Joint Circular No. 19/1999/TTLT-BYT-BTC-BVGCP amends and supplements certain points of Joint Circular No. 11/1998/TTLB-BYT-BTC-BVGCP dated August 15, 1998, issued by the Ministry of Health, the Ministry of Finance, and the Government Price Board, guiding the management, distribution, and use of the mechanism for recovering capital from essential medicines under the National Health Support Project and the Population and Family Health Project.

This Circular amends and supplements certain regulations on the management, distribution, and use of essential medicines under the National Health Support Project and the Population and Family Health Project. The main new provisions include expanding the group eligible for free medicine provision and detailing the recovery of medicine costs.

Document No.19/1999/TTLT-BYT-BTC-BVGCP
Document typeJoint Circular
Issuing authorityMinistry of Health
Updated01/07/2026
SectorHealth; Finance
FieldUncategorized
Issued date18/10/1999
Effective date02/11/1999
Expiry date13/08/2014
StatusExpired
✦ Smart summary

This Circular amends and supplements certain regulations on the management, distribution, and use of essential medicines under the National Health Support Project and the Population and Family Health Project. The main new provisions include expanding the group eligible for free medicine provision and detailing the recovery of medicine costs.

Scope of application

Ministry of Health, Ministry of Finance, Government Price Board, Provincial Health Departments, District and County Health Centers, Provincial Pharmaceutical Companies, National Committee for Population and Family Planning, medical examination and treatment facilities, residents in poor communes.

Key points

  • Provincial Health Departments are permitted to reallocate slow-turnover medicines to healthcare facilities and sell them to Provincial Pharmaceutical Companies at prices agreed upon by both parties and approved by the local Department of Finance and Prices.
  • Residents permanently residing in 1,715 poor communes under the Project are provided with certain types of free medicines, including mebendazole 100 mg for children under 15 years old, ferrous sulfate and folic acid for pregnant women, benzyl benzoate emulsion 25% and panthenol for inpatient and outpatient patients.
  • Medical examination and treatment facilities must establish records to monitor and provide mebendazole 100 mg without charge to children under 15 years old.
  • Pregnant women are provided with ferrous sulfate and folic acid free of charge.
  • Inpatient and outpatient patients are treated with benzyl benzoate emulsion 25% and panthenol without charge.

🌐 Social impact of this document

  • Positive impact: Helps impoverished people have more opportunities to access essential medicines free of charge, improving community health.
  • Negative impact: May place financial pressure on healthcare facilities and Provincial Pharmaceutical Companies when selling medicines at low prices.

❓ Frequently asked questions

What types of medicines are provided free of charge to residents in poor communes?

Residents permanently residing in 1,715 poor communes under the Project are provided with mebendazole 100 mg for children under 15 years old, ferrous sulfate and folic acid for pregnant women, benzyl benzoate emulsion 25% and panthenol for inpatient and outpatient patients free of charge.

What can Provincial Health Departments do with slow-turnover medicines?

Provincial Health Departments are permitted to reallocate slow-turnover medicines to healthcare facilities and sell them to Provincial Pharmaceutical Companies at prices agreed upon by both parties and approved by the local Department of Finance and Prices.

What must medical examination and treatment facilities do when providing mebendazole 100 mg to children?

Medical examination and treatment facilities must establish records to monitor and provide mebendazole 100 mg without charge to children under 15 years old.

What type of medicine is provided free of charge to pregnant women?

Pregnant women are provided with ferrous sulfate and folic acid free of charge.

What medicines are used for inpatient and outpatient treatment without charge?

Inpatient and outpatient patients are treated with benzyl benzoate emulsion 25% and panthenol without charge.

