4 + 7 purchase quantity is over, how many are left and what to do with the rest

Yesterday, the Shaanxi provincial drug centralized procurement platform announced the notice of the office of the leading group for the implementation of the national organization drug centralized procurement and use pilot work in Xi'an on starting the submission work of increasing the procurement volume of selected drugs in Xi'an, because the national agreed procurement volume and the completion of the preparation procurement volume in Xi'an have exceeded expectations After research, it was decided to start the submission of increased purchase volume of selected drugs in Xi'an, requiring four + 7 pilot institutions: 1 Determining the increased purchase volume of selected drugs The increased purchase quantity of selected drugs refers to the increased quantity when public medical institutions in Xi'an continue to purchase and use the corresponding selected drugs after completing the national agreed purchase quantity and Xi'an prepared purchase quantity; as well as the national agreed purchase quantity implemented by public medical institutions and the selected drugs purchase and use varieties and quantity not included in Xi'an prepared purchase quantity The increased purchase volume of selected drugs shall be independently determined by public medical institutions in Xi'an and other relevant medical institutions participating in the 4 + 7 pilot work (hereinafter referred to as "relevant medical institutions") All public medical institutions should consider the clinical needs and the purchase and use of the selected drugs since March 25 as a whole, study and determine the follow-up dosage of 25 selected drugs in this purchase cycle; other relevant medical institutions participating in the 4 + 7 pilot work can determine the selected drugs purchased and used and increase the purchase quantity in combination with the clinical needs and actual use (the specific purchase quantity shall be determined by the organization independently, and the follow-up consumption shall be determined) II Submit relevant provisions on increasing purchase quantity (I) accurately fill in the statistical table All relevant medical institutions must accurately fill in the statistical table of increased purchase volume of selected drugs in Xi'an Medical Institutions (hereinafter referred to as the "statistical table", see Annex 1), so as to make a statistical summary of increased purchase volume of selected drugs in Xi'an （2） Submit the statistical table as required 1 Submit according to the specified path The statistical form filled in by the provincial and provincial public medical institutions in Xi'an shall be submitted to the mailbox designated by the Municipal Medical Security Bureau, and then submitted to the leading group office of Xi'an pilot work after statistical summary; The statistical table filled in by the municipal and municipal public medical institutions in Xi'an and other relevant medical institutions participating in the 4 + 7 pilot work shall be submitted to the Municipal Health Committee, and then to the leading group office of Xi'an pilot work after statistical summary; According to the principle of territorial management, the statistical forms filled in by the district and grass-roots public medical institutions in Xi'an shall be submitted to the health departments of each district and county (Development Zone and Management Committee) respectively, and then submitted to the leading group office of Xi'an pilot work after being summarized by the Municipal Health Committee; 2 Submitted within the specified time limit The submission time for increasing purchase volume of selected drugs is from the date of issuance of the notice to August 14 Please submit the electronic version of statistical table within the specified time (the electronic version submitted includes two forms: PDF format and excel document with official seal) (fixed time, specified place, and submitted to fixed institutions) 3 Relevant requirements 4 + 7 pilot work is a major strategic deployment of the CPC Central Committee and the State Council to reduce the burden of the people's medical expenses, standardize the order of drug circulation, and promote the transformation and upgrading of the pharmaceutical industry It is necessary to ensure that the 4 + 7 pilot work continues to advance smoothly and orderly throughout the procurement cycle The following work should be done well: (1) all relevant medical institutions should attach great importance to, strengthen leadership, implement responsibility, and assign special personnel to take charge In line with the requirements of "objective, accurate, practical, and clinical", truthfully fill in the selected drugs of the unit to increase the purchase volume, so as to ensure that the filling data can meet the clinical drug demand; （2） According to the statistics and summary, all the selected drugs in Xi'an will increase the purchase volume After the special meeting of 4 + 7 pilot work leading group office is determined, it will be submitted to the provincial centralized purchase platform for drugs and equipment, which will be implemented after the relevant medical institutions, production enterprises and distribution enterprises sign the tripartite agreement on the Internet; （3） In the process of increasing the purchase volume of selected drugs, all relevant medical institutions shall continue to abide by the policy and regulations of 4 + 7 pilot work, strictly implement the tripartite agreement on purchase and sale, and ensure timely payment collection; the application for appropriation of advance working capital shall still be in accordance with the notice on issues related to medical insurance payment in the pilot work of centralized purchase and use of drugs organized by the state (smcf [2019] 3) (4) in addition to the public medical institutions, other relevant medical institutions participating in the 4 + 7 pilot work must also strictly follow the purchase price of the selected drugs, without any price increase, and will be disqualified from participating in the 4 + 7 pilot work once found; （5） Please report to the Municipal Medical Security Bureau in time the purchase, distribution, online signing agreement and other problems occurred in the process of increasing the purchase volume of the selected drugs by the relevant medical institutions, so as to coordinate and solve them summary At present, some of the predicted purchase quantity exceeds the expectation For the treatment method of the follow-up consumption, the state health insurance bureau does not only stipulate in the document, to a certain extent, it gives the local government the right to deal with it freely, but it must be known that the basic purpose of the 4 + 7 implementation is to effectively reduce the drug price, promote the enterprises to exchange the quantity for the price, and the reason why they do not provide the target of 100% consumption Quasi, no doubt to give other enterprises a certain opportunity, or as directly emphasized in the implementation plan for follow-up and implementation of centralized drug procurement and use pilot work of national organizations issued by Hebei, "after the completion of the procurement volume, the selected drugs should be given priority"; or for the remaining consumption, continue to re purchase, again promote enterprise competition, auction by stages, maximize profits In addition, as for the problems mentioned in the Xi'an document about the hospital's payment collection, it is required to strictly perform the tripartite agreement on purchase and sale to ensure the timely payment collection The hospital will not exchange the enterprise's grace payment time for the qualification of drug use, which undoubtedly puts the cart before the horse The government can prepay working capital According to the regulations, this article is reprinted by yaozhi.com The copyright belongs to the original author The purpose of reprinting is to transmit more information, which does not represent the view of this platform If the content of the work, copyright and other issues are involved, please contact our website message, we will delete the content in the first time.