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    Home > Medical News > Latest Medical News > Latest volume purchase: the original research drug will be out without price reduction (with the full text of the notice attached)

    Latest volume purchase: the original research drug will be out without price reduction (with the full text of the notice attached)

    • Last Update: 2018-11-27
    • Source: Internet
    • Author: User
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    On November 26, five departments, including Bozhou deepening medical reform group and Bozhou health and Family Planning Commission, jointly issued the notice on printing and distributing the work plan for centralized drug procurement in Bozhou public medical institutions (hereinafter referred to as the notice) According to the notice on selecting cheap drugs for original research and evaluated drugs, the guiding ideology of this volume purchase is to ensure the supply and quality of drugs In principle, the drugs that pass the consistency evaluation shall be included in the list of drugs that can be replaced by the original drugs, and the drugs with lower price shall be purchased If there are more than three manufacturers that have passed the consistency evaluation for the same kind of drugs, the products that have failed the consistency evaluation will not be used If there are no more than 3 varieties, priority shall be given to purchasing and using the varieties that have passed the consistency evaluation Step by step price reduction, purchase price higher than medical insurance payment price, undertaken by the hospital Bozhou, Anhui Province, should strictly implement the price, and the medical and health institutions should uniformly sell the drugs in the "2017 reference price catalog of medical insurance payment of basic medical insurance drugs in Anhui Province" according to the reference price of medical insurance payment in 2017 The medical and health institutions should bear the part where the actual transaction price of the purchased drugs is higher than the reference price of medical insurance payment For the drugs whose reference price adjustment of medical insurance payment was not confirmed by the enterprise in 2017, the medical and health institutions shall sell the drugs at the lowest price not higher than the bid winning price announced by the provincial medicine centralized procurement platform in 2016, and other drugs shall be sold at the actual transaction price We need to reduce prices step by step For the pharmaceuticals whose reference price adjustment of medical insurance payment in 2017 has not been confirmed by the manufacturer, the annual purchase amount shall be based on 40% of the purchase amount in 2016 The excess part shall be publicized by the provincial pharmaceutical purchase center on the provincial pharmaceutical centralized purchase platform, and the medical and health institutions shall implement step-by-step price reduction based on the volume purchase price According to the notice on purchasing negotiation, medical and health institutions shall, in principle, Prepare purchasing plans and budgets no less than 80% of the actual use of drugs in the previous year Among them, the purchase budget (amount) shall be prepared according to the actual purchase volume not less than that in 2016 for the drugs with reduced price in the reference price list of medical insurance payment in 2017 Carry out the combination of single variety with quantity procurement and packing with quantity procurement Among them, the purchasing consortium shall, on the premise of voluntary, equal transaction and consensus between the two parties, link the quantity and price, exchange the quantity for the price, and determine the actual transaction price of the drugs The procurement consortium established by municipal public hospitals shall select no less than 10 varieties and implement single variety procurement with quantity The amount and price are linked, and the hospital delays to collect funds The medical insurance does not agree to the notice that the amount and price are linked In the purchase cycle, for drugs exceeding the purchase budget (amount), the step price reduction shall be implemented from the next month when the purchase budget (amount) is exceeded For drugs that do not reach the purchase budget (amount), the purchase time limit shall be extended until the purchase budget (amount) is completed The reference price of medical insurance payment will be dynamically adjusted according to the actual transaction price of drugs, the actual supply and use of drugs and other factors In principle, the adjustment cycle is the same as the cycle of purchasing with quantity For the medical and health institutions that violate the contract, fail to collect the payment on time or extend the payment cycle in disguised form, the regulatory agency of centralized purchase of medicine shall criticize them; the medical insurance departments of cities and counties and districts shall link the time of drug collection of medical institutions with the prepayment and settlement of medical insurance funds According to the notice, the implementation stage is before the end of December 2018 According to the bidding results of volume purchase, the purchasing entity signs a purchase and sale contract with the drug manufacturer or distribution enterprise, and purchases the drugs in the list of volume purchase according to the