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Circular 33/2014/tt-Byt: Maximum Price Regulations And The Cost Of Service For The Determination Of The Price Of A Unit Of Blood, Blood Products Standard

Original Language Title: Thông tư 33/2014/TT-BYT: Quy định giá tối đa và chi phí phục vụ cho việc xác định giá một đơn vị máu toàn phần, chế phẩm máu đạt tiêu chuẩn

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MINISTRY OF HEALTH
Number: 33 /2014/TT-BYT
THE SOCIALIST REPUBLIC OF VIETNAM.
Independence-Freedom-Happiness
Hanoi, October 27, 2014

IT ' S SMART

Maximum price regulation and service costs for determining price

a full unit of blood, standard blood processing.

____________________

The Code of Pharmacy. 34 /2005/QH11 June 14, 2005;

Base Law Base 11 /2012/QH13 June 20, 2012;

Base of Protocol 63 /2012/NĐ-CP August 31, 2012 of the Government Regulating the functions, duties, powers, and organizational structure of the Ministry of Health. ()

At the suggestion of the Chief of the Financial Planning,

The Minister of Health issued a maximum price and service provision for determining the price of a full unit of blood and standard blood preparations.

What? 1. The tuning range and subject apply

1. The adjustment range:

It provides the maximum price of a number of full blood units and standard blood preparations due to the state budget and the pay and cost health insurance Fund for the valuation of a full unit of blood, the standard blood preparation.

2. Subject applies:

a) The Committee of the Voluntary Donation of the grades; the organs, units, the organization of propaganda, advocacy, voluntary donation organization, and blood donors.

b) The medical facilities have a selective selection of blood donors; blood reception, blood composition; blood screening tests; the preparation of blood preparations; storage, preservation, supply, blood use, and blood preparations under the provisions of the Ministry of Health (later known as the facility). Blood transfusion.

What? 2. The regulation of the blood unit, the blood diet is standard.

1. The blood unit reached standard when prepared to be taken, preserved in the plastic bag is available against the anticoagant and has been filled with mandatory mandatory screening tests at Digital Information. 26 /2013/TT-BYT September 16, 2013 of the Ministry of Health directed the blood transfusion operation (later called Digital Digital). 26 /2013/TT-BYT).

2. The blood product is standard when it is prepared to reach regulatory standards at Digital Notice. 26 /2013/TT-BYT.

What? 3. The maximum price regulation of a number of full blood units and blood preparations.

1. All-blood units:

STT

The blood is all over the volume.

Real volume (ml) ( + 10%)

Maximum price (copper)

1

It's 30 ml of blood.

35

105.000

2

Full 50 ml blood.

55

150.000

3

Full 100 ml blood.

115

275.000

4

Full 150 ml of blood.

170

395.000

5

200 ml of blood.

225

495.000

6

Full blood. 250 mL.

285

603.000

7

Full-350 mL.

395

705.000

8

450 ml of blood.

510

790.000

2. Red-red preparations:

STT

The red blood-based diet.

Real volume (ml) ( + 10%)

Maximum price (copper)

1

Red blood cells from 30 ml of blood.

20

110.000

2

Red blood cells from 50 ml of blood.

30

155.000

3

Red blood cells from 100 ml of blood.

70

265.000

4

The rose from 150 ml of blood.

110

380.000

5

The rose from 200 ml of blood.

145

490.000

6

Red blood cells from 250 ml of blood.

180

600.000

7

Red blood cells from 350 ml of blood.

230

695.000

8

Red blood cells from 450 ml of blood.

280

770.000

3. The plasma products are frozen cold:

STT

The frozen diet is frozen in volume.

Real volume (ml) ( + 10%)

Maximum price (copper)

1

30 ml of frozen plasma.

30

60.000

2

The plasma is 50 ml cold.

50

85.000

3

The plasma is 100 ml cold.

100

140.000

4

The plasma is frozen 150 ml.

150

155.000

5

The plasma is frozen 200 ml.

200

250.000

6

The plasma is frozen 250 milliliters.

250

305.000

4. Cold-winter blood preparations:

STT

The frozen diet is frozen in volume.

Real volume (ml) ( + 10%)

Maximum price (copper)

1

30 milliliters of frozen blood.

30

50.000

2

50 milliliters of frozen blood.

50

70.000

3

The blood is 100 ml cold.

100

105.000

4

The blood is frozen 150 ml.

