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| The hospital price is really fierce, is lower than the pharmacy! |
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| Author：中国铭铉 企划部 Release Time：2017-9-21 10:53:34 Number Browse：1305 |
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Medical net on September 21, the second negotiation price is more fierce, in addition to the prices of the surrounding provinces, this time to consult the pharmacy price!
On September 20, the official website of the shanxi health and family planning commission published the notice of "the five unified" (hereinafter referred to as "notice") on the integration of medical and health institutions of county and township hospitals.
▍ shanxi bargaining, investigators also want to attend
The notice asked shanxi cities to urge the county to formulate a unified drug purchasing catalogue for the medical group. Preferential purchase of basic medicine, conforming to the two specifications of the three dosage forms. (see annex for details)
Next comes the bargaining.
The notice said that the medical group should not only have the procurement staff, but also the clinical doctors and the unit discipline inspection staff. The move may be set for the "hidden rules" in the bidding process.
▍ bargaining, compared to the retail price of pharmacy
The document, which was run by shanxi medical reform, gave detailed guidance on the price of negotiation.
"Notice" clear: hospital in purchasing medicine, children's generic drugs at a lower price, and a new sales of drugs in hospital, bargaining is not only to the reference price in the history of surrounding provinces, with reference to local market retail price of the pharmacy. While ensuring clinical supply, the purchase price should be reduced to the pharmacy price.
The "dual-track" price of pharmaceutical companies will be blocked in shanxi. Some drug companies use a generic name, two specifications, to develop a strategy for hospitals and retail terminals. The minimum unit of each box of medicine is the benchmark, and the price of the hospital tends to be slightly higher, which can help to boost the retail market and kill two birds with one stone.
Once shanxi collects the price of the drugstore, it loses its meaning by killing two birds with one stone.
▍ after secondary bargaining, drug price sales, subsidies to the pharmacy
In addition, the notice also gave a stimulus to the second price negotiation.
Shanxi health reform office is clear: public hospital procurement, for the provincial-level centralized bidding has already determined the price limit of drugs, take advantage of the belt, carry on the second negotiation price, further reduce the purchase price.
In order to mobilize the enthusiasm of the medical group to negotiate the price, the shanxi medical reform office will allow the negotiation price to be reduced by 50%, directly to the patients; The other 50%, plus price, subsidizes the treatment of pharmacy operators and medical staff.
In the case of shanxi documents, after the elimination of the drug addition, the use of the hospital pharmacy cost, or to make up the idea on the second price. The document shows that the premise of the second price negotiation is the quantity, but it is not clear that the price of the drug will be changed in the actual implementation. The price of the drug is reduced, and the promise of carrying quantity is not realized.
▍ after the second negotiation, there are still three times, four times
On February 9, 2017, issued by the general office of the state council concerning the further reform and improve the use policy for producing and distributing medicines of several opinions mentioned in "allow public hospital in the provincial drug centralized purchasing platform (provincial public resources trading platform) combined with quantity, purchasing budget."
This is seen as a signal to gradually let go of the second price negotiation, and the bidding of the local bids is natural, and the second price is a breeze. Some people in the industry say that there have been three or four bargaining in individual places.
After the drug has been removed, the hospital is willing to cut it out for the sake of operating pressure. However, the results did not always follow the wishes of the people, such as the "second price" of ningbo zhongcheng medicine, which required a further 15 points on the provincial standard, which resulted in less than 20 percent of the winning rate.
The attached:
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