Medical network on September 19 - on September 18, in shandong province development planning commission and other nine departments jointly issued the public medical institutions in shandong province pharmaceuticals procurement to implement the "two votes" implementation plan (try out) "(hereinafter referred to as" the plan "), who in shandong province development planning commission held in the morning news, introduce the plan specific implementation way. It is understood that the plan will take effect in October 13, from November 1, in dongying, weifang, jinan, Qingdao, weihai, binzhou city will lead the "two votes", December 31, the provincial public medical institutions at all levels will start to implement the "two votes" in an all-round way. After the "two-ticket" system, the price of drugs will be reduced in different degrees.

S background

The drug circulation links the price

"Two-ticket" is the drug production enterprise to the circulation enterprise to open an invoice, circulation enterprise to the medical establishment to open an invoice. At present, the majority of drugs from the drug manufacturers to the hospital, the middle needs to go through four or five enterprises to backhand, the layer of backhand has brought the layer of price. And "two votes" is by encouraging medical institution and pharmaceutical producing enterprises direct loans, pharmaceutical production enterprises and circulation enterprises settled distribution costs, to achieve compression drug circulation, reduce the inflated prices, commercial bribery, money laundering, call to crack down on illegal behavior, such as the purpose of purifying the circulation environment.

In December 2016, the reform of the state council office and so on eight ministries jointly issued "on drug procurement in the public medical institutions in the implementation of the implementation of the" two votes "opinion (try out)", after the national health and family planning commission made the implementation plan, requires comprehensive reform pilot provinces (autonomous regions and municipalities) and public hospital reform pilot city take the lead to implement the "two votes", encouraging other areas implement the "two votes", for the 2018 fully implemented throughout the country. In may this year, the provincial health and health conference in shandong province called for the implementation of the "two-ticket system" to encourage the implementation of a "one ticket system". The shandong provincial health and family planning commission, together with the relevant departments, studied and drafted the draft implementation plan, which made the reform measures the most common consensus.

In the second half of this year, the Qingdao municipal commission of health and family planning said it would implement the "two-ticket" drug purchase and sale by the end of this year.

S first

Qingdao and other six cities took the lead

"Scheme" requirement, the implementation of the "two votes" covering the entire province all levels of public medical institutions, including grassroots medical institutions and village clinics, and for other types of medical institutions, "the plan" to encourage these in drug purchase of medical institutions to actively implement the "two votes". At the same time, the level of first-class comprehensive hospital in pilot city, part of the amount is larger, the market supply of simple medicines on a trial basis "votes", encourage conditional area in city and county, take the form of joint procurement, centralized payment, explore the implementation of drug purchase "votes", a "votes" or medical institution and pharmaceutical producing enterprises direct settlement, pharmaceutical production enterprises themselves or entrust loan distribution, pharmaceutical production enterprise to open an invoice of medical institutions. In order to ensure the supply of basic medicines, the rural medical institutions of some remote and inaccessible areas may increase one vote, but strictly control the "third vote".

In shandong province "two votes" implementation "three steps", the first is before October 31, respectively, to determine the "one vote" pilot hospitals and pilot enterprises, and drug list, as well as "the first vote", "the second ticket" enterprise of make out an invoice list and allow "third ticket" list of medical institutions; The second step is to initiate the implementation of the "two-ticket system" in the pilot cities of jinan, Qingdao, dongying, weifang, weifang, weifang, and binzhou, starting from November 1. On December 31, all levels of public medical institutions in the province launched the "two-ticket system". "Solution" for policy within 6 months after implementation of the transitional period, medicine circulation enterprises in transition period, and the public medical institutions should digest does not conform to the stipulations of the "two votes" inventory drugs, adjust and reconstruct pharmaceutical supply chain relationship. This programme is valid until 12 October 2019.

S specification

The refusal to implement the company will cancel the bid

In order to guarantee the implementation of the "two votes", "plan" also made the dynamic inventory management regulation, to not according to the provisions of the "two votes" enterprise, shall be ordered to make rectification within a time limit, will still don't meet the requirements after rectification, withdraw from the list, or to cancel the product won the bid, netting distribution. In the "solution" after a year without carrying out actions in violation of the regulations of "two votes", strictly carry out the policies of the online drug purchase, drugs on time delivery rate of more than 95%, no violation of the provisions of other laws and regulations of circulation enterprises, and pay the loan in time according to the purchasing contract of medical institutions, adopted a policy of "two votes" inspection exemption, exempted from inspection period is one year for the first time.

In addition, for some special cases, the provisions of the "plan" also made a special processing, including internal medicine circulation group enterprises wholly owned subsidiaries (holding) or a wholly owned subsidiary (holding) transfers between drug is not seen as a vote, but most allow open an invoice; In response to the outbreak of natural disasters, major, major events and the patient (rob) save the special circumstances, such as emergency purchasing drugs or the national and provincial medical reserve drugs, as well as the national drugs list released drug, can special treatment; Countries to carry out special control of narcotic drugs, psychotropic drugs, toxic drugs for medical use and radioactive pharmaceuticals, Chinese medicine yinpian, vaccine and other special drugs circulation management, still according to the regulations of the state.

At the news briefing on the morning of the 18th, the head of the shandong provincial health and family planning commission said that after the "two-ticket system", the price of drugs would be reduced to different levels.