Drugstores participate in the centralized purchase of "burning Lianying" prescription drugs and move to the market outside the hospital to welcome good opportunities?

Since the second half of the year, the impact of "4 + 7" volume procurement has been deepening, and Zhejiang, Shandong, Shanghai, Guangdong and other developed provinces have issued papers, requiring the designated pharmacies for medical insurance to be included in the centralized procurement Judging from the recent trend, the participation of drugstores in drug collection has a great potential of "fire and camp" and will soon expand to the whole country In the future, with the promotion of policy and the strengthening of supervision, the purchasing channels of drugs will be unified, the pricing and medical insurance payment standards will eventually be consistent, and the non-medical insurance varieties will not be restricted by centralized purchase Under this situation, the prescription drug management enterprises, which used to take public hospitals as the main sales channels, can focus on the out of hospital drugstores and really build the retail drugstore channels into their own sales home? Recently, Zhejiang Medical Security Bureau issued a notice on Soliciting Opinions and suggestions on the Interim Measures for the administration of designated pharmacies of basic medical insurance of Zhejiang Province (Draft for comments) (hereinafter referred to as the measures) According to the measures, pharmacies must have 11 conditions at the same time in order to apply to become designated pharmacies for medical insurance, two of which deserve special attention First, the drug varieties of online transaction of provincial drug purchase platform equipped by drugstores shall not be less than 50% That is to say, at least half of the drugs in the designated pharmacies for medical insurance should be purchased from the centralized purchase platform, which is the same as the hospital's product regulations Wang Zhenlin, executive president of Shenyang Huawei Group, said that on the surface, it is to standardize the purchase behavior of drugstores and strengthen the supervision of drugstores, but in fact, it is mandatory to increase the transaction volume of provincial drug purchase platform, so as to further reduce the payment of medical insurance funds This kind of behavior is difficult for drugstores Wei Baixing, CEO of (Beijing) Pharmaceutical Technology Co., Ltd and founder of drug price reduction network, thinks that this approach is of little practical significance, formalism, and more and more chaos Is the hospital's product specification the product specification of the centralized purchase platform? Zhejiang believes that the price of the government platform is low and the price of the drugstore is high Purchasing from the government platform can inhibit the virtual high price of drugs At the same time, the hospital prescription and the drugstore can be connected to create suitable conditions for the outflow of the prescription, so as to alleviate the pressure of the hospital's overcrowding and facilitate the patients If the bidding is not eliminated, the pen prescribed by the doctor cannot be controlled effectively Second, the sales price of drugs in designated pharmacies for medical insurance shall be appropriately increased based on the payment standard for medical insurance of public hospitals, and the proportion of the increase shall be specified separately Some people think that it's a preferential policy for retail drugstores to carry out appropriate markup, but in Wei boxing's opinion, it's not appropriate to add no markup, add more and add less Maybe it's profitable for some chain drugstores that want to be market monopolized by the government and business, and it should be a disaster for other drugstores "On the premise that the operating cost of the designated pharmacies for medical insurance keeps increasing, it is required to purchase more than 50% of the pharmacies in accordance with the medical insurance payment standard of public hospitals and appropriately add the percentage I think that the percentage of add-on is less than 10% The pharmacies are almost unprofitable and it is reasonable to reach 15% - 18% If it's just a proper mark up, it's no doubt bad for Medicare designated drugstores However, the premise is that the purchase price must be lower than the hospital sales price " Wang Zhenlin said It can be seen that from drug purchase to sales, the measures have made relevant regulations on designated pharmacies for medical insurance However, in terms of specific analysis, the measures can not be said to be happy or mixed, only worrying Wang Zhenlin said that in the face of the squeeze of hospital volume procurement, third-party network and medical clinics everywhere, pharmacies have been overwhelmed In this case, the method greatly limits the flexibility of drugstore operation itself, which will bring negative impact on the local retail market in Zhejiang Province under the situation of increasing operation cost and increasing supervision Wei Baixing holds the same view He said that practice is the only test of truth! For more than ten years, the drug price has been inflated, and even the drug cost has exceeded the military expenditure every year The main cause of this serious problem is the strong leading participation of administrative means Zhejiang's way of doing this is to reverse history, add