Notice on the issuance of implementation opinions (Trial) on the implementation of "two vote system" in drug procurement of public medical institutions

Source: health and Family Planning Commission 2017-01-09 Guo Yi Gai Ban Fa [2016] No.4 Office of medical reform leading group of all provinces, autonomous regions, municipalities directly under the central government, Xinjiang production and Construction Corps, health and Family Planning Commission (Health Bureau), food and drug administration, development and Reform Commission, economic and Information Commission, Department of Commerce (bureau), State Administration of Taxation, administration of traditional Chinese medicine, and Fujian Medical Insurance Office: now we will implement "two vote system" in drug procurement of public medical institutions The implementation opinions (for Trial Implementation) of is printed and distributed to you, please comply with it All localities may formulate detailed rules for implementation in light of the actual situation Please report to the medical reform office of the State Council in a timely manner any new situations and problems arising in the implementation process The medical reform office of the State Council will work with relevant departments to further improve relevant policies according to the trial implementation From the date of issuance of this notice, the newly launched drug procurement activities of public medical institutions shall be implemented in accordance with the provisions of this notice State Council medical reform office, state health and Family Planning Commission, food and drug administration, State Development and Reform Commission, Ministry of industry and information technology, Ministry of Commerce, State Administration of Taxation, State Administration of Chinese medicine, December 26, 2016 The implementation opinions on the implementation of "two vote system" in the drug procurement of public medical institutions (for Trial Implementation) are to implement the Circular of the general office of the CPC Central Committee and the general office of the State Council Transmitting "several opinions of the leading group of the State Council on deepening the reform of the medical and health system on further promoting the experience of deepening the reform of the medical and health system" (Ting Zi [2016] 36) In the spirit of the notice of the general office of the State Council on printing and distributing the key tasks of deepening the reform of the medical and health system in 2016 (GBF [2016] No 26), the implementation of the "two vote system" is promoted in the drug procurement of public medical institutions, and the implementation opinions are formulated I fully understand the significance of implementing the "two vote system" To implement the "two vote system" in the drug procurement of public medical institutions is a major measure to deepen the reform of the medical and health system and promote the healthy development of the pharmaceutical industry It is an important starting point to standardize the order of drug circulation, compress the circulation links and reduce the virtual high drug price It is also an important way to purify the circulation environment and crack down on it“ Money laundering by passing tickets "and strengthening the supervision and management of the pharmaceutical market are the inevitable requirements to ensure the drug safety of urban and rural residents and maintain the health of the people All regions and departments should stand on the height of safeguarding the fundamental interests of the country and the people, start from the overall situation conducive to promoting the transformation, upgrading and development of the pharmaceutical industry, integrate ideas and actions into the central decision-making, take the initiative in accordance with the division of responsibilities, dare to take responsibility, closely cooperate, and effectively promote the implementation of the "two vote system" II The definition of "two ticket system" refers to that the pharmaceutical manufacturers issue one invoice to the circulation enterprises and the circulation enterprises issue one invoice to the medical institutions A wholly-owned or holding commercial company (only one commercial company in China) or a domestic general agent of overseas drugs (only one domestic general agent in China) established by a pharmaceutical manufacturer or a group enterprise integrating science, industry and trade can be regarded as a manufacturing enterprise The allocation of drugs to or between wholly-owned (holding) subsidiaries within a drug distribution group may not be regarded as one vote, but the invoice can be issued at most once Pharmaceutical production and distribution enterprises shall reasonably determine the price increase level in accordance with the principles of fairness, legality and good faith Encourage public medical institutions and pharmaceutical manufacturers to directly settle the payment for drugs, and pharmaceutical manufacturers and circulation enterprises to settle the distribution expenses In response to special circumstances such as natural disasters, major epidemics, major emergencies and emergency (emergency) rescue of patients, drugs purchased urgently or national medicine reserve drugs can be handled specially The circulation and operation of narcotic drugs and class I psychotropic drugs shall still be carried out in accordance with the current provisions of the state III The implementation scope of "two vote system" is to gradually implement "two vote system" in drug procurement of public medical institutions, and encourage other medical institutions to implement "two vote system" in drug procurement Comprehensive medical reform pilot provinces (districts, cities) and public hospital reform pilot cities should take the lead in implementing the "two vote system", encourage other regions to implement the "two vote system", and strive to push it across the country by 2018 IV strictly implement the regulations on the management of drug purchase and sale bills For drug production and distribution enterprises selling drugs, they shall issue special VAT invoices or ordinary VAT invoices (hereinafter referred to as "invoices") in accordance with the relevant regulations on invoice management, and complete the items The sold drugs shall also be attached with the corresponding bill of accompanying goods in accordance with the requirements of the GSP, and the name of the buyer and seller of the invoice (and the list, the same below) shall be the same as the same bill of accompanying goods, the payment direction and the amount When purchasing drugs, drug distribution enterprises shall take the initiative to ask for invoices from drug manufacturers, which must be issued by drug manufacturers At the time of arrival acceptance, the invoice, the supplier's accompanying list and the actual purchased drugs' varieties, specifications, quantities, etc shall be verified, and the purchased drugs' acceptance