Enter November，Hefei's pharmaceutical agent He Lin is more anxious。Seven years ago，Eye -seeing a relative agent the clinical variety of manufacturers through the way of the company，Started for hospital sales，and the business profit can be considerable，She also followed。

 

  According to the provisions of the Drug Management Law，He Lin has no qualifications to participate in drug operations & mdash; & mdash; only enterprises that have obtained drug business quality management specifications (GSP)，can be wholesale of medicines、circulation and retail。But with the help of relatives，She successfully borrowed the bills and licenses of a certificate of evidence。Pay a certain percentage of & ldquo; Management fee & rdquo; post -，Her drug sales behavior is legalized。

 

  With this job，This woman less than 40 years old already has millions of savings。But now，She sighs，& ldquo; Good days are gone forever。& rdquo;

 

  Lift the waves，is a new policy called & ldquo; two -vote & rdquo;。October 8，Anhui Province Food and Drug Administration and other six departments jointly issued a document: Anhui will take the lead in implementing drug procurement nationwide & ldquo; two votes & rdquo;，and clearly execute from November 1, 2016。

 

  According to the "Implementation Opinions of the Pharmaceutical Procurement of Public Medical Institutions in Anhui Province"，Pharmaceuticals before reaching consumers，At least two invoices can be issued at most。Where，Pharmaceutical manufacturers will open it to the operating enterprise，Operating an enterprise to open it at a public medical institution。

 

  This caused He Lin to fall into the dilemma & mdash; & mdash; exit the market，Human connections accumulated for many years、channel、Variety resources will be put into the east; but if it is like before，With the help of the first and second -level agent companies to open the ticket，Not in line with & ldquo; two votes & rdquo; regulations，Drugs must not be sold。

 

   & ldquo; Reduce the price increase，Reduce the price of virtual high medicine。& rdquo; Mi Huayang, Director of the Director of the Pharmacization of the Anhui Food and Drug Administration, said，Performance of & ldquo; Two -vote & rdquo;，is the reform of the field of drug circulation，Compression intermediate link，Strict crackdown on & ldquo; Hanging & rdquo; & ldquo; ticket & rdquo;，Safety use safety。

 

  ▌ Strict investigation & ldquo; Hanging & rdquo; & ldquo;

 

   stake betting app& ldquo; Whether it is a manufacturer、Circulation enterprises or public hospitals，There is no room for the two -vote system。& rdquo; Zhang Liang, the person in charge of a pharmaceutical wholesale distribution company in Luzhou, told reporters，October 12，The company received a notice issued by the local Hospital of Mingguang City。File specification，Implementation & ldquo; Two -vote & rdquo; post -，All medicines delivered to the hospital must be attached to the invoice of the manufacturer，and no drug disconnection may occur。

 

  Considering the logistics difficulties of pharmaceutical companies in remote areas，Anhui & ldquo; Two -vote & rdquo; There is no one -size -fits -cut & mdash; & mdash; operating enterprises sell drugs to grass -roots public medical institutions in remote mountainous areas，Allows on & ldquo; two votes & rdquo;，To ensure effective supply of primary medicines。

 

   & ldquo; From the perspective of the State Administration of Food and Drug Administration，We firmly unswervingly support the two -vote。In the future supervision，We will also perform supervision in accordance with the requirements of the two -vote system。& rdquo; At a pharmaceutical entrepreneur annual meeting on October 29，The expression of Wu Yan, deputy director of the State Food and Drug Administration，Display a signal: The food and drug supervision department leads the implementation of & ldquo; two votes & rdquo;，May be copied and promoted。

 

  The core task of Anhui Food and Drug Administration，Incorporate & ldquo; two votes & rdquo; into flight inspection and daily inspection，Actions that violate the relevant regulations of drug management，Investigate and deal with it in accordance with the law。

 

  Anhui mode is also highly hoped & mdash; & mdash;，completely squeezed off the hanging back、Ticket，and eliminate a large number of relying on the above -mentioned illegal behavior to make a profit，Small wholesale companies that threaten drug safety。

 

  Current，The domestic pharmaceutical market is less than 2 trillion yuan，But there are 12,000 wholesale companies。Where，80%of sales are concentrated in the top 100，The average annual sales of the remaining companies are only 203 million yuan。& ldquo; The profit margin of a wholesale company is 1%，If the management is slightly relaxed，Then you have to lose。& rdquo; but Wu Yan found，These companies are not only alive，and live & ldquo; very chic & rdquo;。

 