150

145.000

5

The blood is frozen 200 ml.

200

190.000

6

The blood is frozen 250 ml.

250

225.000

5. Primary blood preparations:

STT

Plato-rich plasma products by volume

Real volume (ml) ( + 10%)

Maximum price (copper)

1

Blood plasma is 100 ml from 250 ml of blood.

100

190.000

2

The blood plasma is 150 ml from 350 ml of blood.

150

200.000

3

The blood plasma is 200 ml from 450 ml of blood.

200

210.000

6. platamus preparations:

STT

The volume of the globe is in volume.

Real volume (ml) ( + 10%)

Maximum price (copper)

1

Subunit 1 unit (from 250 ml of total blood)

40

130.000

2

Platamus 2 units (from 500 ml of total blood)

80

270.000

3

Subunit 3 units (from 750 ml of total blood)

120

415.000

4

Subunit 4 units (from 1,000 ml of total blood)

150

520.000

7. Cold-precipitate preparations:

STT

The Cold War by volume.

Real volume (ml) ( + 10%)

Maximum price (copper)

1

10 ml volume cold (from 250 ml of full blood)

10

75.000

2

50 ml volume cold (from 1,000 ml of full blood)

50

340.000

3

Ice precipitate volume 100 ml (from 2,000 ml of full blood)

100

600.000

8. The white blood cells:

STT

Volume of white blood cells in volume.

Real volume (ml) ( + 10%)

Maximum price (copper)

1

Pool County leukemia (5x10) 9 BC)

125

320.000

2

Pool leukemia (10x10) 9 BC)

250

640.000

9. The preparations for using tools, additional supplies:

STT

Volume by volume

Real volume (ml) ( + 10%)

Maximum price (copper)

1

The 8-unit platypus (from 2,000 ml of total blood) (which has not included pool bag and white blood filter)

250

1.030.000

2

Cold precipitate factor VIII inactivity virus (which has not included kless virus inactivity)

50

675.000

3

The cost of the preparation of the particle leukaemia (not including a separate kit)

250

815.000

4

The cost of the preparation of the triage block (which has not included a separate kit)

250

815.000

5

The cost of the preparation of the triage block (which has not included a separate kit)

120

460.000

10. The maximum price specified at 1, 2, 3, 4, 5, 6, 7, 8 and 9 This does not include the following expenses:

a) The cost of shipping from the facility has a functional supply of blood to the units of use. In the case of blood supply facilities that carry blood transport to the unit, the price per unit of blood and blood processing is added to the maximum transport costs of 17,000 copper/01 units of blood (blood preparations);

b) The cost of making an unusual antibody test according to the specified route at Point 1 and point c 4 Article 14 Digital Information 26 /2013/TT-BYT In cases where the blood transfusion facilities perform an irregular antibody test, the total blood unit price, the red blood cell, can be accumulated from 250 ml or more, and the blood diet consists of the split, the white blood cell block, the platypus, a maximum of 17,000. -One unit.-One unit.

c) The cost of doing the NAT test by the specified route at Point 1 and Point 4 Article 14 Digital metrics 26 /2013/TT-BYT In case of the NAT test facilities, the total blood unit price, the red blood cell volume, can be accumulated from 250 ml or more, and the blood diet consists of a cup platypus, the white blood cell block, the platypus plus a maximum of 210,000. And you

d) The cost of making mandatory tests at points a, b, c Clap 2 and points c, i, k Clap 4 Articles 14 Digital 26 /2013/TT-BYT The blood supply facility only performs the following tests when responding to the existing regulations of blood transfusion activities and the designation of the treatment physician;

The cost of the blood type test, the immune system test, determines and identifies the abnormal antibodies, the blood group in bed, the instruments that transmit the blood, the blood work for the sick.

11. Health facilities when carrying out tests at d points, the Article 10 This Article is allowed to collect the person's disease or payment with the legally approved medical insurance fund under the current regulatory authority.

What? 4. The cost of serving for determining the price of a full blood unit, the blood diet standard.

The valuation of a whole unit of blood, the blood-based standard, is based on the cost of the receiving, blood screening, the blood composition, and the preparation of the blood-based blood preparations and the following levels:

1. Support for units, propaganda facilities, advocacy, organization of volunteer blood donations: The maximum average cost of 50,000 each/the blood donor.

