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Gansu province: all drugs are under pressure from the pharmaceutical companies.
 
Author:中国铭铉 企划部  Release Time:2017-5-2 11:19:04  Number Browse:532
 
Medicine net May 2 the price dynamic adjustment of the legend, begin! 
 
In gansu province on April 28, the gansu province issued the measures for the administration of drug centralized purchasing dynamic adjustment (try out) ", the varieties, quality and price synchronization of dynamic adjustment, adjustment range covers all drugs (fine, hemp, poison, medicine and Chinese medicine yinpian except), including the winning drugs, sunshine purchasing drugs, drugs and medical institutions for the record purchase drugs directly netting, etc. 
 
According to the file says it will through this attempt to "explore to establish a market leading drug pricing mechanism, establish can into the can out, adapt to market changes of drugs (medical consumables) dynamic adjustment mechanism". 
 
That means the pressure on drug companies to maintain prices is even greater. 
 
Blue note that parker, dynamic adjustment of the price, will be on the winning after purchase quantity small purchase amount is low to ensure supply risk, and not winning or not hanging network but has procurement requirements in clinical, the varieties of a dynamic adjustment; In case of quality problems or the unsatisfactory quality of the Chinese standard, the quality of the products shall be adjusted. 
 
In addition, the result of the bidding or hang net execution after a period of time, due to market changes and according to the original bid or net price supply of unfair, dynamic adjustment of price. 
 
The price dynamic adjustment is conducted once a year in principle, the specific adjustment requirement is carried out according to the plan of the year, and the new purchase price will be implemented after the adjustment of the drug. 
 
It is worth noting that the three categories of products will be subject to the centralized purchase of the catalogue. 
 
(1) less than 40 percent of the online delivery rate in the whole year; 
 
(2) the total amount of online delivery in the whole year is less than 10,000 yuan. The above catalogue is from centralized procurement to sunshine purchase. 
 
(3) in case of any of the following circumstances, adjust the catalogue of centralized purchase to the sunshine purchase catalogue or direct web directory: 
 
(1) being reported to the national drug administration platform or provincial level by the outpost medical institution for the shortage of drugs; 
 
(2) the health and family planning departments in the medical institutions or municipal states (counties) shall not be able to supply them in accordance with the provisions of the provisions. 
 
The attached: 
 
Measures for the management of centralized procurement of pharmaceuticals in gansu province (trial) 
 
According to the general office of the state council on perfecting public hospital drug centralized procurement guidelines "(countries do hair [2015] no. 7) and the general office of gansu province people's government on the implementation of the perfect public hospital drug centralized purchasing work opinion" (gansu ZhengBan hair [2015] no. 158) and other documents, for full implementation of classified purchasing, strengthen the management of the winning drugs and sunshine purchasing drugs, establish the dynamic adjustment mechanism of varieties, quality, price, better service online drug centralized purchasing, formulate the measures. 
 
One, target task 
 
(a) to explore to establish a market leading drug pricing mechanism, establish can into the can out, adapt to market changes of drugs (medical consumables) dynamic adjustment mechanism. 
 
(2) the implementation of "varieties, quality and price" shall be adjusted dynamically. To bid after purchase quantity small purchase amount is low to ensure supply risk, and not winning or not hanging network but has procurement requirements in clinical, the varieties of a dynamic adjustment; In case of quality problems or the unsatisfactory quality of the Chinese standard, the quality of the products shall be adjusted. After a period of execution of the results of the winning or hanging net, the price dynamic adjustment shall be made in the event that the market changes and the prices of the original winning or hanging net are shown to be unfair. 
 
Second, the basic principle 
 
(1) to safeguard the principle of supply. 
 
(2) the principle of dynamic adjustment. 
 
(3) the principle of openness, fairness, fairness and integrity. 
 
Third, adjust the scope 
 
Gansu province medical institutions to use all of the drug (including the bid drugs, sunshine purchasing drugs, drugs and medical institutions for the record purchase drugs directly netting), the implementation of the essence of special management, hemp, poison, put the medicine and Chinese medicine yinpian, not included in the dynamic adjustment. 
 
Four, main content 
 
(1) the varieties are dynamically adjusted 
 
According to the on-line purchasing guarantee and the clinical actual demand, the dynamic adjustment of the drug variety is carried out. In order to make the purchase of the catalogue, the catalogue of the purchasing and the purchase of the catalogue, the catalogue of the purchase of the products, and the catalogue of the purchase and the purchase of the medicine. 
 
Bring out the catalogue of centralized purchasing 
 
(1) less than 40 percent of the online delivery rate in the whole year; 
 
(2) the total amount of online delivery in the whole year is less than 10,000 yuan. The above catalogue is from centralized procurement to sunshine purchase. 
 
(3) in case of any of the following circumstances, the catalogue of the centralized purchase shall be adjusted to the sunshine purchase catalogue or the direct web directory. 
 
(1) being reported to the national drug administration platform or provincial level by the outpost medical institution for the shortage of drugs; 
 
(2) the health and family planning departments in the medical institutions or municipal states (counties) shall not be able to supply them in accordance with the provisions of the provisions. 
 
Move into centralized procurement 
 
The original bid rules be stop trading, last year's online purchasing amount to zero and unable to ensure the normal supply, by provincial drug procurement agencies as stipulated in the tender documents are available to sequence. 
 
Get out the sunshine purchase catalogue 
 
In the following case, the catalogue of the purchasing medicine from sunshine shall be adjusted to the direct web directory. 
 
(1) being reported to the national drug administration platform or provincial level by the sentinel medical institution for the shortage of drugs; 
 
(2) to receive medical or municipal health and family planning departments in a continuous manner to reflect their insufficient supply or not to provide for the provision; 
 
3) the price changes are frequent or excessive, and the normal bargaining rate is small and the medical institutions are unable to guarantee the supply. 
 
Get in the sunshine purchase catalogue 
 
Has a record of medical institutions for the record the purchase of new drugs, the centralized purchasing is not the winning or not included in the sunlight procurement directory, meet the requirements of the following can be included in the sunshine purchase drugs directory. 
 
(1) there are no winning or unregistered products for the exclusive variety, and the records of the records of medical institutions for filing; 
 
(2) there are 3 or more medical institutions filing records of purchasing records in the form of unmarked or unconnected versions of the dosage forms prescribed by different varieties; 
 
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