  In the industry，This is an open secret。Zhang Liang disclosed，Among more than 400 pharmaceutical business enterprises in Anhui Province，Many small enterprises are attacked by、Tickets for a living，& ldquo; This is not an individual phenomenon。& rdquo;

 

  Knowing illegal，But charging & ldquo; management fee & rdquo; post -，Provided by the business enterprise, there is almost no constraint on the agent，Even the medicines bought and selling the agent ignored it。Fake medicines flow into regular channels。

 

  A second instance criminal ruling of the Hangzhou Intermediate People's Court，2011，Salesman Wang Zhongjun hangs at Zhejiang Jiuxin Medicine and starts drug management，3%of the total drug sales per year，Pay the management fee to Jiuxin Medicine，The other party provides the qualification certificate required by the medicine、Buy and sell vouchers，Stake Sports BettingEven set up & ldquo; Pharmaceuticals & rdquo;。

 

   & ldquo; Pharmaceutical one & rdquo; After the establishment，Wang Zhongjun contacted the purchase and sales channel，The name of Jiu Xin Pharmaceutical，Buy medicine from multiple pharmaceutical companies，and sold to the major pharmacies in Hangzhou，Earn the difference from it。

 

  After learning that Wang Zhongjun uses this method to operate drugs，Chen Jun and others agreed with Wang Zhongjun，Through & ldquo; Pharmaceuticals & rdquo;，In the name of Wang Zhongjun，Use the same way of operating medicines in the same way，Settle with Wang Zhongjun after profitability。

 

  From May 2011 to August 2012，Wang Zhongjun and others through & ldquo; Pharmaceuticals & rdquo;，The value of the inventory drug that has not been sold has reached more than 300,000 yuan。Where，Utilize & ldquo; 呋 呋 nasal liquid & rdquo;，Deep processing，Extracting ephedrine refining methamphetamine。

 

  ▌ Circus enterprise big shuffle

 

  Statistics data show，There are as many as 728 public hospitals at or above the province's county level。The province executes & ldquo at the same time & ldquo & rdquo;，Pharmaceutical distribution enterprises are the first to band。

 

  & ldquo; Medical distribution companies without competitiveness and coverage，Either merged，Either closure。​​& rdquo; Senior pharmaceutical agent Fang Yuan said。To maximize efficiency，Production companies prefer terminal coverage and Guang、Delivery companies with strong capital strength。He also felt the severe challenge facing the company，& ldquo; This industry is getting worse and difficult to do，I am struggling to switch career。& rdquo;

 

  As one of the pilot provinces of the new medical reform of the country，Since 2015，Anhui implemented drugs & ldquo;，The price decreases，Also selected distributors，Concentrated supply of medicines。

 

  Although the existing distribution pattern will not change for the time being，But many small and medium -sized distribution companies have stepped up their purchase pressure，Maintain the maximum maintenance of the delivery relationship with the hospital。& ldquo; We have been actively communicating with the hospital，Guarantee variety supply。& rdquo; Chen Shu sigh，Whether it is an enterprise or a manufacturer，Too much things to do。

 

  Chen Shu is the person in charge of a city -level pharmaceutical company in East Anhui。Since April 26, the General Office of the State Council clearly requested the promotion of the pilot province of the medical reform & ldquo; two votes & rdquo;，These three words are always impacting his nerves。The last six months，Suddenly a lot of & ldquo; two -vote communication groups in pharmaceutical companies & rdquo;。Inquire about relevant information，It has become his daily compulsory course。

 

  Chen Shu's municipal pharmaceutical company has more than 50 years of history，Once covered the market in more than a dozen counties and cities around the surrounding areas。But now，The company does not have the variety resources of the provincial company，There is no terminal network of county -level companies，Even the business in the urban area is slowly shrinking。& ldquo; two votes & rdquo; under the impact，The company's business is more frequent。

 

  After analyzing the advantages and disadvantages of the enterprise，He and the business team came to conclusion，& ldquo; The stake betting appweak body cannot compete with the big guy。& rdquo; Although the public hospital has always been the company's main item，But for survival，The company has to bear pain to cut love，While maintaining the total number of hospitals，Adjust the product structure，Turn the work focus to & ldquo; two votes & rdquo;。

 

   & ldquo; There is always no lack of opposition voices within the company。& rdquo; Chen Shu admit，But only the sector that is temporarily ignored by the big company in the seam of the market，It is hoped to exchange for the increase in gross profit and the smooth cash flow。

 

