Medical network - on May 23, recently, a paper called "the public hospital medical institutions and drug trade in guangdong province" two votes "implementation plan (trial draft)" files in medical circles, widespread WeChat group, instant WeChat friends also blasted pot, everyone's in exclamation: guangdong two votes is here! 

 

According to the blockbuster in January this year's national "two votes" files, and reform pilot city for comprehensive reform pilot province pioneered, encourage other areas implement the "two votes", for the 2018 fully implemented throughout the country. And in the key to deepening the reform of the health care system in 2016, guangdong also made clear that 2017 will be a pilot province for health care. Everyone knows that once guangdong is a pilot province for health reform, it is fair to say that the "two-ticket" system will be implemented. It just didn't occur that the "two-ticket" system had already arrived in advance and was about to land. 

 

Here are a few things to note about the guangdong "two-ticket" document on the Internet: 

 

▍ shenzhen, guangzhou will save "two votes" 

 

According to the documentation requirements, scope of the implementation of the "two votes" in guangdong province: "in addition to shenzhen, allows the GPO sourcing, organize the implementation of the" two votes ", the other city (including public hospital reform pilot city) all public medical institutions (including the grassroots health institutions). 

 

As is known to all, currently only pilot cities, shenzhen is GPO so literally, guangdong's two votes perform range is in addition to shenzhen, all areas of public medical institutions. In practice, there is more than one area in shenzhen. 

 

Previously, health and family planning commission of guangdong province party secretary, director of the Duan Yufei revealed that, in the provincial drug centralized purchasing quantity price, on the basis of allowing for the unit with the city guangzhou, shenzhen GPO in groups. It is likely that guangzhou will join the GPO army and save the "two-ticket" system from shenzhen. 

 

▍ production enterprises 

 

According to the requirements of the documents, the situation of the production enterprise may include: 

 

1 group company of integration of trade and industry, pharmaceutical production enterprise, or the only sales of the enterprise (group) set up wholly owned or holding more than 50%) of the drug business companies, more than holding group company only that manufacturing enterprise of the integration of trade and industry or the headquarters stake in shipping enterprises. 

 

An agent for foreign drugs or an agent that directly imports drugs from overseas. 

 

Country version of "two votes" file, integration of trade and industry is the pharmaceutical production enterprise or group of enterprises to establish the only sales of the enterprise (group) pharmaceutical wholly owned or holding commercial companies can be regarded as the production of enterprises. But here in guangdong is further clear, the controlling stake needs more than 50%, and that only production enterprise of the integration of trade and industry or the group headquarters in stake distribution enterprises. This added restrictive conditions to the "only sales group internal medicine" required by the national edition, which appeared to be more rigorous and rigorous. 

 

▍ long grace period 

 

According to the documentation requirements, in the plan, as of the date of release to March 31, 2018 for the transition period, on April 1, 2018 the entire province all the public medical institutions to full implementation. On April 1, 2018, the new drugs will need to be strictly "two-ticket". 

 

If files can be issued before July, the buffer will be for 9 months, that is, for the pharmaceutical trading enterprises, with a few months without the implementation of the "two votes" difficult to valuable buffer, for them, maybe it's a pressure goods performance is a good time. 

 

▍ 50 region can be an additional tickets 

 

According to the national "two votes" file, to allow remote, traffic inconvenience of grassroots medical institutions, pharmaceutical circulation enterprises on the basis of the "two votes" to open a pharmaceutical sales invoice. 

 

In the case of the two-ticket system, guangdong began to loosen up properly. 

 

Guangdong "two votes" file regulation, for some remote mountain areas, the supply of 50 mountainou area of guangdong province township (town) level (excluding urban area) medical and health institutions (including community health service centers), allows the medicine circulation enterprises on the basis of two votes to open a pharmaceutical sales invoice, other counties (excluding urban area) of grassroots health institutions (including community health service centers) need to open a pharmaceutical sales invoice, need the consent of the province. 

 

Here is clear, however, limit the excluding city, do not contain community health service centers, the countries in the file "remote and inaccessible" more detailed and clear. 

 

Attached: the list of 50 counties in guangdong province: