Across 3 provinces!

Medical Network News on February 26th.
The Guangdong, Gansu and Henan Province Alliance was established, and intraocular lens consumables were restarted at the price of quantity.
On February 22, the Guangdong Pharmaceutical Trading Center released a new report on the development of the "Intraocular Lens Medical Consumables Alliance Regional Group Belt".
"Volume Purchase Document" (hereinafter referred to as the "Notice")
.
In the "Notice", the Guangdong Provincial Pharmaceutical Trade Center stated that it will cooperate with various medical institutions in the Jiangxi and Henan provinces to carry out the IOL medical consumables alliance with volume procurement
.
The release of the document also means that the three provinces of Guangdong, Jiangxi, and Henan provinces consumables and belt volume procurement alliance formally established, intraocular lens consumables will once again usher in a big bargain
.

There are more than 720,000 consumables, and the
procurement plan requirements are negotiated by classification .
The scope of the procurement of the intraocular lens alliance refers to the replacement of human eye lenses for extracapsular extraction after cataract or phacoemulsification implantation , To correct or correct human vision
.
According to the " Medical Device Classification Catalogue" (Announcement of the General Administration on Issuing a Medical Device Classification Catalogue (2017 No.
104)), intraocular lenses belong to 16 ophthalmic devices 07 ophthalmic implants and auxiliary devices 01 intraocular lenses, and the management category is the third category
.
The details are as follows: If the intraocular lens products purchased this time are not pre-installed, they must also contain intraocular lens implantation equipment
.
According to the "Medical Device Classification Catalogue", intraocular lens implantation devices belong to 16 ophthalmic devices 07 ophthalmic implants and auxiliary devices 15 intraocular lens implantation devices, usually composed of a bolus, chuck, piston and sleeve, generally plastic Made (provided aseptically) or made of stainless steel or titanium alloy materials (provided aseptically)
.
Among them, there are 11 types of intraocular lenses included in the purchase list of the group in the alliance region, and the pre-purchased amount in the three-province alliance amounts to more than 720,000 pieces
.
(See the end of the article for specific category purchases.
)
　
It is worth noting that according to the purchase list with quantity, this purchase with quantity will also be divided into A and B purchase orders
.
The 1-5 categories of products in the purchase list are based on the proportion of the total amount of purchases in each registration certificate alliance area in each category in the next year to the total amount of pre-purchasing in the next year of all registration certificates of the same category filled by medical institutions in the alliance area.
The registration certificates with a cumulative proportion of 90% from high to low are listed in purchase order A; the remaining registration certificates are listed in purchase order B; products of categories 6-11 in the purchase list: all registration certificates of each category are included A Purchase order
.
The selection results of A and B purchase orders are formed by their respective bidding methods
.
The registration certificate qualified for registration in the purchase order A will only participate in the bidding of the purchase order A; in addition to the purchase order A, other registration certificates that meet the registration qualifications will participate in the bidding of the B purchase order
.
The price threshold is set by category, and the “lowest price” of the cascade quotation won the bid.
In addition, it is worth noting that in this volume purchase, the three-province alliance requires products that meet the requirements of the volume purchase to declare prices in the form of cascade quotation
.
The first tier quotation is the tier price corresponding to 70% of the first-year pre-purchasing volume in the alliance area, and the second tier quotation is the tier price corresponding to 70% of the first-year pre-purchasing volume in the alliance area.
Different purchasing volumes correspond to different prices.
If the step quote is higher than or equal to the first step quote, the second step quote is invalid
.
Not only that, this volume purchase also sets corresponding price standards for the 11 types of products in the purchase list, The quotation lower than the specified price can be regarded as the effective declared price, that is, 378 yuan for category 1, 1450 yuan for category 1, 2460 yuan for category 4, 880 yuan for category 5 and 5030 yuan for category 6, 1260 for category 7, 1170 yuan for category /8 Class 1100 yuan / 9 class 3400 yuan / 10 class 10950 yuan / 11 class 23,000 yuan
.


After two rounds of bidding for the products in the A purchase order, the products to be selected in the first round of bidding will receive 70% of the first year's pre-purchased volume in the alliance area; the products in the B purchase order will be directly declared according to the declaration The prices are ranked from lowest to highest, and the top 40% with the lowest declared prices are selected
.
The setting of the effective declaration price standard also means that an entry "threshold" has been established in the quotation link of this volume purchase.
To enter the subsequent bidding link, first of all, full sincerity must be delivered
.

　　After the highest price cut of 85%, the second round of national mining is ready to be released.

According to incomplete statistics, IOL consumables have been purchased 7 times in large-scale purchases at or above the provincial level
.
Among the price-for-volume exchanges that have been carried out, after the Shaanxi Ten-province alliance negotiations, the highest product drop rate reached 85%.
After the Beijing-Tianjin-Hebei "3+6" alliance negotiations, the highest drop rate reached 84.
73%, and the average drop rate reached 54.
21%
.
Anhui’s average decline in negotiations was 20.
5%; Jiangsu’s average decline was about 26.
89%, with the highest decline of 38%; Henan’s average decline was 56.
3%, and the highest decline was 85.
69%
.
In accordance with the previous requirements for the purchase of high-value consumables in the 10-provincial alliance of Shaanxi Province, the declared price of the shortlisted product must be "the lowest provincial-level online price in the country" or "the selected price of the province (union) that has carried out mass procurement".
The low price
.
Compared with the previous declaration prices of high-value consumables related to the Shaanxi 10-provincial alliance, it can be seen that the effective declaration price standard set by the Guangdong-Ganxi-Henan three-provincial alliance is almost all higher than the "lowest price" in the 10-provincial alliance.
Low
.
It can be said that the national "lowest price" of high-value consumables for intraocular lens will be refreshed again after the procurement of the three-province alliance with volume
.
Not only that, as more and more regions continue to advance the lowest price after winning the bid, the result of this negotiation will undoubtedly affect more regions.

.
For now, due to the limitations of high-value consumables technology for ophthalmology, the global market share is still monopolized by several large international machinery companies, and the domestic market is even worse.
The intraocular lens market is mainly imported from Alcon, Yanlijian, Bausch & Lomb, etc.
Brand-based
.
For domestic medical device manufacturers, large-scale procurement is not only the main way to gain market share, but more importantly, it is also a great way to expand brand awareness
.
In the previous speculation on the second round of national procurement of medical consumables, industry insiders analyzed that the state may focus on simple sets and clearly classified varieties, such as high-value consumables such as intraocular lenses
.
Because this type of consumables basically exists alone, they are rarely sold in sets with other devices, and through 10 functional classifications, all intraocular lenses in the market can basically be grouped smoothly
.
In other words, there is a great possibility that high-value consumables such as artificial crystals will become the second round of national procurement
.