{ "article": { "LEGIARTI000045759239": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "1", "TYPE": "ENTIEREMENT_MODIF", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2999-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000045759239", "URL": "article/LEGI/ARTI/00/00/45/75/92/LEGIARTI000045759239.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000045077321", "@num": "Annexe 2 à l'article 41-1", "#text": "Arrêté du 1er juin 2021 - art. (Ab)", "@sens": "source", "@cidtexte": "JORFTEXT000043575801", "@nortexte": "SSAZ2116944A", "@typelien": "ABROGE", "@naturetexte": "ARRETE", "@datesignatexte": "2021-06-01" }, { "@id": "LEGIARTI000045762230", "@num": "Annexe à l'article 41-1", "#text": "Arrêté du 1er juin 2021 - art. (V)", "@sens": "source", "@cidtexte": "JORFTEXT000043575801", "@nortexte": "SSAZ2116944A", "@typelien": "MODIFIE", "@naturetexte": "ARRETE", "@datesignatexte": "2021-06-01" }, { "@id": "LEGIARTI000045762233", "@num": "41-1", "#text": "Arrêté du 1er juin 2021 - art. 41-1 (M)", "@sens": "source", "@cidtexte": "JORFTEXT000043575801", "@nortexte": "SSAZ2116944A", "@typelien": "MODIFIE", "@naturetexte": "ARRETE", "@datesignatexte": "2021-06-01" }, { "@id": "LEGIARTI000039787969", "@num": "L5121-12-1-1", "#text": "Code de la santé publique - art. L5121-12-1-1", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000031670012", "@num": "L160-13", "#text": "Code de la sécurité sociale. - art. L160-13", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740841", "@num": "L162-16-1", "#text": "Code de la sécurité sociale. - art. L162-16-1", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "@cid": "JORFTEXT000045757677", "@nor": "SSAZ2213513A", "@nature": "ARRETE", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Arrêté du 5 mai 2022 modifiant l'arrêté du 1er juin 2021 prescrivant les mesures générales nécessaires à la gestion de la sortie de crise sanitaire", "@debut": "2999-01-01", "@id_txt": "JORFTEXT000045757677", "@c_titre_court": "Arrêté du 5 mai 2022" }, { "@fin": "2999-01-01", "#text": "Arrêté du 5 mai 2022 modifiant l'arrêté du 1er juin 2021 prescrivant les mesures générales nécessaires à la gestion de la sortie de crise sanitaire", "@debut": "2022-05-07", "@id_txt": "LEGITEXT000045759233", "@c_titre_court": "Arrêté du 5 mai 2022" } ], "@ministere": "Ministère des solidarités et de la santé", "@date_publi": "2022-05-06", "@date_signature": "2022-05-05", "@num_parution_jo": "0105" } }, "VERSIONS": { "VERSION": [ { "LIEN_ART": { "@id": "LEGIARTI000045759239", "@fin": "2999-01-01", "@num": "1", "@debut": "2999-01-01", "@origine": "LEGI" } }, { "LIEN_ART": { "@id": "JORFARTI000045757683", "@fin": "2999-01-01", "@num": "1", "@debut": "2999-01-01", "@origine": "JORF" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
\n

A abrogé les dispositions suivantes :

- Arrêté du 1er juin 2021\n
\n Art. null\n
\n

\n
\n

A modifié les dispositions suivantes :

- Arrêté du 1er juin 2021\n
\n Art. 41-1, Art. null\n
\n

\n
\n

" } }, "LEGIARTI000006740841": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L162-16-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "1998-12-27", "DATE_DEBUT": "1996-05-29" } }, "META_COMMUN": { "ID": "LEGIARTI000006740841", "URL": "article/LEGI/ARTI/00/00/06/74/08/LEGIARTI000006740841.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX1X162L16BXXAA" } }, "LIENS": { "LIEN": [ { "@id": "JORFTEXT000000866621", "#text": "Décret 85-1353 1985-12-17", "@sens": "source", "@cidtexte": "JORFTEXT000000866621", "@numtexte": "85-1353", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "1985-12-17" }, { "@id": "LEGIARTI000034405848", "@num": "69", "#text": "Décret n°90-1215 du 20 décembre 1990 - art. 69 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000717193", "@nortexte": "SPSS9001980D", "@numtexte": "90-1215", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1990-12-20" }, { "@id": "LEGIARTI000006697001", "@num": "61", "#text": "Loi n°96-452 du 28 mai 1996 - 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Le prix de vente au public de chacune des spécialités mentionnées à l'article L. 162-17 peut être fixé par convention entre l'entreprise exploitant cette spécialité et le Comité économique du médicament conformément à l'article L. 162-17-4 ou, à défaut, par arrêté des ministres chargés de la santé, de la sécurité sociale et de l'économie.
\n
Un décret en Conseil d'Etat détermine les conditions d'application du présent article, et notamment les procédures et délais de fixation des prix.
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Le prix de vente au public de chacun des médicaments mentionnés au premier alinéa de l'article L. 162-17 est fixé par convention entre l'entreprise exploitant le médicament et le comité économique du médicament conformément à l'article L. 162-17-4 ou, à défaut, par arrêté des ministres chargés de la sécurité sociale, de la santé et de l'économie, après avis du comité. La fixation de ce prix tient compte principalement de l'amélioration du service médical rendu apportée par le médicament, des prix des médicaments à même visée thérapeutique, des volumes de vente prévus ou constatés ainsi que des conditions prévisibles et réelles d'utilisation du médicament.

