Medical net May 31, only 5 provinces failed to issue "two-ticket" implementation document! 

According to the latest statistics, there are four provincial "two-ticket" documents that have been officially announced and in the industry's industry. The following are the details: 

▍ official post 

Guangxi: the general agent in and abroad is defined as a production enterprise 

On May 24, the state administration of drug administration announced the implementation of the "two-ticket system" in guangxi. 

According to the document, liuzhou, yulin, guilin, color and five pilot cities in the city of Hong Kong and Hong Kong have been the first to implement the two-ticket system starting from September 1, and the transition period is September 1. The other areas will be fully implemented from January 1, 2018 and will not be in a transitional period. 

It is worth noting that guangxi is defined as a manufacturing enterprise. 

Heilongjiang: day to day, August 31 is the transition period 

On May 17, the heilongjiang provincial health and family planning commission issued a "two-ticket" scheme for drug purchases by the state medical establishment in heilongjiang province. Starting from the date of the issuance of the plan, the two bills shall be implemented. The transition period is August 31, 2017. On September 1, 2017, the two bills will be fully implemented. 

The province all public medical institutions (including grass-roots medical institutions, village clinic drug bought by towns and townships) drug purchase full implementation of the "two votes" special remote and inaccessible villages and towns and the following basic medical and health institutions can increase a ticket, need to be submitted to the provincial health and family planning commission for the record. 

Jiangsu: all levels of public medical institutions in the province are implemented 

On May 24, jiangsu health development planning commission issued: about open for the public medical institutions in jiangsu province pharmaceuticals procurement to implement the "two votes" implementation plan (draft) "opinions of notice. 

The second batch of bidding purchase, negotiation purchase, and the purchase of the limit of the purchase of the purchase of the limited price shall be carried out in parallel with the "two-ticket system" on the date of execution of the purchase. The first batch of medicine that has been purchased online, such as rescue, women's and non-patents, must be fully implemented "two-ticket" by December 31, 2017. 

Public health institutions at all levels in the whole province (including community-level medical and health institutions and village clinics) carry out the "two-ticket system". 

Liaoning: from June 1, 2017, it will be implemented in stages 

On April 13, 2017, liaoning issued the notice of "implementing detailed rules for the implementation of the" two-ticket system "in the pharmaceutical purchase of the public medical institution of liaoning province. On June 1, 2017, public health institutions at all levels of the province will launch the "two-ticket system". Medical institutions in the production of enterprises before new distribution relationship has not yet been determined, can temporarily purchase by the original channel, after August 1st should be based on use of drug purchase, timely adjusting and optimizing distribution channels. On September 1, 2017, all levels of public medical institutions in the province comprehensively implement the "two-ticket system". 

Hunan: April 11, 2017, five months 'transition 

On April 11, 2017, hunan province released the notice of "the implementation plan for the implementation of the" two-ticket "plan for pharmaceutical purchase in hunan province public medical institution. The "two-ticket system" has been implemented since the date of the Posting, and the transition period is September 30, 2017. On October 1, 2017, the provincial public medical institutions will be fully implemented. 

Shanxi: from August 1, 2017, it will be fully implemented 

On April 28, 2017, Shanxi Province issued a plan for the implementation of a "two-ticket" scheme for pharmaceutical procurement of public medical institutions in Shanxi Province. The "two-ticket system" will be implemented on May 1, 2017. The transition period is July 31, 2017. From August 1, 2017, the provincial public health authorities will carry out a "two-ticket" system for purchasing medicines. 

Drug companies, shall not entrust technology companies, consulting companies, such as the pharmaceutical trading enterprises in our province to promote sales of drugs, companies such as can not to pay the fees in disguised forms "money laundering" and increase the drug sales link. 

Shaanxi: it will be implemented on January 1, 2017 and will be in the semi-annual transition period 

On March 4, 2017, the eight departments of shaanxi province jointly issued the notice of the "two-ticket" system for medicine and medical consumables in public hospitals in the province. From January 1, 2017, the provincial urban public health clinic will implement a "two-ticket" system for pharmaceutical and medical consumables purchases. Medical consumables carry out "two-ticket system" do have difficulty, can carry out in high value medical consumables first. The transition period should not exceed 30 June 2017. 

Gansu: it will be fully implemented on October 1, 2017, and a semi-annual transition period 

On April 26, 2017, eight departments of gansu province jointly issued a "two-ticket" scheme for drug purchases by public medical institutions. The three grade public hospitals in the province must fully implement the "two-ticket system" on October 1, 2017, and the transition period will be four to five months after the release of the plan. The secondary public health care institutions of the whole province must implement the "two-ticket system" in full implementation of the new round of drug centralized procurement and put in place by the end of 2018. 

