The "two-ticket" system was carried out nationwide on May 2. 

 

In the last week of April, four provinces focused on implementing the "two-ticket" plan in the province. It is shaanxi on April 24, gansu in April 26, shanxi and zhejiang on April 28. 

 

As of now, there are 16 provinces, including anhui and fujian, with a clear timetable for implementing the two-ticket system. Another four provinces have made clear they will introduce a two-ticket system in 2017. There are no immediate plans for 11 provinces. 

 

By combing found, schedule specific provinces, to some extent, retained their respective characteristics, such as the length of the transition period is differ, there are also five months, 3 months; If shanxi does not allow non-operating companies to carry out drug promotion, etc. 

 

For details, please read the excerpts from cypress blue for reference. 

 

▍ schedule clear 

 

Liaoning: from June 1, 2017, it will be implemented in stages 

 

On April 13, 2017, liaoning issued the notice of "implementing detailed rules for the implementation of the" two-ticket system "in the pharmaceutical purchase of the public medical institution of liaoning province. On June 1, 2017, public health institutions at all levels of the province will launch the "two-ticket system". Medical institutions in the production of enterprises before new distribution relationship has not yet been determined, can temporarily purchase by the original channel, after August 1st should be based on use of drug purchase, timely adjusting and optimizing distribution channels. On September 1, 2017, all levels of public medical institutions in the province comprehensively implement the "two-ticket system". 

 

Hunan: April 11, 2017, five months 'transition 

 

On April 11, 2017, hunan province released the notice of "the implementation plan for the implementation of the" two-ticket "plan for pharmaceutical purchase in hunan province public medical institution. The "two-ticket system" has been implemented since the date of the Posting, and the transition period is September 30, 2017. On October 1, 2017, the provincial public medical institutions will be fully implemented. 

 

Shanxi: May 1, 2017 

 

On April 28, 2017, Shanxi Province issued a plan for the implementation of a "two-ticket" scheme for pharmaceutical procurement of public medical institutions in Shanxi Province. The "two-ticket system" will be implemented on May 1, 2017. The transition period is July 31, 2017. From August 1, 2017, the provincial public health authorities will carry out a "two-ticket" system for purchasing medicines. 

 

Drug companies, shall not entrust technology companies, consulting companies, such as the pharmaceutical trading enterprises in our province to promote sales of drugs, companies such as can not to pay the fees in disguised forms "money laundering" and increase the drug sales link. 

 

Shaanxi: it will be implemented on January 1, 2017 and will be in the semi-annual transition period 

 

On March 4, 2017, the eight departments of shaanxi province jointly issued the notice of the "two-ticket" system for medicine and medical consumables in public hospitals in the province. From January 1, 2017, the provincial urban public health clinic will implement a "two-ticket" system for pharmaceutical and medical consumables purchases. Medical consumables carry out "two-ticket system" do have difficulty, can carry out in high value medical consumables first. The transition period should not exceed 30 June 2017. 

 

Gansu: it will be fully implemented on October 1, 2017, and a semi-annual transition period 

 

On April 26, 2017, eight departments of gansu province jointly issued a "two-ticket" scheme for drug purchases by public medical institutions. The three grade public hospitals in the province must fully implement the "two-ticket system" on October 1, 2017, and the transition period will be four to five months after the release of the plan. The secondary public health care institutions of the whole province must implement the "two-ticket system" in full implementation of the new round of drug centralized procurement and put in place by the end of 2018. 

 

Beijing: April 8, 2017 

 

On March 23, 2017, the Beijing municipal government issued a notice on the implementation of the comprehensive reform of medicine. Starting on April 8, we will implement the "two-ticket system" for drug purchase and sale. 