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Ce prix comprend les marges prévues par l'arrêté interministériel mentionné à l'article L. 162-38 ainsi que les taxes en vigueur.

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Un décret en Conseil d'Etat détermine les conditions d'application du présent article, et notamment les procédures et délais de fixation des prix.

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Sont constatées et poursuivies, dans les conditions fixées par le titre VI de l'ordonnance n° 86-1243 du 1er décembre 1986 relative à la liberté des prix et de la concurrence, les infractions aux conventions et arrêtés mentionnés ci-dessus.

\n
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Les rapports entre les organismes d'assurance maladie et l'ensemble des pharmaciens titulaires d'officine sont définis par une convention nationale conclue pour une durée au plus égale à cinq ans entre une (ou plusieurs) organisation(s) syndicales(s) représentative(s) des pharmaciens titulaires d'officine, d'une part, et la Caisse nationale de l'assurance maladie des travailleurs salariés et au moins une autre caisse nationale d'assurance maladie, d'autre part.
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La convention détermine notamment :
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1° Les obligations respectives des organismes d'assurance maladie et des pharmaciens titulaires d'officine ;
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2° Les mesures tendant à favoriser la qualité de la dispensation pharmaceutique aux assurés sociaux, le bon usage du médicament et les conditions dans lesquelles les pharmaciens peuvent être appelés à participer à la coordination des soins ;
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3° Les thèmes de formation correspondant aux objectifs de l'assurance maladie susceptibles d'être retenus et les modalités de financement ;
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4° Les mesures tendant à favoriser le développement de la dispense d'avance des frais ;
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5° La participation des pharmaciens au développement des médicaments génériques.
\n
Le Conseil national de l'ordre des pharmaciens est, avant l'approbation, consulté sur les dispositions conventionnelles relatives à la déontologie.
\n
La convention et ses avenants, lors leur conclusion ou lors d'une tacite reconduction, n'entrent en vigueur qu'après approbation par arrêté des ministres chargés de la sécurité sociale, de la santé, de l'agriculture, de l'économie et du budget.
\n
L'arrêté peut, lorsque la convention ou un avenant de celle-ci comporte des clauses non conformes aux lois et règlements en vigueur, exclure ces clauses de l'approbation.
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Les rapports entre les organismes d'assurance maladie et l'ensemble des pharmaciens titulaires d'officine sont définis par une convention nationale conclue pour une durée au plus égale à cinq ans entre une (ou plusieurs) organisation(s) syndicales(s) représentative(s) des pharmaciens titulaires d'officine, d'une part, et l'Union nationale des caisses d'assurance maladie, d'autre part.
\n
La convention détermine notamment :
\n
1° Les obligations respectives des organismes d'assurance maladie et des pharmaciens titulaires d'officine ;
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2° Les mesures tendant à favoriser la qualité de la dispensation pharmaceutique aux assurés sociaux, le bon usage du médicament et les conditions dans lesquelles les pharmaciens peuvent être appelés à participer à la coordination des soins ;
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3° Les thèmes de formation correspondant aux objectifs de l'assurance maladie susceptibles d'être retenus et les modalités de financement ;
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4° Les mesures tendant à favoriser le développement de la dispense d'avance des frais ;
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5° La participation des pharmaciens au développement des médicaments génériques.
\n
Le Conseil national de l'ordre des pharmaciens est, avant l'approbation, consulté sur les dispositions conventionnelles relatives à la déontologie.
\n
La convention et ses avenants, lors leur conclusion ou lors d'une tacite reconduction, n'entrent en vigueur qu'après approbation par arrêté des ministres chargés de la sécurité sociale, de la santé, de l'agriculture, de l'économie et du budget.
\n
L'arrêté peut, lorsque la convention ou un avenant de celle-ci comporte des clauses non conformes aux lois et règlements en vigueur, exclure ces clauses de l'approbation.
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Les rapports entre les organismes d'assurance maladie et l'ensemble des pharmaciens titulaires d'officine sont définis par une convention nationale conclue pour une durée au plus égale à cinq ans entre une (ou plusieurs) organisation(s) syndicales(s) représentative(s) des pharmaciens titulaires d'officine, d'une part, et l'Union nationale des caisses d'assurance maladie, d'autre part.
\n
La convention détermine notamment :
\n
1° Les obligations respectives des organismes d'assurance maladie et des pharmaciens titulaires d'officine ;
\n
2° Les mesures tendant à favoriser la qualité de la dispensation pharmaceutique aux assurés sociaux, le bon usage du médicament et les conditions dans lesquelles les pharmaciens peuvent être appelés à participer à la coordination des soins ;
\n
3° Les thèmes de formation correspondant aux objectifs de l'assurance maladie susceptibles d'être retenus et les modalités de financement ;
\n
4° Les mesures tendant à favoriser le développement de la dispense d'avance des frais ;
\n
5° La participation des pharmaciens au développement des médicaments génériques ;
\n
6° Les modes de rémunération par l'assurance maladie de la participation des pharmaciens au dispositif de permanence pharmaceutique en application des dispositions prévues à l'article L. 5125-22 du code de la santé publique.
\n
Le Conseil national de l'ordre des pharmaciens est, avant l'approbation, consulté sur les dispositions conventionnelles relatives à la déontologie.
\n
La convention et ses avenants, lors de leur conclusion ou lors d'une tacite reconduction, n'entrent en vigueur qu'après approbation par arrêté des ministres chargés de la sécurité sociale, de la santé, de l'agriculture, de l'économie et du budget.
\n
L'arrêté peut, lorsque la convention ou un avenant de celle-ci comporte des clauses non conformes aux lois et règlements en vigueur, exclure ces clauses de l'approbation.
" } }, "LEGIARTI000020897495": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L162-16-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2011-08-12", "DATE_DEBUT": "2009-07-23" } }, "META_COMMUN": { "ID": "LEGIARTI000020897495", "URL": "article/LEGI/ARTI/00/00/20/89/74/LEGIARTI000020897495.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

