Gansu: the purchase volume of drugs for two consecutive years is 0, and the distribution rate is not up to the standard, so the network is cancelled!

On June 12, Gansu Province Drug and medical consumables centralized purchase network issued a notice on improving the dynamic adjustment of drug centralized purchase (Draft for comments)The purpose of the document is to comprehensively implement classified procurement and centralized quantity procurement, strengthen the management of the winning drugs, and establish a dynamic adjustment mechanism of drug varieties, quality and price< br / > < br / > dynamic adjustment includes variety, quality and priceThe scope includes drugs used by public medical institutions in Gansu Province (including drugs on centralized purchase platform and drugs on sunshine purchase platform)The refined drugs, anesthetics, poisons, released drugs under special management, drugs purchased with quantity, negotiated drugs of national medical insurance and negotiated drugs of inter provincial alliance shall be implemented in accordance with relevant policies and regulations, and the scope of annual dynamic adjustment shall be announced separately< br / > this file is clear in the dynamic adjustment of varieties < br / > this means that the purchase volume of drugs is "0" for two consecutive years, and the distribution rate is not up to standard, and the qualification of network hanging will be cancelled< br / > in addition, these varieties will be transferred to the centralized purchase platformFor example, if the online distribution warehousing rate of the previous year is less than 40% or the total amount of distribution warehousing is less than 10000 yuan, the centralized procurement platform will be transferred to the sunshine procurement platform< br / > < br / > in the dynamic adjustment of drug quality, it is mentioned that "if the network is suspended due to quality problems, new winning enterprises can be supplemented in the specified order"< br / > in addition, the document requires that public medical institutions at all levels should fully implement the drug online purchase policy, and drug record purchase, direct online purchase, bid winning drug purchase, sunshine bargaining purchase, etcshould be realized through the provincial drug purchase platformThe purchase policy of Chinese herbal pieces shall be implemented in accordance with the current regulations< br / > and according to the drug management category, select and use drugs according to the gradient, and give priority to the purchase and use of essential drugs, commonly used low-cost drugs, generic drugs that pass the consistency evaluation, etcAmong the drugs of the same category, the winning drugs and sunshine drugs shall be purchased first, and the drugs shall be recorded and purchased when they cannot meet the clinical needs< br / > according to the opinions of the CPC Central Committee and the State Council on deepening the reform of the medical security system (ZF [2020] No.5), the guiding opinions of the general office of the State Council on improving the centralized drug procurement in public hospitals (GBF [2015] No.7), the opinions of the general office of the State Council on further improving the work of drug supply and price stabilization (GBF [2019] No.47), and the State Council The notice of the Medical Security Bureau on printing and distributing the opinions on the current drug price management (medical insurance fa ([2019] No67) and the opinions of the general office of the people's Government of Gansu Province on the implementation of improving the centralized drug procurement in public hospitals (gzbf [2015] No158) and other documents stipulate that in order to fully implement the classified and classified procurement at different levels and centralized procurement with volume, We will strengthen the management of the winning drugs on the Internet, establish a dynamic adjustment mechanism for the variety, quality and price of drugs, effectively guarantee the quality and supply of drugs, and reduce the burden of drug use on the peopleWe are now improving the dynamic adjustment of centralized drug purchase in our province< br / > 1Target task < br / > implement the market-oriented drug price formation mechanism, and establish a dynamic adjustment mechanism of drugs that can be imported, exported and adapted to market changesThe dynamic adjustment of drug varieties, quality and price is carried out to achieve "stable supply and price"< br / > 2Basic principles < br / > (1) principle of ensuring supply and price stability < br / > (2) principle of adjustment and improvement < br / > (3) principle of openness, fairness, justice and integrity < br / > 3Adjustment scope < br / > drugs used by public medical institutions in Gansu Province (including drugs purchased on centralized purchase platform and drugs purchased on Yangguang purchase platform)The refined drugs, anesthetics, poisons, released drugs under special management, drugs purchased with quantity, negotiated drugs of national medical insurance and negotiated drugs of inter provincial alliance shall be implemented in accordance with relevant policies and regulations, and the scope of annual dynamic adjustment shall be announced separately< br / > IVmain content < br / > (I) dynamic adjustment of drug varieties < br / > according to the online purchase and supply situation and the actual clinical demand, dynamic adjustment of drug varieties is carried outIt is mainly divided into transfer out centralized purchase platform, transfer in centralized purchase platform and disqualification< br / > 1Transfer out the centralized purchase platform < br / > (1) if the online distribution