Taking a drip as an example, the market purchase price of the national price is 19.50 yuan, and the bid price of the dealer is 15.00 yuan. After bidding by the government, it won 20% of the bid, amounting to RMB 65,438+02.00. In medical institutions, drugs are sold to patients at a zero-difference rate of 12.00 yuan. But in the pharmacy, the purchase price is 4.50 yuan, and the profit of 100% is 9.00 yuan, which is 3.00 yuan cheaper than the zero difference rate of hospital drugs.
Of course, according to the government's rough price reduction method, there are also drugs with prices lower than the market price. There is an old saying in China: Only those bought by mistake are not sold by mistake. The successful drug dealer will cut off the supply of goods or replace it with other drugs with high profits on the grounds of shortage. So the shortage of drugs is basically that the tender price is lower than the market price.
In a word, withdrawing from the market by bidding cannot reduce the price of drugs.
Is there a difference between the medicine in the hospital and the medicine in the pharmacy?
Thank you for inviting me. Seeing this problem, doctors and ordinary people have their own opinions. Maybe everyone just sees the surface of things and ignores the essence of things.
Here, Dr. Huang will give you an analysis. I hope it will be helpful for you to buy medicine in the future.
First of all, drugs in hospitals and pharmacies are essentially drugs, but the focus is different. At present, the drugs we buy mainly come from three places: medical insurance pharmacies in hospitals, self-funded pharmacies in hospitals, and self-operated pharmacies outside hospitals. Let's analyze the current domestic special needs medical system from these three places.
(1) medical insurance pharmacy in the hospital
Generally speaking, the drugs sold in hospitals mainly come from medical insurance pharmacies, and only the drugs in the medical insurance catalogue are complete, covering almost all clinical departments. Because there are not many kinds of the same drug in the medical insurance catalogue, almost every hospital's medical insurance pharmacy provides similar drugs.
The formation of drug list in hospital medical insurance pharmacy mainly depends on the meeting of pharmacists in pharmacy department and the leaders in charge of the hospital. At the same time, the monthly purchase amount of each drug is supervised by the logistics administration and medical insurance departments.
In short, the hospital will not let a certain drug become popular, but let many kinds of rain and dew be exposed, which may involve various interests checks and balances.
At the same time, the monthly purchase volume of medical insurance pharmacies far exceeds that of self-employed pharmacies in society, so the purchase price of drugs in hospitals is low. Moreover, in the whole medical system, all medical insurance drugs are uniformly priced by the price bureau, and there will be no difference in drug prices from place to place.
Therefore, fundamentally speaking, the hospital's medical insurance pharmacy is a public welfare organization, with unified pricing and quantity procurement to avoid monopoly.
In the purchase channel, you need to go to the hospital's medical insurance pharmacy to buy drugs, and you must be diagnosed and prescribed by our doctor. Each patient can only buy a certain amount of drugs, not a large number, which is somewhat similar to the planned economy system. Generally, doctors choose drugs with needles according to the patient's disease diagnosis, considering the treatment cycle of the disease.