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National Drug Price Standard: Who Qualifies and What You Get

Learn how the national pricing system works for pharmacies and medical institutions in Japan and what the regular price revisions mean for you.

The National Drug Price Standard serves as the official pricing list for all medications that are eligible for reimbursement under the national health insurance system. This system ensures that there is a standardized cost for every reimbursable medicine used across the country.

Who it's for

This scheme is mandatory for all pharmacies and medical institutions operating within the country. It is designed to create a uniform pricing environment for any healthcare provider that participates in the national health insurance system.

What you get

By following this standard, healthcare providers receive an official and regulated list of prices for all reimbursable medications. This list provides the specific pricing used for all insurance-covered drugs, ensuring that the cost of medication is consistent and predictable for both the provider and the patient.

What it costs you

There is no direct fee to access these price lists, but there is a significant operational requirement. Because the government periodically updates the pricing, pharmacies and medical institutions must update their pharmacy software every time a price revision occurs. These revisions typically happen on a biennial basis, meaning providers must prepare for these software updates roughly every two years to ensure billing remains accurate.

The catch to know

The most important thing to understand about this system is the direction of the price changes. To help manage and control national healthcare costs, the government frequently revises the prices downward. This means that the value of certain medications in your inventory may decrease over time as the official standard is updated.

How to apply

  1. Maintain an active status as a licensed pharmacy or medical institution.
  2. Ensure your pharmacy billing software is capable of accepting regular price updates.
  3. Monitor the announcements from the Ministry of Health, Labour and Welfare regarding the latest pricing lists.
  4. Update your internal pharmacy software immediately whenever a new biennial revision is released to maintain correct billing.