Medical network - January 10, on January 9, the national health and family planning commission for the first regular press conference in 2017, the interpretation in the public medical institutions carrying out "two votes" drug purchase implementation opinions (try out) ".
According to introducing, recently, the healthcare reform office under the state council in conjunction with the national health and family planning commission, food and drug supervision bureau, the national development and reform commission, ministry of industry and information technology, the ministry of commerce and state administration of taxation and the state administration of traditional Chinese medicine and other departments issued "on drug procurement in the public medical institutions in implementing the implementation of the" two votes "opinion notice (trial) (hereinafter referred to as the" notice ").
"Notice" clear, the public medical institutions and drug procurement to gradually implement the "two votes", encourage other medical institutions to implement the "two votes", comprehensive reform pilot provinces and public hospital reform pilot city public medical institutions should take the lead in implementation of "two votes", encouraging other area to implement the "two votes", in the national push for 2018.
"Notice" requirements, pharmaceutical production, circulation enterprises sell drugs shall be in accordance with the related provisions of invoice management, issue special VAT invoice or commercial invoice, the invoice of purchase, annul name shall be just walk with along with the goods, payment flow direction, the amount is consistent. Buy medicine circulation enterprises should take the initiative to ask for bill to the production enterprise. Public medical institutions must verify when drug check incoming ticket, storage of goods, the account three consistent before, use. Public medical institutions should not only to charge distribution pharmaceutical circulation enterprises, validation, invoices, also should be required to circulation enterprises issued by the production enterprise to provide the evidence of the purchase invoice, in order to confirm each other. Encourage conditional area to use electronic invoice, through the information means to verify "two votes".
Around the "notice" pointed out that, departments should actively create favorable conditions for the "two votes" fall to the ground, the interests of the break barriers, break regional protection, to support the construction of national, regional pharmaceutical logistics park and distribution center, promote the pharmaceutical circulation enterprises, warehousing and transportation resources, effective integration of collaborative distribution, allow the medicine circulation enterprises take different positions, in the provincial trans-regional use in this enterprise policy measures such as eligible drug warehouse.
Stressed that the "notice" strengthen "two votes" the implementation of the supervision and inspection, to ensure the reform measures of the ground. The provinces (autonomous regions and municipalities) drug centralized purchasing organization should strengthen the supervision and administration of drug centralized purchasing work, does not according to the provisions of the "two votes" requirements of the pharmaceutical production enterprise, enterprise in circulation, cancel the qualification of bidding, the bidding and delivery, and included in the drug purchasing record. Family planning, traditional Chinese medicine health administrative departments should strengthen the public medical institution to perform supervision and inspection of the "two votes", lax to line (card), "two votes" to carry out the default payment for goods is not in place, and have made no medical institutions to criticized, until the responsibility shall be investigated for relevant personnel. The food and drug supervision and administration department pharmaceutical production, circulation enterprises to implement the "two votes" is included in the scope of supervision and inspection of the enterprise, the suspected criminal, transferred to public security organs in accordance with the law. The tax authorities should strengthen the pharmaceutical production, circulation enterprises and medical organizations of invoice management, strengthen inspection of tax evasion in accordance with the law.
Around the "notice" requirements, and departments to do their job, close cooperation, establish a sound regulatory linkage response of cross-sectoral, cross-regional, and collaboration mechanism, realize information interconnection, regulators and interflow and mutual recognition of the results. National related departments to implement the "two votes" conduct the special supervision and inspection of implementation.
In order to ensure the "two votes" smooth, guarantee the timely and effective drug supply, "notice" also made special provisions on the following four: it is both accords with the trend of the development of modern pharmaceutical enterprise, trade and industry of pharmaceutical production enterprise or the integration of the group enterprises set up by the only sales of the enterprises wholly owned or holding (group) pharmaceutical business company (national only a commercial company), foreign drug domestic general agent (the national only a domestic general agent) can be regarded as production enterprise. Of drug circulation group enterprise to a wholly owned subsidiary (holding) or a wholly owned subsidiary (holding) transfers between drug is not seen as a vote, but most allow open an invoice. 2 it is to ensure the effective supply of basic drugs, medicine circulation enterprises as a special remote, inaccessible township (town) and village-level medical institutions distribution drugs, allowed on the basis of the "two votes" to open a pharmaceutical sales invoice. Three is in response to natural disasters, major outbreaks, major events and the patient (rob) save the special circumstances, such as emergency purchasing drugs or national pharmaceutical reserve drugs, can carry out special processing. Four is to narcotic drugs and circulation management, psychotropic drugs of category I still according to the regulations of the state.
