There's a chance for a large number of prescriptions to flow out

The purchase price of drugs in and out of hospital is the same, and the outflow of some prescriptions becomes an inevitable choice On December 2, Tianjin Medical Insurance Bureau issued the implementation plan for promoting drug online procurement in designated medical institutions of medical security in Tianjin, which covers all drugs listed and sold in China Tianjin will implement price limited online procurement, drug shortage procurement, benchmark price online procurement and monitoring online procurement Zheng Pei, an industry veteran, told sapphire blue that online purchasing had wiped out all medicines In the case of online purchasing analysis of the benchmark price, pharmaceutical institutions are required to follow the national volume purchasing situation, take the national lowest price as a reference, stipulate the purchasing quantity, payment collection time, etc., and enterprises confirm the price and then purchase through the platform, which is actually a copy of the national volume purchasing In this way, the drugs collected by the hospital basically cover all kinds except the drugs in short supply The price of the hospital is relatively low due to the national price linkage Hospital zero mark up, which will lead to many drugs sold in hospitals and pharmacies at the same time The price of the hospital is lower than that outside the hospital Judging from the price, patients may return to the hospital The so-called medical insurance designated medical institutions, including hospitals and covered medical insurance designated pharmacies, will conduct online procurement, and offline procurement is strictly prohibited Li Congxuan, general manager of OTC of Kangmei pharmaceutical industry, told cypress blue that the impact on drugstores might be fatal If the state negotiates drugs, fixed-point production drugs and the state and Tianjin carry out the purchase of drugs with limited price on the Internet, and the drugs not involved in the purchase are purchased at the lowest price in half a year, this will lead to the disappearance of the high gross profit product group of drugstores Because the price of drugs for bidding and purchase and drugs with linkage price are basically naked, even if the drugstore is allowed to add a percentage, the high gross profit will be cut off, and the profit level of drugstore will be greatly reduced, which is certain That is to say, this document flattens the purchase price of hospitals and pharmacies, and adjusts the payment standard of medical insurance varieties according to the purchase price In terms of hospitals, there is zero markup Pharmacies need to sell cheap drugs Profits are under pressure The era of high gross profit is going to pass However, the positive impact is that sales of hospital drugs may turn to pharmacies, Li said When the country implemented the pilot program of volume purchase, the retail industry thought that it could keep the high price, and could reduce the drug purchase price of medical institutions through price limit, linkage with the lowest price in the country and price comparison Obviously, the price competition of medical insurance pharmacies and hospitals would bear great pressure But drugstores are not without opportunities In 2020, drugstores will start classified management The first type of drugstores can only sell OTC varieties, the second type can sell OTC and prescription drugs, and the third type can sell OTC prescription drugs and herbal pieces Guangdong and Shandong have already started According to Zheng Pei's analysis, from another point of view - clinical aspect, many products are kicked out of medical insurance It's better for non-medical insurance products to participate in local volume procurement, or for the lowest price of the whole country to be linked to the Internet The price is low and they are not reimbursed They will certainly not survive in the hospital, and they will inevitably seek an out of hospital sales channel The above two or three types of pharmacies may undertake the outflow of prescriptions of these products outside the hospital, or the sales channels of prescriptions draining to the hospital In addition, at present, there is a relatively formed path for prescription outflow Once the pharmacy classification management is fully implemented, it will quickly match and complete the fit with some varieties The management of chronic diseases such as hypertension and diabetes is likely to be the first business to undertake prescription outflow According to Zheng Pei, after classified management, the second and third class pharmacies can provide professional services to the patients who enter the store to purchase drugs and attract customers through the management of hypertension and diabetes The support of medical insurance payment to the dual channel co-ordination of hypertension and diabetes can gradually reduce the dependence on the hospital for the professional services provided to the patients with chronic diseases in the drugstore, and become the unit of chronic disease insurance It is impossible for the patients with chronic diseases to go to the hospital to buy the drugs with the quantity purchased.