receipt rate of the previous year is less than 40% or the total amount of distribution receipt is less than 10000 yuan, the centralized purchase platform shall be transferred to the sunshine purchase platform< br / >< br / > (3) if the enterprise independently applies for the drugs transferred from the centralized purchase platform to the sunshine purchase platform, and can use the price of the drugs and the lowest provincial platform price of nine provinces (excluding the payment price of medical insurance or the purchase price with quantity) being implemented as the reference price of the sunshine online, it can apply for normalization< br / > 2 Transfer to the centralized purchase platform < br / > (1) if the original research and reference preparations of sunshine purchase platform and generic drugs that pass the consistency evaluation of quality and efficacy have been purchased by 5 or more tertiary medical institutions in our province in the past year, the enterprise can transfer from sunshine purchase platform to the centralized purchase platform at the lowest price in China < br / >, Enterprises applying for the lowest price in China can transfer from sunshine purchasing platform to centralized purchasing platform If the price of drugs in items (1) and (2) has increased by more than 50% in the past year, in principle, it is not allowed to apply for transfer to the centralized purchase platform < br / > The platform has 3 or less winning drugs on the Internet, all of which enter or remain in the centralized purchase platform for trading; for more than 3 drugs less than or equal to 7 drugs, 4 drugs enter or remain in the centralized purchase platform for trading (3 with the lowest price and 1 with the largest purchase volume), and the rest are transferred to the sunshine purchase platform for trading; for more than 7 drugs less than or equal to 10 drugs, Seven companies entered or remained in the centralized purchase platform (the lowest price six companies and the largest one), and the rest were transferred to the sunshine purchase platform < br / > < br / > (4) if the supply of the original winning products cannot be guaranteed in the previous year, the provincial drug purchasing agency shall supplement the alternative drugs in the order specified in the bidding document and enter the centralized purchasing platform < br / > 3 Disqualification < br / > Three medical institutions above the second level shall be provided for filing when applying again < br / > < br / > < br / > (II) dynamic quality adjustment < br / > 1 In case of quality and safety problems in the bid winning (sunshine hanging net) drug transaction, or the drug regulatory department requests the recall or violation punishment for the drug quality notification, sampling unqualified, adverse reaction events, etc., the provincial drug purchasing agency may suspend the drug hanging net according to the relevant notice, announcement, inspection report < br / > 2 If the network is suspended due to quality problems, new bid winning enterprises can be supplemented in the specified order < br / > 3 For all kinds of compensation liabilities (such as medical disputes) caused by unconditional recall of quality problems, the bid winning (sunshine hanging net) enterprise and its operating enterprise shall bear the responsibility and coordinate to solve them < br / > 4 If the drug regulatory department announces that the quality problem has been solved, the bid winning (sunshine online) enterprise can apply to resume the online transaction < br / > (III) dynamic price adjustment < br / > 1 If the winning online drug enterprise actively applies for price reduction or promises to reduce the online reference price, the normalization shall be implemented < br / > 2 The bidding price or reference price of the winning online drugs shall meet the following conditions: < br / > (1) the drugs in the dynamic adjustment catalog of the current year < br / > (2) the application price shall not be higher than the national minimum bid online price of the drug (if the online price is self quoted by the enterprise, it shall be declared according to the lowest actual transaction price of the province) < br / > < br / > 3 For drugs with dynamic price adjustment, the trading platform will not be adjusted this year Different packages are compared according to the price of representative products < br / > v responsibilities and obligations of medical institutions < br / > (I) public medical institutions at all levels shall fully implement the drug online purchase policy, and the drug filing purchase, direct online purchase, bid winning drug purchase, sunlight bargaining purchase, etc shall be realized through the provincial drug purchase platform The purchase policy of Chinese herbal pieces shall be implemented in accordance with the current regulations < br / > Among the drugs of the same category, the bid winning drugs and sunshine drugs shall be purchased first, and when they cannot meet the clinical needs, they shall be recorded for purchase < br / > (3) medical institutions shall urge the enterprises to timely declare the drugs that should be connected to the network but not to the network to be used to the provincial platform and incorporate them into the sunshine Purchasing Directory as soon as possible < br / > VI supplementary provisions < br / > the measures shall be interpreted by the Provincial Leading Group Office for centralized procurement of drugs and medical consumables, and shall be implemented as of the date of promulgation, with a trial period of 2 years < br / > Gansu Provincial Leading Group Office for centralized procurement of drugs and medical consumables < br / > June 10, 2020