 

Hebei: starting May 1, 2017, the whole province will be promoted 

 

On November 3, 2016, hebei food and drug administration issued a proposal for the implementation of a "two-ticket" system for drug purchases by public medical institutions in hebei province. On May 1, 2017, there will be two bills in the pharmaceutical procurement of public medical institutions in the province. Narcotic drugs, the first psychotropic drugs, family planning drugs, planned immune drugs, and Chinese medicine, do not carry out the two-ticket system. 

 

Liaoning: start on June 1, 2017 

 

On March 15, 2017, the health and family planning commission of liaoning province issued the detailed rules for the implementation of a "two-ticket" system for drug purchases by the provincial public health service. On June 1, 2017, public health institutions at all levels in the province will start to implement the "two-ticket system" for drug purchases. Remote areas allow drug companies to buy and sell invoices once again on a "two-ticket basis". 

 

Zhejiang: it will be implemented on July 1, 2017, and the transition period will be 3 months 

 

On April 28, 2017, zhejiang health issued "in the public medical institutions and drug procurement in implementation of the implementation of the" two votes "opinion (draft)" of public opinion suggestion. 

 

The "two-ticket system" of pharmaceutical procurement of public medical institutions in the province will be implemented on July 1, 2017, and the transition period will be three months. Medicine circulation group within the enterprise to a wholly owned subsidiary (holding) or ERP system with province YaoXie purchasing platform of wholly owned subsidiaries (holding) transfers between drug is not seen as a vote, but most allow open an invoice. 

 

Hainan: from January 11, 2017, the whole province will be promoted 

 

January 11, 2017, hainan who planning commission issued for the public medical institutions of hainan province pharmaceuticals, high value medical consumables procurement (trial) ", "two votes" detailed rules for the implementation opinion letter. January 11, 2017, the province all public medical institutions and drug, high value medical consumables purchase full implementation of the "two votes", remote and inaccessible grassroots medical institutions in particular, allow to open a ticket. 

 

Chongqing: it will be implemented on June 1, 2017 

 

On January 3, 2017, chongqing municipality issued a notice on the implementation of the "two-ticket" scheme for pharmaceutical procurement of the chongqing public medical institution. On December 31, 2016, all the public medical institutions in the city implemented a two-ticket system. The transition period is 31 May 2017; On June 1, 2017, all the public medical institutions in the city formally implement the two-ticket system. 

 

Sichuan: the whole province will be promoted from April 6, 2017 

 

On April 6, 2017, 10 departments of sichuan province issued a notice of the implementation of a "two-ticket" scheme in the pharmaceutical procurement of public medical institutions in sichuan province. Release from now on, the public medical institutions in addition to national public medical institutions in remote areas poverty and other areas outside the grassroots medical institutions to implement the "two votes". Give five months of transition time. 

 

Qinghai: from December 15, 2016, partial implementation 

 

On December 12, 2016, the government of qinghai province issued a "two-ticket" policy on drug purchases by public medical institutions in qinghai province. On December 15, 2016, there will be a "two-ticket" system for drug varieties with direct mining and first-grade agents, and the original distribution enterprises will be unchanged. The two bills will be implemented in 2017. 

 

Ningxia: from January 1, 2017, it will be fully implemented 

 

In November 2016, the implementation of the "two-ticket" system for drug purchases by public medical institutions in ningxia hui autonomous region was released. On January 1, 2017, a "two-ticket" system for the supply of medicines for public medical institutions in the district will be implemented. 

 

Anhui: implementation on November 1, 2016 

 

On October 8, 2016, the food and drug administration of anhui province issued a "two-ticket" proposal for the implementation of the "two-ticket system" in the pharmaceutical procurement of anhui provincial public medical institutions, which will be implemented on November 1, 2016. 

 

Fujian: in 2014 

 

On June 25, 2014, the government of fujian province issued the opinion on the purchasing and implementation of the pharmaceutical collection in 2014. We will cancel the distribution model and implement the unified distribution in the whole province. We will strictly implement the two-ticket policy. 