The supporting content, the specific level of support, and the use of this funding are in accordance with the provisions at Clause 2. 182 /2009/TT-BTC The September 14, 2009, of the Ministry of Finance directed the content and the extent to the propaganda work, the voluntary donation of blood donations.

2. The blood-donor diet includes full blood and blood composition (both volunteer donors and professional blood donors): The maximum amount of maximum force is: 35,000 men/blood donations. The blood supply facilities are responsible for the attentive organization, publicly for the donor to be eaten at the front and after the blood donation.

3. Direct fostering for professional blood donors:

a) For the full blood donor:

-A blood unit of 250 ml: 195,000.

-A blood unit of 350 ml: 320,000;

-A blood unit can accumulate 450 ml: 430,000 copper.

b) For the donor separating the blood components:

-A product that can range from 250 to 400 ml: 400,000 copper;

-A prepared product of 400 to 500 ml: 600,000 copper;

-A product with volume ranging from 500 to 650 ml: 700,000

4. Cost to the volunteer blood donor:

a) The gift of an animal to encourage encouragement, to fostering health to the donor of all volunteers:

-A unit of 250 ml volume: 100,000.

-One unit of blood volume of 350 ml: $150,000;

-An estimated 450 ml volume: 180,000.

b) A gift by an animal to encourage, fostering health for the volunteer donor to separate blood components (platypus, grandiaries, peripheral blood stem cells ...):

-A product that can range from 250 to 400 ml: 150,000 copper;

-A product that can range from 400 to 500 ml: 200,000 copper;

-A product that can range from 500 to 650 ml: 250,000 copper;

c) The cost of travel costs for the volunteer blood donor: The maximum amount of maximum force is 45,000 men per person per blood donation.

5. Cost of blood clots, blood bags with plastic, supplies, stationing, electricity, water serving the blood, tests and screening of blood, blood preparations.

6. Cost of renting a car, buy gasoline, oil when it comes to get blood at the blood-based flow points, the actual contract.

7. Clinical examination costs, cost of purchasing supplies, chemicals, experimental products to make mandatory tests in the United States, Canada. 26 /2013/TT-BYT.

8. Cost to maintain regular maintenance of the property, the equipment serves to receive reception, screening, and blood storage, blood preparations.

9. The blood unit cancellation costs are not standard.

10. Organizational Support for the volunteer donor counseling at public health facilities is tasked with receiving, blood screening.

11. Other reasonable and legal expenses cater to the reception, screening, production, storage and distribution of blood, blood preparations.

What? 5. The Organization

1. The head of the base unit on the regulation at this Notice and the actual situation of the unit to build, enact specific price levels of each of the full blood units and standard blood preparations, the cost of transporting blood from the unit supplying the blood to the unit using it. and the tests stipulate at points b, c Article 10 Article 3 This message in principle:

a) Not exceeding the maximum price stipulated at Article 3 This is for the case of payment from the state budget source, the source of the disease service, the treatment under the regulation of the health facilities of the State, the source of the Health Insurance Fund.

b) Make sure to offset the costs of reasonable reality, which is accrued and consistent with the market situation for the payment case from the non-regulation sources at this point a paragraph.

2. Cases of blood transfusion facilities that carry blood transport from the unit of blood supply to the unit of blood use and regulatory tests at b points, c. 10 Article 3 This information is given the amount of blood transport and the price of testing at the price of each unit. blood and blood preparations to pay with the health insurance agency or the patient ' s income by regulation but still have to secure the rule of regulation at this 1 Article.

3. Medical facilities have to open up on the receiving of the situation, use the funding to receive, refine, regulate, store, transport, and use blood, blood preparations, and perform price statements, listing the price as prescribed by the law.

4. Public planning, accounting and cost accounting practices according to the current regulation of the State Budget Law, Accounting Law, and current manual text.

What? 6. Terms of execution

1. This message is effective from 1 January 2015.

2. Digital News 21 /2009/TT-BYT November 20, 2009 of the Ministry of Health Guide Content, the extent to the reception, the full blood screening and the blood preparations that reach the standard and the number decision. 4578 /2009/QĐ-BYT November 20, 2009, the Ministry of Health regulates the maximum price of a full volume of blood and the standard of blood to be fully effective since this date is effective.

In the course of execution if there is a timely reflection on the Ministry of Health to modify and complement the appropriate ./.

KT. MINISTER.
Chief.

(signed)

Nguyen Thi