Will drug purchase in Beijing become the lowest price?

Source: e drug manager 2017-04-06 in order to minimize the drug price, Beijing recently started to enlarge the recruitment On April 5, the long-standing Beijing Pharmaceutical sunshine purchase platform was officially opened to the public, which means that all hospitals participating in the medical reform in Beijing will purchase drugs through the platform in the future This is not a very strange thing in itself After all, almost all provinces in China have implemented the sunshine purchase policy for drugs However, it is quite different from other provinces After the 15% drug markup has been completely cancelled, after April 8, the public can purchase drugs in the Beijing market through the "public query" function of the sunshine purchase management platform of Beijing medicine Once it is found that the purchase price of more than 7000 drugs is higher than the purchase price, you can call 12345, 12320, 12315 and other government public hotlines to complain But it's worth noting that for the public, it's just another way to ensure that they don't pay for the inflated drug price But for drug manufacturers, the comprehensive announcement of drug purchase price in Beijing means to a large extent that the lowest bid price of the most secretive drugs in the past will be left in the sun, and the price maintenance of drug companies is the direct test Ability and market price system 1 According to the documents from Beijing health and Family Planning Commission and Beijing food and Drug Administration released to the public by the bidding price, on April 8, 2017, the comprehensive reform of the separation of medicine in Beijing will be implemented in an all-round way, and the sunshine purchase of medicine is a key link, and its work plan will be formally implemented from April 8 Figure: since April 8, the purchase price of more than 7000 varieties can be known through the right most public inquiry On April 5, the "Beijing Pharmaceutical sunshine purchasing platform", which has been put into operation online, officially opened, and now has more than 7000 varieties Gao Xiaojun, a member of the Beijing Municipal Commission of health and family planning, said publicly that the average purchase price of drugs will decrease by 8% after the implementation of the sunshine purchase of drugs In addition to the cancellation of the 15% drug mark up regulations previously implemented by some hospitals, the overall price of all other drugs involved in the medical reform in Beijing is expected to decrease by 20% Canceling the drug mark up means that the hospital can no longer make articles from the drug price, and can only "go in and out flat" For patients, this is naturally a positive signal, which can save more money on the drug cost In order to ensure the real implementation of "flat in and flat out", patients can also query the purchase price of their own drugs through open channels, and directly complain if they are inconsistent This is not a common practice Previously, although Fujian, Zhejiang and other places have implemented the strategy of linkage between the centralized purchase price of drugs and the lowest price in the country, there are few official ways through the government to disclose the winning information of each drug Applying a popular word, Beijing's current practice is to supervise and control drug prices "in the name of the people" The benefits of sunshine purchase for drug price control are obvious According to Beijing Evening News, taking atorvastatin calcium tablets as an example, in 2015, the purchase amount of the two main brands (imported products "Lipitor" and domestic products "alexin") sold in Beijing reached 824 million yuan, while after sunshine purchase, the price decreased by 9.76% and 11.47% respectively, directly saving the purchase cost of 83 million yuan 2 Lowest? Lower? Since 2017, the drug price system of pharmaceutical enterprises has been experiencing a wave of rapid attacks, which is an objective fact First, on February 4, Fujian Province launched the sunshine purchase rules of joint price limit of drugs based on the payment and settlement price of medical insurance, then on February 21, Zhejiang Pharmaceutical Machinery Purchase Center released the results of its implementation of the national minimum price linkage of online trading products; on February 22, Tianjin announced that the national minimum purchase price including pharmacies was taken as the payment standard of medical insurance drugs According to the incomplete statistics of e-drug managers, at least 22 provinces have made it clear that they want to implement the linkage of the lowest price Zhejiang Province and other provinces that have always been more radical in drug price policy are now linked every six months, while Beijing implements the daily dynamic linkage, that is, once the enterprises have a new national lowest price in other provinces, they need to adjust the price of Beijing within 20 days It can be said that one hair can move the whole body According to the notice on price negotiation of pharmaceutical sunshine procurement of Beijing Municipal Hospital, for the pharmaceuticals that are not listed in the sunshine procurement candidate catalogue of pilot units of Beijing Sunshine procurement platform, but are clinically necessary and have no substitute in the catalogue, they can be reported by each hospital, but they also need to be negotiated The principle is "no higher than the original Beijing region and key reference provinces and cities (Shanghai, Tianjin, Zhejiang) Jiang, Jiangsu, Hebei, etc.) the lowest supply price since January 1, 2017 " In fact, no matter Tianjin or other provinces and cities such as Zhejiang, the drug price has been in the lowest state in China It can also be seen from this that with daily dynamic linkage and special product price negotiation, what Beijing will create is likely to be the lowest bid price of drugs in China As early as July 2015, when the Beijing Municipal Commission of health and family planning officially launched the drug sunshine procurement, its work plan showed that Beijing would comprehensively establish a drug price database, collect and publish the bid winning prices of all provinces in the country, display the drug transaction prices and price changes of all medical institutions in Beijing in real time, and open the real-time early warning function for the purchase and transaction price level of specific products 3 "Integrity" agreement according to the work arrangement, each medical institution shall sign the purchase and sale contract and integrity agreement with the drug distribution enterprise, establish the contact mechanism, negotiate and determine the new and old drug switching scheme, and urge the distribution enterprise to deliver the goods in time, so as to ensure that all the drugs for clinical use of the medical institution are put into storage before 0:00 on April 7 and keep a reasonable inventory It is worth noting that the scheme requires that drug distribution enterprises cooperate with relevant medical institutions in drug price adjustment, exchange, return, information system docking and other work, respond to online purchase orders of medical institutions in the drug sunshine purchase platform in a timely manner, and shall not cut off goods, stop goods, wait for the opportunity to increase prices for any reason At the press conference on the comprehensive reform of the separation of medicine in Beijing just held, the relevant principals also disclosed that in the daily drug procurement, for the drugs that are clinically necessary but in short supply in the market, Beijing has also selected representative general hospitals, specialized hospitals and other hospitals to establish 15 monitoring sites for the shortage of drugs, to collect the shortage of drugs in real time, so as to ensure the supply of drugs.