"Descended, descended, outpatients, inpatients are used!" Mei Hua, deputy director of the Pharmacy Department of the Second People's Hospital of Guangdong Province, joyfully "reported the letter". What she said was that the fifth batch of drugs organized by the state was selected from the centralized procurement of drugs in Guangdong from 00:00 on October 9. According to the Guangdong Provincial Medical Security Bureau, the average price reduction of drugs was 55%, and the highest reduction reached 98%.
"It's really good to reduce the price!"
Ordinary people may not be familiar with the price of drugs, and they cannot say why the price reduction of such a large number of drugs is not true.
According to the data provided by the Provincial Medical Insurance Bureau, 16 varieties of the collection and procurement have dropped by more than 90%, of which the products of 6 enterprises such as Jiangsu Haosen have dropped by more than 97%. Taking the anti-tumor drug Netherlands for injection bendamustine hydrochloride (100mg) as an example, after the price reduction, the cost of each injection has dropped from 6,000 yuan / stick to 786 yuan / stick, calculated according to the maximum 8 cycles, which can save about 160,000 yuan in patient costs.
The feedback from the pharmacists on the implementation of this landing is very direct: "It is true that the price reduction is very powerful!" Pharmacists said that the average price of drugs in the previous collections was reduced by 40%-50%, and the average price of this collection was 55%.
Take benzosulfon atrium injection as an example, which is a very commonly used surgical anesthetic drug, the price reduction before 5ml: 10mg specification 10 bottles / box price is 999.9 yuan, after the selection of the price reduction, the drug with the specification price of 158 yuan. In addition, there are cardiovascular drugs in surgery, perhaps many people do not pay much attention, especially the oral drug metoprolol tartrate tablets familiar to patients with primary hypertension, the specification of 25mg * 30 tablets / box of only 2.07 yuan, that is, a pill is only 0.069 yuan.
Many non-selected drugs will be linked to price reductions
According to reports, the price reduction of this drug is not limited to 61 selected drugs, it also has a "linkage effect", which will drive a number of non-selected drugs to reduce prices.
According to the provincial medical insurance department, in addition to the sharp price reduction of the selected products, Guangdong will also carry out price linkage for non-selected drugs with the same generic name, such as more than 10 drugs such as fasudil hydrochloride injection, which have also been significantly reduced in price, with an average reduction of 70% and a maximum reduction of 98%.
The reporter learned that on September 29, the Guangdong Provincial Drug Trading Center issued the "Notice of the Guangdong Provincial Drug Trading Center on Carrying out the Fifth Batch of State-Organized Drugs Centralized Procurement of Non-Selected Drugs Linkage Price Confirmation Work", requiring that there be transaction records on the provincial platform from January 1, 2018 to June 30, 2021, and non-selected drugs with the same generic name, the same dosage form and the need for price linkage with the fifth batch of national selected drugs, the same specification drug prices in accordance with the regulations, according to the principle of enterprise voluntariness, linkage province, Guangzhou, The minimum purchase price of the three trading platforms in Shenzhen is not higher than the bargaining red line price of the fifth batch of national collection and non-selected varieties in Shanghai.
Because of this, Meihua deputy chief pharmacist pointed out that there is no need to worry about hearing that half of the selected drugs are in place, and the 1-month clearance period is actually a convergence period, and the original drug can be used temporarily for a short time to provide protection, and there are many linkage price reductions.
So, what happens to drugs that do not accept linkage prices, or that have not implemented linkage since 00:00 on October 9? The Provincial Drug Exchange Center pointed out that in this case, the relevant products will be revoked from the qualification for hanging network procurement on the provincial platform.
Look at the data
The average reduction of this collection is 55%
16 varieties fell by more than 90%
It is expected to save 1.982 billion yuan in drug costs in the first year
Taking the anti-tumor drug Netherlands for injection of bendamustine hydrochloride (100mg) as an example, after the price reduction, the cost of each injection has dropped from 6,000 yuan / stick to 786 yuan / stick, which can save about 160,000 yuan for patients according to the maximum 8 cycles.
Special reminder
Not every hospital has all 61 price-reducing drugs
According to the confirmation of the Provincial Medical Insurance Bureau, the results of the fifth batch of centralized procurement of drugs organized by the state this time reached a new high, with the largest scale and the largest variety, and 251 products of a total of 148 enterprises were selected.
From the list of supply varieties, it can be seen that 61 kinds of drugs have been successfully purchased, covering common diseases such as hypertension, coronary heart disease, diabetes, anti-allergy, anti-infection, digestive tract diseases, chronic diseases, and drugs for major diseases such as lung cancer, breast cancer, and colorectal cancer.
However, Meihua deputy chief pharmacist reminded that the public should understand when seeking medical treatment that 61 drugs are a "collection" of Selected Chinese medicines, but not every hospital has all 61 kinds of drugs. This is because the medical institutions that participated in the centralized procurement in the first half of the year reported the volume as the main body of procurement, and on June 28 this year, the results of the fifth batch of national collection and procurement were announced, and they knew how many varieties they had successfully reported. Taking the Second People's Hospital of Guangdong Province as an example, more than 40 drugs were reported in 61 selected varieties, that is to say, these 40 drugs were implemented on the ground.
Not all price-reducing drugs will be available immediately
The price reduction of drugs, according to the agreed purchase volume in the first year, the market sales in Guangdong Province were about 2.489 billion yuan before the price reduction, and about 507 million yuan after the price reduction, that is to say, it is expected to save 1.982 billion yuan in drug costs in the first year, and the majority of patients are the most favored.
Pharmacists said that the price reduction of drugs is very concerned by the society, and they are also very willing to provide better and more affordable medical services for the public and share the dividends of the drug collection reform. The reporter learned that after 17:30 on October 8, pharmacists in various hospitals opened overtime price adjustments, and did a good job in connecting the medical insurance settlement and payment system to ensure that the new price was implemented at 00:00 on October 9.
However, it is important to remind patients that not all price-reducing drugs will be available immediately.
Meihua deputy chief pharmacist pointed out that medical institutions have actually begun to make preparations as early as after confirming the success of their reported procurement, of which it is very important to "clear the warehouse". According to the notification requirements of the medical insurance department, after the hospital successfully reports for procurement, it will be eliminated in one month to withdraw or make up for the difference, and switch to the selected drugs. Another important task is the preparation of medicines. In order to ensure the supply of drugs, they have been purchased back one after another before the implementation.
When the provincial second doctor cleared the warehouse, it was found that among the 40 kinds of selected drugs, 2 varieties of price adjustment continued to be used, 20 were newly entered into the warehouse to replace drugs, 18 new selected varieties were retained in the original research, and 25 drugs were currently ready for collection, but the other 15 varieties were not in place and were on the way to distribution.
Xu Youheng, vice president of Guangzhou Pharmaceutical Co., Ltd., told reporters that after determining the selection of drugs, medical institutions are also required to initiate a tripartite procurement contract through the drug trading system, and the production enterprises and distribution companies will re-carry out online confirmation operations. "As a pharmaceutical circulation enterprise, we are making every effort to ensure the stable supply and supply guarantee, and ensure that the drug orders of medical institutions are delivered on time and with good quality!" Xu Youheng said. (Reporter He Xuehua Correspondent Guangdong Medical Insurance)
Source: Guangzhou Daily