The shuffle is coming! The national version of "two vote system" may be published this month

Source: 39 medical 2017-01-06 2016 last working day, CCTV news coverage, the central comprehensive deepening reform leading group held thirty-first meetings, the CPC Central Committee General Secretary, the president, the Central Military Commission Chairman, the central comprehensive deepening reform leading group leader Xi Jinping delivered an important speech at the meeting The meeting deliberated and adopted several opinions on further reform and improvement of drug production, circulation and use policies, emphasizing the implementation of "two vote system reform" of drug circulation, purification of drug circulation and solution of outstanding problems This high-level speech and setting tone almost foreshadowed a series of changes that will be triggered by the "two vote system" in the pharmaceutical market in 2017 A number of media have reported recently that the official two vote document of the national version will be officially released before the Spring Festival The introduction of "two vote system" in Chongqing forces the industrial reform just at the time when China's pharmaceutical industry is facing reform Chongqing Health and Family Planning Commission issued the notice on the implementation plan (Trial) of "two vote system" for drug procurement of public medical institutions on January 3, 2017 The industry generally believes that the "two vote system" in Chongqing The official document, which will be the closest to the national two vote system, has reference significance for the reform of the whole pharmaceutical circulation field The implementation of the two vote system in Chongqing started on December 31, 2016; the transition period was before May 31, 2017; from June 1, 2017, all public medical institutions in Chongqing formally and comprehensively implemented the two vote system During the transitional period, the manufacturing enterprises should fully consider the original distribution channels of medical institutions and other factors to determine the first-class commercial agency relationship in Chongqing, on April 1 Recently, it was updated on the platform of Chongqing drug exchange, and the letter of commitment was signed and publicized at the same time; the operating enterprises and drug distribution group enterprises regarded as production enterprises should provide relevant supporting materials, sign and publicize the letter of commitment; the operating enterprises should properly handle the drugs in stock that do not meet the requirements of "two vote system" Before the first-class commercial agency relationship of the manufacturing enterprise is determined, the medical institution can temporarily purchase drugs according to the original channel, and after April 1, the distribution channel shall be adjusted and optimized in time according to the purchase and use of drugs; each district and county shall fully evaluate the drug distribution guarantee situation of the local primary medical institutions, and if it is necessary to increase one vote, the operating enterprise shall be determined through public selection and put on record For the definition of industry and commerce that enterprises generally pay attention to, the document makes it clear that the wholly-owned or holding commercial companies that only sell their own (Group) drugs and the domestic general agent of overseas drugs established by pharmaceutical manufacturers or group enterprises integrated with science, industry and trade can be regarded as the same as the manufacturing enterprises; for the drugs that are commissioned to produce in compliance, the enterprises (Group) that are commissioned to establish only sell their own (set) A wholly-owned or holding commercial company of drugs can be regarded as a manufacturing enterprise; the above situation is limited to 1 commercial company and 1 domestic general agent The instigation of drugs among the head office, branches, wholly-owned or holding subsidiaries of drug distribution group enterprises may not be regarded as one vote, but can be allocated at most once For the public medical institutions that implement the trusteeship of pharmacies, the operating enterprises may entrust them with trusteeship and distribution, but they shall not purchase or sell, that is, they shall not issue invoices In fact, the two vote system is not new to the pharmaceutical industry Since April 26, 2016, at the executive meeting of the State Council, it was proposed for the first time to gradually implement the "two vote system" in drug purchase and sale The national level has successively issued programmatic documents related to this, and local governments have also expressed their opinions on this, and will successively implement the two vote system As of December 28, 24 provinces and cities have expressed their opinions on the two vote system, actively encouraging the pilot cities of comprehensive reform of public hospitals to implement the "two vote system", and Anhui and Hunan provinces have issued Implementation Opinions on the two vote system, which are also clear that they will implement the two vote system in 2017 Some analysts pointed out that pharmaceutical wholesale enterprises should be prepared to meet a series of changes and challenges brought about by the two vote system In the long run, changes in market pattern and elimination of some enterprises will be inevitable After the research of the national pharmaceutical 3PL alliance, the future pharmaceutical 3PL business will be divided into the following categories: 1 Small and medium-sized commercial enterprises that have obtained the qualification of pharmaceutical 3PL, if their own storage scale is large, they can use the surplus storage capacity to attract a large number of small and medium-sized commercial enterprises and individuals from the project site and surrounding areas to settle in 2 The leading commercial enterprises in all regions that have obtained the qualification of medicine 3PL should focus on attracting the industrial pharmaceutical enterprises in different regions due to their advantages in capital and variety of channels; the commercial pharmaceutical enterprises can build a modern logistics platform for customers to provide them with the storage and trunk transportation services between cities in the province If there are abundant social resources, we can also cooperate with local institutions to carry out warehouse receipt pledge, order factoring and other businesses 3 For social logistics enterprises, the focus is to provide compliant warehousing and transportation services (high benefit for medical institutions or cold chain products distribution) for large health enterprises such as medicine, food, health care products, etc by taking advantage of their own logistics order processing ability If the storage area or the land area of the park is abundant, it can attract industrial and commercial pharmaceutical enterprises from all over the world to build warehouses and provide financial leasing services for the main equipment in the warehouses Under the pressure of the "two ticket system", more and more provinces will officially release the filing of the drug 3PL business, and 2017 is likely to be the first year when the drug 3PL business will be completely opened and flowers will bloom all over the country.