Pushing on drug procurement in the public medical institutions
The implementation of the "two votes" opinion (trial)
For the implementation of the general office of the central committee of the communist party of China Under the state council on forwarding < deepening medical and health system reform leading group of the state council on further promoting the deepening medical and health system reform experiences of the several opinions > notification (hall word [2016] 36), and the general office of the state council concerning the deepening medical health system reform in 2016, the key task of notice (the hair [2016] 26 date) regulation, promoting the public medical institutions and drug procurement to carry out the "two votes", opinions are formulated.
One, fully aware significance to implement the "two votes"
In public medical institutions and drug procurement to implement the "two votes" is we will deepen reform of the medical and health system, promote the healthy development of the medicine industry major step, is should standardize the order of drug circulation, compression of circulation, reduce the artificially high prices of important gripper is purifying the circulation environment, hit "money laundering", is the effective means to strengthen the supervision and administration of medical market, is the guarantee of urban and rural residents medical security, maintenance, the inevitable requirement of the people's health. All localities and departments must stand in the height of the country and the people's fundamental interests, is conducive to promoting the development of medicine industry transformation and upgrading from the big picture, to unify thought and action to the central decision-making, according to the division of responsibility, initiative, to take on responsibilities, close cooperation, to promote the "two votes" ground work.
Second, the definition of "two votes"
"Two votes" refers to a pharmaceutical production enterprise to open an invoice of enterprises and circulation enterprises to open an invoice of medical institutions. Pharmaceutical production enterprise of the integration of trade and industry or group of enterprises to establish sales only wholly owned or holding of this enterprise (group) pharmaceutical commercial company (national only 1 business companies), foreign drug domestic general agent (the only one domestic general agent) can be regarded as production enterprise. Medicine circulation group within the enterprise to a wholly owned subsidiary (holding) or a wholly owned subsidiary (holding) transfers between drug is not seen as a vote, but most allow open an invoice. Pharmaceutical production, circulation enterprises should be in accordance with the principle of fairness, lawfulness, honesty and credit reasonable price levels. Encourage public medical institution and pharmaceutical producing enterprises direct settlement drugs and drug manufacturers and circulation enterprises and settlement distribution costs.
In response to the outbreak of natural disasters, major, major events and the patient (rob) save the special circumstances, such as emergency purchasing drugs or national pharmaceutical reserve drugs, can special treatment.
Circulation of narcotic drugs and the psychotropic drugs of category I still according to the regulations of the state.
Third, the "two votes" scope of implementation
Public medical institutions and drug procurement gradually implement the "two votes", encouraging other drug purchase of medical institutions to implement the "two votes". Comprehensive reform pilot provinces (autonomous regions and municipalities) and the public hospital reform pilot cities to take the lead to implement the "two votes", implement the "two votes" encourage other region, to 2018 fully implemented throughout the country.
Four regulations, strict enforcement of drug distribution bills
Pharmaceutical production, circulation enterprises sell drugs, shall be in accordance with the relevant provisions of the invoice management of the special invoices for value-added tax or VAT invoice (hereinafter generally referred to as the "invoice"), the project complete to fill in. Sell drugs also shall, in accordance with the drugs management quality management specification (drug GSP) asked the attached with the cargo of peers, purchase of the invoice (as well as the listing, similarly hereinafter), annul name shall be just and with goods flow direction in order, payment, amount is consistent.
Buy medicine, medicine circulation enterprises should take the initiative to ask for bill to the pharmaceutical production enterprise, the invoice must be issued by the pharmaceutical producing enterprises. When the arrival of the acceptance, should verify invoices, the supplier with goods peer list with the actual purchase drugs varieties, specification, quantity, etc., check in and establish purchase drugs acceptance record, do vote, cargo, zhang. For invoice with with the cargo list do not conform to the requirements of the relevant provisions of the state, or invoice, along with the goods is not consistent between the peer list and purchase drugs, may not check incoming. Drug distribution in invoice and related bills, save shall, in accordance with the relevant regulations.