Full text

JOINT CIRCULAR

Amending and supplementing certain points of Circular Joint No. 11/1998/TTLB-BYT-BTC-BVGCP dated August 15, 1998

of the Ministry of Health - Ministry of Finance - State Price Council guiding the management, distribution, and use mechanism

for the recovery of capital from essential medicines under the Projects "National Health Support" and "Population - Family Health"

_____________________________________

Implementing the guidance of the Prime Minister in Official Letter No. 785/CP-QHQT dated July 29, 1999 regarding permission to expand the scope of beneficiaries from the source of essential medicines of the Project "National Health Support" (Ministry of Health) and the Project "Population - Family Health" (National Committee on Population and Family Planning).

Based on the proposal of the National Committee on Population and Family Planning and some provinces that have implemented the project.

The Ministry of Health - Ministry of Finance - State Price Council amends and supplements certain provisions of Circular Joint No. 11/1998/TTLT-BYT-BTC-BVGCP dated August 15, 1998 as follows:

1. Amend Point 2.3, Part II "Handling Slowly Circulating Medicines" as follows:

Slowly circulating medicines are those provided by the Central Project, with large quantities remaining at healthcare facilities, and with a short remaining shelf life. To avoid long-term storage of slowly circulating medicines at healthcare facilities, the Department of Health, District Health Centers, and County Health Centers in provinces under the two projects shall collect slowly circulating medicines within their jurisdictions and redistribute them to healthcare facilities within their areas (including facilities outside the project and provincial hospitals). If there is still excess stock after redistribution, the Department of Health may transfer the medicines to the Provincial Pharmaceutical Company for sale. The selling price shall be agreed upon by both parties based on the local wholesale price and approved by the local Department of Finance and Prices. The proceeds from sales shall be directed to replenish the medicine fund for healthcare facilities that have slowly circulating medicines and participate in redistribution and sale.

The Central Management Board of the two projects shall aggregate the quantity of slowly circulating medicines from the implementing provinces, balance the demand for medicines in each province, and develop plans to reasonably allocate medicines among provinces, submit these plans for approval by the competent authority, and direct their implementation. Costs incurred during the allocation process shall be covered by the Central Project from the service logistics fee.

2. Supplement "Recipients of Essential Medicines Without Payment" at Point 3.2, Part II as follows:

2.1. Residents permanently residing in poor communes in the provinces of the two projects among the 1,715 poor communes according to Decision No. 135/1998/QĐ-TTg dated July 31, 1998 of the Prime Minister approving the "Program for Economic and Social Development in Particularly Difficult Communes, Mountainous Areas, and Remote Areas."

2.2. The following types of medicines shall be used as follows:

+ Mebendazole 100 mg (Anthelmintic): Healthcare facilities shall maintain records and provide free of charge to children under 15 years old.

+ Ferrous Sulfate and Folic Acid (Iron Tablets): Provide free of charge to pregnant women.

+ Benzyl Benzoate Emulsion 25% (Scabies Treatment) and Panthenol (Burn Treatment): Treat without payment for both inpatient and outpatient patients.

+ Medicines for gynecological treatment and obstetric care as prescribed by the treating physician.

3. Supplement Point 3.4, Part II "Method of Recovering Money for Essential Medicines" as follows:

For health stations, recording the collection of medicine fees and dispensing medicines to patients in medical records is permitted, and monthly summaries shall be reported to the District Health Center according to the model attached to Circular Joint No. 11/1998/TTLT-BYT-BTC-BVGCP dated June 15, 1998 of the Ministry of Health - Ministry of Finance - State Price Council.

This Circular takes effect fifteen days after its issuance date. Other contents of Circular Joint No. 11/1998/TTLT-BYT-BTC-BVGCP remain valid.

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19/1999/TTLT-BYT-BTC-BVGCP
Joint Circular No. 19/1999/TTLT-BYT-BTC-BVGCP amends and supplements certain points of Joint Circular No. 11/1998/TTLB-BYT-BTC-BVGCP dated August 15, 1998, issued by the Ministry of Health, the Ministry of Finance, and the Government Price Board, guiding the management, distribution, and use of the mechanism for recovering capital from essential medicines under the National Health Support Project and the Population and Family Health Project.
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