The price of a drug exceeds 5, which is 12 times higher than that of a wholesaler. Half of the profit of a drug is stolen.

In order to maximize the profit, once a drug store reduces the price without authorization, the agent will choose to stop supplying and recycling drugs as needed. The reporter learned from the Beijing price Bureau that the state has clear provisions on the profit margin of drug sales. For example, the maximum profit of a new type of chemical product in a production enterprise is no more than 35%, and that of a General imitation drug is no more than 8%. The maximum Markup Rate (sales promotion rate) of a wholesale enterprise is no more than 20%, the Markup Rate of Retail Enterprises (batch zero rate) cannot exceed 15%. However, we will find that, in addition to centralized bidding and procurement, the Markup Rate of the vast majority of drugs far exceeds the limit. Taking an iron tonic as an example, its ex-factory price is 1.2 yuan per bag. After five steps, the retail price of the drug store was nearly 15 yuan (For details, refer to the example table of a butie drug sales markup ). According to a staff member of a pharmaceutical agency, when a manufacturer's agent enters a certain drug market, he must first understand the local market conditions and then occupy the local drug store at a uniform wholesale price, and ensure that agents at all levels are profitable. Once a drug store is sold at a lower price without authorization, the agent will choose to stop the supply and recycle the drug in the store based on the situation to protect the maximum profit of the agent. Agents earn millions every year The annual income of agents at all levels is more than one million, and the annual income of managers in a well-performing region can reach 3 million yuan. "From the headquarters to the grass-roots wholesale agency, pharmaceutical wholesale enterprises also have thousands of employees, whose incomes are all produced from the Markup Rate of wholesale enterprises ." According to Mr. Shi, who has been a sales representative for a southern Pharmaceutical Factory for seven years, apart from employee salaries, the costs of agency companies at all levels also include the manufacturer's purchase cost, the advertising fee for drug sales, the price of the agent for the right to buy the drug, the price of regional distributors, the price of the provincial agency, the PR for entering hospitals and drug stores cost. Although agents generally make public claims that the markup rate does not exceed 15%, it is not difficult to see from the above example of an iron supplementation price increase that the markup rate is much higher than the national regulations. To this end, the agent will take measures such as raising the ex-factory price to reduce the Markup Rate and avoid inspection by the relevant departments. According to industry analysts, the common rule in traditional drug distribution channels is that the profit margin of hospital and pharmacy retail terminals accounts for 10% to 20% of the final pharmaceutical price, the circulation cost in drug sales accounts for more than 50% of the final drug price. When asked about the income of agents at all levels, Mr. Shi smiled and did not answer. He only told reporters that "agents at all levels earn more than one million annual income. For example, the annual income of a regional manager with good benefits in my company can reach 3 million yuan ." The reporter learned from the side that the income of sales representatives of General pharmaceutical wholesale companies includes a base salary of about 800 yuan, and the floating bonus of 1000 yuan after the completion of the drug sales quota, there are also various public customs reimbursement and drug sales commissions based on hospital and pharmacy levels, with an average monthly income of about 4000 yuan. The sales director of a general pharmaceutical wholesale company has a minimum monthly income of 7000 or 8000 yuan, including a base salary of 2000 yuan and a commission of 2% to 5% yuan based on the sales price, 5000 yuan or more after the completion of the drug sales quota of floating bonuses and Public Customs reimbursement, etc. Drug sales have to go through four "Qian Guan" The hospital's public customs fee is less than thousands, and the total amount is tens of thousands. The public customs fee of drug stores is 6000 yuan, and other fees are calculated separately. According to a survey commissioned by the Central Commission for Discipline Inspection and the local Commission for Discipline Inspection and relevant statistical departments, the drug should go through at least four "Money customs" from the manufacturer to the patient ": admission fee, doctor's service fee, sales and maintenance fee, and public bidding fee. Mr. Shi explained that in order to enter the hospital, the drug must first obtain the consent of the President and the support of the director of the pharmacy. It must also be approved by the pharmaceutical commission. Without connecting these joints, it is difficult to get into the door if the efficacy is good and the price is low. The most common way to get through a joint connection is "Sponsorship": Dinner, free travel, office supplies, and even more direct. "In addition to the hospital supervisor, the hospital also needs to inform the hospital of drug procurement, database management, and finance, so that the hospital can purchase goods as soon as possible and make payment as soon as possible. Even if a drug is in a hospital, medical representatives cannot rest assured, "said Mr. Shi." They also need to commission it based on the number of prescribed medicines. Usually, the public fees for connecting to a hospital are determined by the hospital level, with thousands or tens of thousands of fees ." Mr. Shi also said, "In fact, like a pharmacy and a hospital, the entrance fee is indispensable. Next, we need to call a department manager and pay the clerk fee. We need to benefit the clerk in charge of the counter and the so-called promotion fee to the clerk. There are so many medicines in the drug store that there is no benefit, and the salesperson will not be particularly eager to help promote sales. Although there are few intermediate links in the purchase of the drug store, the price is not much lower than the hospital price. The pharmacy public customs fee is 6000 yuan, and other fees are calculated separately ." (Intern reporter Wang Chen)

Source: Beijing Morning Post

(Responsible editor: Liu Ke)