Two-vote system to four votes, small and medium circulation enterprises still complain

Abstract: The amount of more than 20 billion, involving more than 4,000 drug companies in the province, drug category tens of thousands of ... The annual provincial drug bidding "big test" will be opened in Saturday (June 20). This is also in the new health reform plan after the first provincial drug tender, who will be shortlisted, who will be eliminated, affecting a large number of drugs and business enterprises of the heart nerves.　　How can you be so skinny? The amount of more than 20 billion, involving more than 4,000 drug companies in the province, drug category tens of thousands of ... The annual provincial drug bidding "big test" will be opened in Saturday (June 20).　　This is also in the new health reform plan after the first provincial drug tender, who will be shortlisted, who will be eliminated, affecting a large number of drugs and business enterprises of the heart nerves. According to the spirit of the new medical reform, reducing the drug price and reducing the circulation link will be the important guiding spirit of the drug bidding. And from the pharmaceutical factory to the hospital once under the layers of circulation links, involving tens of thousands of commercial enterprises, they face this inevitable shuffle, will go?　　It may be said that the listing of the list of tender lists has partly decided the future fate of some commercial circulation enterprises. Two-vote system implementation Twists "is an exam every year." "An annual drug sales of about 500 million of Guangdong Pharmaceutical Enterprise general manager said." "The openness of medical tenders is becoming more transparent and the prospects for SMEs are not promising." "In the electronic documents of the third draft of the tender plan which the reporter gets, the revision is very dense, each change, relate to the survival and development of the medicine enterprise." "The provinces have depressed prices, so that small and medium-sized drug companies have greatly reduced the ability to discount." "It is understood that this January, the Ministry of Health and other six ministries have issued a new drug procurement rules, the" two-vote system. "Two-vote system" refers to the drug from the pharmaceutical companies sold to a distributor to open an invoice, dealers sell to the hospital to open a second invoice to reduce the flow of the layers of exploitation, and each variety of the first level of dealers must not exceed 2.　　Outside the municipal district or remote areas can allow "three votes", there are two dealers, but a distributor of the same factory distribution of varieties, in the same prefecture-level can only entrust 1-2 two dealers. But this strategy is Guangdong province medicine sunlight Purchase in 2007 first proposed, but because of the implementation difficulty, in 2007 's purchase did not really implement.　　Relevant statistics show that Guangdong Province currently has nearly 2000 drug dealers, most small size, less area coverage. In response to the problems of various circulation links, 2008 Guangdong province's procurement program clearly stipulates that "all shortlisted varieties of medical institutions in the city should not be transferred to the hospital, strict implementation of the two-vote system" and "a distributor of the same manufacturer of the same plant varieties in the same prefecture-level can only entrust 1-2 two dealers."　　However, this regulation has been a joint boycott of more than 30 pharmaceutical enterprises, including some large pharmaceutical companies, such as Harbin Pharmaceutical Group, medicine group, Stone Pharmaceutical Group, north China Pharmaceutical Group, Baiyun Mountain Pharmaceutical Factory. Relaxed to four votes, the channel shuffle is still difficult to reverse the drug industry in 2008, the collective shelling of medical tender "two votes system"The storm did not appear again this year.　　According to industry sources, the new rules of the setting, in fact, is already a multi-stakeholder communication and coordination results.　　This new regulation breaks the monopoly and control of the pharmaceutical distribution by large commercial circulation companies, which is regarded as one of the important factors that causes the Guangdong pharmaceutical commercial market to reshuffle. "If the two-vote system is implemented, the weaker small and medium business companies will no doubt be eliminated." In the third draft was modified to 1-4 distributors for distribution, perhaps small and medium-sized pharmaceutical business Company is a gasp of opportunity.　　"A small distribution company that has been a distributor for small and medium sized pharmaceutical companies," said the head. The "two-vote system" failed to straighten out the interests of all aspects of drug production and sales, and it declined in many obstacles and controversies. Because "two votes system" has the risk of monopoly. Drug manufacturers worry that if all drugs are concentrated in several commercial companies, they will virtually provide a legitimate policy hotbed for them to form market monopolies.　　In the face of the strong market discourse power of commercial companies, as the upstream of the pharmaceutical industry chain in the process of cooperation, if a slight "disobedience" to the commercial company of the heart, will be the commercial company's "blockade" (not to give market distribution), the production enterprises will lose some areas of market share, to the enterprise's own development to bring hidden risks. Recently, after many revisions of the Guangdong Drug Procurement Service platform released the "2009 Guangdong medical Institutions Pharmaceutical Sunshine Procurement Implementation Plan" third draft. From this manuscript, the reporter learned that the Guangdong Province in 2009, the procurement scheme will require manufacturers in principle to establish distributors direct distribution to medical institutions.　　