echemi logo
Product
  • Product
  • Supplier
  • Inquiry
    Home > Active Ingredient News > Drugs Articles > Medicare Drugstores can only increase prices by 15%.

    Medicare Drugstores can only increase prices by 15%.

    • Last Update: 2021-03-01
    • Source: Internet
    • Author: User
    Search more information of high quality chemicals, good prices and reliable suppliers, visit www.echemi.com

    September 1, Zhejiang Province to enhance the centralized procurement platform function to promote the full coverage of medical insurance drug payment standards reform program (hereinafter referred to as the "Programme") was officially implemented. The target of implementation is all public medical institutions in the province, medical insurance fixed-point private medical institutions and medical insurance fixed-point retail pharmacies.Item 5 of the Program, "Perfecting the Standard System for the Payment of Medical Insurance Drugs", makes it clear that all medicines (excluding self-purchased products) included in the medical insurance catalogue of online transactions of the province's pharmaceutical procurement platform are included in the scope of payment of medical insurance drugs.Among them, fixed-point public medical institutions and private medical institutions medical insurance drugs to implement the same payment standards. Fixed-point retail pharmacies medical insurance drug payment standards unified according to the medical institutions payment standards floating 15% (excluding the state and provincial negotiations of drugs) implementation, floating amount to the minimum packaging of up to 200 yuan.Under the drug zero-plus policy, pharmacy medical insurance drug payment standards in accordance with the medical institutions to pay the standard of 15% implementation, which also means that pharmacy medical insurance drug payment difference of only 15%, and the difference is limited to 200 yuan.

    a large number of drugs, pharmacy gross profit to reduceIt is understood that through the "Programme" this expansion, Zhejiang Province drug recruitment platform online trading drugs from 144,000 to 171,000, so that fixed-point medical institutions clinical drug use and retail pharmacy procurement and operation has more choices.However, according to the Interim Measures for the Administration of Designated Pharmacies for Basic Medical Insurance in Zhejiang Province (Draft for Comments) issued by Zhejiang Province, pharmacies are equipped with an online drug procurement platform for trading drug varieties of not less than 50%. And the provisions of fixed-point pharmacies to sell drugs outside the provincial drug procurement platform, medical insurance funds will not be paid.In other words, joining the provincial harvesting platform also means giving up the gross margin of large quantities of medicines. "Pharmacies are for profit, hospitals don't make money from drugs, they can make money through surgery and medical treatment, but pharmacies are different, and the revenue comes from drugs," said Shi Xiaoqing, a contributing writer for the account. " of course, pharmacies can continue to be free to price on the basis of this add-on policy, i.e. the excess portion of medicare payments allows for the insured to pay for themselves. However, after the health insurance card is swiped, whether the insured person is willing to continue to pay, then the pharmacy needs to weigh.On May 30 this year, at the 3rd DTP Conference held by Seber blue, Dr. Yu Huping of Economics also addressed the issue, pointing out that the health care sector will work with market regulators to strengthen sectoral linkages to prevent malicious pricing by pharmacies and pass on excess fees to insured personnel."Measures that can be taken include the establishment of a unified pharmacy operating information platform by the health insurance sector in joint market regulatory authorities, the publication to the whole society of drug sales prices for pharmacies, to help insured personnel make reasonable choices and to use market mechanisms to suppress prices; He said.

    the retail drug price or lower, prescription outflow accelerated theIn accordance with the requirements of the National Health Insurance Administration, the scope of payment of medical insurance drugs will be gradually unified. Moreover, Zhejiang Province's policy often has a national benchmark significance, the introduction and implementation of the policy, other regions are likely to follow suit. So far, in Jiangsu, Yunnan, Xinjiang and other places have talked about some drug pharmacies can only increase the price of 15% of the standard.If the national implementation of the "pharmacy medical insurance drug payment standard relative to the medical institutions to pay the standard price increase of 15%" standard, then what will be the impact on pharmacies?"There should be a reduction in drug prices." Account writer Li Zuo-peug told the author, "Ordinary customers to buy common prescription drugs, the price offered by the hospital is much cheaper than the pharmacy, if the price can only be increased by 15%, which means that the price of some drugstores will also fall."he also points out that "for prescription drugs, some customers know that the hospital's medicines are cheap, and they choose pharmacies for two main reasons: first, hospitals have to register to queue, which is more cumbersome: Second, hospitals have restrictions on prescription drugs, generally only open for a week."On the other mind, since pharmacies are cheaper, this will also speed up the outflow of prescriptions.Jiuzhou Grand Pharmacy is the first in Zhejiang Province to connect to the medical insurance collection platform enterprises, as for the advantages and disadvantages of participating in the collection platform, its president Qi Li has said that after the opening of procurement rights, pharmacies enjoy the same prices as hospitals, to make up for some prescription drug prices upside down. Secondly, they also got a lot of drugs only available in hospitals, enriched the number of items and attracted more visitors, for the development of hospital side shops to lay the foundation.   People's big pharmacy 2020 semi-annual report said that the acceleration of medical insurance electronic vouchers, prescription sharing platform promotion, with volume procurement and other policies to further promote the outflow of prescriptions. At the same time, the semi-annual report also pointed out that at present, the proportion of people's large pharmacy direct stores health insurance stores 89.83 percent, hospital side stores accounted for 11.05 percent, DTP pharmacies 137, special outpatient 340, in order to undertake prescription drug outflow accounted for the first opportunity.   Thus, in order for pharmacies to obtain the dividends of prescription outflow, they must strengthen the planning and construction of health insurance shops, side shops and special pharmacies, and strengthen cooperation with the health insurance sector. (Pharmacy manager
    )
    This article is an English version of an article which is originally in the Chinese language on echemi.com and is provided for information purposes only. This website makes no representation or warranty of any kind, either expressed or implied, as to the accuracy, completeness ownership or reliability of the article or any translations thereof. If you have any concerns or complaints relating to the article, please send an email, providing a detailed description of the concern or complaint, to service@echemi.com. A staff member will contact you within 5 working days. Once verified, infringing content will be removed immediately.

    Related Articles

    Contact Us

    The source of this page with content of products and services is from Internet, which doesn't represent ECHEMI's opinion. If you have any queries, please write to service@echemi.com. It will be replied within 5 days.

    Moreover, if you find any instances of plagiarism from the page, please send email to service@echemi.com with relevant evidence.