Article 63 · (Benefits for Medical Treatment)第六十三条(療養の給付)
- ChangedArticle 63, paragraph (2), item (vi)
treatment that the Minister of Health, Labour and Welfare specifies as treatment, such as treatment using a drug that has particularly high substitutability for a pharmaceutical requiring guidance (meaning a pharmaceutical requiring guidance as 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 as prescribed in item (iv) of that paragraph), for which part of the cost is not covered by insurance benefits in view of the need to provide fair and efficient insurance benefits while ensuring the provision of appropriate medical care (hereinafter referred to as "partially uninsured treatment").要指導医薬品(医薬品、医療機器等の品質、有効性及び安全性の確保等に関する法律(昭和三十五年法律第百四十五号)第四条第
五九項第三号に規定する要指導医薬品をいう。)又は一般用医薬品(同項第四号に規定する一般用医薬品をいう。)との代替性が特に高い薬剤を用いた療養その他の適正な医療の提供を確保しつつ、公平かつ効率的な保険給付を行う必要性に鑑みその要する費用のうち一部を保険給付の対象としないものとする療養として厚生労働大臣が定めるもの(以下「一部保険外療養」という。)