And for a shortlist of varieties, must be in each prefecture-level registration of dealers Select commissioned distributors, each prefecture-level can choose 1-4 Distributors. The latest implementation also indicates that the Distributor must purchase, settle and invoice the goods directly from the manufacturer or agent, and the invoice of the agent must be issued by the manufacturer. Each shortlisted specific variety of distribution distributor must cover all of the province to participate in pharmaceutical sunshine procurement of medical institutions. Mr. Liu, who has been in the pharmaceutical industry for many years, believes that "the two-vote system is still very difficult to implement, since the distributor can issue invoices from the agents, then the two-vote system may evolve into a three-vote system or four-vote system." In other words, the ' two-vote system ' is being implemented at a discount, but the pattern of distribution channels is a new trend.　　Mr. Liu smiled and said. Profit compression, small and medium circulation enterprises complain 2009 years of "1-4" new rules, whether it is better than two votes system? The industry has mixed views on this.　　The relevant officials in charge of tendering said that the purpose of policy implementation is to straighten out the relationship between the various links in the pharmaceutical industry chain, and to make a new pairing of production, circulation and terminal market operation status, effectively easing social relations and ultimately benefiting the public. It is understood that this year, the new provisions of the medical tender, as well as distribution policy, the pace of medical reform.　　Participating in the procurement activities of the Guangdong medical institutions "purchasers", manufacturers, distributors, agents, how they in the new tender system, their respective share of interest? RootAccording to the spirit of the new health reform, to reduce drug prices is the key, from the factory to the hospital drug use, only in the factory price increase of 15%, but this link between the profit will be greatly compressed. A drug from a pharmaceutical factory to a hospital often passes through several links, from the regional distributors, and then to the provincial and hospital, even under the distributor there are some wholesalers, such as logistics and distribution this will necessarily need profits to support, but the current policy provisions of the 15% increase in space, can not support the logistics distribution of this piece.　　will be diluted to increase the space and reduce the profit margin. This means that pharmaceutical manufacturers must make some sacrifices in price under such policies. "The bulk of the government procurement, in any case, the drug companies must be matched into." Bulk purchases are critical to production planning and drug development. "Zhongshan Pharmaceutical Co., Ltd. General manager Wang Yisheng told reporters that the current drug circulation market of small and medium-sized enterprises and chain companies, in Zhuhai and Zhongshan respectively there are more than 90 and more than 30, in Guangzhou and Shenzhen are more, this is the development of market economy derived from the circulation link."　　and to reduce the price of people's medicine, can work from many aspects: the first is the price control of raw materials, the second is the reduction of the price of drug tender, and the third is to appropriately improve the profit of cheap drugs, so that producers and circulation enterprises pay attention to cheap medicine. Expert opinion the "existence is reasonable" of the small and medium circulation enterprises Shami, an associate professor at Guangdong Pharmaceutical College, said that it was necessary to strengthen market supervision, but if the intervention was too meticulous, it could lead to more problems.　　In addition from the people can get real benefits, if too streamlined circulation, production and marketing both sides once formed alliances, it is more difficult to control prices. For the proliferation of small and medium-sized drug circulation enterprises, Shami said that there is a reasonable, these small and medium enterprises can survive, there must be room for their development.　　So the crux of the problem is to standardize the hospital and other aspects of the procurement behavior, from the manufacturer to the final sales side, the increasingly standardized procurement links, a large number of inorganic "Basterds" will naturally be eliminated. The stone of his mountain Henan province tender: Borrow Low dozen high, let the people of Henan Province in 2009, the procurement of drugs centralized procurement has been basically completed, the purchase of a total of 4,001 drug production and management enterprises nationwide 26,738 drug specifications, the bid price compared with 2008, the overall average decline of 12.25%, is expected to　　Reduce the cost of medicine 1.837 billion yuan. Known as the "Henan Model" of the Tender method, detailed to each product, to average price as a measure of standards, to all enterprises a fair chance of competition.　　To the reasonable interval of the infusion and other low-priced drugs, the implementation of price protection.　　Guangdong Province, all non-profit medical institutions into the scope of pharmaceutical sunshine procurement, coupled with Guangdong medical consumption capacity and economic development pattern, its annual sales far more than Henan and other provinces. According to the regulations, the Guangdong Provincial medicine tender, such as according to different types of dosage form from tablets to ironing agent a total of 41 items of nearly million drugs, covering the vast domesticSome pharmaceutical companies.　　To Henan and other six provinces of the medical tender price as a reference, the price will no longer be the Guangdong province, the biggest problem of medical tender.　　It is understood that in Guangdong Province, the medical tender, some large enterprises are bound to be shortlisted for the successful drugs, have to be cheaper than the retail drug prices, which will have a certain impact on its market retail and distribution channel marketing. Article: newspaper reporter Meiqin Ganghwa special comic: Chen Ting