Gansu: two consecutive years of drug procurement volume of 0, distribution rate is not up to standard to cancel the network!

Dynamic adjustment includes variety, quality and priceThe scope includes medicines used by public medical institutions in Gansu Province (including centralized procurement platform drugs, sunshine procurement platform drugs)The implementation of special management of fine, hemp, toxic, drug release, imported drugs, national health insurance negotiation drugs and inter-provincial alliance negotiationdrugs, in accordance with the relevant policy provisions, the scope of annual dynamic adjustment will be announced separatelyThe document in the dynamic adjustment of varieties clearly, "in the last year the procurement volume of 0 drugs, by the provincial drug procurement agencies to investigate, no special reasons, transferred to the platform "no transactions" directory, 2 consecutive years no transactions, cancel the registration of the network; This means that the drug purchase volume for two consecutive years "0", the distribution rate is not up to standard, will be disqualified from hanging the networkIn addition, these varieties will be transferred out of the centralized procurement platformFor example, in the previous year, the online distribution receipt rate of less than 40% or the total amount of distribution into the warehouse less than 10,000 yuan, from the centralized procurement platform to the sunshine procurement platformCan be transferred into the varieties of centralized procurement platform, such as 1sunshine procurement platform of the original research, reference preparations, through the quality and efficacy consistency evaluation of generic drugs in the province in the past 1 year has 5 (including) above three levels of medical institutions procurement, enterprises to the lowest price declaration can be transferred by the sunshine procurement platform into the centralized procurement platform ..In the dynamic adjustment of drug quality, it is mentioned that "if the network is suspended due to quality problems, the new winning enterprise may be replaced in the prescribed order"In addition, the document requires that public medical institutions at all levels should fully implement the drug online procurement policy, drug record procurement, direct online procurement, winning drug procurement, sunshine bargaining procurement, etcshould be achieved through the provincial drug procurement platformThe policy on the purchase of Chinese medicine tablets shall be implemented in accordance with the existing regulationsAnd according to the drug management category, according to the gradient selection of the procurement of used drugs, priority procurement of the use of essential drugs, commonly used low-cost drugs, through the consistency evaluation of generic drugsAmong the same categories of drugs, priority should be given to the procurement of winning drugs and sunshine procurement drugs, can not meet the clinical needs of the record procurementAttached Notice on Improving the Dynamic Adjustment of Centralized Drug Purchases (Draft for Comments) According to the Opinions of the CPC Central Committee and the State Council on Deepening the Reform of the Medical Security System (Cpc(2020) No5), the Guidance of the General Office of the State Council on Improving the Centralized Procurement of Medicines in Public Hospitals (No7 of the State Office of the State Council), the Opinions of the General Office of the State Council on Further Ingresss (No 47) and the State Administration of Medical Security on the Issue of the "State Administration" The circular on the management of current drug prices (Medical Insurance Issue (No 67, 2019) and the Executive Office of the Gansu Provincial People's Government on improving the implementation of centralized procurement of medicines in public hospitals (Gan Zheng's Office issued No 158 of 2015) and other documents stipulate that, in order to fully implement the classification of procurement and centralized purchase of drugs, strengthen the management of the winning net, establish a dynamic adjustment mechanism for drug varieties, quality and price, and effectively safeguard the quality and supply of drugs, and reduce the burden of drug supply , is now on the province's drug centralized procurement dynamic adjustment work to improve First, the objective task of implementing the market-led drug price formation mechanism, the establishment of access, adapt to market changes in the drug dynamic adjustment mechanism The drug varieties, quality, price of dynamic adjustment, to achieve "safe supply and stable price." 2 Basic Principles (i) Principles of Stable Price (ii) Principles of Adjustment and Improvement (iii) Principles of Openness, Fairness, Fairness and Integrity III Adjusting the scope of medicines used by public medical institutions in Gansu Province (including centralized procurement of platform drugs, sunshine procurement platform drugs) The implementation of special management of fine, hemp, toxic, drug release, imported drugs, national health insurance negotiation drugs and inter-provincial alliance negotiationdrugs, in accordance with the relevant policy provisions, the scope of annual dynamic adjustment will be announced separately Fourth, the main content (a) dynamic adjustment of varieties according to the online procurement supply situation and clinical actual demand, the dynamic adjustment of drug varieties The main are divided into the transfer of centralized procurement platform, transfer into the centralized procurement platform and cancel the registration of the network 1 Transfer of centralized procurement platform (1) in the previous year's online distribution receipt rate of less than 40% or the total amount of distribution into the warehouse less than 10,000 yuan, from the centralized procurement platform to the sunshine procurement platform (2) Drugs that are not in normal supply by public medical institutions or health and medical security departments at all levels, as well as drugs that cannot be properly supplied in the national and provincial list of key monitoring lists of clinically necessary and scarce drugs and those that are not in the list of shortage drugs, shall be transferred from a centralized procurement platform to a sunny procurement platform or a direct online directory (3) Enterprises independently apply for the transfer from the collection platform into the sunshine procurement platform of drugs, and can be listed and the lowest nine provincial provincial platform prices (excluding medical insurance payment price seq.com) as the reference price of the sunshine network, can be normalized declaration 2 Transfer into the centralized procurement platform (1) sunshine procurement platform of the original research, reference preparations, through the quality and efficacy consistency evaluation of generic drugs in the past 1 year in our province 5 (including) above the