New medical insurance medicine rises in price before entering the catalogue the Jin Dynasty The pricing mechanism is meant storing the loophole
Surprising to find out, want, enter catalogue, bid up price still yuan of medicineses last year such as price such as medicine ahead of time generation, the price is raised to 170 yuan nowadays; The price is 1082 yuan last year, nowadays the price is 1580 yuan Just at time when all parts begin the new round of medicines to bid and purchase one after another, reporter's investigation of " China Youth News " finds, some medicines entering the national medical insurance catalogue newly have begun to rise in price quietly. By the look of materials known at present, have had medicine of more than 30 varieties, the rise of one that the price has not presented the range already. And according to the opportunities of rising in price of these medicines, before and after the great majority concentrate on the national medical insurance catalogue of new edition to announce. What reason makes medicines entered in the medical insurance catalogue rise in price? Does it mean that there are loopholes in the medicines pricing mechanism that such a price rise? On last day in November of 2009, announced the new edition " national basic medical insurance, industrial injury insurance and birth insurance medicines catalogue " on human resources and social security department. Compared with catalogue of the 2004 version, the new catalogue has increased by 260 medicines. To medicines manufacturing enterprise, this is abbreviated as " medical insurance catalogue " File getting more about to a certain extent development of enterprise,it is last gold-lettered signboard of market enterprise, because if enter the medical insurance catalogue, mean the products of enterprises will get the generous, steady order, also mean the cost of enterprises will be thin the stand, the price has spaces dropped. It's interesting, just 4 days before the national medical insurance catalogue of new edition is announced, Pharmaceutcal Co., Ltd. of Shenzhen readjusts the price in Shandong Price Bureau and is put on record, 20mg that produce it being gentle to freeze the intersection of dry powder and the intersection of injection and price, change each 121 yuan to than star from each 113 in unit A. According to the file of Price Bureau, the new price begins to carry out from November 30 last year. On November 30, announces, A of 20mg is gentle to freeze dry powder injection more than the star and is listed in the national medical insurance catalogue. Gentle to carry out new price early 5 day than star than A, another piece enter national the intersection of medical insurance and medicines of catalogue newly. Send (2009) according to the distant price File No. 111, what a local company produced is called fragrant alkene of the olive and taken lactic medicines orally, improved price on November 25. Fragrant alkene of the olive is a medicines used for treating the tumour, before entering national medical insurance catalogue, fragrant alkene oral milk of olive has entered the catalogue of medical insurance of Liaoning Province. In view of file, a 20ml: The new price of oral milk of fragrant alkene of olive of 200mg is 170 yuan, but before price rising, the price of same specification is only 93.5 yuan for each one. That is to say, 5 days before the national medical insurance catalogue is announced, this medicines that will enter the national medical insurance catalogue soon rise by 82% in price. Narcotic drug of the production and management of another company " Halothane of ground " Also enter medicines of the national medical insurance catalogue newly, the variety that its 240ml holds, 1580 yuan has arrived from improvement of 1082 yuan at the price of each bottle, the amount of the increase reaches 46%. Of white eyebrow snake venom of blood coagulation medicines which companies produces congeals enzyme and nearly rises completely, the amount of the increase of products of its different specifications is about 20%. Product image of this company is a kind of Swiss imported medicines. It is reported, the above-mentioned Switzerland ground medicines and entered the Chinese market originally in 1989, in 2004, the aforesaid modelled medicines and got approval of national Bureau of Drugs Supervision, enter the market. But seen from present price, it is 51.6 yuan that one unit Switzerland has ground the price of medicine originally, but above-mentioned the same specification models medicines is 65.8 yuan, grind 14.2 yuan higher of medicine than originally. The pricing mechanism is leaky, enterprises will bore Not only after entering the national medical insurance catalogue enterprises not only does not make a reduction, but also rise in price instead, what reason is it? Oral staff member of a marketing department of milk manufacturing enterprise of fragrant alkene tell reporters the olive, fragrant alkene products of olive of its production are the exclusive products, belong to national class II new medicine. There are a lot of reasons of rising in price, for example the raw materials price is rising constantly, GMP authorizes improvement expenses, transforming, apparatus renewal, business administration of the factory building,etc.. However, an insider insisting on anonymity reveals, except objective factor, some loopholes that the forming mechanism of price of medicines of our country exists at present, the enterprise's chance to seek loopholes that have given. The formulation of the national medical insurance catalogue, in human resources and social security department, but the formulation of the price is in the national development and reform committee. While announcing the new variety in national medical insurance catalogue, the national development and reform committee can not make the corresponding price