Act on Assurance of Medical Care for Elderly People

treatment using a pharmaceutical that is particularly highly substitutable for a pharmaceutical requiring guidance (meaning a pharmaceutical requiring guidance prescribed in Article 4, paragraph (59), item (iii) of the Act on Securing Quality, Efficacy and Safety of Products Including Pharmaceuticals and Medical Devices (Act No. 145 of 1960)) or an over-the-counter pharmaceutical (meaning an over-the-counter pharmaceutical prescribed in item (iv) of that paragraph), and other treatment for which, in view of the necessity of providing fair and efficient old-old medical care benefit while ensuring the provision of appropriate medical care, a part of the expenses required is not to be made subject to old-old medical care benefit, as specified by the Minister of Health, Labour and Welfare (hereinafter referred to as "treatment partially outside insurance coverage");