three levels of medical institutions procurement, enterprises to the lowest price declaration in the country can be transferred by the sunshine procurement platform into the centralized procurement platform (2) The exclusive varieties on the sunshine procurement platform, the national first class of new drugs, different drug routes, the national basic drugs or medical insurance catalog and the winning network of different specifications of drugs, the state negotiated drug generic drugs in the last 1 year has our province 5 (including) or more than secondary medical institutions procurement, enterprises to the lowest price declaration can be transferred by the sunshine procurement platform into the centralized procurement platform (1) (2) within the drug, in the last 1 year, the price increase of more than 50%, in principle may not apply for transfer to the centralized procurement platform (2) In addition to items (1) and (2) other categories, in accordance with the enterprise's declared price and the actual purchase volume of the previous year after comprehensive consideration of the order of low to high to determine the drug trading platform, the declared price shall not be higher than the national minimum nine provinces average price (excluding the medical insurance payment price or the purchase price of the amount), the undeclared as the same as to give up the winning bid network qualification Platform has the winning bid network is less than or equal to 3 drugs, all entered or retained in the centralized procurement platform transactions; larger than 3 less than or equal to 7 drugs, 4 enter or retain in the centralized procurement platform transactions (the lowest price of 3 and the largest purchase volume of 1), the rest transferred to the sunshine procurement platform transactions; (4) If the purchase cycle negotiates the matching of drugs with the same product rules and regulations for different enterprises, the enterprise promises to guarantee the supply at the lowest transaction price, and may be included in the centralized procurement platform (4) If the original winning bid regulations fail to guarantee supply in the previous year, the provincial drug procurement agencies shall, in accordance with the order prescribed in the tender documents, hand over the alternative drugs into the centralized procurement platform 3 Cancel the registration of the network (1) the purchase volume of drugs in the last one year 0, by the provincial drug procurement agencies to investigate, without special reasons, transferred to the platform "no transactions" directory, 2 consecutive years no transactions, cancel the registration of the internet When re-declaring, you must provide 3 medical institutions above the second level for the record (2) According to the Measures for the Administration of The Integrity of the Centralized Procurement of Drugs in Gansu Province, drugs that are disqualified from hanging the net because the distribution rate is not up to standard (3) Drugs that are not in normal supply by public medical institutions or health and health and medical security departments at all levels, as well as drugs that cannot be properly supplied in the national and provincial list of key monitoring lists of clinically necessary drugs and drugs in short supply, shall be adjusted from the sunshine procurement platform to the direct online catalogue (2) Quality dynamic adjustment 1 If there are quality and safety problems in the drug transaction of the winning bid (sunshine hanging net) or if the drug supervision department requires recall or illegal punishment for its drug quality notification, sampling failure, adverse reaction events, etc., the provincial drug procurement agency may suspend the drug hanging network in accordance with the relevant notice, announcement or inspection report 2 If the network is suspended due to quality problems, the new winning enterprise may be replaced in the prescribed order 3 All kinds of liability (such as medical disputes) arising from the unconditional recall of quality problems, etc., shall be borne by the winning bid (Sunshine Hanging Network) enterprise and its operating enterprises and shall be responsible for coordinating the settlement 4 The drug regulatory department announces that the quality problem has been resolved, and the winning bid (sunshine hanging net) enterprise may apply to resume the online trading (3) Price dynamic adjustment 1 If the winning bid-hook-net pharmaceutical enterprise voluntarily applies for a price reduction or commits to reduce the reference price of the hanging net, it shall be handled on a normal scale 2 The winning bid net drug to increase the bid price or the reference price of the network must meet the following conditions: (1) must be the year of dynamic adjustment of the catalog of drugs (2) The application price shall not be higher than the national minimum winning bid 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 in the province) (3) If there are 5 medical institutions above the second level purchasing in accordance with the application price during the transition period, after no objection is made public, then adjust the reference price of the platform hanging network; 3 The drug with dynamic adjustment of price will no longer adjust the trading platform during the current year Different packaging is compared to the price of the representative product V The obligation of responsibility of medical institutions (1) Public medical institutions at all levels shall fully implement the policy of online procurement of drugs, and the procurement of drug filings, direct online procurement, winning-bid drug procurement, and the procurement of sunshine bargaining shall all be realized through the provincial drug procurement platform The policy on the purchase of Chinese medicine tablets shall be implemented in accordance with the existing regulations (2) According to the category of drug management, select the purchase of used drugs according to the gradient, and give priority to the procurement of the use of essential drugs, commonly used low-cost drugs, generic drugs that pass the consistency evaluation, etc Among the same categories of drugs, priority should be given to the procurement of winning drugs and sunshine procurement drugs, can not meet the clinical needs of the record procurement (3) Medical institutions shall urge enterprises to declare to the provincial platform in a timely manner for drugs that are in use that should be hung and not connected to the internet, and shall be included in the sunshine procurement catalogue as soon as possible 6 By-laws The Measures Shall be interpreted by the office of the provincial office for centralized procurement of medicines and medical supplies, and shall be implemented from the date of publication, with a trial period of 2 years Office Of the Leading Group for centralized procurement of medicines and medical supplies in Gansu Province June 10, 2020