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    Home > Active Ingredient News > Drugs Articles > Medical representative uncovers the false high drug price: the payment price is 8 times of the ex factory price

    Medical representative uncovers the false high drug price: the payment price is 8 times of the ex factory price

    • Last Update: 2013-07-16
    • Source: Internet
    • Author: User
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    2013-07-16 source: Beijing Youth Daily how an injection for treating liver disease changed from 5 to 6 yuan to 42 yuan in the hands of patients? Four senior executives of GSK China Investment Co., Ltd (GSK for short) were charged with serious economic crimes and were taken criminal compulsory measures by the police on suspicion of "commercial bribery and tax related crimes" "We support the determination of the Chinese government to eradicate corruption," GlaxoSmithKline said in an apology statement on its website last night We are ashamed of the problems found in the above investigation and apologize for what happened " Yesterday, the reporter interviewed Mr Zhen, a senior medical representative who has been engaged in the pharmaceutical industry for nearly 20 years He described in detail the process of high-priced drugs coming out of the oven and the process of drug price increase - "some experts of the pharmaceutical Committee of hospitals need public relations, including the president in charge and the head of the pharmaceutical department." patients pay eight times the price of drugs as much as the factory price, according to the fact that they are engaged in the pharmaceutical industry for nearly 20 years Mr Zhen, a senior medical representative in, said that the drugs produced in China were generally delivered to patients through the following links: provincial agents and manufacturers themselves Taking an injection for treating liver disease as an example, the ex factory price is about 5-6 yuan, the national general agent price is 7-8 yuan, and the provincial agent price is 8-9 yuan The official bid price is 36 yuan, and the drug price basically fluctuates around the bid price Provincial agents sell to pharmaceutical companies for 32 to 33 yuan, or 90 to 94 percent of the winning price The price that the pharmaceutical company sells to the hospital is 36 yuan, and the hospital increases the price to 42 yuan, which is 15% higher than the winning price and sold to the patients If calculated according to the formula, 36 yuan × 1.15% = 41.4 yuan If it is imported medicine, it is the manufacturer's own operation, and the manufacturer will bid After winning the bid, the person of each manufacturer will conduct public relations for the hospital, discipline leader and academic leader Drug prices need to be recorded in the provincial Price Bureau, which is determined by referring to the prices of surrounding provinces and cities This is the industry's bidding price Generally, 3 manufacturers are selected from 5 manufacturers, and 5 manufacturers are selected from 8 manufacturers The bidding period is generally 2-4 years It should be noted that if a new drug enters the hospital, the hospital has a pharmaceutical Committee If a new drug enters the hospital, more than half of the experts need to vote for it Some experts of the pharmaceutical Committee of hospitals need public relations, including the president in charge and the head of the pharmaceutical department These experts and heads should give specific opinions on why to enter these new drugs It is understood that some regions have cancelled the practice of hospitals raising the retail price by 15% "When domestic enterprises carry out public relations, it is common practice to give doctors money directly Joint ventures are more flexible and more covert "In general, domestic drugs have three or four times the profits, Mr Zhen told reporters When domestic enterprises conduct public relations, the common practice is to directly plug money into doctors The practice of joint ventures is more flexible and more covert For example, academic forums and public welfare activities are generally located in places of interest and live in five-star hotels There is a cost for experts to give lectures For example, to help doctors publish papers in important journals is what doctors value Generally, the price of domestic medicine is three or four times of the profit For example, the price of the factory is 6.8 yuan, and the price that the doctor sells to the patient is about 22.9 yuan In fact, drugs are not made by price, but by scale and quantity The price of imported drugs has always been high, which can not be reduced, because many imported drugs are patented, and the price is relatively high But the domestic medicine mainly imitates, after the patent period, the price is relatively cheap From this point of view, GSK executives suspected of economic crimes said that the cost price of drugs is 30 yuan, the retail price is 300 yuan, and the operating cost accounts for 20-30%, which is indeed there "They are like spies spying on the privacy of doctors everywhere, and then providing intimate services." the means of "public relations" of medical representatives are all pervasive In the interview, the reporter learned that some academic leaders of the top three hospitals face all pervasive medical representatives, it is really very difficult to restrain themselves A deputy director of surgery told reporters that recently, a medical representative came to the hospital every day to fetch rice, buy fruit and invite him to eat, just like his shadow, going to work She is clever, clever and understanding If she does not ask her sister not to speak, she will not speak My husband often goes on business in other places He can't stay for three or five days at home in a month My son in primary school has no one to take care of his summer vacation Several times, he wants to open his mouth to ask her for help, but he doesn't dare to say it She is afraid that it will be completely stuck She sighed "She's looking forward to my opening As long as I have difficulties, she said that she would go up the mountain and down the sea of fire to do it The most headache for me is my son Now I can only make it through one day." It is understood that in the medical industry, some pharmaceutical companies and representatives have reached the point of all pervasiveness "What interests do you have, your financial situation, your family and your circle of friends?" said a retired doctor from Union Hospital "So they are like spies spying on doctor's privacy and then providing intimate services This is a society with strong personal feelings It's impossible for you to refuse." Mr Zhen told reporters, "the director or professor of the top three hospital, whose monthly income is 200000-300000 yuan, is nothing new So, some doctors, even toilet paper, have medical representatives to think of Whether children want to go to key schools, publish their own papers, or go abroad to play, only what you can't think of, no medical representative can't do " "Medical representatives influence doctors' choice of new drugs to a certain extent." in recent years, more than 20% of the retail price of medical representatives is very popular Who can be a medical representative? Mr Zhen said that it's better to have been a doctor or learned medicine, because such a person has many clinical relationships, is familiar with the process and links of the hospital, and has rich contacts For example, joint ventures or foreign enterprises need professional training for medical representatives to communicate professional knowledge with doctors through medical representatives, such as the scope of application of new drugs, clinical reactions, and adverse reactions Medical representatives to a certain extent influence doctors' choice of new drugs Pharmaceutical representatives can be divided into two situations: pharmaceutical companies or manufacturers The former is to take medicine at a low price and earn income through price difference For example, for drugs of 36 yuan, the purchase price of medical representatives is 32 yuan, 33 yuan, 36 yuan to hospitals, and 41 yuan to 42 yuan to patients The difference of 10 yuan is not only the rebate to doctors, but also the income of medical representatives It is understood that 20% to 28% of the retail price is the rebate received by doctors If it's a salesman appointed by the manufacturer, he has both salary and bonus, but he needs to complete the sales amount designated by the company every month, and get the Commission through the sales amount For example, GlaxoSmithKline belongs to the latter situation When medical representatives deal with doctors for the first time, they are often guided by their predecessors If they are not acquaintances, it is difficult for them to enter the medical circle As a medical representative, Beijing is also very different from other provinces and cities For example, there are many top three hospitals in Beijing, many well-known experts and authorities, many means of examination, high level of diagnosis and rich means of treatment It is difficult for medical representatives to influence doctors' choice of new drugs However, there are many high-income people in Beijing who have high requirements for quality of life and high drug prices    
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