Guangdong Price Bureau Answers Questions on Special Inspection of Medical Prices

In mid-December, the Guangdong Provincial Price Bureau issued the “Guangdong Provincial Price Bureau's Urgent Notice on Launching Special Inspection of Retail Drugs and Vaccine Prices”, and held a special mobilization meeting for retail drug and vaccine price inspections across the province. The massive examination of the prices of medicine and vaccines. What is the significance of this special inspection? What are the main contents of the inspection? How effective is the inspection in half a month? The author interviewed the relevant person in charge of the Provincial Price Bureau on hot topics that the people concerned about.

Objective: To ensure the smooth progress of medical reform

Reporter: Not long ago, the provincial government held a video and telephone conference on the province's medical service and drug price reform pilot, which opened the prelude to the reform of medical services and drug prices in the province. In this context, what special significance does the special inspection of retail drug and vaccine prices in the province?

A: Drug prices are related to millions of households, which is a major livelihood issue and a major social issue. Not long ago, the province's provincial government held a video and telephone conference on trials of medical services and drug price reforms in the province, stressing that in order to address the current chaos in the pharmaceutical market, the price of pharmaceuticals in the province should be effectively strengthened, the order of pharmaceutical prices should be regulated, and medical expenses should be resolved. The problem of rising too fast. This time we launched a special inspection of retail drug and vaccine prices across the province. The purpose was to use iron wrists to crack down on illegal retail drug prices, regulate the price order in the drug market, safeguard the legitimate rights and interests of consumers, and ensure the prices of medical services and drugs in our province. The reform pilot work progressed smoothly.

In recent years, in accordance with the deployment and requirements of the State, provincial and provincial governments, we have actively promoted the reform of medical prices, vigorously strengthened the supervision of drug prices, and effectively reduced the burden on people's medical expenses, and achieved certain results. However, due to the imperfect medical and health system in China, relevant laws and regulations are still not perfect, and the drug market is lagging behind. In addition, the regulatory work is not in place, and the order of prices in the retail drug market is still confusing, which affects the healthy development of medical and health services and damages The immediate interests of consumers. Therefore, we specifically organized special inspections of the retail drug and vaccine prices, through large-scale inspections to combat drug price violations, regulate the price order in the pharmaceutical market, safeguard the legitimate prices of the people, and reduce the burden on people's medical expenses. Our province is a pilot province for the reform of the national pharmaceutical price management system. In order to effectively advance this pilot reform, the provincial government specially organized a video teleconference at the beginning of this month to carry out the deployment. Currently, various reforms are progressing in an orderly manner. The pilot reform of the pharmaceutical price in our province is an important exploration based on scientific development, focusing on solving outstanding problems in the current pharmaceutical price management, innovating the pharmaceutical price management system, and establishing a reasonable compensation mechanism for medical institutions, which will not only help solve the problem. The problem of the current rapid increase in medical expenses of the masses is also conducive to improving the mechanism for the formation of medical prices and promoting the healthy development of medical and health services. Therefore, we must take practical measures to ensure the smooth progress of the pilot reform. This time, our organization launched a special inspection of retail drug and vaccine prices to achieve two goals. On the one hand, through inspections, we will standardize the pharmaceutical market order and create a good environment for pilot reforms. On the other hand, through inspections, we have further grasped the cost situation of the circulation of medicines, especially the end-to-end retail links that directly face the masses. This has helped us to improve government drug price management and establish a drug price that objectively reflects market supply and demand and production and circulation costs. Form a mechanism to promote the government’s “three-control” pricing for drug prices, and establish a solid foundation for establishing drug price monitoring and monitoring systems, drug price supervision and inspection systems, and market-based monitoring mechanisms for price-adjusted drug prices.

Question: Retail Drug Prices Surpass Maximum Price

Reporter: The price of medical products involves a wide range of issues and has a large impact. It has always been a hot spot of social concern. What are the main issues for the special inspection of retail drug and vaccine prices? What are the main contents of the inspection?

A: In recent years, according to the deployment of the country, we have continued to increase the supervision of drug prices and launched a series of supervision and inspection of drug prices. Judging from the recent inspections, the problems in the prices of retail drugs and vaccines mainly include: The retail price of drugs in some retail pharmacies exceeds the highest retail price announced by the state and the province, and there is no clear price tag or the contents of the list price are not complete; the retail pharmacies are vicious Competition, unfair price behavior is more common; there are individual units that charge for free vaccines, or raise charges for the vaccines. These problems in the prices of retail drugs and vaccines have severely disrupted the normal pharmaceutical market order, affected the healthy development of medical and health services, and damaged the vital interests of consumers.