bid winning results Work plan for centralized drug procurement in Bozhou public medical institutions In order to earnestly implement the requirements of the pilot plan for deepening the comprehensive reform of the medical and health system in Anhui Province (WZ [2015] No 16), the notice on printing and distributing the guiding opinions on the volume purchase of drugs by public medical institutions in Anhui Province (why [2018] No 19) and other documents, further deepen the reform of the drug purchase and supply system, standardize the drug purchase behavior, guarantee the drug quality, and reduce the drugs Inflated prices This work plan is formulated in combination with the actual situation of our city 1、 Guiding ideology: the principle of openness, fairness, fairness, competition and selection of the best shall be adhered to in the selection of centralized drug procurement and distribution enterprises, so as to achieve openness, transparency and sunshine operation We will strictly implement the "two ticket system" for drug procurement, select a number of drug distribution enterprises with strong strength, good service and high reputation, and ensure the supply and quality of drugs 2、 Organizational form (1) improve organizational structure According to the requirements of provincial medical reform documents, under the unified leadership of the leading group for the selection of drug centralized purchasing and distribution enterprises in Bozhou public medical institutions, the Municipal People's hospital will take the lead to integrate them into the county medical community and establish a drug purchasing consortium The municipal health and Family Planning Commission takes the lead and the relevant departments participate in the establishment of a drug volume procurement supervision agency to supervise the volume procurement throughout the process (2) Define the purchasing subject As the main body of drug volume procurement, the procurement consortium shall establish a working organization to be responsible for drug catalog selection, price negotiation, etc As a procurement unit, county medical community is integrated into the procurement consortium as a whole, and centralized and unified procurement of drugs is implemented (3) Unified platform implementation The drug volume purchase is implemented through the municipal public resource trading platform (the Municipal Drug volume purchase is implemented through the municipal public resource trading platform) The procurement information is made public through the official website of the hospital led by the procurement consortium and the municipal public resource trading platform to ensure transparency (4) Determine the procurement cycle In principle, the period of drug volume purchase shall not exceed two years, which is stipulated in the volume purchase agreement signed by the volume purchase consortium and the drug supplier 3、 Standardize the purchase process (5) publish the drug price The price of drugs purchased by the municipal volume purchasing consortium shall refer to the 2017 reference price catalog and price of Medicare payment for basic medical insurance drugs issued by the provincial pharmaceutical purchasing center on the provincial pharmaceutical centralized purchasing platform, the drug catalog of unconfirmed 2017 reference price adjustment for Medicare payment, and the national provinces (municipalities, autonomous regions) since 2014 publicized by the provincial pharmaceutical centralized purchasing platform in 2016 The lowest price of the bid winning price in centralized bidding (6) Unified medication scope We will strengthen the drug use connection between primary medical and health institutions and public hospitals, and ensure continuous medical services County medical community member units (grass-roots medical and health institutions) and county medical community lead hospitals to unify the scope of drug use (7) Specify the purchase proportion In principle, the amount of purchasing provincial basic drugs and national basic drugs by medical and health institutions at all levels accounts for the proportion of the total purchasing amount as follows: If the village health office and community health service station really need for disease diagnosis and treatment, they can purchase and use other drugs according to the regulations, and incorporate them into the integrated management statistics of primary medical and health institutions (8) Standardize the selection of catalogue According to the clinical drug demand, medical and health institutions adhere to the principle of quality priority and reasonable price, and give priority to the selection of drugs within the national basic drugs, Anhui basic medical insurance drug catalog, provincial basic drugs and 2017 basic medical insurance drug medical insurance payment reference price catalog (except for drugs not included in the provincial basic medical insurance drug catalog, the purchase price shall not be higher than this price), which is scientific and comprehensive To select the drug purchase catalogue In principle, the drugs that pass the consistency evaluation shall be included in the list of drugs that can be replaced by the original drugs, and the drugs with lower price shall be purchased If there are more than three manufacturers that have passed the consistency evaluation of the same kind of drugs, they will no longer choose the varieties that have failed the consistency evaluation; if