"Two-vote system" means that pharmaceutical production enterprises issue invoices to circulation enterprises once, and circulation enterprises issue invoices to medical institutions once. Wholly-owned or holding commercial companies (limited to national 1 commercial companies) and overseas domestic general agents (limited to national 1 domestic general agents) established by pharmaceutical production enterprises or group enterprises integrating science, industry and trade can be regarded as production enterprises. The allocation of drugs between wholly-owned (holding) subsidiaries or between wholly-owned (holding) subsidiaries within a pharmaceutical distribution group enterprise may not be regarded as one vote, and at most one invoice may be issued.
Legal Basis: Implementation Opinions on Implementing the "Two-vote System" for Drug Purchase in Public Medical Institutions (for Trial Implementation) "Two-vote System" means that pharmaceutical production enterprises issue invoices to circulation enterprises once, and circulation enterprises issue invoices to medical institutions once. Wholly-owned or holding commercial companies (limited to national 1 commercial companies) and overseas domestic general agents (limited to national 1 domestic general agents) established by pharmaceutical production enterprises or group enterprises integrating science, industry and trade can be regarded as production enterprises. The allocation of drugs between wholly-owned (holding) subsidiaries or between wholly-owned (holding) subsidiaries within a pharmaceutical distribution group enterprise may not be regarded as one vote, and at most one invoice may be issued.