Beijing: April 8, 2017 

On March 23, 2017, the Beijing municipal government issued a notice on the implementation of the comprehensive reform of medicine. Starting on April 8, we will implement the "two-ticket system" for drug purchase and sale. 

Hebei: starting May 1, 2017, the whole province will be promoted 

On November 3, 2016, hebei food and drug administration issued a proposal for the implementation of a "two-ticket" system for drug purchases by public medical institutions in hebei province. On May 1, 2017, there will be two bills in the pharmaceutical procurement of public medical institutions in the province. Narcotic drugs, the first psychotropic drugs, family planning drugs, planned immune drugs, and Chinese medicine, do not carry out the two-ticket system. 

Zhejiang: it will be implemented on July 1, 2017, and the transition period will be 3 months 

On April 28, 2017, zhejiang health issued "in the public medical institutions and drug procurement in implementation of the implementation of the" two votes "opinion (draft)" of public opinion suggestion. 

The "two-ticket system" of pharmaceutical procurement of public medical institutions in the province will be implemented on July 1, 2017, and the transition period will be three months. Medicine circulation group within the enterprise to a wholly owned subsidiary (holding) or ERP system with province YaoXie purchasing platform of wholly owned subsidiaries (holding) transfers between drug is not seen as a vote, but most allow open an invoice. 

Hainan: on May 1, high-value consuming materials will not be implemented 

On May 3rd, hainan deepening health reform office, the health development planning commission and other 12 provincial departments jointly issued the public medical institutions and drug procurement of hainan province (trial) ", "two votes" detailed rules for the implementation. 

All public medical institutions in hainan province carry out a "two-ticket system". The special remote township and township health clinics shall be submitted to the provincial health and family planning commission for the record by the municipal health and family planning commission (health bureau). 

The implementation rules will be implemented from May 1, 2017, and will be a transitional period by September 30, 2017. From November 1, 2017, all public medical institutions in the province will implement the "two-ticket system". 

Chongqing: as a production enterprise, it is regarded as a production enterprise 

On January 3, 2017, chongqing municipality issued a notice on the implementation of the "two-ticket" scheme for pharmaceutical procurement of the chongqing public medical institution. On December 31, 2016, all the public medical institutions in the city implemented a two-ticket system. The transition period is 31 May 2017; On June 1, 2017, all the public medical institutions in the city formally implement the two-ticket system. 

Domestic agents of domestic and foreign drugs, or agents who import drugs directly from overseas enterprises, may be regarded as production enterprises 

Sichuan: the whole province will be promoted from April 6, 2017 

On April 6, 2017, 10 departments of sichuan province issued a notice of the implementation of a "two-ticket" scheme in the pharmaceutical procurement of public medical institutions in sichuan province. Release from now on, the public medical institutions in addition to national public medical institutions in remote areas poverty and other areas outside the grassroots medical institutions to implement the "two votes". Give five months of transition time. 

Qinghai: from December 15, 2016, partial implementation 

On December 12, 2016, the government of qinghai province issued a "two-ticket" policy on drug purchases by public medical institutions in qinghai province. On December 15, 2016, there will be a "two-ticket" system for drug varieties with direct mining and first-grade agents, and the original distribution enterprises will be unchanged. The two bills will be implemented in 2017. 

Anhui: implementation on November 1, 2016 

On October 8, 2016, the food and drug administration of anhui province issued a "two-ticket" proposal for the implementation of the "two-ticket system" in the pharmaceutical procurement of anhui provincial public medical institutions, which will be implemented on November 1, 2016. 

Guizhou: fully implementing the national version of the document 

On May 3rd, who planning commission of guizhou, guizhou food drug administration and other departments jointly issued 7: eight ministries and commissions such as forward reform of the state council to handle the printing on drug procurement in the public medical institutions in the implementation of the implementation of the "two votes" opinion (trial) notice of the notice. 

That is, the state's two-ticket document, which is completely copied from the state of guizhou, does not make any adjustments, and it does not have time to execute. Proposed that only around in the execution of new situations and new problems, should be timely response, provincial health development planning commission will further improve relevant policies and measures according to actual situation. The time of speculation is the day of execution. 

Fujian: in 2014 

On June 25, 2014, the government of fujian province issued the opinion on the purchasing and implementation of the pharmaceutical collection in 2014. We will cancel the distribution model and implement the unified distribution in the whole province. We will strictly implement the two-ticket policy. 

