"4 + 7" with quantity purchase, the first detailed rules document is coming!

[China Pharmaceutical network industry trends] recently, Dalian City issued the "implementation of the work plan for centralized procurement and use of drugs organized by the state (Draft for comments)" According to the industry, Dalian is the first city among the "4 + 7" cities to promote procurement rules Specifically, the highlights of the draft are as follows It is mentioned in the opinion draft that the public medical institution shall sign a volume purchase and sale contract with the manufacturer or the pharmaceutical trading enterprise designated by the manufacturer, and ensure that the contract volume is completed within one year As the person in charge of drug payment settlement, public medical institutions shall ensure that the payment is collected in time within 30 days after the drugs are put into storage Public medical institutions shall unblock the channels for the selected drugs to enter the hospital, and ensure that the selected drugs enter the hospital and are used preferentially It is not required in the opinion draft that the proportion of selected drugs does not account for the proportion of drugs It is not allowed to influence the supply and rational use of selected drugs on the grounds of the total cost, the proportion of drugs, the number of basic drugs used in the hospital, the review by the pharmaceutical Committee and the account opening of drug distributors The issue of "drug proportion" has been hotly discussed for a long time The industry says that it seems a good idea to control "drug proportion" to deal with "over treatment" such as "prescribing" However, the ideal is full, the reality is bone feeling At the beginning of 2018, the national health and Family Planning Commission made it clear that medical cost control could not be "one size fits all" and the "drug proportion" policy was also being improved In many provinces and cities, 39 national negotiated drugs are accounted for separately or not included in the "drug proportion" assessment Considering the requirement that "drug proportion" is forbidden to affect the supply and use of selected drugs in Dalian this time, the industry guesses that "drug proportion" is not far from quitting the Jianghu Guarantee the quality and supply of selected drugs According to the draft, the frequency of sampling inspection shall be increased, the quality problem information reporting system shall be clarified, the relevant varieties shall be included in the annual key sampling plan, the quality inspection scheme specially for the selected varieties in centralized purchase shall be designed, the pilot drug quality disposal mechanism and emergency plan shall be established, the adverse drug reaction report and monitoring shall be strengthened, and the quality stability of the selected drugs shall be guaranteed At the same time, we should strengthen the monitoring of the use of the selected drugs, find out and warn the shortage of the selected drugs in time, and report the situation of insufficient and untimely supply in time If the hospital doesn't settle the accounts in time, it will be interviewed and informed, and the draft of opinions will be made clear The medical insurance fund should prepay the working capital by 50% of the purchase amount agreed by the designated medical institutions, and actively explore the new operation mode of medical insurance fund directly prepaying the drug payment to the enterprise As the person in charge of drug payment settlement, the medical institution shall timely settle with the enterprise in accordance with the provisions of the contract We should urge medical institutions to settle accounts with enterprises in time in accordance with the contract, strictly check the problem of failing to settle drug payments in time, and take punishment measures such as interview and notification to the medical institutions and the persons in charge who fail to collect funds in time as required At the same time, it said that the medical insurance payment standard with the selected price as the pilot varieties, in principle, for the reference preparations under the same general name and the generic drugs passing the consistency evaluation, the medical insurance fund will be settled according to the unified payment standard The decline in the amount of prescriptions of the winning drugs will obviously meet with the provisions of the doctor's opinion draft For the medical personnel who do not use the drugs according to the provisions, they shall be seriously dealt with in accordance with the corresponding provisions of the prescription management measures and the hospital prescription evaluation management standard (trial) For the designated medical institutions that fail to complete the purchase and use amount as required, the corresponding medical insurance settlement quota shall be deducted as the case may be, and special medical insurance interview shall be conducted for the doctors whose prescriptions of the selected drugs have declined significantly According to the information in the opinion draft, Dalian officially launched the pilot work of centralized drug procurement organized by the state on March 1, 2019 In other words, in more than two months, the pilot drug centralized procurement will be implemented!