Loi n° 2009-879 du 21 juillet 2009 article 59 XXIV : Le présent article entre en vigueur à la date d'effet de la convention prévue au XXI (Date d'entrée en vigueur indéterminée).

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Les rapports entre les organismes d'assurance maladie et l'ensemble des pharmaciens titulaires d'officine sont définis par une convention nationale conclue pour une durée au plus égale à cinq ans entre une (ou plusieurs) organisation(s) syndicales(s) représentative(s) des pharmaciens titulaires d'officine, d'une part, et l'Union nationale des caisses d'assurance maladie, d'autre part.

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La convention détermine notamment :

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1° Les obligations respectives des organismes d'assurance maladie et des pharmaciens titulaires d'officine ;

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2° Les mesures tendant à favoriser la qualité de la dispensation pharmaceutique aux assurés sociaux, le bon usage du médicament et les conditions dans lesquelles les pharmaciens peuvent être appelés à participer à la coordination des soins ;

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3° Le montant de la contribution annuelle des caisses nationales d'assurance maladie au développement professionnel continu ;

4° Les mesures tendant à favoriser le développement de la dispense d'avance des frais ;

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5° La participation des pharmaciens au développement des médicaments génériques ;

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6° Les modes de rémunération par l'assurance maladie de la participation des pharmaciens au dispositif de permanence pharmaceutique en application des dispositions prévues à l'article L. 5125-22 du code de la santé publique.

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Le Conseil national de l'ordre des pharmaciens est, avant l'approbation, consulté sur les dispositions conventionnelles relatives à la déontologie.

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La convention et ses avenants, lors de leur conclusion ou lors d'une tacite reconduction, n'entrent en vigueur qu'après approbation par arrêté des ministres chargés de la sécurité sociale, de la santé, de l'agriculture, de l'économie et du budget.

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L'arrêté peut, lorsque la convention ou un avenant de celle-ci comporte des clauses non conformes aux lois et règlements en vigueur, exclure ces clauses de l'approbation.

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" } }, "LEGIARTI000024469278": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L162-16-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2011-12-23", "DATE_DEBUT": "2011-08-12" } }, "META_COMMUN": { "ID": "LEGIARTI000024469278", "URL": "article/LEGI/ARTI/00/00/24/46/92/LEGIARTI000024469278.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

Loi n° 2009-879 du 21 juillet 2009 article 59 XXIV : Le présent article entre en vigueur à la date d'effet de la convention prévue au XXI (Date d'entrée en vigueur indéterminée).

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\n

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La convention détermine notamment :

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1° Les obligations respectives des organismes d'assurance maladie et des pharmaciens titulaires d'officine ;

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3° (Abrogé) ;

4° Les mesures tendant à favoriser le développement de la dispense d'avance des frais ;

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5° La participation des pharmaciens au développement des médicaments génériques ;

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Le Conseil national de l'ordre des pharmaciens est, avant l'approbation, consulté sur les dispositions conventionnelles relatives à la déontologie.

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L'arrêté peut, lorsque la convention ou un avenant de celle-ci comporte des clauses non conformes aux lois et règlements en vigueur, exclure ces clauses de l'approbation.

