What is the two-ticket system of medicine

The "two-invoice system" refers to the fact that drugs are sold from the pharmaceutical company to the first-level distributor to issue an invoice once, and the distributor sells them to the hospital to issue an invoice once more, replacing the current common seven-invoice and eight-invoice system with the "two-invoice system" to reduce the exploitation of the circulation link, and the number of first-level distributors of each variety is strictly controlled.

The policy objectives of the two-invoice system

1. Reduce the circulation of drugs, improve the efficiency of circulation, and reduce the inflated prices of drugs;

2. Strengthen the supervision of drugs, and realize the traceability of the quality and price;

3. Reduce the circulation of drugs, purify the circulation environment, and combat the behavior of illegal dependence, commercial bribery, and tax evasion;

4. 4. and promote the transformation and upgrading of the relevant enterprises

The main purpose of the implementation of the two-invoice system is to "reduce the price of medicines", targeting pharmaceutical companies and pharmaceutical distributors, agents. The role of the pharmaceutical commercial company in the pharmaceutical industry is more of a "logistics and distribution + advances financial". The official implementation of the two-ticket system was in January 2017, almost three years ago, the price of drugs has not been lowered much, but more small dealers, agents, companies were annexed by large pharmaceutical commercial companies. Sinopharm Holdings, China Resources Pharmaceutical, Shanghai Pharmaceutical Holdings as the industry's three major national commercial group companies, as well as regional commercial companies such as Zhejiang Int'l, Nanjing Pharmaceuticals, etc. to become the biggest beneficiary of this policy reform, the entire circulation industry will be highly concentrated, but also accelerated the pace of mergers and acquisitions.

: When was the two-ticket system for medicine implemented?

Since October 1, 2018, the province's public medical institutions all implement the "two-ticket system". On August 20 this year, the Provincial Department of Commerce, the Provincial Health Commission, the Provincial Taxation Bureau, the Provincial Medical Protection Bureau and the Provincial Drug Administration jointly issued the "Notice on the issuance of Yunnan Province drug procurement "two ticket system" online checking and management methods (for trial)", relying on the Yunnan Province "Internet + drug Relying on Yunnan Province's "Internet + Drug Circulation" public **** service platform, establish and implement the province's unified and credible "two-invoice system" online checking system, strengthen information management, provide electronic means of supervision, improve the efficiency of distribution services, realize cross-departmental supervision, and improve administrative efficiency.

Legal basis: "People's Republic of China *** and the State Administration of Taxation" Article 22 of the value-added tax invoices by the State Council competent tax authorities designated enterprises to print; other invoices, in accordance with the provisions of the competent tax authorities of the State Council, respectively, by the provinces, autonomous regions, municipalities directly under the Central State Administration of Taxation, Local Taxation Bureau, designated enterprises to print. Without the designation of the tax authorities as provided in the preceding paragraph, the invoices shall not be printed.