National health and family planning commission on the implementation of the perfect public hospital drug centralized purchasing work guidance advice 
 
 
The 2015-06-19 national health and population and family planning commission of the People's Republic of China
 
 
Countries who medicine ZhengFa [2015] no. 70 

Provinces, autonomous regions and municipalities directly under the central government health and family planning commission, the xinjiang production and construction corps health bureau:
 
    For the implementation of the general office of the state council on perfecting public hospital drug centralized procurement guidelines "(countries do hair [2015] no. 7, hereinafter referred to as" opinions "), regarding the required notice is as follows:
 
    A new mechanism, building the drug centralized purchasing
 
    To adhere to the direction of drug centralized purchasing, implement a platform, the classification of the upper and lower linkage, open and transparent, procurement. Give full play to the provincial drug centralized purchasing work leading group, combining the reality of place, to formulate specific measures for implementation, to carry out the department division of responsibility, clear time schedule and the technology roadmap, and promptly report to the healthcare reform office of the state council, make sure 2015 years a new round of drug centralized purchasing work.
 
    Provincial family planning administrative department of public health to actively with the national development and reform, finance, human resources, social security, commerce, food and drug supervision departments to strengthen communication and coordination, efforts to do drug purchase, price, the quality and safety monitoring, distribution, medicare pay policy measures such as effective cohesion, enhance and expand the effect of drug centralized purchasing of huimin.
 
    Second, the reasonable scope of drug purchase
 
    Hospital should according to not 80% below last year's actual usage of drug procurement plan, specific to generic names, types and specifications, dosage forms for each drug purchase, in principle, shall not exceed 3 kinds, each corresponding specifications in principle no more than two kinds of dosage forms. Drug purchase budget is generally not higher than 25% - 25% of hospital business spending. Drug procurement agencies at the provincial level shall timely purchasing meta-analysis of hospital medicine purchase plan and budget, reasonable scope of drug purchase, implement with amount of purchase, give preference to conform to the clinical pathway, into major diseases, major drug discovery projects, major projects of public health medicine, take the elderly, women and children and other special groups need medication, and health care, new farming reimbursement policy.
 
    Absorb and selecting national essential drugs in the standard dosage forms, specifications and other effective methods, based on the national list of essential medicines list, medical insurance drugs, basic drugs clinical practice guidelines and prescription sets, etc., follow the clinical commonly used must be suitable, dosage forms, specifications, packaging, easy to use principle, we will promote standardization of drug dosage forms, specifications, packing, efforts to improve drug purchase and use of concentration.
 
    Three, the classification of the refined drug procurement measures
 
    In provinces (autonomous regions and municipalities) as the unit, in combination with determine the scope of drug purchase, further refine all kinds of procurement of drugs. Hospitals use all of the drugs (not including Chinese medicine yinpian) should be purchasing on the Internet.
 
    (a) the tender procurement of drugs. According to the previous year in the total amount of drug purchase the product gauge purchase amount percentage sort of drugs, will be ordered accounted for no less than 80%, and there are three or more enterprise production of basic drugs and generic drugs incorporated in the scope of bidding procurement.
 
    (2) negotiation purchasing drugs. Must adhere to government-led, participating, open and transparent, the pilot, execute the national and provincial negotiations linkage. In 2015, the state will start the part of the patent medicine, exclusive negotiations pilot production of drugs, solution separately. For a pilot medicines cannot be included in the negotiations, continue to explore in provinces, autonomous regions and municipalities directly under the hook, the price is reasonable quantity and price of the centralized purchasing of implementation path and method, and adopts a zero rate of sales. Encourage a provincial cross-regional coalition talks, combined with the national regional economic development strategy, explore form a regional procurement prices to pay health care policy.
 
    (3) direct hang net purchase of drugs. Including specialty, especially generics, urgent (rob) deliver drugs, base fluids, commonly used cheap drugs and not included in the bid procurement of medicines. Around can be reference to the national health industry association, state family planning commission published academic groups, especially specialized generic drugs, urgent (rob) save drug selection principle and model drug, reasonably determine the region scope of related drugs and dosage forms, specifications, meet the demand of prevention and control.
 
    (4) the national fixed-point production of drugs. According to the national unified purchase price directly online purchase, no bargaining.
 
    (5) of narcotic drugs and the first kind of psychotropic drugs. Still temporarily put the highest ex-factory price and retail price management.
 
