24.6 yuan down to 0.84 yuan!

In December 2021, the Henan Provincial Medical Insurance Bureau issued the "Notice on Including Some Retail Chain Pharmacies in the Scope of Centralized Drug Purchasing in Our Province (Pilot)", which clearly included a group of "six unified" medical insurance designated chain pharmacies into the scope of centralized procurement, and After the successful pilot, it plans to include all medical insurance designated pharmacies.
Now, this measure has the latest progress
.
The price of some drugs has been reduced by 90%.
A few days ago, Luolong District, Luoyang City, Henan Province announced that 13 medical insurance designated retail chains, including Henan Zhangzhongjing Pharmacy Co.
, Ltd.
, Henan Baixin Pharmaceutical Co.
, Ltd.
, and Runhe 24-hour Pharmacy Co.
, Ltd.
A total of 132 pharmacies have been included in the scope of "centralized and volume-based procurement" of drugs as a pilot
.
Most of the drugs listed this time are drugs for patients with chronic diseases, such as hypertension, diabetes, high cholesterol and other cardiovascular diseases
.
The average price reduction of medicines has reached more than 50%, and some medicines have fallen by more than 90%
.
For example, amlodipine besylate, a commonly used drug for cardiovascular and cerebrovascular diseases, has been reduced from RMB 24.
60 per box to RMB 0.
84, and atorvastatin calcium tablets has been reduced from RMB 124.
36 to RMB 3.
6 per box
.
There are also clozadipine tablets, promethazine hydrochloride tablets, enalapril maleate tablets, levetiracetam tablets, omeprazole enteric-coated capsules, acarbose tablets, tadalafil tablets and other drugs
.
Designated pharmacies that are included in the sales of "centralized and volume-based drug purchases" must hang a unified "centralized volume-based procurement of drugs for fixed-point sales pharmacies" signs, set up special areas or counters for centralized drug procurement, and post the "centralized volume-based drug purchases" sign in a conspicuous position , publicize the winning bid price and the sales price of each centralized purchasing drug, and the drug price increase shall not exceed 15% of the winning price
.
The district will conduct special inspections on these designated pharmacies on a regular basis to ensure that the masses can enjoy the benefits brought by "centralized procurement of medicines with volume"
.
From "niche" to "popular", centralized drug procurement will continue to expand in 2021, and pharmacies that have joined the ranks of centralized procurement will also become popular from the "niche" leading in the region
.
However, in the early stage of the development of centralized procurement, the prices of centralized procurement varieties showed a situation where hospitals and pharmacies were upside down, so that many consumers returned to hospitals and community health centers to prescribe medicines.

.
This has also become the most direct factor for pharmacies to join the centralized procurement.
The suggestion of Zhu Hualin, deputy to the Jiangsu Provincial People's Congress and chairman of Huai'an Guangji Pharmaceutical Chain Co.
, Ltd.
, at the "two sessions" in Jiangsu this year can be said to represent the voice of many pharmacies
.
"This time, I brought a suggestion to include retail pharmacies in the scope of centralized procurement.
I hope that the pharmacies at the door of the people's homes can also buy centralized medicines of the same quality and price as large hospitals
.
" Zhu Hualin believes that retail pharmacies should be included in drugs.
The scope of centralized procurement with volume can effectively reduce drug prices on a larger scale, effectively reduce the burden of patients' drug costs, ease the pressure on medical insurance funds to pay, and make the reform results benefit more people
.
It is understood that Jiangsu has previously issued the "Jiangsu Province Promoting the Implementation of the National Organization of Drugs Centralized Purchase and Use of Pilot Projects to Expand Regional Scope Work Implementation Plan".
The scope of implementation should include all public medical institutions in the province, military medical institutions participating in the pilot expansion, and voluntary participation.
The pilot expansion of medical insurance designated social medical institutions and medical insurance designated retail pharmacies
.
However, at present, the province's designated retail pharmacies for medical insurance have not been included in the scope of centralized procurement, resulting in the out-of-hospital market supply of most winning varieties or the supply price being significantly higher than the winning price.
For example, some basic drugs for patients with chronic diseases such as hypertension and diabetes can only go to the hospital for treatment Purchasing medicines brings inconvenience to patients
.
"You can learn from the experience and practices of other provinces and cities, and include qualified medical insurance designated retail pharmacies as soon as possible in medical insurance with volume purchases
.
" Zhu Hualin believes that, on the one hand, the use of out-of-hospital market consumption is included in the total purchase accounting, which is more conducive to winning bidders to optimize the organization of production and enlarge the scale Intensive effect, thereby further reducing the cost of drug production and supply price, and reducing the burden of drug expenses on the public; To ensure a fair and orderly market environment and supply-demand relationship, promote the healthy development of the pharmaceutical retail industry, and at the same time promote the outflow of hospital prescriptions, reduce the cost of hospital drug management and protection, and ensure and facilitate the purchase of drugs by the masses
.
Gradually expanding the scope In order to improve the availability of centralized procurement of medicines, in addition to Henan, many places are also trying to include pharmacies in the scope of centralized procurement
.
"In 2021, according to the needs of the masses to buy medicines nearby, Shandong Zibo took the lead in launching the national centralized drug purchase activity into pharmacies in the country, and the "collectively purchased drug sales counter" was widely praised
.
For example, acarbose cost more than 60 yuan per box.
If you buy it in the hospital, the price is not only reduced to 5.
42 yuan per box after the centralized procurement, but you can also buy it in the pharmacy
.
From the perspective of categories, the first batch of 83 centralized procurement drugs sold in Henan include anticancer drugs and digestive system drugs.
There are also commonly used drugs such as antihypertensive, hypoglycemic, and lipid-lowering drugs
.
Most of the activities of "national centralized procurement of drugs into pharmacies" are mainly drugs for common diseases and chronic diseases
.
This form of platform built by the government to promote docking can solve the problem when pharmacies purchase goods.
The problem of not being able to enjoy the centralized purchase price of the hospital has lowered the threshold for pharmacies to obtain low-priced and high-quality varieties, so that small and medium-sized drugstores with relatively weak bargaining power can enjoy the same purchase price
.
Even in hospitals, there is a problem of "the actual choice of drugs".
Xue Tao, a member of the Jiangsu Provincial Committee of the Chinese People's Political Consultative Conference and director of the Department of Thoracic and Cardiovascular Surgery of Zhongda Hospital Affiliated to Southeast University, mentioned in the proposal that to solve this problem, "first, we must further expand the centralized drug procurement catalog.
, and gradually expand and increase the scope and quantity of centralized drug procurement
.
During the 2022 Shanghai Two Sessions, Liu Zhongmin, a representative of the Shanghai Municipal People's Congress and President of Shanghai Oriental Hospital, also pointed out similar problems in a proposal.
At present, it seems that the advantages of centralized procurement have not been fully exerted due to reasons such as insufficient and thorough centralized procurement
.
Liu Zhongmin proposed that the centralized procurement of drugs and medical consumables should be fully implemented, and the full coverage of centralized procurement of drugs and medical consumables should be fully covered, and the advantages of centralized procurement should be maximized
.
The sales volume is still considerable.
How to realize the effective conversion of passenger flow will become one of the survival issues for retail pharmacies in 2022.
In addition to the mode of centralized purchasing counters, other modes also need to be tried and referenced
.