there are less than three manufacturers, they will give priority to purchase and use the varieties that have passed the consistency evaluation (9) Prepare purchase budget (amount) Medical and health institutions shall make statistics and Analysis on the amount of drugs used, and make reasonable annual purchase plans and budgets in combination with their own planning, development and specialty construction In principle, the procurement plan and budget shall be prepared in accordance with not less than 80% of the actual use of drugs in the previous year Among them, the purchase budget (amount) shall be prepared according to the actual purchase volume not less than that in 2016 for the drugs with reduced price in the reference price list of medical insurance payment in 2017 (10) Make purchase list According to the clinical drug demand, the county medical community shall submit the drug procurement catalogue and procurement budget (amount) to the leading Hospital of the procurement consortium, and the leading Hospital of the procurement consortium shall make a unified summary The county medical community shall be centralized and submitted to the leading Hospital of the purchasing consortium by the leading unit of the county medical community The procurement consortium shall organize experts to sort out and analyze the drug procurement catalog, reasonably merge and optimize the catalog on the premise of meeting the clinical drug demand, further improve the concentration of drug procurement, and prepare the catalog and budget (amount) for drug procurement with volume (11) Implement classified procurement For non patent drugs, emergency (rescue) drugs, basic infusion drugs, drugs with small clinical dosage and commonly used low-cost drugs in women's and children's specialty, centralized hanging network shall be implemented and directly purchased by the hospital Narcotic drugs and class I psychotropic drugs shall be purchased in accordance with the current provisions of the state Drugs negotiated by the state, drugs produced at designated points and drugs in short supply shall be implemented in accordance with relevant regulations For drugs with large clinical dosage, high purchase amount and top ranking accounting for 80% of the total purchase amount, quantity price linkage and quantity purchase shall be implemented (12) Carry out purchasing with quantity The purchasing consortium shall put the guarantee of drug supply and the implementation of "two ticket system" first, and strive to improve the concentration of drug distribution With reference to the first price of the "two vote system", the reference price of medical insurance payment in 2017, and the lowest price of the bid winning price in the centralized bidding of the whole country, etc., we will steadily and orderly promote the drug volume procurement 1 Single variety with quantity purchase The purchasing consortium shall, on the premise of voluntariness, equal transaction and consensus between the two parties, link the quantity and price, exchange the quantity for the price, and determine the actual transaction price of the drugs The procurement consortium established by municipal public hospitals shall select no less than 10 varieties and implement single variety procurement with quantity 2 Packing belt quantity purchase According to the list of drugs purchased with quantity and the purchase budget (amount), the purchasing consortium shall take into account the purchase quantity and implement the linking of quantity and price and exchanging quantity for price (1) The purchasing consortium adheres to the principle of openness, fairness and fairness, and selects the appropriate number of distribution enterprises according to the conditions of strong supply capacity, meeting the requirements of "two ticket system" and reasonable supply price There are no more than 15 distribution enterprises selected by the procurement consortium (2) Among the distribution enterprises selected by the purchasing consortium, the medical and health institutions (county medical communities) shall, in principle, select no less than three enterprises to supply goods to their own units, and shall not restrict the distribution enterprises by opening accounts (3) The county medical community is led by the hospital to select and distribute enterprises in a centralized and unified way (13) Submit purchasing results Timely submit and update the transaction information related to online centralized purchase of drugs 1 The purchasing consortium shall submit the budget (amount) and actual transaction price of single product with quantity to the provincial pharmaceutical centralized purchasing platform through the background Each medical and health institution will pack the purchase budget (amount) and actual transaction price of each drug purchased with quantity, and submit them to the provincial centralized medicine purchase platform through the background when maintaining the drug purchase directory 2 The drugs purchased outside the volume purchase catalogue of the consortium shall be purchased by the medical and health institutions and the county medical community through independent negotiation, and shall be submitted to the provincial medicine centralized purchase platform through the background when maintaining the drug purchase catalogue 4、 Strengthen contract management (XIV) standardize purchase and sale contracts Purchase
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