One, due to the implementation of the hospital sales of zero-difference price, the pharmacy to implement not more than 15% markup sales, that is, the hospital's drug prices and sales prices are the same, while the pharmacy to implement the purchase price based on the price of up to 15% sales, coupled with the purchase of different manufacturers of different factors as well as different purchase time, resulting in the same drugs in the hospitals and drugstores are not the same.
Second, the hospital part of the drug prices higher than the social pharmacy situation does exist, the reasons are as follows:1, the commodity properties of drugs: drugs, although there is a special nature of life-saving, but in the market economic environment, it is still a commodity, there will be a difference in the price of any commodity. For example, the big shopping malls selling clothing and the price of clothing on the ground stalls there is a big gap.
2, the policy level problem:
1) the national drug price pricing system allows the existence of price differences in drugs, at present, China's drug price pricing of the national price, provincial price, enterprise independent pricing, government bidding price. Inherent in the existence of the same drug, different places of origin, different manufacturers, different import channels, the reality of different prices. Therefore, the hospital part of the price of drugs and social pharmacy price differences, is the system, mechanism and market structure of the existence of contradictions and problems of the comprehensive reflection. Not the hospital itself.
2) The hospital can not independently determine the price of drugs. Now our hospital drug prices are implemented in Hubei Province, centralized bidding and purchasing price of drugs, in accordance with national regulations: the implementation of the bidding price of drugs, and can not increase the price, and can not be reduced. The Ministry of Health promulgated in 2011, "centralized procurement of drugs supervision and management methods" Article 17 (4) states: "not to implement the centralized procurement of drug prices, secondary bargaining, disguised price, or with the enterprise and then signed a deviation from the substantive content of the contract of the supplemental provisions and agreements;" belongs to the violation of the law. "by the health administration, industry and commerce administration and other departments to deal with according to law:"
Third, the social pharmacy procurement of drugs, is directly with cash to the drug logistics company to buy, the sales price can be self-defined. Hospital drug procurement must be purchased from the provincial government drug centralized bidding procurement platform. The drug supply company must issue formal drug sales invoices, which tax rate of 17%. Furthermore, due to the lack of financial compensation to hospitals by the State, hospitals are authorized to add 15% to the purchase price of drugs. This is also one of the reasons why there are differences in drug prices.
Four, hospitals bear the social responsibility to save lives, disaster emergency, there is no profit of the drug, or the sticker are used; not used up to face the end of the drug, must be prepared. Every hospital, every year, because of the spare drugs reported loss to bear a small amount of costs. Social pharmacy does not assume the responsibility of first aid, disaster, emergency drug supply, you can pick a good sale, there is a profit in the sale of drugs, how many varieties of a pharmacy?300 to 500 on the marvelous. Hospitals routinely stock thousands of medicines. This is comparable? Moreover, the pharmacy can set its own prices according to market conditions, the hospital is absolutely not.
In short, because the hospital and the pharmacy into the drug channels are not the same, so the price is not the same, in addition to the hospital drugs are more expensive than the drugstore drugs, hospitals are guaranteed regular pharmaceutical brands.