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| A two-ticket shockwave, the fujian province distribution business has "disappeared" 77% |
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| Author：中國銘鉉 企劃部 Release Time：2017-9-5 11:45:08 Number Browse：800 |
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Medical network - September 5 large wholesale companies affected by the "two votes" co., LTD. Would benefit, even the small and medium-sized wholesale enterprise under pressure, give priority to with a ticket number of small businesses will be eliminated - distributors in fujian province has 8 standard by 2012, 176, was reduced to 40 in 2016.
The definition of a two-ticket system
1. The "implementation rules for the implementation of the" two-ticket system "of drug purchasing and marketing of pharmaceutical products reflect the basic views of the relevant parties, and the definition of the two-ticket system is as follows:
1) 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 (equity accounted for more than 50%) commercial company (national only 1 business companies), foreign pharmaceutical only general agent business enterprises, pharmaceutical marketing authorisation holder compliance entrust responsible for drug production enterprise or business (a) are the only can be regarded as production enterprise.
2) drug production or circulation wholly owned or holding group company and its subsidiaries (equity accounted for more than 50%), between its wholly owned or holding subsidiaries (equity accounted for more than 50%), or be the same between the third party (overseas) direct holdings (equity accounted for more than 50%), a subsidiary of transfers between drug is not seen as a vote, but most allow open an invoice.
3) in order to protect special remote township (town) or village, traffic inconvenience, drug distribution of medical and health institutions, allow drug distribution enterprises on the basis of the "two votes" to open a pharmaceutical sales invoice, in order to ensure effective supply of the basic drugs.
4) communities around in health reform to solve the problem for or insufficient rural health site form a complete set of pharmacy and health by the community or country site pharmacy extension (or entrust dispensing dots) project, after the approval of the local health departments and the public, allowing on the basis of the "two votes" to open a pharmaceutical sales invoice.
5) the total transfer of domestic and domestic product distribution rights (including operation and distribution right and distribution right) of the domestic products shall be regarded as the production enterprises.
The flow chart of pharmaceutical marketing after "two-ticket"
2. Summary of the special situations defined by the provinces in terms of "two-ticket system"
Source: China recruitment medicine net (as of 7.14)
Some places have also stated that:
1) the operation of narcotic drugs and the first psychotropic drugs shall be carried out in accordance with the existing provisions of the state.
2) responding to natural disasters, major, major sudden epidemic 収 dwyane and patient urgent (rob) save the special circumstances, such as emergency purchasing drugs or national pharmaceutical reserve drugs, can carry out special processing.
Fujian is the strictest of the two-ticket system
1) only the two conditions can be regarded as production enterprises:
Production enterprises marked on the production batches;
The sole general agent of imported drugs.
2) strict distribution rules: one factory, one area and one distribution.
3) basic infusion system;
4) several situations that have been blacklisted or excluded from the market:
The goods are not available on time
Do not adjust the price at the lowest price
The tickets are hung up
Base price agency
Source: medical cloud studio
2. The implementation scope, time and bill management of the two-ticket system
1. The scope and start time of the "two-ticket system"
1) the public medical institutions gradually implemented the "two-ticket system", and the drug terminal market in public hospitals accounted for nearly 70 percent of the country.
2) the pilot cities of comprehensive health care reform (district, city) and public hospital reform will be the first to implement the two-ticket system.
3) strive to expand nationwide in 2018
2. Bill management
1) pharmaceutical sales:
Issue VAT special invoice or ordinary VAT invoice, attached with the shipping documents, the purchase of invoice and the name of the seller shall be consistent with the shipping documents, the payment flow and the amount.
2) purchasing links of circulation enterprises:
The invoice must be issued to the drug manufacturer and the invoice must be issued by the pharmaceutical manufacturer;
(2) check the invoice and supplier's list of products, specifications, quantities, etc. Otherwise, no acceptance into the warehouse;
To establish the acceptance record of drug purchase, to be consistent with the tickets, goods and accounts.
