November 29，Youyou provides a copy of the implementation of the implementation of the "two votes for drug procurement in Sichuan Province's public medical institutions for drug procurement in Sichuan Province (the draft for comments) for the two votes & rdquo;。Instantly major WeChat groups、WeChat circle of friends has also spread，Everyone is sighing: & ldquo; The two votes in Sichuan are also here! & rdquo;

 

  Information provided from Weiyou，This file's landing unit is the Sichuan Provincial Medical Reform Office & mdash; & mdash; according to the requirements of the document，From December 31, 2016，Public medical institutions in the province (except ethnic minority areas and other regions of grass -roots medical institutions) fully implemented two votes。

 

  If this file is true，This means that there is still a month of time，Most of Sichuan will implement a two -vote system。

 

  Earlier this year，Determination of the "Key Work Task for Printing and Distributing the Reform of the Medical and Health System in 2016" issued by the General Office of the State Council，The province of the medical reform pilot must promote two votes in full range，Encourage one vote，Hospital and pharmaceutical manufacturers directly settlement of payment，Pharmaceutical companies and distribution companies calculate the delivery fee。

 

  stake online sports bettingPrevious stake betting appmedical reform pilot province Anhui、Fujian、Jiangsu、Shaanxi Province and other provinces，Two -vote policy has been implemented in succession。Same，Sichuan as the province of the pilot of medical reform，It is also the focus of the industry's focus。

 

  According to the Sichuan two -vote documents passed by the Internet，There are the following points worth noting:

 

  1、Only require public hospitals in some areas to fully implement the two -vote system

 

  According to the requirements of the file，From December 31, 2016，Public medical institutions in the province (except ethnic minority areas and other regions of grass -roots medical institutions) fully implemented two votes。When circulating enterprises, when they are distributing drugs for primary medical institutions for ethnic minorities and other regions,，Allows on & ldquo; two votes & rdquo;。

 

  Previous，There are media reports，The State Council's implementation opinions on & ldquo; two votes & rdquo;。According to the requirements of the opinions of the online transmission，Xu according to the distant and near combination、Principles of urban and rural linkage，Encourage supporting regional drug distribution urban and rural integration，Open the rural drug delivery & ldquo; last mile & rdquo;，Allows on & ldquo; two votes & rdquo;，To ensure effective supply of primary medicines，Allows the appropriate conversion and delivery。

 

  Analyst of the Chinese Medicine Holdings Industry Gan Rongfu once told the media，my country's pharmaceutical business development is not balanced，Some provinces are not high in business concentration，Under the premise of meeting & ldquo; two votes & rdquo;，Realizing the distribution of grass -roots medicines in remote areas is indeed difficult。Based on this, loosen appropriately，It will improve the availability of grassroots medicines in the remote areas of rural areas。

 

  Now it seems，Sichuan's two -vote policy，To a large extent, formulate it in the direction of appropriate loosening above.。Some people in the industry think，This method is also conducive to the promotion of two -vote system，After the urban public hospital is successfully implemented，A method to explore the promotion to the grassroots，This greatly improves the guarantee ability of grassroots drugs。

 

  2. Large circulation enterprises can issue one more vote

 

  According to the file stake betting appregulations，The two -vote system is stake online sports bettingdefined as a pharmaceutical manufacturer to issue a purchase and selling invoice at the operating enterprise，Operating enterprises to issue a purchase and selling invoice at medical institutions。The following three cases are deemed to be a manufacturer:

 

   (1) Production enterprise or integrated enterprise (group) internally selling the company's operating enterprises (only one operating enterprise of the group);

 

  (2) The general agent of the import (only one);

 

  (3) Entrusted drug manufacturers or operating enterprises on behalf of the drug listing license holder。

 

  Register for a wholly -owned or holding subsidiaries for drug circulation group -type enterprises，Whether it is regarded as one vote.，Sichuan Province also has a clear explanation in the definition of it。

 

  The file is clear，Domestic circulating group -type enterprises internal like wholly -owned or holding subsidiaries are not regarded as one vote，But only allows up to one invoice at most。

 

  According to Saibailan understanding，Whether the internal invoicing of the circulation group is considered a vote，It has always been the focus of the industry's debate，From the earlier Fujian，to Anhui、Jiangsu、Zhejiang，Shaanxi, which has recently landed two votes，None of the content of this content is clearly stipulated。

 

  People with a drug circulation industry said，If the previous definition，The invoice issued by each independent legal person company is one vote，The two -vote system is basically difficult to land。If there is no vote internally，Many commercial companies can unite all，Formed a large -scale holding group，Then become an internal invoicing，This is strongly stronger with the country to encourage enterprises、merger and reorganization、The policy direction of group intensive development is the same。

 

  Recent，Central Committee of the Communist Party of China、The State Council released "& ldquo; Healthy China 2030 & rdquo; Planning Outline"，Pointing in the pharmaceutical industry，To promote the transformation and upgrade of the medical circulation industry，Improve stake sports betting appthe concentration of circulation market，Forms a number My stake betting appof multinational large -scale drug circulation enterprises。It can be said，Encourage large pharmaceutical circulation enterprises to make bigger and stronger，Is the development requirements of the country，It is also the direction that all provinces are currently exploring。Previous，Fujian is through two votes，improved business concentration，From the original business integration to 11 business companies with legal distribution drugs to the hospital。

 

  Analysis of people in the industry，As of now，There are 13,000 domestic medical circulation enterprises，But less than 3,000 real compliance。Two -vote system through execution，A large number of non -compliance companies will be eliminated，It will also increase stake sports betting appthe concentration of circulation market。

 

  Two votes in each province landed on the ground, ushered in moderate loosening

 

  officially posted in the State Council，Clarifying the pilot of the medical reform province & ldquo; two votes & rdquo;，At the same time in the industry，Everyone is most concerned about when the policy starts to implement。

 

  Judging from the progress of the two provinces in each province，Fujian、Anhui has really landed，and Shaanxi and Guangdong also post，Requires to be implemented in 2017。Shaanxi and even many hospitals are super strong，Recently issued a notice of two votes in the hospital for the hospital。

 

  Actually，Implementation of the two -vote system，Provincial provinces also began to loosen appropriately。

 

  For example, the two -vote policy requirements of Shaanxi，From January 1, 2017，The procurement of pharmaceutical consumables in urban public medical institutions in Shaanxi Province & ldquo; two votes & rdquo;，On the basis of ensuring the protection of grass -roots drugs，County、Town、Village Medical and Health Institutions in a timely manner & ldquo; two -vote & rdquo;。This type of public hospital is performed by the urban public hospital，After the urban public hospital is successfully implemented，A method to explore the promotion to the grassroots，Get the recognition of many people in the industry。

 

  The two -vote policy policy mentioned above，At present, only requires a two -vote system in public medical institutions in the province，Except Stake Sports Bettingfor grassroots medical institutions in ethnic minorities and stake online sports bettingother regions，It is also a manifestation of the loosening of the two -vote policy。

 

  Well -known，The two -vote policy of Anhui is from November 1，All public hospitals in the province implement two -vote system at the same time。But recently，A good news of moderate loosening is also coming。It is understood，Recently, Liu'an City and Huangshan City, Anhui Province announced the "List of the Implementation of Two -vote Remote Mountains and Townships"，Is this implied，Can these remote mountainous areas not implement two votes for the time being?