Official announcement: Pharmacies can increase prices by 15%

Finishing / eveningmulti-local health insurance bureau began to limit prices, pharmacies to sell selected drugs, on the basis of the winning price can not increase the price of more than 15%May 13, the Xinjiang Autonomous Region Medical Insurance Bureau "on the implementation of the autonomous region drug centralized procurement and use of pilot expansion of the work of medical insurance support measures" (hereinafter referred to as "Notice"), to unify the region's overall funding to pay all levels of fixed-point pharmaceutical institutions at all levels of the same drug payment standards(Picture: Intercepted to Xinjiang Medical Insurance Bureau)"Notice" pointed out that the same generic name under the original research drugs, reference preparations, through the consistency evaluation of generic drugs, in principle, centralized procurement and use of the price of the generic drug as the payment standard, the medical insurance fund according to the same payment standardspatients use drugs that are priced higher than the payment standard, and the portion of the payment standard is paid by the patient, and the portion of the payment standard is shared proportionately by the patient and the health insurancefor some of the prices and selected drugs with large differences in the price of drugs, in accordance with the "step by step, classification guidance" principle, gradual adjustment of payment standards, in 2-3 years to adjust in place, in principle, according to the following rules:1, non-selected drugs at the end of 2019 price of more than 2 times the selected price, 2020 according to the original price of not less than 30% of the payment standard, and in 2021 or 2022 to adjust the price of selected drugsNon-selected enterprises are encouraged to take the initiative to reduce prices and converge on payment standardsEach co-ordination area can also explore ways to guide patients to use selected varieties by adjusting the individual out-of-pocket ratio on the basis of comprehensive consideration of local reality2, non-selected drugs at the end of 2019 price in the winning price and the winning price within 2 times (including 2 times), the winning price is the payment standard3, below the winning price, the actual price is the standard of payment4, medical insurance fixed-point retail pharmacies to participate in the expansion of the work, may allow it on the basis of the winning price increase of not more than 15%, more than the payment standard of part of the co-ordination fund will not pay by the patient,the following part of the payment standard according to the overall regional policy reimbursementis worth noting that the Notice once again provides for the sale of selected drugs in fixed-point pharmacies, on the basis of the selected price, pharmacies can only increase the price by up to 15%a simple example: according to the second batch of national centralized procurement of drugs to choose the results, Sichuan Green Leaf Pharmaceutical production of Acapo sugar capsules (spec: 50mg x 30 capsules) in Xinjiang, the proposed price of 9.6 yuan, according to the maximum price increase of 15% of pharmaciesthis also said that The highest can only sell 11.04 yuan, rounding, selling 11 yuan is the most appropriateBecause more than 11.04 yuan, you need to pay for the patient themselves Of course, pharmacies can also choose to increase the price by more than 15%, but they have to bear the impact and consequences of the increase in fact, the highest price increase mentioned here has been a case, so far, many provinces have issued similar documents, pharmacies sell selected drugs, in the selection of prices on the basis of the maximum price can only increase 15% a month ago, 7,800 chain stores of nearly 51 chain enterprises in Yunnan Province applied to join the Second Batch of Yunnan Provincial Government's Collection of Collections, involving 32 retail pharmacies in the sale of varieties And in accordance with the national unified deployment, formal implementation according to the Convention on the Implementation of Centralized Drug Purchase spree in retail pharmacies in Yunnan Province, participating units in principle need to complete their annual procurement volume in accordance with the reporting plan, and abnormal cases need to be reported in a timely manner In terms of price, it is necessary to observe law and discipline, and the government negotiates that the varieties to be collected shall not rise by more than 15% in the difference rate of the store sales price early this year, Zhejiang Provincial Health Insurance Bureau issued the "promoting the centralized procurement of drugs to promote the full coverage of medical insurance drug payment standards (draft for comments)" also proposed that all fixed-point retail pharmacies in the province to implement a unified standard of payment of medical insurance drugs, on the basis of the established medical institutions payment standards up to 15% (excluding national and provincial negotiated drugs), up to a maximum of 200 yuan (in minimum packaging) of course, this "15% increase" provision, was first proposed in Taicang City, Jiangsu Province The city requires that the medical insurance catalogue centralized tender procurement of Western medicine, traditional Chinese medicine price management, with a winning bid plus 15% for the medical insurance to pay the limit price since many provinces have put forward the "15% increase" provisions, then what is the attitude of the country? In fact, as early as the first batch of volume procurement expansion, the National Health Insurance Administration mentioned, "medical insurance fixed-point retail pharmacies to participate in this procurement, can be allowed to the selection of prices on the basis of the appropriate mark-up, beyond the payment standard of the part paid by the patient, the following part of the payment standard by the medical insurance reimbursement." "
from the national requirements, but also can only be appropriate on the basis of the selected price appropriate mark-up, since many provinces have put forward the collection of varieties "pharmacy maximum price increase of 15%" price standard, if not unexpected, this may become a unified national price standard.