用药政策是医疗卫生体制改革的重难点问题之一,美军在充分满足军人医疗用药需求的基础上,采取多种有效措施控制药品总费用。本文介绍了美军平时用药政策,包括运用经济学手段拟定军队处方集(uniform for-mulary)、设立个人支付费用标准、提供多种药品供应保障渠道、推行通用名药品优先使用政策等,并对我军合理医疗用药政策可借鉴之处进行了分析与讨论。 Medication policy is one of the most difficult and difficult issues in the medical and health system reform. The U.S. military has taken various effective measures to control the total cost of medicines on the basis of fully meeting the medical needs of military medical personnel. This article describes the US military’s usual medication policy, including the formulation of uniform for-mulary economic instruments, the establishment of individual payment standards, the provision of multiple drug supply assurance channels and the promotion of universal drug preferential use policies. Military rational drug treatment policies can learn from the analysis and discussion.