The weighted average price may vary when charging Xarelto

The HIRA, when calculating the treatments from August to October, checks the purchase details from April to June

When pharmacies claim Bayer Korea's Xarelto, they need to reconfirm the purchase price.

 

This is because the weighted average price may change due to changes in drug prices due to lawsuits such as suspension of the execution of notification on drug price cuts.

 

In particular, if a pharmacy claims a drug price change without checking it, it needs to be careful because it can be disposed of as a claim mismatch through "regular confirmation of the purchase price" in the future.

 

The HIRA conducted a "Guidance on Xarelto's Suspension Claims" on Sunday.

 

Following the Seoul High Court's decision to suspend the execution of the revised Xarelto (2.5/10/15/20 mg), the MOHW suspended the notice as of July 2.

 

The existing upper limit price was reduced by 30% from June 8 to July 1, but returned on July 2, causing a change in the price of medicine.

 

Since it is a period that is reflected in the calculation of the purchase price of medical treatment in August and October of this year, the medical institutions should check once more when they claim it.

 

The purchase price will be calculated based on the "quarterly weighted average price" divided by the total purchase amount of the drug purchased quarterly.

 

It will be the purchase price for the treatment that lasted from the beginning of the second month of next quarter to the third month.

 

If Xarelto is charged from August 1 to October 31, the weighted average price will be the average of the purchase price in the second quarter of this year.

 

It is accurate if checking the medical expenses claim → medication management → pre-weighted average price → weighted average price by medication on the website of the medical institution's task portal.

 

The history of the purchase can be managed by registering the purchase details of the drug in → claim for medical treatment → medication management → purchase medicine calculation management in the pharmacy's task portal screen.