▍ industry widely, has not yet official mission 

Tianjin: the internal consultation phase is over 

On May 15, the industry circulated the two-ticket implementation plan for tianjin (consultation draft). 

The documents show that the request for comment is dated May 9, and the required feedback date is May 10, and the feedback date is only one day. Perhaps the formal implementation will be issued soon. 

Ningxia: from January 1, 2017, it will be fully implemented 

In November 2016, the implementation of the "two-ticket" system for drug purchases by public medical institutions in ningxia hui autonomous region was released. On January 1, 2017, a "two-ticket" system for the supply of medicines for public medical institutions in the district will be implemented. 

Jilin: the internal and external domestic general agent is regarded as the production enterprise 

On May 18, the two voting papers in jilin province began to circulate in the industry. The documents show that jilin will begin its two-ticket system on June 30. Before August 1, production enterprises and circulation enterprises need to sign the documents and commit to carry out two bills. The system will be fully two-ticket by September 1. 

The bright spot is that the general agent of the domestic and foreign countries can be regarded as a production enterprise. 

Shanghai: April 2017 

Reports suggest that the Shanghai "two-ticket system" will start in April. By July 1, the two commercial leaders of the pharmaceutical industry will begin to implement the two-ticket distribution, with two commercial leaders in the regional market, accounting for nearly 90 percent of the total. 

Guangdong: officially implemented on April 1, 2018 

May 23, a is called the public hospital medical institutions and drug trade in guangdong province "two votes" implementation plan (trial draft) "file in medical circles. 

According to the documentation requirements, in the plan, as of the date of release to March 31, 2018 for the transition period, on April 1, 2018 the entire province all the public medical institutions to full implementation. On April 1, 2018, the new drugs will need to be strictly "two-ticket". 

In addition to shenzhen, allows the GPO sourcing, organize the implementation of the "two votes", its full implementation, 50 mountainou area of the township (town) level (excluding urban area) medical and health institutions, can be an additional tickets. 

Inner Mongolia: July 1, 2017 

On April 28th, Inner Mongolia issued a proposal for the implementation of a two-ticket system for drug purchases by public health institutions (trial draft). Inner Mongolia intends to launch the "two-ticket" system on July 1, 2017. 

Yunnan: from October 1, 2017, the general generation of China is regarded as a manufacturing enterprise 

On May 25, the industry circulated a "two-ticket" implementation plan for the pharmaceutical procurement of yunnan public medical institutions. 

Its core content is: since October 1, 2017, six reform pilot city in yunnan province (kunming, yuxi, honghe, pu 'er city, qujing city, Dali prefecture) tertiary public hospital was the first to introduce two votes, six comprehensive reform pilot city in July 2018, the secondary and the public medical institutions have 9 months transition period, during which allows to open a ticket, in October 2018, the province will be fully implementation of two votes. 

According to the document, yunnan province will make the entire drug generation industry in China. 

Hubei province: in addition to the pilot cities for health reform, other secondary hospitals will be promoted in due course 

On April 18, a hubei pharmaceutical company website to get out the suspected of hubei two votes file - "about medicines in the public medical institutions shall" two votes "notice. 

Documents show that since July 1, 2017, wuhan, ezhou, xiangyang three countries all public medical institution reform pilot city and the province level 2 and above in other parts of the public medical institutions, started in accordance with the requirements of the "two votes" drug purchase. In addition, the medical institutions under the sub-level of the whole province will implement the two-ticket system in due course. 

▍ no plan as a whole 

Jiangxi: encourage the promotion, there is no definite time 

On July 7, 2016, the government office of the jiangxi provincial government issued a notice on the task of deepening the reform of the pharmaceutical and health care system in the province in 2016. We will actively encourage the implementation of the "two-ticket system" in the pilot cities for comprehensive reform of public hospitals. 

Shandong: six cities are promoted and there is no timetable for the whole province 

On October 3, 2016, the shandong provincial health and family planning commission issued a notice on the results of a new round of procurement of new drugs by the shandong provincial health and family planning commission. The city of jinan, Qingdao, dongying, weifang, weihai and binzhou six cities have steadily promoted the "two-ticket system". 

Henan: no timetable was implemented 

Xinjiang: there is no definite timetable 

On March 31, 2017, urumqi evening news reported that the 10 major issues of xinjiang's health care reform in 2017 include: vigorously promoting the purchase and sale of pharmaceutical products. 

Tibet: there is no definite timetable 

On November 4, 2016, the people's government of the Tibet autonomous region issued a circular on the implementation of the implementation plan for the implementation of pharmaceutical centralized procurement (2016) in the public medical and health institutions of Tibet autonomous region. A "two-ticket" system is implemented throughout the district.