mistakes to mistakes, weak administrative market is the right way out If the method is implemented in Zhejiang, there will be trouble behind it, because the purchase price of most drugs in drugstores is much lower than that of the government's centralized purchase platform, but the price is not higher than that of hospitals If the middle profits of drugstores are forcibly eaten, there will be problems In fact, in addition to Zhejiang, Shandong, Shanghai, Guangdong and other developed provinces, after the "4 + 7" period, they have also issued documents to require the designated pharmacies for medical insurance to be included in the collection Obviously, the drugstore's participation in the drug collection has shown the trend of "fire and camp" On September 16, at the first meeting of the preparatory group of Guangdong pharmaceutical retail industry centralized purchase alliance held by Guangdong Pharmaceutical Trading Center, it became the most important voice of Guangdong pharmaceutical retail industry to add drugstores to the camp of centralized purchase with volume So, is it the administrative requirement to incorporate centralized mining? Or the voluntary behavior of drugstores in the current situation? In this regard, the above two experts firmly believe that it is an administrative requirement and cannot be a voluntary act of the drugstore Wang Zhenlin explained that because the most essential difference between drugstores and hospitals is the flexibility of purchase and sales, once incorporated into the centralized purchase system, the advantages of drugstores will become disadvantages If the designated pharmacies of medical insurance can not purchase freely, but are limited by the medical insurance department, they will face the situation of rapid decline in profitability In addition, the outflow of prescriptions is now advancing If pharmacies want to accept the dividend of the outflow of prescriptions, the price of prescription drugs is obviously the first factor After the drugstore is connected to centralized purchase and the price is negotiated, does it really mean that the sale of prescription drugs in retail drugstores can be promoted and the problem of "no drug can be collected" in drugstores can be alleviated? To this end, Wang Zhenlin responded that, in fact, it does not exist that pharmacies "have no medicine to collect" and lose competitiveness It is clear to the insiders that the real profitability of pharmacies does not come from traditional Chinese and Western medicines, but from health products, food, medical equipment, Chinese Herbal Pieces, cosmetics, etc The gross profit point of Chinese and Western medicine is very low When drugstores are included in the centralized purchase, it is difficult to promote the sale of prescription drugs if the price is not superior to that of hospitals, and then they are covered with various regulatory "rules and regulations" Wei boxing also said: "according to my research and understanding of the basic health room, there are problems such as whether there is a price for low-cost drugs on the government platform or whether they are not delivered, and the delivery is not timely, which will also occur after the participation of drugstores Why do you have such a problem? It's because there's no rebate for low-cost drugs The access of drugstores to the government is a passive way to weaken the market competitiveness " From another point of view, the trend of prescription drugs to the OTC market has become a major trend In the past, the hospital sales of prescription drugs once reached 80% due to the use of drugs and excessive medical treatment With the deepening of medical reform, the public welfare of public hospitals has gradually returned, and a large number of prescription drugs flow to the retail market is inevitable Wang Zhenlin pointed out that there must be two preconditions for the outflow of prescription drugs to the hospital, one is that there are no prescription drugs in the hospital and there are indeed sales in the market; the other is that the drugstore must participate in the centralized purchase, and the bargaining power must be stronger than that of the medical institution, in other words, the purchase price of the drugstore must be lower than the purchase price of the medical institution, and the sales price of the drugstore cannot be higher than the prescription price of the hospital Only in this way can we push the crowded outpatient volume out of the hospital However, Wei Baixing gives a different view He said: "pharmacies need to purchase from the government platform with appropriate markup, while the hospital implements zero price difference The price of pharmacies is higher than that of hospitals Where does the prescription flow?" With the implementation of relevant policies on centralized purchase of designated drugstores of medical insurance in Jiangsu, Shanghai, Guangdong, Zhejiang and other major drug retail provinces, the inclusion of drugstores in centralized purchase will surely expand to the whole country in the near future The residents in the economically developed areas have more employees with medical insurance, and they tend to go to the hospital directly after illness, while the patients who only have the low proportion of reimbursement in hospitals such as new rural cooperative medical insurance tend to go to the drugstore The top priority of drugstores is to find a way to catch these people.