\n
" } }, "LEGIARTI000025014455": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L162-16-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2016-01-28", "DATE_DEBUT": "2011-12-23" } }, "META_COMMUN": { "ID": "LEGIARTI000025014455", "URL": "article/LEGI/ARTI/00/00/25/01/44/LEGIARTI000025014455.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

Loi n° 2009-879 du 21 juillet 2009 article 59 XXIV : Le présent article entre en vigueur à la date d'effet de la convention prévue au XXI (Date d'entrée en vigueur indéterminée).

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La convention détermine notamment :

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1° Les obligations respectives des organismes d'assurance maladie et des pharmaciens titulaires d'officine ;

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3° (Abrogé) ;

4° Les mesures tendant à favoriser le développement de la dispense d'avance des frais ;

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5° La participation des pharmaciens au développement des médicaments génériques ;

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7° La tarification des honoraires de dispensation, autre que les marges prévues à l'article L. 162-38, dus aux pharmaciens par les assurés sociaux ;

8° La rémunération, autre que celle des marges prévues au même article L. 162-38, versée par les régimes obligatoires d'assurance maladie en contrepartie du respect d'engagements individualisés. Ces engagements peuvent porter sur la dispensation, la participation à des actions de dépistage ou de prévention, l'accompagnement de patients atteints de pathologies chroniques, des actions destinées à favoriser la continuité et la coordination des soins, ainsi que sur toute action d'amélioration des pratiques et de l'efficience de la dispensation. La rémunération est fonction de la réalisation des objectifs par le pharmacien ;

9° Des objectifs quantifiés d'évolution du réseau des officines dans le respect des articles L. 5125-3 et L. 5125-4 du code de la santé publique ;

10° Les mesures et procédures applicables aux pharmaciens dont les pratiques sont contraires aux engagements fixés par la convention.

L'Union nationale des caisses d'assurance maladie soumet pour avis à l'Union nationale des organismes d'assurance maladie complémentaire, avant transmission aux ministres chargés de la santé et de la sécurité sociale, toute mesure conventionnelle ayant pour effet une revalorisation des frais de dispensation ou de la rémunération mentionnés aux 7° et 8° du présent article. Cet avis est réputé rendu au terme d'un délai de vingt et un jours à compter de la réception du texte. Il est transmis à l'Union nationale des caisses d'assurance maladie qui en assure la transmission aux ministres chargés de la santé et de la sécurité sociale simultanément à celle de la convention ou de l'avenant comportant la mesure conventionnelle. Le présent alinéa ne s'applique pas lorsque l'Union nationale des organismes d'assurance maladie complémentaire participe aux négociations dans les conditions prévues à l'article L. 162-14-3.
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Le Conseil national de l'ordre des pharmaciens est, avant l'approbation, consulté sur les dispositions conventionnelles relatives à la déontologie.

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L'arrêté peut, lorsque la convention ou un avenant de celle-ci comporte des clauses non conformes aux lois et règlements en vigueur, exclure ces clauses de l'approbation.

Toute mesure conventionnelle ayant pour effet une revalorisation des tarifs des honoraires, rémunérations et frais accessoires mentionnés aux 6° à 8° du présent article entre en vigueur au plus tôt à l'expiration d'un délai de six mois à compter de l'approbation de la convention ou de l'avenant comportant cette mesure.

Lorsque le Comité d'alerte sur l'évolution des dépenses de l'assurance maladie émet un avis considérant qu'il existe un risque sérieux de dépassement de l'objectif national des dépenses d'assurance maladie au sens du cinquième alinéa de l'article L. 114-4-1 et dès lors qu'il apparaît que ce risque de dépassement est en tout ou partie imputable à l'évolution de celui des sous-objectifs mentionnés au 3° du D du I de l'article LO 111-3 comprenant les dépenses de soins de ville, l'entrée en vigueur de toute mesure conventionnelle ayant pour effet une revalorisation au cours de l'année des tarifs des honoraires, rémunérations et frais accessoires mentionnés aux 6° à 8° du présent article est suspendue, après consultation des parties signataires à la convention nationale. A défaut d'un avenant fixant une nouvelle date d'entrée en vigueur des revalorisations compatible avec les mesures de redressement mentionnées à l'article L. 114-4-1, l'entrée en vigueur est reportée au 1er janvier de l'année suivante.

Le II de l'article L. 162-14-1 est applicable aux pharmaciens titulaires d'officine.

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I.-La participation de l'assuré aux tarifs servant de base au calcul des prestations prévues aux 1°, 2° et 3° de l'article L. 160-8 peut être proportionnelle auxdits tarifs ou être fixée à une somme forfaitaire. Elle peut varier selon les catégories de prestations, les conditions dans lesquelles sont dispensés les soins, les conditions d'hébergement, la nature de l'établissement où les soins sont donnés. La participation de l'assuré peut être réduite en fonction de l'âge ou de la situation de famille du bénéficiaire des prestations.

