目的: 分析定点零售药店（以下简称定点药店）执行医保政策存在的问题,并提出改进措施,为规范定点药店管理提供参考。方法: 以安徽省铜陵市某区2023—2024年180家次定点药店专项检查情况为资料,归纳分析定点药店管理中存在的问题。结果: 在对180家次定点药店检查过程中,医保行政部门处罚63家次（35.0%）,责任约谈78家次（43.3%）,移交市场监管部门处理29家次（16.1%）。常见违法违规行为：执业药师或药学专业技术人员不在岗销售处方药或未凭医师处方销售处方药（16.1%）、计算机销售系统与医保刷卡系统明细不一致（11.1%）、计算机系统药品进销存数量不一致（8.3%）等;与2023年相比,2024年各类违法违规行为发生率基本相似。结论: 定点药店在执行医保政策中仍存在较多违法违规问题,应严格执法,全面保障医保基金安全;加强宣教,强化企业主体责任意识;协同治理,持续提升监管工作质效。

Objective: The paper analyzes the problems in the implementation of medical security policies in designated retail pharmacies and proposes improvement measures to provide a reference for standardizing the management of designated retail pharmacies. Method: Based on the special inspection results of 180 designated retail pharmacies in a district of Tongling City, Anhui Province from 2023 to 2024, the paper summarizes and analyzes the problems in the management of designated retail pharmacies. Results: Among the 180 designated retail pharmacies, the medical insurance administrative department punished 63 times (35.0%), held 78 regulatory talks (43.3%) and transferred 29 times (16.1%) to the market supervision department. Common illegal and irregular behaviors included licensed pharmacists or pharmaceutical professionals who were not on duty selling prescription drugs or selling prescription drugs without a physician's prescription (16.1%), inconsistent details of the computer sales system and the medical insurance card system (11.1%) and inconsistent inventory quantities of drugs in computer systems (8.3%). Compared with the years of 2023, the incidence of various illegal and irregular behaviors in 2024 was basically similar. Conclusions: There are still many illegal and irregular issues in the implementation of medical insurance policies by designated retail pharmacies. Laws should be enforced strictly to comprehensively ensure the safety of medical insurance funds, education and awareness of corporate responsibility should be strengthened and collaborative governance should be implemented to continuously improve the quality and efficiency of regulatory work.