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Shanghai requires that the national procurement of alternative drugs be unimpeded and admitted to the hospital in a timely manner

 Last Update: 2022-10-25
 Source: Internet
 Author: User

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Shanghai requires that the national procurement of alternative drugs be unblocked and admitted to the hospital
in a timely manner.
At the same time, it is clear that the prepared drugs can be purchased directly according to the selected price pushed by the sunshine platform, without negotiation, and after the city's selected drugs of the same variety complete the agreed purchase quantity, the spare drugs will not be subject to procurement restrictions
.
After the implementation of Shanghai's policy on the use of alternative varieties, it can be foreseen: 1) Selected varieties: the agreed purchase volume will be completed, but it may not be more than 2 times the excess purchase volume (relative damage) like the first 6 batches; 2) Non-selected varieties: will be crushed by the procurement policy of alternative varieties, and sales may continue to decline
.
In particular, there are more than 3 that have not been evaluated, but the hospital is selling varieties, and there is almost no chance; (Don't wait for the evaluation to reach the trigger conditions for suspending procurement of three companies) (seriously damaged) 3) Alternative varieties: Whether it can be used depends on the attitude of the hospital, which is an opportunity
for reasonable communication between enterprises and hospitals.
(Relative benefit) Since the seven batches of collective procurement adopt the "one supply and one backup" system, the enterprise itself has the selected area, and there must be others to choose the supply, and vice versa
.
Overall assessment: the formation of the three forces of the selected, the alternative, and the non-selected enterprises, the competition is intertwined, and the game continues to be
complicated.
This move shows that the Medical Insurance Bureau has continued to optimize policies
in the use of centralized procurement.
Adopt alternative mechanisms: First, it can hedge supply risks and form a more balanced supply and price mechanism; The second is to form a new market competition mechanism, with high and low prices, and give medical institutions a certain degree of purchasing autonomy; Through such adjustments, the rules will continue to be improved at the national procurement level, and localities will also be given certain alternative policy making rights
.
Shanghai took the lead in expressing its position, and many provinces should follow suit
.
Today (October 17), Shanghai issued the "Work Tips on Implementing the Results of the Seventh Batch of State-Organized Centralized Drug Procurement (1)"
.
Among them, for the admission of state-sourced alternative drugs, the "Work Tips" clearly need to smooth the channels of generic drugs and enter the hospital
in time.
Spare drugs can be purchased directly according to the selected price pushed by the sunshine platform, without negotiation
.
After the city's selected drugs of the same variety complete the agreed purchase quantity, the spare drugs will not be subject to procurement restrictions
.
The alternative first appeared in the seventh batch of national procurement, mainly to prevent the potential risks of the selected enterprises, and the alternative enterprises can immediately be on top without cutting off supply
.
In addition, the products of alternative enterprises can also be listed on the local network, but after the network, how medical institutions will purchase is not specified
in the seventh batch of centralized procurement documents.
Due to the different prices of alternative varieties and selected varieties, coupled with the previous clinical use factors of medical institutions, there are many possibilities, so how to purchase alternative varieties on the net and how to enter the hospital has also become the focus
of everyone's attention.
Shanghai's statement this time illustrates the conditions for the use of alternative drugs purchased by the state: 1.
"timely admission to the hospital" indicates equal treatment with the selected varieties entering the hospital; 2.
After the selected varieties complete the purchase quantity, they can be unlimited
.
In addition, the "Work Tips" requires: Prepare for the admission of selected drugs in advance
.
For the selected drugs that have not been previously purchased, all medical institutions are requested to convene a pharmaceutical committee in a timely manner to simplify and speed up the procurement process and smooth the channels
for general drugs.
Medical institutions shall purchase selected drugs through the drug distribution enterprises designated by the selected enterprises, and the payment collection time shall not exceed 30 days
.
At the same time, it is required to ensure that priority is given to the procurement and use of selected drugs
.
In order to reduce the burden of drug expenses on the masses, medical institutions should give priority to the use of selected drugs under the same conditions, and the amount of use should in principle not be lower than the same level of the same
variety in the same period of the previous year.
For other drugs with the same generic name listed on the city's network that have guaranteed quality and efficacy and reasonable prices, medical institutions may choose to use them on the premise of giving priority to
the procurement of selected drugs.

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