La participation est fixée dans des limites et des conditions fixées par décret en Conseil d'Etat, par décision de l'Union nationale des caisses d'assurance maladie, après avis de l'Union nationale des organismes d'assurance maladie complémentaire. Le ministre chargé de la santé peut s'opposer à cette décision pour des motifs de santé publique. La décision du ministre est motivée. Le décret en Conseil d'Etat précise notamment le délai dont dispose l'Union nationale des caisses d'assurance maladie pour se prononcer et les conditions dans lesquelles le ministre chargé de la sécurité sociale se substitue à l'Union nationale des caisses d'assurance maladie en cas d'absence de décision de celle-ci, une fois ce délai expiré.

L'application aux spécialités pharmaceutiques mentionnées à l'article L. 162-17 des taux de participation mentionnés à l'alinéa précédent est déterminée par décision de l'Union nationale des caisses d'assurance maladie.

II.-L'assuré acquitte une participation forfaitaire pour chaque acte ou pour chaque consultation pris en charge par l'assurance maladie et réalisé par un médecin, en ville, dans un établissement ou un centre de santé, à l'exclusion des actes ou consultations réalisés au cours d'une hospitalisation. L'assuré acquitte également cette participation pour tout acte de biologie médicale. Cette participation se cumule avec celle mentionnée au I. Son montant est fixé, dans des limites et conditions prévues par décret en Conseil d'Etat, par l'Union nationale des caisses d'assurance maladie conformément à la procédure fixée au I.

Un décret fixe le nombre maximum de participations forfaitaires supportées par chaque bénéficiaire au titre d'une année civile.

Lorsque plusieurs actes ou consultations sont effectués par un même professionnel de santé au cours d'une même journée, le nombre de participations forfaitaires supportées par le bénéficiaire ne peut être supérieur à un maximum fixé par décret.

Un décret fixe les conditions dans lesquelles, lorsque l'assuré bénéficie de la dispense d'avance des frais, la participation forfaitaire peut être versée directement par l'assuré à la caisse d'assurance maladie ou être récupérée par elle auprès de l'assuré sur les prestations à venir. Il peut être dérogé aux dispositions de l'article L. 133-3.

III.-En sus de la participation mentionnée au premier alinéa du I, une franchise annuelle est laissée à la charge de l'assuré pour les frais relatifs à chaque prestation et produit de santé suivants, pris en charge par l'assurance maladie : 1° Médicaments mentionnés aux articles L. 5111-2, L. 5121-1 et L. 5126-4 du code de la santé publique, à l'exception de ceux délivrés au cours d'une hospitalisation ;

2° Actes effectués par un auxiliaire médical soit en ville, soit dans un établissement ou un centre de santé, à l'exclusion des actes pratiqués au cours d'une hospitalisation ;

3° Transports mentionnés au 2° de l'article L. 160-8 du présent code effectués en véhicule sanitaire terrestre ou en taxi, à l'exception des transports d'urgence.

Le montant de la franchise est forfaitaire. Il peut être distinct selon les produits ou prestations de santé mentionnés aux 1°, 2° et 3° du présent III. La franchise est due dans la limite globale d'un plafond annuel.

Lorsque plusieurs actes mentionnés au 2° sont effectués au cours d'une même journée sur le même patient, le montant total de la franchise supportée par l'intéressé ne peut être supérieur à un maximum. Il en est de même pour les transports mentionnés au 3°.

Lorsque le bénéficiaire des prestations et produits de santé mentionnés aux 1°, 2° et 3° bénéficie de la dispense d'avance de frais, les sommes dues au titre de la franchise peuvent être versées directement par l'assuré à l'organisme d'assurance maladie dont il relève ou peuvent être récupérées par ce dernier auprès de l'assuré sur les prestations de toute nature à venir. Il peut être dérogé à l'article L. 133-3.

Le Gouvernement présente chaque année au Parlement un rapport précisant les conditions dans lesquelles les montants correspondant à la franchise instituée par le présent III ont été utilisés.

Un décret fixe les modalités de mise en oeuvre du présent III.

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Un décret fixe le nombre maximum de participations forfaitaires supportées par chaque bénéficiaire au titre d'une année civile.

Un décret fixe les conditions dans lesquelles, lorsque l'assuré bénéficie de la dispense d'avance des frais, la participation forfaitaire peut être payée directement par l'assuré à l'organisme d'assurance maladie, prélevée sur le compte bancaire de l'assuré après autorisation de ce dernier ou encore récupérée par l'organisme d'assurance maladie sur les prestations de toute nature à venir. Ce décret fixe également les modalités de recueil de l'autorisation de l'assuré de prélèvement sur son compte bancaire et de renoncement à cette autorisation. Il peut être dérogé aux dispositions de l'article L. 133-3.

