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    Home > Medical News > Medical World News > Unified distribution collection of 500 drug catalog? Injections will face a full-scale reduction of dimensions.

    Unified distribution collection of 500 drug catalog? Injections will face a full-scale reduction of dimensions.

    • Last Update: 2020-08-02
    • Source: Internet
    • Author: User
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    Author Yu QingYi man today, according to industry circulation, last week the relevant parties organized a collection meeting, summarized the following aspects: First, the main body covers the country, provincial, municipal full coverage.
    the country has carried out three batches, followed by the joint procurement office to lead the normal development.
    all provinces to carry out drug-belt procurement, currently only 19 provinces, other provinces also need to catch up.
    will be briefed at a later stage and supervision will be conducted in due course.
    , variety coverage according to the purchase amount of the order, covering the first 80% of the drugs about 500 (the number determined according to the specific situation), by 2021 to cover 250, 2022 to be fully covered.
    not carried out by the state, by the provincial organizations to carry out three, categories of covered chemical drugs, biological agents, traditional Chinese medicine should be included in the collection.
    specifically includes the varieties covering the first 80% of the purchase amount.
    provinces do not worry about flow marks, flow label products timely reported to the National Health Insurance Bureau, further study the reasons.
    today's topic, the author and you to rational analysis, this tape procurement of some deep-seated logical factors.
    1. The amount of procurement can not only stick needle blood, must knife and knife meat cut bone shortly before, the national recruitment organization training course related speech outflow, which has a paragraph, the author pay sspecial attention, excerpts are as follows: - we are now carrying out procurement of the variety is still relatively small, "stuck a needle, really see blood", but whether the formation of the body mechanism of the systematic change? Still small eye, has not formed a systematic inevitable reaction and irreversible development trend.
    the current national organization of more than a hundred varieties, upstream by the "consistency evaluation" of the impact of the downstream by further promotion of the selection of varieties, including comprehensive supporting measures, there are some drug categories have not yet broken the problem, such as biologics, Chinese medicine, more large quantities of supplies, by its own development stage, such as non-standard, not competitive and so on some impact, supplies to further promote their own difficulties.
    the reform of the volume of procurement can not be further advanced, extended to the relevant areas, the formation of the relevant recruitment scale, volume, it is difficult to "gold sales" to form a fundamental change.
    at present, at the national level, to the oral preparation of chemical drugs mainly, the evaluation of the same as the evaluation, as long as touch edare on three and above, automatically into the national band procurement vision, in these areas, the selection of procurement amount is high, clinically targeted, social impact, can play a pioneering role in drug price reform model.
    and according to the spirit of the relevant meeting sourcing in the industry, this year is expected to be only a start-up stage, 2021 will be completed 250 varieties (good lucky figures), 2022 will be fully covered.
    2. How big is the cake worth sharing in the national chemical drug market, how big is the national chemical drug market? Sales of chemical drugs in public institutions in China increased year by year from 2013 to 2018, but the growth rate slowed.
    2018, China's public medical institutions (China's urban public hospitals, county-level public hospitals, urban community centers and township hospitals) terminal chemical drug sales of 1032.5 billion yuan, an increase of 7.36 percent year-on-year;
    and related shows that in 2019, China's three major terminals in the six major markets total sales of 1795.5 billion yuan, up 4.8% YoY, public hospital terminal market share as high as 66.6%, only in the city public hospital sales, in 2019, the field of drug sales has reached 873.9 billion.
    accounts for 48.7 per cent of the national drug market.
    , the focus areas of the chemical drug market are undoubtedly focused on tumors, digestion and metabolism, cardiovascular, blood and hematopoietic systems, nervous system and other fields.
    but in recent years, due to the deepening of public hospital reform, the promotion of graded diagnosis and treatment, medical insurance control fees and other policies, the growth rate of chemical drug sales in urban public hospitals has slowed down.
    3. Who is most hurt by the provincial band purchase million arrows? Data show that in 2018, sales of chemical drug terminal injections in public medical institutions in China amounted to 615.157 billion yuan, up 3.94% year-on-year, accounting for the largest proportion of all chemical agents.
    taking advantage of the injection consistency evaluation technology and declaration requirements, the injection consistency evaluation process will be greatly accelerated, to some extent, the consistency evaluation of chemical injection sinfies than oral preparations have a greater impact.
    according to the relevant data show that China's injection industry in the terminal market share of more than 50%, the clinical use of western medicine is more than 70% of the injection form, relatively oral dosage form coverage is wider, involving more enterprises, with more and more injections have been evaluated by enterprises, this type of products or will gradually become one of the focus of national belt procurement and provincial centralized procurement.
    4. How is provincial volume procurement classified and balanced? (1) Complementary varieties, mutual promotion to the treatment field division, A province collection 50, B province collection 40, C province collection 30, and so on, the price dust settled, the price linkage.
    (2) in accordance with the national harvest version, the first large-scale development of 250 varieties from 500 varieties, the provinces in a variety of efforts, to dosage form division, focus on combating injections, large-scale mining.
    but in terms of variety determination, there may be from 500 varieties in the careful selection, it is also possible to directly on the top 250, this is: a meal of operation as fierce as a tiger, as long as the front 250.
    If you finish 250, who cares is not 250! (3) Encourage the evaluation of 1 to 2 varieties of active price reduction does not exclude some provinces continue to encourage the evaluation of less than 3 varieties of active price reduction, to clinical priority use, priority hanging net, preferably return and other policy temptations.
    (4) or more provincial or provincial-level city-level group procurement of some provinces in view of their own conditions are not perfect, do not exclude the province's 3 or more local-level city group procurement way, or part of the provincial-level city to carry out alliance procurement, the way to carry out group volume procurement.
    (5) Group procurement resurrection in accordance with the relevant provinces and cities (Shanghai, Guangdong, Hunan) to encourage the development of the Group procurement policy, do not exclude the relevant GPO transfer muzzle, focusing on attacks on the 500 varieties within the range.
    (6) flow label varieties will not completely exit the market according to the spirit of the meeting, the provinces do not worry about flow labels, streaming standards timely reporting, further study the reasons.
    is expected to still give the flow of the variety some survival opportunities, but the survival space will be extremely small, 5-10% of the purchase amount of space is also normal.
    after all, according to the spirit of the meeting, the author judged that the flow mark is not abortion, do not worry too much.
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