Jiangsu hold big move: original province increases base medicine to abolish! The base drug is not added! Carry out new drug procurement in the whole province!

Today, the opinions of the general office of the Jiangsu provincial government on the implementation of improving the national essential drug system (opinions) were officially issued At the same time, a notice of Jiangsu Medical Security Bureau on the establishment of Jiangsu public medical institutions Pharmaceutical (medical consumables) sunshine Purchasing Alliance (notice) has also been circulated in the industry In view of a series of supporting medical policies in Jiangsu Province, "Abolishing and canceling the supplement of the original provincial base drugs" + "carrying out the sunshine purchase of drugs in the whole province" is the focus of the new round According to the opinion, Jiangsu Province strictly implements the national essential drug catalogue, and the provincial level does not supplement the essential drug catalogue According to the notice on canceling the labeling of Jiangsu basic drug supplement catalogue (2015 Edition) in the provincial drug centralized purchase platform and medical institution information system, which is circulated in the industry, the labeling of Jiangsu basic drug supplement catalogue (2015 Edition) will be cancelled before the end of July According to the opinion, we should adhere to the direction of centralized procurement, implement classified procurement of drugs, and guide the formation of reasonable prices We will promote the centralized procurement of public medical institutions in the city (county) region, and encourage cancer and other specialized hospitals to carry out cross regional joint procurement [priority of allocation and use of basic drugs] the proportion of allocation and use of basic drugs in public medical institutions shall be formulated with the province as the unit, so as to ensure that the basic drugs are dominant in the grass-roots level, and the medical institutions above the second level shall meet the proportion requirements Priority should be given to the procurement and use of essential drugs with appropriate price through consistency evaluation [scope of sunshine purchasing alliance] it is composed of all three level public medical institutions in the province The second level public medical institutions voluntarily participate in it and encourage private hospitals to participate In provincial level 3 public hospitals, the provincial medical insurance bureau will organize the participation, and in each district city and other provincial level 3 public medical institutions, the District City Medical Security Bureau will organize the participation [catalogue of sunshine purchasing drugs] the notice points out that the scope focuses on the drug varieties with large clinical dosage, high purchasing amount, wide range of use and close attention of the masses, mainly the online varieties of the provincial sunshine purchasing platform, as well as other drug varieties that need to be purchased and negotiated jointly Based on the above points, the author thinks that it is a good thing for Jiangsu to cancel the basic drug supplement and abolish the original basic drug supplement at the same time On September 5, 2014, the opinions of the national health and Family Planning Commission on Further Strengthening the management of drug allocation and use in grass-roots medical and health institutions was officially released, pointing out that it is a phased measure at the initial stage of the implementation of the basic drug system to supplement non catalogue drugs with provinces (districts, cities) However, the 2012 edition of the national essential drug catalogue basically meets the needs of grass-roots drug use and does not encourage new additions At that time, the situation was that the national health and Family Planning Commission had a catalogue of 520 basic drugs, and 533 kinds of low-cost drugs had been freshly released at that time 520 + 533 + provincial supplements were added In addition, after the national health and Family Planning Commission issued the opinions on Further Strengthening the management of drug allocation and use in primary medical and health institutions in 2014, the provinces successively issued relevant policies to support the primary medical institutions to purchase non-basic drugs Therefore, it was simple From the quantitative point of view, it is correct not to encourage the local supplement of base drug catalogue As time goes by, with the liberalization of drug use at the grass-roots level, in addition to "reasonable price", the conditions of "adapting to the needs of basic medical and health care, appropriate dosage forms, and being able to guarantee supply" are gradually realized At present, in most provinces, there is a demand for the proportion of basic drugs used in primary medical institutions, secondary hospitals and tertiary hospitals, but with the rapid completion of the consistency evaluation of generic drug quality and efficacy, as well as the establishment of county communities and medical communities (the same purchase directory, the same distributor, the same source of goods, the same price), the province has increased its unique The disappearance of basic drugs is also a requirement of the market In addition, the upcoming new version of the national health insurance catalog clearly tells us that it will be more difficult to enter the health insurance catalog in the future, as well as the basic medicine supplement Therefore, on the premise that the national basic drugs can basically realize the guarantee, it is irrational for local governments to supplement and expand the basic drugs with profit-seeking mentality Each supplement not only consumes too much administrative and social resources, but also turns into a "visible hand" that keeps growing and forms a barrier to market segmentation In a word, under the background of the current grass-roots drug liberalization, the supplement of local base drug catalogue has become a false proposition, and it is the general trend to cancel the supplement of local base drug The second topic is about a new round of sunshine procurement in Jiangsu Province The sunshine purchase of drugs in Jiangsu Province involves 157 medical institutions in 13 prefecture level cities, but it does not mean that all the 157 hospitals participate in every sunshine purchase According to the requirements of the opinions, the office is responsible for the specific work of provincial sunshine Procurement Alliance, and determines the actual participation of public medical institutions in each procurement of alliance according to the characteristics of procurement varieties This sentence seems very plain, but it is a key for many enterprises: that is, whether the hospital participates in every sunshine purchase depends on the variety! If the price of varieties is indeed high and the purchase quantity is widely used, then the hospital has the initiative to participate Hospital participation needs to be reported by multiple organizations, and the office basically agrees to carry out In addition, the hospital does not think it is necessary to participate, so the biggest possibility is to continue to use the 2015 Jiangsu provincial standard price After reading the notice, the author thinks that there are two points to pay attention to: 1 The larger the quantity is, the better Many pharmaceutical companies will issue a sales target of 20% or even 30% growth rate at the beginning of each year If this product is a small product, it is better to be cautious if it is already in the forefront of the provinces (Fujian will publicize the top ranked drugs every month, and Hubei will also publicize the drug purchase volume) Keep the stock, increase steadily, and stabilize the production Pharmaceutical companies and drug agents need to strengthen this aspect of awareness, to avoid muddleheaded living, muddleheaded death 2 Under the new background, learn to adapt Recently, a picture of a medical institution in the relevant wechat group about a suspected medical representative's presence in the medical area At the same time, a prefecture level Municipal Women's Insurance Hospital in Zhejiang also regularly held reception day activities for medical representatives and equipment representatives, strictly preventing the seller from "one-to-one" private contact with relevant departments and relevant principals Before the reception day, the medical representatives and equipment representatives participating in the meeting must fill in the registration form, and the equipment department and pharmacy department shall accept the registration, review the data and make evaluation As the saying goes, if the quantity is too large, the medical representatives of such pharmaceutical enterprises are undoubtedly the first target At present, the industrial policies are intensively issued, and some practitioners in the pharmaceutical industry feel uncomfortable That's because they have been in the "comfort zone" under the golden environment for too long, and now it's not the market of that year, and it's probably not long to engage in the pharmaceutical industry with the past thinking Under the background of the general price reduction and the key management of the use of drugs, "less trouble, compliance" is the way to solve the problem Statement: this opinion only represents the author, not the position of yaozhi.com, welcome to exchange and supplement in the message area; if you need to reprint, please be sure to indicate the author and source of the article.