1° Médicaments mentionnés aux articles L. 5111-2, L. 5121-1 et L. 5126-4 du code de la santé publique, à l'exception de ceux délivrés au cours d'une hospitalisation ;

2° Actes effectués par un auxiliaire médical soit en ville, soit dans un établissement ou un centre de santé, à l'exclusion des actes pratiqués au cours d'une hospitalisation ;

3° Transports mentionnés au 2° de l'article L. 160-8 du présent code effectués en véhicule sanitaire terrestre ou en taxi, à l'exception des transports d'urgence.

Lorsque le bénéficiaire des prestations et produits de santé mentionnés aux 1°, 2° et 3° bénéficie de la dispense d'avance de frais, les sommes dues au titre de la franchise peuvent être payées, prélevées ou récupérées selon les modalités prévues au dernier alinéa du II. Il peut être dérogé à l'article L. 133-3.

Un décret fixe les modalités de mise en œuvre du présent III.

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La convention détermine notamment :

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1° Les obligations respectives des organismes d'assurance maladie et des pharmaciens titulaires d'officine ;

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2° bis Les orientations pluriannuelles prioritaires en matière de développement professionnel continu, relevant de l'article L. 4021-2 du code de la santé publique ;

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3° (Abrogé) ;

4° Les mesures tendant à favoriser le développement de la dispense d'avance des frais ;

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5° La participation des pharmaciens au développement des médicaments génériques ;

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7° La tarification des honoraires de dispensation, autre que les marges prévues à l'article L. 162-38, dus aux pharmaciens par les assurés sociaux ;

9° Des objectifs quantifiés d'évolution du réseau des officines dans le respect des articles L. 5125-3 et L. 5125-4 du code de la santé publique ;

10° Les mesures et procédures applicables aux pharmaciens dont les pratiques sont contraires aux engagements fixés par la convention.

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Le Conseil national de l'ordre des pharmaciens est, avant l'approbation, consulté sur les dispositions conventionnelles relatives à la déontologie.

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L'arrêté peut, lorsque la convention ou un avenant de celle-ci comporte des clauses non conformes aux lois et règlements en vigueur, exclure ces clauses de l'approbation.

Le II de l'article L. 162-14-1 est applicable aux pharmaciens titulaires d'officine.

\n
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Les rapports entre les organismes d'assurance maladie et l'ensemble des pharmaciens titulaires d'officine sont définis par une convention nationale conclue pour une durée au plus égale à cinq ans entre une (ou plusieurs) organisation (s) syndicales (s) représentative (s) des pharmaciens titulaires d'officine, d'une part, et l'Union nationale des caisses d'assurance maladie, d'autre part.

La convention détermine notamment :

1° Les obligations respectives des organismes d'assurance maladie et des pharmaciens titulaires d'officine ;

2° bis Les orientations pluriannuelles prioritaires en matière de développement professionnel continu, relevant de l'article L. 4021-2 du code de la santé publique ;

3° (Abrogé) ;

4° Les mesures tendant à favoriser le développement de la dispense d'avance des frais ;

5° La participation des pharmaciens au développement des médicaments génériques ;

7° La tarification des honoraires de dispensation, autre que les marges prévues à l'article L. 162-38, dus aux pharmaciens par les assurés sociaux ;

9° Des objectifs quantifiés d'évolution du réseau des officines dans le respect des articles L. 5125-3 et L. 5125-4 du code de la santé publique ;

10° Les mesures et procédures applicables aux pharmaciens dont les pratiques sont contraires aux engagements fixés par la convention.

11° Les modalités de participation des pharmaciens à l'activité de télémédecine définie à l'article L. 6316-1 du code de la santé publique.

Le Conseil national de l'ordre des pharmaciens est, avant l'approbation, consulté sur les dispositions conventionnelles relatives à la déontologie.

L'arrêté peut, lorsque la convention ou un avenant de celle-ci comporte des clauses non conformes aux lois et règlements en vigueur, exclure ces clauses de l'approbation.

Le II de l'article L. 162-14-1 est applicable aux pharmaciens titulaires d'officine.

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(1) un autre 11° a été ajouté par l'article 2 de l'ordonnance n° 2018-3 du 3 janvier 2018.

Conformément à l'article 5 de l'ordonnance n° 2018-3 du 3 janvier 2018 :

I.- les présentes dispositions sont applicables à la date de publication des décrets pris pour leur application, et au plus tard le 31 juillet 2018, sous réserve des dispositions prévues au II.
\nII. - Les demandes d'autorisation de création, transfert ou regroupement d'officines déposées auprès des agences régionales de santé et dont la complétude a été constatée avant l'entrée en vigueur de la présente ordonnance demeurent soumises aux dispositions du code de la santé publique dans leur rédaction antérieure à la date de publication des décrets pris pour l'application de la présente ordonnance.