    Fourth, adhere to the double envelope bidding system
 
    Drug bidding procurement must be geared to the needs of production enterprises, bidding directly by the pharmaceutical producing enterprises, economic and technical and commercial tender bid submitted at the same time. To strengthen the awareness of drug quality and safety, risk assessment, reasonable control by the number of economic and technical bid evaluation. To sort through economic and technical bid evaluation enterprise is no longer, in accordance with the commercial tender offer from low to high choose the bid-winning enterprises and candidate won the bid.
 
    To implement the recruit unity, take quantity purchase, pegged to the quantity and price. Embarks from the advantageous competition, meet the requirements, to ensure that the supply, the difference between different drugs, combining with the characteristics of public hospital drug use and quality requirements, in accordance with the requirements of generic quality consistency evaluation technique, science set bidding grouping, each group of the winning number not more than two. Through standardization of dosage forms, specifications, indication and functional effect similar to drug optimization combination and merge, reduce the bargaining gauge number, promote fair competition.
 
    For a strikingly low bid price, must strengthen the comprehensive evaluation, the whole monitoring drug quality and actual supply security situation. For only 1 or 2 companies bidding rules, the organization that negotiation. To expose bargaining rules, rules of bargain with varieties of goods price to reference for product gauge the bid price, try to avoid and reduce artificial factors, be open and transparent, fair and just.
 
    To maintain fair competition environment, form a unified national market, bidding procurement drug centralized bid opening time in mid to late November each year. Realize the bidding procurement policy linkage, convenient production enterprise rational bidding, arrange production in advance, avoid drug prices for the bid opening is not synchronized to fluctuate. To optimize the process, simplify the procedures, improve service quality and efficiency.
 
    Five YaoKuan settlement, improve hospital management
 
    Hospital from drug delivery to the acceptance of payment shall not exceed 30 days. Strengthen policy guidance, encourage the hospital public bidding to choose bank, through the mutual reciprocity and mutual benefit, centralized open bank accounts, provide corresponding drugs circulating funds by the bank service, speed up the hospital payment time, reduce the financing cost and the cost for producing and distributing medicines. To correct and prevent hospital payment by acceptance of draft disguised form of delay time of phenomena and behaviors. To drug expenditure should be brought into the budget management and annual appraisal, regularly publish to the society. Gradually the medicine proportion (excluding Chinese medicine yinpian) generally below 30%.
 
    Sixth, improve drug supply and distribution management
 
    Public hospital drug distribution to both supply at the grass-roots level, especially to the rural areas. Encourage the distribution of county rural integration, the key security drug supply remote and inaccessible areas. To implement the pharmaceutical production enterprise is supply distribution, the main responsibility to strengthen the inspection supervision and deviation rectification, establish and perfect drug distribution, exit interview, punishment and restriction mechanism. The distribution rate is low, refuse to undertake basic drug distribution, recidivism do not change the enterprise qualification to cancel the bid, hanging net, cancel the supplier qualification. To refine research hospitals were forced to use other alternative medicines, overspend expenses shall be borne by the original bid enterprises supporting measures.
 
    Shortage of further strengthen the drug monitoring and early warning, by selecting a number of hospitals and shortage of grassroots medical institutions as drug monitoring, timely grasp the paper analyzes the reasons of shortages, straighten out the connection between supply and demand, to explore a variety of ways, and ensure patients basic requirements.
 
    Seven, accelerate the standardization construction procurement platform
 
    Drug centralized purchasing platform must adhere to government-led, maintaining the nonprofit public welfare nature. Needed to support platform standardization construction of manpower, financial and material resources, to ensure that the end of 2015 with the national drug supply to ensure docking unicom integrated management information platform, data transmission of information security.
 
    Drug procurement agencies at the provincial level to enhance the service consciousness, and comprehensively promote the information publicly, regularly publish hospital drug purchase price, quantity, payment time and the pharmaceutical production enterprise distribution must be, record, and so on and so forth, and in a timely manner to do a good job of online trading summary and the analysis of monitoring data, the reasonable use difference comparison rules, to calculate the average market price, all kinds of medicines to collect different drug purchase price drug prices and surrounding countries and regions such as information, provide support for all kinds of drug purchase.
 
    To use modern information technology such as Internet, big data, expanding upgrade purchasing platform service and regulatory functions, improve the level of intelligent platform, to adapt to the electronic contract, online payment and settlement, online electronic trading and other new features, new requirements, to promote the hospital and direct settlement YaoKuan pharmaceutical producing enterprises, production and distribution enterprises create conditions settlement distribution costs.
 
