The long-term shortage of essential medicines can not be ignored

Business Club September 14th After the medical and health system reform implemented the "zero-judgment rate" system for basic medicines, the price of medicines was open and transparent. Overall, the masses saw a doctor for benefits. It is necessary to draw attention that due to the low bid price of some essential drugs, the profit margin is limited, even if there are no profits or losses, distribution companies are reluctant to deliver goods, and production companies are reluctant to produce, making it difficult to supply some essential drugs and affecting township health. Hospitals and other basic medical institutions.

It has been reported that some of the basic drug online purchases have been “out of stock” for a long period of time, forming a “name drug”. Such as tetanus antimycin, the bid price is 14 yuan / box, 50% lower than the market price, pharmaceutical companies reflect the cost of delivery in accordance with the bid to lose money, the more you send, the more you lose. Hengshi County, Hunan Province, Cao City, Yang Lin and other hospitals have not delivered many times. The vitamin K1 injection produced by a pharmaceutical company in Tianjin has a bid price of 2.2 yuan, while the market sales price is 6 yuan. Because the profit is very small, online procurement is long-term "no supply." In addition, various distribution issues also plague both drug supply and demand. On the surface, it is the distribution companies that cannot deliver the essential drugs “in time and in full” as required. The reason behind this is that some distribution companies operate basic drugs but do not have distribution rights, and some have distribution rights but warehouses do not have the goods. Some companies do not purchase online products of the same type according to the principle of "on low, high, high," but instead deliver on the basis of the unspoken rules of "high on the low". The same is amoxicillin granules. The winning price of each box (12 packets) produced by a pharmaceutical company in Hunan is 1.38 yuan, equivalent to 0.115 yuan per packet; the winning bid price of each box (18 packets) of a pharmaceutical company in Jiangsu is 10.3 yuan. Small bag equivalent to 0.57 yuan. The price of the latter is 4.9 times that of the former. However, commercial companies are often only willing to distribute high-priced drugs rather than distributing low-priced drugs. Township hospitals need to purchase a batch of drugs and generally choose 3 to 4 or even more distribution companies. Rao is so, there are often some drugs "out of stock" phenomenon, a direct impact on the medical institution's diagnosis and treatment business development. For example, in Hunan Hengdong County Central Hospital of Grassland, several companies have clicked on Suxiao Jiuxin Pills, and only one company sent a small amount of goods. There are Yinqiaojiedu granules, Yisalin tablets, chasing wind through the bone pills, etc., the county several hospitals click to purchase many times, but no pharmaceutical company is willing to deliver.

The author proposes to reasonably determine the bidding price and gradually expand the list of essential medicines; establish a rigorous bidding system for basic medicines, reasonably determine the profit margins of various medicines, timely grasp the cost of basic medicines and changes in prices, and arbitrarily increase the price of linked medicines. The "flaming drugs" with low price bid and no goods supply should be promptly withdrawn or adjusted; properly consider the medication habits and needs of the masses and township hospitals, and constantly modify, improve, and expand the list of essential drugs.

Strengthening supervision, regulating the behavior of distribution companies, and doing a good job of drug distribution are important links in implementing the basic drug system. Relevant government departments should carefully verify the qualifications and supply capacity of distribution companies, and formulate appropriate management measures for distribution companies, avoiding the phenomenon that some affiliated companies have drugs without distribution rights and distribution rights but do not send drugs. (Author: Yi Bingchu)

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