Guangxi: Establish and improve the "dual-channel" management mechanism for drugs in national medical insurance negotiations

Multiple provinces issued documents to support dual-channel drug "Internet +" circulation services-"dual-channel" online pharmacies are coming
.
"Dual-channel" online pharmacies have stricter delivery requirements.
On December 6, Guangxi Medical Insurance Bureau, Health Commission, and Food and Drug Administration issued the "Notice on Establishing and Improving the "Dual Channel" Management Mechanism for Drugs in National Medical Insurance Negotiations" (hereinafter referred to as the "Notice" ") to expand drug purchase channels for insured patients
.
The "Notice" stated that "dual-channel" medical institutions are encouraged to provide "Internet +" drug circulation services, standardize Internet sales services, and achieve "online ordering store pickup" or "online ordering store delivery"
.
This also means that "dual channel" online pharmacies are coming
.
The promotion of "dual-channel" online pharmacies is not the voice of Guangxi
.
On September 15, the Guangdong Medical Insurance Bureau issued the "Implementation Opinions on Establishing and Improving the "Dual Channel" Management Mechanism for Drugs in National Medical Insurance Negotiations" to encourage "dual channel" pharmacies to provide "Internet +" drug circulation services
.
In addition, local medical insurance, health, and drug regulatory agencies should strengthen the supervision and management of prescription circulation and Internet drug transactions
.
In terms of “dual-channel” drugs and “online-ordered store delivery”, the “Notice” provides requirements.
For “dual-channel” drugs with special regulations such as storage, institutions with corresponding qualifications and capabilities (“dual-channel” pharmacies, Third parties, etc.
) undertake storage and distribution tasks
.
Support pharmacies for "commercial insurance", with sales of large chains increasing by nearly 200%.
The "Notice" proposes to encourage exploring market-oriented means such as purchasing commercial insurance to establish drug quality risk prevention and economic compensation mechanisms
.
It is worth mentioning that commercial insurance is the rapidly growing emerging business of giant chain pharmacies
.
The company's annual report shows that in the first half of 2021, Yixintang's commercial insurance payment business sales increased by 189.
59% year-on-year, maintaining rapid growth
.
Yixintang said that as the commercial insurance payment business continues to advance and the market generally agrees to adopt it, there is still good room for development in the future
.
In 2020, the common people's pharmacy achieved commercial insurance sales of 55.
623 million yuan, a year-on-year increase of 97.
2%
.
The rapid growth of commercial insurance business in pharmacies is mainly due to the fact that China's commercial insurance has not "deepened" into the medical field
.
Liu Tingjun, vice president of Taikang Insurance Group, said that commercial insurance accounts for 33% of the total medical expenditure in the United States, and China has not reached 2%
.
"Dual-channel" pharmacies meet at least 6 conditions.
The "Notice" also mentions that the inclusion of "dual-channel" negotiated drugs will implement a unified payment policy in designated medical institutions and designated retail pharmacies
.
Designated pharmacies included in the “dual-channel” management must meet at least 6 conditions: 1.
Qualification compliance 2.
Management standards 3.
Good reputation 4.
Reasonable layout 5.
Realize informatization traceability of drugs sold 6.
At least within business hours There is a licensed pharmacist on duty to provide pharmacy services, and it is necessary to strengthen the supervision of the "dual-channel" pharmacies in fulfilling the service agreement, establish an exit mechanism, moderate competition, enter and exit, and dynamically adjust
.
For designated pharmacies to apply for "dual channel" management, the "Notice" stated that designated retail pharmacies can apply to the local medical insurance agency, and the medical insurance agency will determine qualified designated retail pharmacies as "dual channel" pharmacies in accordance with regulations
.
In addition, "dual-channel" pharmacies and designated medical institutions should do a good job in the docking of information systems to realize the "one-stop" settlement of prescription circulation and outsourcing drugs
.
Attachment: List of "Dual Channel" Drugs in Guangxi