In response to these problems, we will focus on the implementation of government drug sales in retail retail pharmacies in the province, especially town and community retail pharmacies, the price difference between sales and receipts, and price quotation, as well as the implementation of relevant units such as disease control centers, health centers, and epidemic prevention stations. The price of the vaccine and the price of the vaccine were checked, and it mainly included three items. The first is to check whether the drug price is legal—whether the price policy is strictly enforced or not, and whether or not the government-guided price and the government-priced drugs are strictly implemented by the government. The second is to check whether the price tag pricing system is implemented—is it strictly priced according to the provisions of the price department, indicating the drug's product name, origin, specifications, grade, pricing unit, and other relevant factors; whether there is a price increase in addition to the price of the sale of drugs, or charged Any non-compliances such as expenses not indicated. Third, whether there are unfair price behaviors such as collusion, manipulation of market prices, price increase, price fraud, and profiteering in various links in drug sales.

Measures: Do not leave dead corners on carpet

Reporter: The province's retail drug and vaccine price inspections are widely spread. The situation is complicated. How does the price department ensure that inspections do not leave dead ends and ensure that inspections are effective and effective?

A: In order to ensure that the inspection work is effective, the SIPO requires all localities to formulate specific inspection plans according to the actual situation, and deploy key personnel to form a powerful inspection team to conduct in-depth examinations in the first line. The provincial, municipal and county (district) three-level price departments are linked up and down to coordinate inspections. Carpet-type inspections were used to examine all social retail pharmacies, disease control centers, health centers, and epidemic prevention stations one by one. During the inspection, we adopted four combined methods to ensure that the inspection work does not go through the court. One is the combination of carpet inspection and report inspection. While carrying out the network-type inspection, pay attention to the role of 12358 reporting telephones. During the inspection period, the province's 12358 price report telephones are open 24 hours, arrange special personnel on duty, and seriously accept complaints from the public. For the people to report complaints, immediately investigate and handle them quickly. Through complaints and reports, targeted and timely investigation of retail drug and vaccine price violations. The second is the combination of inspections and inspections. During inspections and after inspections, inspections are combined with inspections to prevent some operators from fleeing the inspection process. The third is the combination of clear investigation and dark investigation. In addition to focusing on on-site inspections, it also takes the form of inquiries about the purchase of drugs, etc., in order to understand the situation, investigate and collect evidence, and take a two-pronged approach. Fourth, the combination of law enforcement inspection and social supervision in the price department. Give full play to the role of price supervision networks at the city, county, and town levels, and monitor the price of retail medicines and vaccines within the jurisdiction in a timely manner through obligatory price supervisors across the province. At the same time, give full play to the role of the pharmaceutical industry associations and promote the self-discipline of related companies through the supervision of the association. In addition, we have also used the power of the news media to take a variety of forms of publicity and inspection activities to create a vast social momentum, so that "TV has images, newspapers have reports, radio has a voice" and enhance the shock of inspection work.

Reporter: How does the price department deal with price violations found in inspections? How to prevent such price violations from happening in the future?

A: Regarding price illegal cases discovered during the inspection of retail drug and vaccine prices across the province, the price departments at all levels adopted various forms of legal advice such as warnings, inspections, penalties, and public exposure. After the relevant cases were verified, the commodity price departments at all levels implemented the procedures in accordance with legal procedures in the shortest possible time. From the heavy handling of top wind violation operators, to prevent the punishment from germination. If the circumstances are serious, it will use such compulsory measures as ordering suspension of business for rectification, bringing an industrial and commercial administrative authority to revoke a business license, and intensifying penalties. Typical cases will be exposed through the media, increase their illegal costs, increase the deterrence of price enforcement, and educate companies.

In order to maintain the normal order of retail drug prices and vaccine prices in our province, we will further improve the long-term supervision mechanism for drug prices and vaccine prices through the establishment and improvement of retail drug prices and vaccine price monitoring, price warnings, situation reports, warnings, and inspections. Punishment, news exposure, and other work mechanisms, strengthen market dynamic monitoring, strengthen coordination with drug administration, industry and commerce, public security, quality supervision and other departments to form a comprehensive law enforcement strong force to prevent the recurrence of retail drug prices and vaccine price violations. Maintain the normal order of retail drug prices and vaccine prices in our province. In particular, it is necessary to adopt strict law enforcement and master the problems and deficiencies in the drug price policy, thereby improving the price policy and plugging management loopholes.

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