Rules for drug introduction of famous third grade A: basic drug plus points, auxiliary drug still have opportunities, import low points

On September 4, Sichuan Academy of Medical Sciences and Sichuan people's Hospital (hereinafter referred to as Sichuan people's Hospital) issued the notice of new drug selection At the same time, the hospital's new drug selection work system, scoring rules and audit rules and other contents also flowed out of the wechat public platform Yiyao circle This year is the year when various policies have been implemented, including the basic drug system, auxiliary drugs, domestic substitution and other heavy drug policies began to be implemented at the hospital level After the implementation of these policies, the medical people are most concerned about the impact on the hospital clinical market According to the public information, Sichuan people's hospital is a famous top three hospital, ranking in the top 100 hospitals The selection of new drugs is undoubtedly the best sample to observe how these policies affect the hospital market and affect the access of drugs to the hospital Under the influence of these heavy policies, how will the pharmaceutical market change? Do not pay for drugs at your own expense The guide is to apply the notice of Sichuan people's hospital to Jinbiao, and the conditions to participate in the new drug selection are: (1) it must be the online variety of "Sichuan Pharmaceutical Machinery Procurement Supervision" platform (http://scyz.sc.gov.cn/) (2) In principle, it belongs to the reimbursement scope of Sichuan basic medical insurance, work injury insurance and maternity insurance drug catalogue (2018 version), and the drug standard code (starting with 869) is indicated (3) The same reporting enterprise is limited to 5 product specifications (Please rank them) If the declaration is excessive, all the declarations shall be regarded as "invalid" (4) The above principles must be met at the same time (5) If we have "one product, two regulations" varieties, or have the same quality or price level as the drugs in our hospital, we will not accept the application Obviously, it is the necessary threshold to enter the hospital to hang the network and medical insurance varieties on the provincial platform In terms of the specific selection system, Sichuan people's Hospital particularly emphasizes that in principle, self paid drugs are not considered as routine procurement In addition to these two thresholds, the scores of clinical orientation and hard power of drugs themselves are relatively high According to the selection system, the full score of the health technology evaluation of drugs is 40 points, among which, whether there is a guide recommendation is the measurement standard, the highest is the domestic and foreign double guide recommendation, with a score of 40 points, and others are scored according to different standards If there is no guide recommendation at home and abroad, the full score is only 30 points, and then different scores are given according to effectiveness, safety and economy From the perspective of documents, the scoring work is initially completed by the personnel of the pharmaceutical department, and then cross checked by the health teachers After the review, the director of the department submits it to the Secretariat of the pharmaceutical Committee for filing The priority of basic drugs, but the score of imports is low Recently, the national health and health committees of all provinces are issuing the basic drug system documents, which stipulate the proportion of the purchase amount and sales volume of basic drugs in hospitals at all levels, which is also reflected in the scoring rules of hospitals A total of 20 scores are given for drug variety structure, including 7 scores for substitutability of existing varieties Although auxiliary drugs are mainly monitored, 3 scores will be given if there are no similar varieties of auxiliary drugs and Chinese patent drugs If the auxiliary drugs and Chinese patent medicines overlap with the existing hospital varieties (including hospital preparations) in function and main treatment, 2 points can be obtained In this part of the scoring rules, there is also a separate score evaluation for basic drugs Basic drugs can get 3 points, non basic drugs can get 1 point, and basic drugs are given special preferential treatment In terms of origin, it is worth noting that compared with domestic drugs, imported drugs have become the one not to be seen this time In the selection principle, it is particularly proposed to give priority to local and domestic drugs to ensure that the proportion of clinical use meets the relevant requirements So in terms of score, Sichuan Province can get 3 points, 2 points for domestic products, and only 1 point for imported products.