1. What is centralized and volume-based procurement of drugs? In November 2018, the Central Committee for Comprehensive Deepening Reform reviewed and approved the "Pilot Plan for National Organization of Centralized Procurement of Drugs" and launched pilot programs for centralized and volume-based drug procurement in 11 cities including Beijing and Shanghai. In 2019

It will be rolled out nationwide in September this year.

In January 2021, the General Office of the State Council issued the "Opinions on Promoting the Normalization and Institutionalization of Centralized and Volume-Based Procurement of Drugs", which means that centralized and volume-based procurement of drugs has become normalized and institutionalized.

Centralized bulk purchasing of drugs can be understood as "group purchasing" of drugs, which means that the state "packages" scattered purchases by hospitals and directly clarifies the purchased quantities to drug manufacturers in the form of "group purchasing" to reduce circulation links and thereby reduce drug prices.

, the purpose of reducing the burden on patients.

2. What are the drugs that are purchased in centralized quantities? How much has the price dropped? As of now, the state has organized six batches of *** 234 kinds of drugs to be purchased in concentrated quantities.

In November 2020, Henan Province launched the province's first batch of 27 kinds of drugs to be purchased in large quantities. In addition to the 73 kinds of drugs purchased in large quantities by the inter-provincial alliance and the provincial alliance of municipalities and districts, our province has implemented 318 selected drugs.

The average price reduction of the selected drugs is more than 50%, and the highest reduction is more than 90%. The specific selected drugs and the selected prices can be inquired.

3. Is the quality of the selected drugs guaranteed after drug prices drop? Centralized volume purchasing squeezes out the artificially high content of drug prices, not production costs.

At the same time, drug regulatory and other departments will strengthen quality supervision in accordance with the requirements of "the most rigorous standards, the most stringent supervision, the most severe penalties, and the most serious accountability" to ensure that the price of the selected drugs is reduced without reducing the quality.

4. Where can you buy these selected drugs? People can buy the selected drugs at all public hospitals in the province, military hospitals stationed in Henan, and private medical institutions that participate in centralized mass procurement.

At the same time, in order to increase the convenience and accessibility of medicines for the public, township health centers are encouraged to purchase selected medicines for village clinics. People can also purchase selected medicines at pharmacies that participate in centralized bulk purchasing.

You can check specific participating retail pharmacies by scanning the QR code below.

5. Which selected drugs can be purchased in pharmacies? How to determine the sales price? After soliciting the wishes of the selected companies in the early stage, combined with the supply capabilities of the selected companies and the sales business scope of pharmacies, a list of selected drugs that can be sold by retail chain pharmacies was determined. Subsequently, as the drugs are concentrated

With the normalization and institutionalization of quantity-based procurement, more high-quality and low-priced selected drugs will be sold in pharmacies.

At the same time, in order to ensure the normal operation of designated pharmacies, designated pharmacies are allowed to proactively promise to increase sales by no more than 15% on the basis of the winning price.

6. What are the requirements for purchasing selected drugs in centralized bulk purchases? Designated pharmacies should register the information on the purchased drugs, etc., and strictly follow the "Prescription Management Measures" and other relevant regulations to reasonably adjust the amount of the drug purchased by the purchaser.

The selected drugs for sale must take measures such as removing and cutting the retail packaging or marking the usage and dosage with hard-to-wipe handwriting on the retail packaging to prevent the selected drugs from flowing into illegal channels.

If the same drug purchaser repeatedly purchases the same selected drug within a short period of time, the reasons should be noted in the record. For prescriptions exceeding the actual dosage of the patient, designated pharmacies may refuse to sell the selected drug.

According to the "Regulations on the Supervision and Administration of the Use of Medical Security Funds": If an individual takes advantage of the opportunity to enjoy medical security benefits to resell drugs, the online settlement of his or her medical expenses will be suspended for 3 to 12 months, and the resulting loss to the medical insurance fund will be refunded.

If a designated medical institution resells drugs for insured persons to take advantage of their medical insurance benefits, in addition to being ordered to return them and causing losses to the medical insurance fund, a fine of not less than 1 time but not more than 2 times the amount of the loss will be imposed. Those who refuse to make corrections or cause serious consequences will be fined.

, ordering designated medical institutions to suspend the medical services involving the use of medical security funds by relevant responsible departments for more than 6 months and less than 1 year.

For specific requirements, please see the "Notice on Issues Concerning the Supply and Purchase and Sales Management of Centralized and Bulk Procurement of Drugs" by the Henan Provincial Medical Insurance Bureau, the Henan Provincial Health Commission, and the Henan Provincial Food and Drug Administration.