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Les rapports entre les organismes d'assurance maladie et l'ensemble des pharmaciens titulaires d'officine sont définis par une convention nationale conclue pour une durée au plus égale à cinq ans entre une (ou plusieurs) organisation (s) syndicales (s) représentative (s) des pharmaciens titulaires d'officine, d'une part, et l'Union nationale des caisses d'assurance maladie, d'autre part.

La convention détermine notamment :

1° Les obligations respectives des organismes d'assurance maladie et des pharmaciens titulaires d'officine ;

2° bis Les orientations pluriannuelles prioritaires en matière de développement professionnel continu, relevant de l'article L. 4021-2 du code de la santé publique ;

3° (Abrogé) ;

4° Les mesures tendant à favoriser le développement de la dispense d'avance des frais ;

5° La participation des pharmaciens au développement des médicaments génériques ;

7° La tarification des honoraires de dispensation, autre que les marges prévues à l'article L. 162-38, dus aux pharmaciens par les assurés sociaux ;

9° Des objectifs quantifiés d'évolution du réseau des officines dans le respect des articles L. 5125-3 à L. 5125-5 et L. 5125-18 du code de la santé publique ;

10° Les mesures et procédures applicables aux pharmaciens dont les pratiques sont contraires aux engagements fixés par la convention ;

11° Les modalités de participation des pharmaciens à l'activité de télémédecine définie à l'article L. 6316-1 du code de la santé publique ;

11° Des mesures tendant à favoriser ou maintenir une offre pharmaceutique dans les territoires définis à l'article L. 5125-6 du code de la santé publique. (1)

Le Conseil national de l'ordre des pharmaciens est, avant l'approbation, consulté sur les dispositions conventionnelles relatives à la déontologie.

L'arrêté peut, lorsque la convention ou un avenant de celle-ci comporte des clauses non conformes aux lois et règlements en vigueur, exclure ces clauses de l'approbation.

Le II de l'article L. 162-14-1 est applicable aux pharmaciens titulaires d'officine.

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Conformément à l'article 59 de la loi n° 2018-1203 du 22 décembre 2018, ces dispositions entrent en vigueur le 1er mars 2019. Les expérimentations conduites en application de l’article 66 de la loi no 2016-1827 du 23 décembre 2016 de financement de la sécurité sociale pour 2017 prennent fin à la même date.

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Les rapports entre les organismes d'assurance maladie et l'ensemble des pharmaciens titulaires d'officine sont définis par une convention nationale conclue pour une durée au plus égale à cinq ans entre une (ou plusieurs) organisation (s) syndicales (s) représentative (s) des pharmaciens titulaires d'officine, d'une part, et l'Union nationale des caisses d'assurance maladie, d'autre part.

La convention détermine notamment :

1° Les obligations respectives des organismes d'assurance maladie et des pharmaciens titulaires d'officine ;

2° bis Les orientations pluriannuelles prioritaires en matière de développement professionnel continu, relevant de l'article L. 4021-2 du code de la santé publique ;

3° (Abrogé) ;

4° Les mesures tendant à favoriser le développement de la dispense d'avance des frais ;

5° La participation des pharmaciens au développement des médicaments génériques ;

7° La tarification des honoraires de dispensation, autre que les marges prévues à l'article L. 162-38, dus aux pharmaciens par les assurés sociaux ;

8° La rémunération, autre que celle des marges prévues au même article L. 162-38, versée par les régimes obligatoires d'assurance maladie en contrepartie du respect d'engagements individualisés. Ces engagements peuvent porter sur la dispensation, l'utilisation d'un logiciel d'aide à la dispensation certifié suivant la procédure prévue à l'article L. 161-38, la participation à des actions de dépistage ou de prévention, l'accompagnement de patients atteints de pathologies chroniques, des actions destinées à favoriser la continuité et la coordination des soins, ainsi que sur toute action d'amélioration des pratiques et de l'efficience de la dispensation. La rémunération est fonction de la réalisation des objectifs par le pharmacien ;

9° Des objectifs quantifiés d'évolution du réseau des officines dans le respect des articles L. 5125-3 à L. 5125-5 et L. 5125-18 du code de la santé publique ;

10° Les mesures et procédures applicables aux pharmaciens dont les pratiques sont contraires aux engagements fixés par la convention ;

11° Les modalités de participation des pharmaciens à l'activité de télémédecine définie à l'article L. 6316-1 du code de la santé publique ;

12° Des mesures tendant à favoriser ou maintenir une offre pharmaceutique dans les territoires définis à l'article L. 5125-6 du code de la santé publique.

13° Les conditions de modulation de la rémunération des pharmaciens en fonction de leur participation à un cadre d'exercice coordonné ;

14° La tarification des honoraires dus aux pharmaciens par les assurés sociaux, lorsque le pharmacien effectue, en application du 9° de l'article L. 5125-1-1 A du code de la santé publique, des vaccinations dont la liste et les conditions sont fixées par arrêté des ministres en charge de la santé et de la sécurité sociale.

