Shaanxi completed the base medicine last year、After purchasing directly，Finally launched the province's 2016 drug procurement plan (draft for comments)。

 

  Overall，The province's procurement plan is quite satisfactory，All requirements of Circular 7 and No. 70，Classified purchases in the province，Division of Purchasing Catalog: Tendering、Negotiations、Direct network、National fixed -point production、5 sub -catalogs such as anesthesia drugs and psychiatric drug directory。

 

  Transaction structure

 

  Roughly three steps to purchase:

 

  The first step: Limit price hanging network at the provincial level

 

  1) The bidding directory variety If the manufacturer is within 3，Take the average price of the lowest three provinces in the country (January 1, 2013 to September 30, 2016，Not included in Fujian and the Army System of Guangdong)，Manufacturer If confirmed, it will be a limited price hanging network，If you are not confirmed，Enter the category of the alternative variety (to be submitted according to the final rules, but the price limit is not recognized，Purchase purchase is preferred to choose to use the product in this directory。The filing amount must not exceed 5%of the total amount of drug procurement;

 

  stake betting appNote，The price is the manufacturer's own report，Faldic reporters may be expelled from Shaanxi Market。

 

  2) Directly hanging the network procurement directory variety is similar: there are 3 provinces to report，Take the mean value to confirm，Confirm that it will hang the network，If it is uncertain or less than 3，Enter the candidate catalog;

 

  3) State negotiations and designated production drugs，linkage with national directory and price

 

  4) Anesthesioms and psychotropic drugs: Purchasing platform announces the highest national retail guidance price、Enterprise self -offer as a reference price for purchasing medical institutions。

 

  The second step: public medical institutions in cities and counties with volume bargain

 

  In the market、County Level 1，Establish a procurement consortium，Large purchase amount、Multiple usage、Drugs with high weight coexistence，Carry out a joint band price negotiation purchase。Hospital selection of drugs is to follow the principle of one product 3 dosage type 2 specifications，Take care of adults and children's medication。Encourage the core hospitals and other member units in the medical consortium to set the drug catalog，Basic drugs are preferred。

 

  The third step: online purchase and delivery

 

  According to the web rules of various drugs，Finally formed & ldquo; price limit hanging variety catalog & rdquo; and & ldquo;。Medical institutions according to clinical needs，Select the corresponding product，Procurement price must not be higher than & ldquo; price limit & rdquo; and the current purchase price of this institution。

 

  Indeed because of clinical must be and & ldquo; price limit hanging variety catalog & rdquo;，Control according to the total amount、The hospital is responsible、Online purchase、Principles of Department Supervision，Implement filing purchase on the provincial procurement platform。Purchase purchases should be given priority to use & ldquo; alternative variety catalog & rdquo;。The filing amount must not exceed 5%of the total drug procurement amount。

 

  This step focuses on stake sports betting appthe province that the province must implement & ldquo; two votes & rdquo;，Strengthen the management of drugs into warehouse。(It is said that it is implemented from January 1, 2017)

 

  Shaanxi can basically be included in the 5 major purchasing genres & ldquo; dual envelope stream & rdquo;，That is, the provincial level as a quality access and price limit platform，Prefecture -level cities or purchasing consortia on the basis of limited price purchase，It's like a provincial dual envelope。It represents the provincial city: Anhui、Fujian、Jiangsu、Beijing -Tianjin -Hebei、and Henan, which may appear in the future、Hunan, etc.。

 

  Quality level division

 

  Drugs of the same review are divided into three bidding groups.

 

  First review group: national first -class new medicine; national confidential prescription Chinese medicine; Chinese medicine first -level protection varieties、Traditional Chinese medicine secondary protection varieties during the protection period; obtaining the National Science and Technology Award of drugs; major special drugs for major new drugs created science and technology; over -protection -based compound patent drugs; obtaining Chinese quality awards drugs;。

 

  Second review group: other patented drugs (natural object extraction patent、Microbial and its metabolites patents、Drug composition patent); get FDA、EU、PIC/S and other preparation certification drugs (Point Canghe Note: International Drug Inspection Cooperation Plan，Australia，Austria，Canada，UK，Germany，France，Singapore and 18 member states); reaches the international level of generic drugs; obtained the provincial government quality award drug;。

 

  The third review group: other GMP drugs、Other imported drugs。

 

  Price Dynamic adjustment

 

  Drug medicine、The average daily cost of Chinese medicines is higher than 3 yuan、5 yuan variety，Price Implementing dynamic adjustment。This looks very familiar，In fact, it is to dynamically managed the identity of the low -priced medicine in the way of dynamic management。

 

  Stake Sports Betting1、& ldquo; Directory catalog & rdquo; product price dynamic adjustment。

 

  1) If the average price of the lowest three provinces in the country is lower than the price of the hanging network of Shaanxi Province，Enterprise shall take the initiative to declare in the hanging network cycle，Adjust the price limit in December every year。

 

  2) The weighted average price of the actual procurement of the province in the province is more than 10%lower than the hanging network，December every year，The weighted price is the average price of 3 provinces in the country in the country，Take the low value as a new price limit company confirmation，Companies such as confirmation，Continue to hang the net with this price as a limited price; if it is uncertain，Turn into & ldquo;

 

  2、& ldquo; The reference price of the product (generally the lowest price of the country) of the product's reference price (generally the lowest price of the country) refer to the dynamic adjustment of the product.。

 

  Dynamic adjustment of varieties

 

  1, the category adjustment of the selected variety:

 

  1) Within 6 months，At least 3 levels of secondary and above medical and health institutions in Shaanxi Province will be filed for procurement and procurement，Enterprises can apply to enter & ldquo;。

 

  2) Enterprises have filled in the minimum price and national lowest price of medical institutions in the province in the provincial procurement platform for 6 months，And upload relevant materials and procurement bills in accordance with the requirements of the provincial procurement platform，Provincial Procurement Center for review and summary，Report the Provincial Health and Family Planning Commission for approval，Turn into & ldquo;。

 

 3) Annual statistics，In the provincial procurement platform, there is no procurement transaction records & ldquo; alternative variety catalog & rdquo;，From & ldquo; candidate variety catalog & rdquo; remove。

 

  2. Directory adjustment of the price limit network variety:

 

  1) In principle，Provincial Procurement Center to purchase procurement according to the platform，From & ldquo; candidate catalog & rdquo; screen for varieties Stake Sports Bettingwith a large purchase amount or a large number of purchases，Report the Provincial Health and Family Planning Commission for approval，The low value of the minimum price of the nation's lowest price and the province's medical institution for procurement，After being confirmed and publicized by the company，Interture & ldquo; Directory catalog & rdquo;，Unified Hanging Network。

 

  2) Annual statistics，In the provincial procurement platform in one year, there is no procurement transaction record & ldquo;，Move to & ldquo;。