 

▍ introduced in 2017, is still lack of schedule 

 

Tianjin: fully implemented in 2017 

 

On December 21, 2016, the tianjin health and family planning commission issued a notice on the comprehensive reform of the medical and health care system in tianjin. We will fully implement the two-ticket system and explore the "one ticket system". By increasing concentration of distribution enterprises through competition mechanism, the delivery business in 2017 will be reduced by a third. 

 

Jilin: the whole province will be promoted in 2017 

 

On November 4, 2016, issued by jilin province government on the implementation of the national health and health conference spirit of accelerating the development of health and health care reform implementation opinion ". In 2017, there will be a "two-ticket" system for public hospitals in the province. 

 

Shanghai: April 2017 

 

Reports suggest that the Shanghai "two-ticket system" will start in April. By July 1, the two commercial leaders of the pharmaceutical industry will begin to implement the two-ticket distribution, with two commercial leaders in the regional market, accounting for nearly 90 percent of the total. 

 

Guangdong: no timetable is set for 2017 

 

On 14 September 2016, the guangdong provincial government issued a notice on the implementation of a plan for promoting the health development of the pharmaceutical industry in guangdong province. Starting in 2017, we will steadily push the production enterprises to the circulation enterprises, the circulation enterprises to the medical establishment, the "two-ticket system" and the purchasing director of the pharmaceutical consumables. 

 

▍ no plan 

 

Inner Mongolia: no plans have been made 

 

Inner Mongolia who planning commission published a notice on March 22, 2017, Inner Mongolia autonomous region health family planning department will cooperate with related departments, drugs, implement the "two votes" implementation plan. 

 

Heilongjiang: the drug has no plans 

 

On December 13, 2016, the health and family planning commission of heilongjiang province issued a circular on comprehensively strengthening the comprehensive reform of county public hospitals. All public hospitals in 63 counties and cities in the province are participating in the reform of public hospitals and purchasing the two tickets. 

 

Starting from April 30, 2017, the first test results in heilongjiang province will be one of the first to implement a two-ticket inspection test. 

 

Hubei: no detailed plan 

 

On September 26, 2016, the hubei health and family planning commission issued a guideline on promoting the purchase of direct network drugs. A pilot city for comprehensive reform of public hospitals will carry out a two-ticket system. 

 

Jiangsu: no timetable has been implemented 

 

Jiangxi: encourage the promotion, there is no definite time 

 

On July 7, 2016, the government office of the jiangxi provincial government issued a notice on the task of deepening the reform of the pharmaceutical and health care system in the province in 2016. We will actively encourage the implementation of the "two-ticket system" in the pilot cities for comprehensive reform of public hospitals. 

 

Shandong: there is no timetable for the whole province 

 

On October 3, 2016, the shandong provincial health and family planning commission issued a notice on the results of a new round of procurement of new drugs by the shandong provincial health and family planning commission. The city of jinan, Qingdao, dongying, weifang, weihai and binzhou six cities have steadily promoted the "two-ticket system". 

 

Henan: no timetable was implemented 

 

Guizhou: there are no plans for promotion 

 

Yunnan: there is no definite plan for encouraging the implementation 

 

On July 5, 2016, the yunnan provincial government issued a circular on deepening the reform of the medical and health care system in yunnan province in 2016. We will encourage the implementation of the "two-ticket system" in the pilot cities for comprehensive reform of public hospitals. 

 

Xinjiang: there is no definite timetable 

 

On March 31, 2017, urumqi evening news reported that the 10 major issues of xinjiang's health care reform in 2017 include: vigorously promoting the purchase and sale of pharmaceutical products. 

 

Tibet: there is no definite timetable 

 

On November 4, 2016, the people's government of the Tibet autonomous region issued a circular on the implementation of the implementation plan for the implementation of pharmaceutical centralized procurement (2016) in the public medical and health institutions of Tibet autonomous region. A "two-ticket" system is implemented throughout the district.