Pharmaceutical sales are a means by which a pharmaceutical manufacturer stimulates the sales of its products to the retailer. This method is commonly known as sales commission, drug manufacturers will give the retail terminal a certain amount of cash benefits, as its promotion and sales of products in return. Sales with gold refers to a sales promotion method adopted by drug manufacturers to stimulate the sales of their products by retail terminal clerks, and although it can promote the sales of drugs to a certain extent, its negative impact should not be ignored. The state has effectively curbed and remedied gold sales by establishing a credit evaluation system and strengthening the implementation of laws and regulations. In the future, pharmaceutical companies should pay more attention to compliance marketing and win the market with quality and reputation rather than relying on illegal sales promotion methods.