    Eight, standardize management of the hospital drug use
 
    The provinces (autonomous regions and municipalities) drug administration management department to carry out the responsibility, continue to promote the public hospital equipped with priority use of essential medicines, and reaches a certain proportion. Build system of prescription reviews and doctors questioning, focus tracking monitoring auxiliary medicine, hospital supernormal use medicines, clear prescription, prescription it comes valuable drugs, should take the initiative to communicate with patients, the standard dosage, efforts to reduce the financial burden on cost drugs in patients with acute, chronic drug use. Guarantee the overall number of pharmacists and professional quality, and give full play to the pharmacist medication guidance, encourage retail drugstore pharmacist training on a regular basis to the second class above medical institutions, actively explore pharmacists pharmaceutical affairs services online.
 
    To accelerate, with emphasis on the basic drugs clinical medication (consumables) comprehensive evaluation system. Unit selection in the provinces of medical treatment, teaching, scientific research and so on comprehensive strength strong tertiary, secondary hospitals and medical and health institutions at the grassroots level for drugs (material) safety, effectiveness and rationality, compliance, efficiency, such as cost benefit assessment, to regulate drug purchase and use, we will promote standardization of drug dosage forms, specifications and packaging to provide clinical technical support.
 
    Nine, strengthen the public hospital reform pilot city drug procurement guidance
 
    Insist on 3 d linkage, outstanding comprehensive reform, combined with local actual research for public hospital reform pilot city to city to purchase the specific measures for the unit, and comprehensive reform, promote each other, and the specific measures for timely report to the healthcare reform office of the state council for the record. Pilot city hospital to purchase medicines, the provincial drug centralized purchasing platform online transactions. For drug packaging batch purchasing, reasonable to absorb cost, zero rate of sales. Pilot city clinch a deal the price obviously lower than the bidding price at the provincial level, provincial bidding price should be according to the pilot city clinch a deal the price adjustment. To develop the modern pharmaceutical logistics, explore borne by social retail pharmacies, health care drugstore that decide a dot the realization of the hospital outpatient pharmacy practice form and path. To strengthen the drug policy research, the drug centralized purchasing with other reform policies to promote, realize maximum benefits of drug purchase.
 
    Ten, strengthen comprehensive regulation
 
    To strengthen the whole process of drug purchase comprehensive regulation. Investigate drug production enterprise deception, standard series standard, bid up the price behavior, such as strict integrity records and repel the market system. Ban all forms of protectionism. Investigate hospital in violation of the procurement contract, such as illegal offline purchasing behavior. Through tendering, negotiation, fixed-point production methods such as formation of the purchase price, hospitals must bargain organization separately; Hang net purchase price directly to the hospital, to strengthen the market monitoring and tracking, maintain the fair competition market environment and order. Specification and purification of drugs in the hospital internal circulation channels, regularly publish to the society in the hospital set up settlement account list of pharmaceutical trading enterprises, accept social supervision. Resolutely curb drug distribution areas of corruption, against commercial bribery. To strengthen the construction of provincial drug procurement agencies honest system, strengthen the integrity self-discipline consciousness, prevent and eliminate all kinds of risk of integrity.
 
    Eleven, increase publicity and training
 
    Perfect public hospital drug centralized purchasing work, must be beneficial to break with medicine medical mechanism, accelerate the reform of public hospitals especially public hospitals at the county level; Reducing drug prices artificially high, reduce the financial burden on the people use; Is beneficial to prevent and curb corruption, drug distribution areas, against commercial bribery; Will be conducive to the drug production integration of restructuring, the fair competition of enterprises and promote the healthy development of the pharmaceutical industry.
 
    Should make full use of traditional media such as radio, newspapers, TV and WeChat, new media such as weibo, let the social from all walks of life to understand break with medicine cure, reversing the necessity of public hospital is the behavior, complexity, difficulty with "four benefits" to verify the effectiveness of public hospital drug centralized purchasing work. To the direction of the "opinions" extensive publicity, significance, measures and results, further unified thought, build consensus, and give play to the role of the main medical personnel reform, mobilize all positive factors, firm confidence, crucial to break the hard, build new drug purchase.
 
    Improve public hospital drug centralized purchasing is the significant adjustment to the existing pattern of interests, professional and strong policy, high social awareness. The family planning administrative department of public health at all levels to enhance the sense of responsibility and urgency, the ideological understanding to "opinion" unity, fully comprehend "opinion" spirit, to promote 3 d linkage, create a new situation to deepen the reform. 

The national health and family planning commission
On June 11, 2015