   & ldquo; two votes & rdquo;，The marketing strategy of drug production enterprises also quietly transforms。

 

  Wang Zhizhong, deputy general manager of Anhui Yongshengtang Pharmaceutical Co., Ltd.，Because the cost of self -built sales team is very high，Most small and medium -sized pharmaceutical companies have used & ldquo; base prices & rdquo; model & mdash; & mdash; manufacturers are low at the factory price，Sell the medicine to the big contractor，Then transfer it layer by layer，Final sales to terminal customers。Large -scale pharmaceutical companies usually use & ldquo; high opening mode & rdquo; & mdash; & mdash; raise the factory price，Sales to the terminal through exclusive dealers。& ldquo; two votes & rdquo; After implementation，Small and medium -sized manufacturers are forced to turn from & ldquo; low & rdquo; to & ldquo;。

 

  For companies that originally adopted the self -employment model，According to the existing drug supply and marketing model，Must be located in the business personnel of each city and county，Responsible for the delivery and remittance of the drug。& ldquo;，I was added to the pharmaceutical company，Management costs will definitely increase。& rdquo; Wang Zhizhong said。

 

  ▌ Shake the virtual high drug price difficulty

 

  Although the concentration of the pharmaceutical circulation industry has increased significantly，But the other considerations of & ldquo; two votes & rdquo; another consideration，is the role of reducing drug prices as high，It seems to be unable to appear。& ldquo;，I am not optimistic。& rdquo; Gu Xin, a professor at the School of Government Management of Peking University，It is also the opinion of many people in the industry。

 

  At the end of 2014，Commissioner Xiamen Commissioner of the Ministry of Finance released an independent research report on the implementation of Fujian & ldquo; two -vote system & rdquo;。The report is based on the vitamin D drops produced by Sinopharm Holding Star Shark Pharmaceutical (Xiamen) Co., Ltd.，The cost price is 2.4 yuan per box。Fujian and not & ldquo; two -vote & rdquo; Hubei，The difference in the bid price is not much different，Close to 27 yuan。but，The exit price difference between the two places is bizarre & mdash; & mdash; Fujian is 24.7 yuan per box，Hubei is only 4.7 yuan。

 

  In the non -& ldquo; two -vote & rdquo; area，Drugs from the pharmaceutical factory to the hospital's terminal without limited logistics level，The pharmaceutical factory will be based on the economy and marketing strategy of logistics，Considering the logistics path of the drug。and in Fujian，Due to the provisions of & ldquo; two votes & rdquo;，There are only two choices & mdash; & mdash; pharmaceutical factory direct delivery，or the only drug business enterprise distribution。

 

  but，No matter what the logistics level，The hospital My stake betting appcan only be in accordance with the policy regulations，Purchase drugs at a bid price of about 27 yuan，Then sell it to the patient with a 15%or zero difference rate at a Shunga。Obviously，Drug prices have not decreased due to the decrease in circulation。

 

  Report Special mention，Star Shark Pharmaceutical with consultation fee、Sales discounts and other methods，Pay to various agents as sales commission，Used for & ldquo; Drug promotion & rdquo;，Sales commissions account for about 59%for retail prices。

 

   & ldquo; The root of drug prices is high，Not too many in circulation，and the administrative control of government medical service prices。& rdquo; Zhu Hengpeng, director of the Public Policy Research Center of the Academy of Social Sciences, believes。Government administrative pricing system，The charging criteria for allowing the large medical service items of the community to be delayed，Positive medicine、Pin Pharmaceutical，Become a medical staff & ldquo; choose & rdquo;。

 

   & ldquo; under the mode of medicine & rdquo;，Drug suppliers need to reserve a rebate for doctors from the drug costs。But，This part cannot issue an invoice，You need to pass this part of cash。

 

  In the base price in & ldquo;，Back buckles are generally reserved from circulation，Medical agents are mainly completed through tickets; and in the mode of & ldquo; high -priced invoicing & rdquo;，Back deductions are generally reserved from pharmaceutical companies，Opening traffic through virtual、Catering、Consultation、Cost and other costs was washed out of cash，Escape from income tax。

 

   & ldquo; two votes & rdquo; After implementation，Low -opening mode & rdquo;，But & ldquo; existence of medicine & rdquo; existence，It will be forced to move up the price increase。& ldquo; Pharmaceutical companies can just righteously raise the price of the factory，Wipes away the price of drug prices caused by too much circulation link，Maintenance of the rationality of centralized procurement of provincial drugs。& rdquo; Zhu Hengpeng said。