Le Conseil national de l'ordre des pharmaciens est, avant l'approbation, consulté sur les dispositions conventionnelles relatives à la déontologie.

L'arrêté peut, lorsque la convention ou un avenant de celle-ci comporte des clauses non conformes aux lois et règlements en vigueur, exclure ces clauses de l'approbation.

Toute mesure conventionnelle ayant pour effet une revalorisation des tarifs des honoraires, rémunérations et frais accessoires mentionnés aux 6° à 8° et au 13° du présent article entre en vigueur au plus tôt à l'expiration d'un délai de six mois à compter de l'approbation de la convention ou de l'avenant comportant cette mesure.

Lorsque le Comité d'alerte sur l'évolution des dépenses de l'assurance maladie émet un avis considérant qu'il existe un risque sérieux de dépassement de l'objectif national des dépenses d'assurance maladie au sens du cinquième alinéa de l'article L. 114-4-1 et dès lors qu'il apparaît que ce risque de dépassement est en tout ou partie imputable à l'évolution de celui des sous-objectifs mentionnés au 3° du D du I de l'article LO 111-3 comprenant les dépenses de soins de ville, l'entrée en vigueur de toute mesure conventionnelle ayant pour effet une revalorisation au cours de l'année des tarifs des honoraires, rémunérations et frais accessoires mentionnés aux 6° à 8° et au 13° du présent article est suspendue, après consultation des parties signataires à la convention nationale. A défaut d'un avenant fixant une nouvelle date d'entrée en vigueur des revalorisations compatible avec les mesures de redressement mentionnées à l'article L. 114-4-1, l'entrée en vigueur est reportée au 1er janvier de l'année suivante.

Le II de l'article L. 162-14-1 est applicable aux pharmaciens titulaires d'officine.

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Les rapports entre les organismes d'assurance maladie et l'ensemble des pharmaciens titulaires d'officine sont définis par une convention nationale conclue pour une durée au plus égale à cinq ans entre une (ou plusieurs) organisation (s) syndicales (s) représentative (s) des pharmaciens titulaires d'officine, d'une part, et l'Union nationale des caisses d'assurance maladie, d'autre part.

La convention détermine notamment :

1° Les obligations respectives des organismes d'assurance maladie et des pharmaciens titulaires d'officine ;

2° bis Les orientations pluriannuelles prioritaires en matière de développement professionnel continu, relevant de l'article L. 4021-2 du code de la santé publique ;

3° (Abrogé) ;

4° Les mesures tendant à favoriser le développement de la dispense d'avance des frais ;

5° La participation des pharmaciens au développement des médicaments génériques ;

7° La tarification des honoraires de dispensation, autre que les marges prévues à l'article L. 162-38, dus aux pharmaciens par les assurés sociaux ;

8° La rémunération, autre que celle des marges prévues au même article L. 162-38, versée par les régimes obligatoires d'assurance maladie en contrepartie du respect d'engagements individualisés. Ces engagements peuvent porter sur la dispensation, l'utilisation d'un logiciel d'aide à la dispensation certifié suivant la procédure prévue à l'article L. 161-38, la participation à des actions de dépistage ou de prévention, l'accompagnement de patients atteints de pathologies chroniques, des actions destinées à favoriser la continuité et la coordination des soins, ainsi que sur toute action d'amélioration des pratiques et de l'efficience de la dispensation. La rémunération est fonction de la réalisation des objectifs par le pharmacien ;

9° Des objectifs quantifiés d'évolution du réseau des officines dans le respect des articles L. 5125-3 à L. 5125-5 et L. 5125-18 du code de la santé publique ;

10° Les mesures et procédures applicables aux pharmaciens dont les pratiques sont contraires aux engagements fixés par la convention ;

11° Les modalités de participation des pharmaciens à l'activité de télémédecine définie à l'article L. 6316-1 du code de la santé publique ;

12° Des mesures tendant à favoriser ou maintenir une offre pharmaceutique dans les territoires définis à l'article L. 5125-6 du code de la santé publique ;

13° Les conditions de modulation de la rémunération des pharmaciens en fonction de leur participation à un cadre d'exercice coordonné.

Le Conseil national de l'ordre des pharmaciens est, avant l'approbation, consulté sur les dispositions conventionnelles relatives à la déontologie.

L'arrêté peut, lorsque la convention ou un avenant de celle-ci comporte des clauses non conformes aux lois et règlements en vigueur, exclure ces clauses de l'approbation.

Le II de l'article L. 162-14-1 est applicable aux pharmaciens titulaires d'officine.

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Article 1 ENTIEREMENT_MODIF (Arrêté du 5 mai 2022 modifiant l'arrêté du 1er juin 2021 prescrivant les mesures générales nécessaires à la gestion de la sortie de crise sanitaire)