution that functions to organize a health insurance program. In addition to covering maintenance and inspection costs, BPJS also bears all medicines that are included in financing all participants of the National Health Insurance (JKN). So, how to check drugs borne by BPJS Kesehatan? Let's look at the full information below.
How to check drugs borne by BPJS Kesehatan can be done through the E-Fornas page. Fornas itself is an acronym of the National Formulaium, which is a list of selected drugs needed and used as a reference for writing recipes on the implementation of health services in the implementation of health insurance programs.
Fornas can be used as a reference for drug services for health insurance participants in health care facilities.
On the e-Fornas page, there is a list of national essential drugs which are a list of selected essential drugs that are most needed and must be available in the First Level Health Service Facility (FPKTP) and Advanced Health Facilities (FPKTL) in accordance with health care needs.
The national essential list must be applied consistently and continuously in providing health services in health facilities.
Well, to find out the list of drugs borne by BPJS Kesehatan, JKN participants can follow the following guidelines:
In addition, JKN participants can also download the drug list file borne by BPJS Kesehatan in the 'Download Excell' section located at the top left.
If the drugs needed are not available in related health facilities, health care facilities have two options.
The first option is to procure drugs. Second, carry out reimbursement (JKN participants buy drugs at outside pharmacies and costs will be reimbursed by the hospital).
The criteria for drugs borne by BPJS Kesehatan are drugs that are included in the Fornas list. To be included in the list, drugs must meet the following criteria:
Several examples of drugs covered by BPJS Kesehatan are medicines for general diseases, infectious diseases, and chronic diseases.
For more information, the preparation of the National Forum was first carried out in 2013. To date, the National Forum has undergone 5 revisions and 7 changes (addendums).
SEE ALSO:
In 2023 (the 5th revision) KMK has been determined No.HK.01.07/MENKES/2197/2023 concerning National Formularium which is valid as of March 1, 2024, with the number of drug items in the National Fornas totaling 672 items of irradiate dlaam 1,132 preparations/forces divided into 33 therapeutic classes.
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