records shall be established to make sure that the invoices, goods and accounts are consistent If the invoices and the accompanying bills do not conform to the requirements of the relevant regulations of the state, or the contents of the invoices, the accompanying bills and the purchased drugs do not conform to each other, they shall not be accepted for warehousing Invoices and relevant bills arising from the purchase and sale of drugs shall be kept in accordance with the relevant provisions In the areas where the "two ticket system" is implemented in the drug procurement of public medical institutions, the implementation of the "two ticket system" should be regarded as a necessary condition when centralized procurement institutions prepare procurement documents For the drugs purchased through bidding, the qualification of the drug manufacturer shall be verified, and the drug manufacturer shall directly bid The pharmaceutical enterprises participating in the centralized procurement of drugs should make a commitment to implement the "two vote system" in the bidding documents, otherwise the bidding will be invalid; the requirements of "two vote system" must also be specified in the procurement contract when purchasing drugs by other procurement methods   When the public medical institutions check and accept the drugs, they must verify that the tickets, goods and accounts are the same before they can be put into storage and used They should not only request and verify the invoices from the distribution enterprises, but also require the distribution enterprises to issue copies of the purchase invoices provided by the production enterprises with seals The names, batch numbers and other relevant contents of the two invoices are mutually related It shall be confirmed and included in the financial file management as the payment voucher of public medical institutions for drugs At least one copy of purchase invoice for each drug variety shall be provided We will encourage regions where conditions permit to use electronic invoices and verify the "two ticket system" through information-based means V create conditions to support the implementation of the "two vote system" All localities and relevant departments should actively create favorable conditions for the implementation of the "two vote system" We should break the barriers of interests, break down the local protection, speed up the cleaning up and abolish the unreasonable policies and regulations that hinder the healthy development of the drug circulation industry in the aspects of enterprise registration, drug purchase, cross regional operation, distribution provider selection, chain operation, etc Local governments should support large-scale drug distribution enterprises with complete network system, good quality reputation and strong distribution ability to carry out drug distribution work in local areas Support the construction of national and regional drug logistics parks and distribution centers, promote the effective integration of storage resources and transportation resources of drug distribution enterprises, coordinate the distribution of multiple warehouses, allow drug distribution enterprises to build warehouses in different places, and use qualified drug warehouses of their own enterprises in different regions within the province In accordance with the principle of combination of near and far and linkage between urban and rural areas, encourage and support the integration of regional drug distribution between urban and rural areas, and open up the "last mile" of rural drug distribution In order to distribute drugs to the rural (town) and village medical and health institutions which are particularly remote and inconvenient in transportation, drug distribution enterprises are allowed to issue another drug purchase and sale invoice on the basis of "two ticket system", so as to ensure the effective supply of drugs at the grassroots level Vi practically strengthen the supervision and inspection of the implementation of the "two ticket system" The provincial (District, city) drug centralized procurement agencies should strengthen the supervision and management of the drug centralized procurement work, cancel the qualification of bidding, winning the bid and distribution for the drug manufacturers and circulation enterprises that do not implement the "two ticket system" as required, and list them in the bad records of drug procurement The administrative departments of health and family planning and traditional Chinese medicine should strengthen the supervision and inspection of the implementation of the "two ticket system" in public medical institutions, and criticize the medical institutions that are not strict in asking for tickets (certificates), "two ticket system" is not implemented in place, are in arrears with payment for goods, and have orders or not, until the relevant personnel are investigated for responsibility When the food and drug administration supervises and inspects the drug production and distribution enterprises, it shall not only inspect the implementation of the measures for the supervision and management of drug distribution and the regulations on the quality management of drug distribution, but also include the implementation of the "two vote system" in the inspection scope The food and drug regulatory department shall timely notify the centralized drug purchasing agency in the province where the enterprise violates the requirements of the "two vote system" Whoever is suspected of committing a crime shall be transferred to a public security organ according to law The tax authorities should strengthen the invoice management of drug production and distribution enterprises and medical institutions, and strengthen the inspection of tax evasion according to law All relevant departments should make full use of information technology and strengthen the "two vote system" Supervision and inspection of implementation, establishment and improvement of cross departmental and cross regional regulatory linkage response and cooperation mechanism, promotion of interconnection and data sharing of drug centralized procurement platform (public resource trading platform), drug traceability system and integrity system construction platform, etc., and Realization of illegal cable interconnection, regulatory standard interconnection and mutual recognition of processing results We will promote and strengthen information disclosure and publicity, and widely accept social supervision Relevant state departments will timely organize and carry out special supervision and inspection on the implementation of the "two vote system" 7 Strengthen policy publicity All localities should strengthen policy interpretation, publicity and guidance, adopt a simple and vivid way, widely publicize the purpose, practice and significance of the implementation of the "two vote system", actively respond to social concerns, and create a good public opinion atmosphere for the implementation of the "two vote system"