In public medical institutions carrying out "two votes" drug procurement, centralized purchasing agency by purchasing documents, to implement the "two votes" as the prerequisite. For bidding and procurement of medicines, to verify the pharmaceutical production enterprise qualification, bid directly by the pharmaceutical producing enterprises. Involved in the drug centralized purchasing medicine enterprises in the tender document to make the implementation of the "two votes" commitment, otherwise the tender invalid. Execute other purchasing way purchasing drugs, also must be specified in the purchase contract the requirements of the "two votes".
Public medical institutions in drug check incoming, it must be identified ticket, cargo, and account agreement shall be put in storage, use, not only to charge distribution pharmaceutical circulation enterprises, validation, invoices, also should be required to circulation enterprise stamp issued by the manufacturer to provide purchase invoice copy, two invoices medicine circulation enterprises name, drug batch number and other relevant content to confirm each other, and as a public medical institution pay drug payment vouchers, included in the financial records management. Each drug varieties to provide at least once a purchase invoice copy. Encourage conditional area to use electronic invoice, through the information means to verify "two votes".
Five, create conditions to support the implementation of the "two votes"
, the relevant departments in all localities should actively for the "two votes" fall to the ground to create favorable conditions. To break the interests barrier, break regional protection, speed up the cleaning and abolished in enterprise registration, drug purchase, cross-regional operation, choice of distributors, chain operation, as well as hinder the healthy development of the medicine circulation industry of unreasonable policies and regulations. All local governments to support the network system, good reputation for quality, delivery capability of large pharmaceutical circulation enterprises to carry out local drug distribution work. Support the construction of national, regional pharmaceutical logistics park and distribution center, promote medicine circulation enterprises, warehousing and transport resources effectively integrate, multiple cooperating warehouse distribution, allow the medicine circulation enterprises take different positions, in the provincial trans-regional use in this enterprise eligible drug warehouse. According to the principle of distance, linkage between urban and rural areas, encourage support regional drug distribution of urban and rural integration, through "the last kilometer" rural drug distribution. For special remote township (town) or village, traffic inconvenience, pharmaceutical, medical and health institutions distribution allows medicine circulation enterprises on the basis of the "two votes" to open a pharmaceutical sales invoice, in order to ensure effective supply of the basic drugs.
Sixth, strengthen the "two votes" the implementation of the supervision and inspection
The provinces (autonomous regions and municipalities) drug centralized purchasing organization should strengthen the supervision and administration of drug centralized purchasing work, does not according to the provisions of the "two votes" requirements of the pharmaceutical production enterprise, enterprise in circulation, cancel the qualification of bidding, bid and distribution, and included in the drug purchasing record.
Family planning, traditional Chinese medicine health administrative departments should strengthen the public medical institution to perform supervision and inspection of the "two votes", lax to line (card), "two votes" to carry out the default payment for goods is not in place, and have made no medical institutions to criticized, until the responsibility shall be investigated for relevant personnel.
Food and drug supervision and administration of pharmaceutical production, circulation enterprises to carry out supervision and inspection, in addition to check the enterprise to carry out the "measures for the supervision and administration of the drug circulation and the drug supply quality management norms" and other relevant provisions, and shall implement the "two votes" is the enterprise incorporated in the scope of inspection. To the enterprise in violation of the "two votes" requirements, the food and drug regulatory department shall timely notify the province drug centralized purchasing agency. Suspected of a crime, transferred to public security organs in accordance with the law. The tax authorities should strengthen the pharmaceutical production, circulation enterprises and medical organizations of invoice management, strengthen inspection of tax evasion in accordance with the law.
All relevant departments should make full use of information technology means, strengthen the supervision and inspection, the implementation of the "two votes" establish a sound regulation of cross-sectoral, cross-regional joint response and coordination mechanism, promoting drug centralized purchasing platform (public resources trading platform), drug tracing system and credit system construction platform such as connectivity, data sharing, information related to realize interconnection and mutual recognition of regulatory standards and interflow, the processing results. To promote and strengthen information disclosure, fair show, widely accept social supervision. National related departments will arrange timely "two votes" the implementation of special supervision and inspection.
Seven, strengthen policy propaganda
Around to strengthen policy interpretation, propaganda and guidance, easy to understand, vivid image, the purpose of the extensive publicity and implementation of the "two votes", the practice and meaning of positive response to social concern, to promote the "two votes" and create a good atmosphere for public opinion. |
