The fissile of the over-the-counter market on May 18 is being leveraged both internally and externally 

 

The drug market will first feel the change 

 

▍ prescription was out 

 

Recently, some reports showed that hung banners YiFuYuan outpatient service building in anhui medical university, remind patients' hospital medical and health personnel are strictly prohibited to introduce patients to the point and place named in the courtyard outside buy drugs and medical equipment ". 

 

According to hefei news content, because the lover nose has been runny nose symptoms, such as the middle of last month, zheng with lover came to the first affiliated hospital of anhui medical university, hang Wang Enpu doctor's visit. After seeing the disease, Dr. Wang prescribed a prescription for the woman's lover, a plinogen and a paramental spray. But the location of the drug, which was indicated on the list, was a pharmacy outside the hospital. 

 

Then, zheng with the prescriptions, indicating the anhui health pharmacy found the pharmacy, two kinds of medicine spent 400 multivariate, respectively is PuLinMin three box of 268.5 yuan, shun min a bottle of 138 dollars. 

 

As for why not rhinitis medicine pharmacy, choose PuLiMin, shun min, Wang Enpu doctors reply with other medicine pharmacy staff levied - the result is bad. 

 

With series of reform policies, including 2017 public hospital medicine of slope to less than 30%, more professional incentives to the doctor, the use of mobile Internet technology to promote the drug circulation resources rational allocation, and so on, from internal and external prescription outflow has leverage the traditional pattern of prescription drug market. 

 

"Channels of prescription drugs are now in a state of myocardial infarction, mainly because of excessive town government in the process of drug circulation. Through to the hospital for medicine, right concentration will lead to corruption. Therefore, through prescription outflow from the administrative intervention, let the market driven prescription drug market is the trend of The Times". Fu gang, chief executive of baiyang, said in an earlier review of the market changes. 

 

▍ fission prescription drugs market 

 

In fact, this market change is already happening. 

 

On December 1, 2016, Beijing baolai research data released "2016 China prescription drug lobbyists market research report (hereinafter referred to as the" report "), points out that drug market growth continued to slow, county and grassroots market into a prescription drug market growth powerhouse, as medicine separate policies continue to advance, prescription drugs distribution channel will take place great changes. 

 

The pharmaceutical ecommerce and the new DTP model have also become hot spots in the industry, with rapid growth - the report predicts that the market for prescription drugs will exceed 400 billion yuan by 2020. 

 

The report noted that the introduction of the series of documents directly contributed to the change. 

 

2014 "on the implementation of the 2014 annual health care tasks to focus on increasing the drug circulation service level and work efficiency of notice to include retail pharmacies for outpatient pharmacy service of medical institutions and other professional services, and other forms of reform. 

 

The deepening medical and health system reform in 2016, 2016 key tasks, "pointed out that ban hospital limit prescription outflow, patients can choose in hospital outpatient pharmacy or on prescription to retail pharmacy to buy medicine. Is expected in the prescription outflow policy, pushed by the retail end to undertake the part affected by policy and squeezed hospital drug prescriptions of terminal, terminal at the grass-roots level and the development of online pharmacies will also broken part of the outflow of prescription drugs. 

 

And purchase the new no. 7 and no. 70, the influence of public hospitals for more severe drug purchase way, low bidding price continuously under pressure to kill, and reduce the medicine proportion and control the medical expense growth policies, such as severe crush the prescription of living space in the home. 

 

At the same time, in recent years, the provinces for auxiliary medication are different degree of drug control, to further increase the hospital prescription drug sales pressure, also forced the prescription drug companies seeking outside the court. 

 

Seen from the status quo, lobbyists prescription drugs mainly concentrated in the retail market, retail market prescription drug sales continue to increase, the retail market is like in prescription drugs sales in 2016 is expected to 118.9 billion yuan. 

 

Public data shows, in August 2016, guangxi liuzhou has 5 hospitals in the city city pilot prescription outflow of work, this is the "about promoting the healthy development of the pharmaceutical industry guidance on the key work division division plan after the release, the domestic first public pilot prescription outflow city. 

 

According to the city of liuzhou, according to information released from August 1 this year, liuzhou city five city hospital doctors prescribe oral class prescription drugs in the clinic, to borrow from hierarchical diagnosis platform, let patients to choose its own or in a hospital in the dispensary society outside the hospital. The city of liuzhou also stipulates that social pharmacies must be prescribed in accordance with prescription, and prices should not be higher than the price of the winning bid and the price of the hospital. 

 

On October 8, 2015, the city of liuzhou canceled the drug addition mechanism of public hospitals, and the hospital medicine gradually achieved zero percent sales. 

 

Under the combination of zero-plus and other policies, the outside prescription has an environment and a foundation for taking concrete steps. The experience of the region two years ago is now being played out across the country. 

 

"This year's health reform tasks has been clear about the two time points, one is in July 31 of this year, all the cities must be out of the city comprehensive implementation of the reform of public hospital; the second is the September 30, all across the country, urban public hospitals will cancel the drug addition (except traditional Chinese medicine yinpian)." On May 11, the national health and family planning commission held a special press conference on the task of deepening health reform in 2017, said the director of the state council's health care law, director liang wannian. 

 

According to market forecasts, the theoretical incremental space for prescription outflows will exceed 200 billion in the short term, and will reach 900 billion by 2020. After the prescription outflow is expected to be released, a large proportion of the drugs will be sold through retail terminals. After prescription outflow realize, most of the drugs in the future market will gradually began to pharmacy or transfer at the grass-roots level, community hospital, at the same time, the marketization of generic drug price competition will gradually.