at once, but could take out the government issused price after every province carry on investigation of price. "In our country, enter medicines of the national medical insurance catalogue by the government issused price, the ones that have not entered medical insurance catalogue are by enterprise's independent pricing. " The insider say from logic, government issused price want, watch national fixed price of development and reform committee, but because of the reason of the work load, to entering medicines of the national medical insurance catalogue newly, the national development and reform committees often can't all make every price of medicine clear as soon as possible. The result has been turned the price into a medicine enterprise and registered, in this case, the development and reform committee priced and consulted, it is often exactly the price after enterprises rise. It is reported, while augmenting the medical insurance variety and discussing each time, some enterprises will all send a large number of hands to diplomatize everywhere. Some have already known whether one's own products entered the catalogue before disclosing in the final medical insurance catalogue, opportunity operated that also there are prices. This insider has described some enterprises adjust the procedure of the price: After knowing one's own products enter the national medical insurance catalogue in an enterprise, will fill in a form at once, list the reason of rising in price, file to the local price department in price adjustment. After rising after the price is approved by local price department, enterprises rely on this to all parts to participate in medicines to call for bid. If the price is not approved after some several areas rise in price, some enterprises give up the bids of these provinces simply, in order to the high price after keeping it rising. "After operating for half a year or one year by such means, the price that the development and reform committee sees has been turned into the high price after enterprises rise, the government issused price confirmed, increase accordingly naturally. " This insider says. He says, supposes a kind of medicines at the hospital price of 115 yuan, bid of the hospital is 100 yuan for example, the purchase price then on agent's name is 90 yuan, in fact the agent may be only 18 yuan from the purchase price of the manufacturing enterprise. That is to say, this 18 yuan is bottom line that manufacturing enterprise break even, make profits, 72 yuan among 18 yuan - 90 yuan, used in several expenditure such as clinical expenses, paying taxes, providing and delivering deducting a percentage, public relation spending of the fee, medical representative. If this enterprise succeeds in raising the price after entering the medical insurance catalogue, the agent's purchase price will not change. The price rises and increases The profit added, is shared with agent by the manufacturing enterprise. In this case, the medicines manufacturing enterprise, enterprises in circulation and hospitals can all obtain the advantage from the medicine price that is raised. Enterprise gets through and closes medicine ring upon ring, deceive the country According to our country present medicine price forming mechanism? 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"When enterprises offer, should fill out a unified form, list contents such as every cost,etc., fill in the intersection of enterprise and oneself all basically, it is very much difficult for price department not to check and verify. " The insider tells reporters, many medicine enterprises are big tax-payers in the locality, by the pulse relation of the person who is saved for many years, can reach a standard and raise prices ring upon ring, in this case, the price data that the national development and reform committee gathers become high price. According to the introduction of this insider, the national development and reform committee is trying every possible means to investigate the true base price of medicines too, that is to say the agent is from the purchase price which the manufacturing enterprise got. Had gathered this data last year, but some agents revised prices. In May of this year, one scene of incidents of sky-high price asparagus initiates the great response in the society. Enter the market by the intersection of Sichuan and the intersection of Sichuan and large the intersection of asparagus and block that Co., Ltd. produced without competition, Western medicine industry of China, in 2002. The producer price of this medicines is only 15.5 yuan, but the bid price in all parts is surprisingly high, its biding price in Heilongjiang, Hubei, Henan is 160 yuan, 133 yuan and 107 yuan separately. In Hunan, this medicines should save the medical insurance catalogue while entering, it is 136 yuan that Hunan Province medicines bid and purchase the price that the department presumes as it; After this medicines enter the hospital, its price has reached 213 yuan. According to media, the Hunan Province relevant person in charge of Price Bureau has made explanations to this, think that because does not have market that retails the pharmacy price to consult, can only make the government guided price according to the price of the peripheral province and city, thus lead to the fact the fixed price is a bit high. Medicines how price make on earth, in the industry to the dispute has stored in straight for many years. In Liaoning Province Price Bureau, two relevant persons in charge insisting on anonymity say, the medicine price adjusts three factors to consider especially: First, consult the price of other provinces, second, consult the current price of this province, third, consider the cost of enterprises. On June 10 this year, the national development and reform committee sends out <
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