3) hospital bidding process:
The ticket, the goods and the account must be agreed upon to enter the warehouse.
(2) requesting and verifying invoices for distribution enterprises;
A copy of the purchase invoice issued by the production enterprise shall be issued by the circulation enterprise, and the payment voucher (i.e. the ticket delivery) shall be paid.
The circulation enterprise name, drug approval number and other relevant contents of the first and second tickets can be admitted into the library.
Progress on the implementation of the two-ticket system
(the above data is at the beginning of August)
4. Impact on the pharmaceutical industry
(1) impact on pharmaceutical business
1. The number of distributors has been reduced
Large wholesale companies affected by the "two votes" co., LTD. Would benefit, even the small and medium-sized wholesale enterprise under pressure, with a small enterprises will be eliminated, the distribution of fujian province has 8 standard by 2012, 176, was reduced to 40 in 2016.
And the national pharmaceutical wholesale enterprises have been reduced to a trend.
Source: national bureau of statistics, Dr. Zhang natural
2. Increased concentration
The "two-ticket system" inclines the distribution business to the compliant large distributors, which makes the industry concentration fast, such as egrets medicine, state control, and huimin 3 wholesale enterprises accounting for 82% of the business volume of sanming.
In fujian province, the first two voting system, the concentration of its pharmaceutical wholesaler was much higher than that of the whole country.
The industry concentration of national pharmaceutical wholesalers has also increased by 9 percentage points in the past six years, and the comprehensive implementation of the two-ticket system will accelerate the further improvement of industry concentration.
The industry concentration of Chinese pharmaceutical wholesalers is far lower than that of other developed countries, such as the top three wholesale enterprises in the United States, accounting for 96% of the country's share.
In 2015, the market share of the top 3 enterprises in the pharmaceutical circulation industry in all countries accounted for
3. The proportion of pure sales increases
"Two votes" is the purpose of reducing circulation, encourage hospital oriented pure pin, find the lost living space, such as the two votes, fujian heron yan pharmaceutical companies a sharp rise in the proportion of pure pin.
In fujian province, the proportion of pure pin from 71.3% in 2014 to 75.64% in 2015, much higher than the pure sales accounted for 57.2%, at the same time as the "two votes" in the nationwide promotion, the pure pin proportion will rise accordingly.
4. Small and medium-sized commercial companies with terminal networks will be the focus of the acquisition
The two-ticket implementation will result in a large number of small and medium-sized commercial companies with terminal networks being consolidated.
After the implementation of the "two-ticket system", egret pharma accelerated its expansion through mergers and acquisitions
(source: company prospectus, founder securities)
(2) the impact on the pharmaceutical industry
The implementation of the "two votes" tax processing ability of the enterprise put forward higher request, especially adopts the model of reserve agent sales company, for the existing self-built sales force or use high billing agent model of enterprise.
Since the implementation of the "two votes" reserve agency model of pharmaceutical companies trying to drive from low to high make out an invoice, but due to high open return tax increase and the improvement of financial processes will lead to a number of small enterprise survival difficult, invoice source and how to show will be a problem.
(3) impact on agents
Ticket company without any terminal network will be eliminated, grasp the hospital resources and terminal agents will retain professional promotion ability, cooperation with upstream pharmaceutical companies to explore corresponding manner transformation, or in half way into the manufacturer of the contracted sales team, or after the acquisition integration form into a professional sales of outsourcing organization (CSO).
This paper cic ZhongCai executive director and vice President of China chemical & pharmaceutical industry association invited Dr, policies and regulations of zi-ran zhang, director of the Chinese chemical pharmaceutical industry association of the second report from the President of meeting, authorized by the Dr Zi-ran zhang I finish and the blue sole published parker
[this article is original by Dr. Zhang nature, reproduced by the author, the violator will be studied]
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