大品种断货!全国停药潮,来了!

2017-12-16 半夏 赛伯蓝

据业内人士透露,年底将至,许多地区的医院都在为了降低药占比而停药控费,进口药、国产药均有波及,影响最大要数抗生素、辅助用药和销量大的药品。

据业内人士透露,年底将至,许多地区的医院都在为了降低药占比而停药控费,进口药、国产药均有波及,影响最大要数抗生素、辅助用药和销量大的药品。

停药大潮来了!

日前,四川卫计委下发控费通知,要求重点监控质子泵抑制剂、中药注射剂、辅助用药、强化激素类药物、抗肿瘤药物、辅助用药。规定若控费不达标,医院将面临降级,院长或被撤职。

12月12日,广东卫计委发布关于《建立全省医疗机构重点药品监控制度的通知》,要求医疗机构前6个月使用金额排名前30位,或前6个月使用金额排名前100位且使用量与上6个月相比增幅在20%以上的药品重点监控。若医院药占比在30%以上的,还应适当扩大重点药品监控目录范围。

各地正式发文或传出控药、停药的通知还有很多。在医保控费、医院药占比的严格要求下,医院面临着不可避免的控费难题。我们可以理解,为什么这么多医院急着对销量大的药品动手,尤其是中药注射剂、辅助用药,甚至要全面停止辅助性用药。

早在11月初,赛柏蓝就从业内人士获悉,贵州省遵义某三甲医院决定,全面停用各类用药量及金额排名前三位的抗菌药物、中成药,以及前十位的辅助性用药。

11月15日,上海市第六人民医院金山分院下发停药通知(第三批),有156个中成药、5个自费药品和5个辅助药品从2017年11月17日开始停止使用。

12月4日,网传山东省千佛山医院的辅助用药目录和停药通知。12月6日起该医院将正式停用辅助用药目录中的全部药物,共包括38个品种。

有媒体报道显示,广东省中山市人民医院12月3号发布了《2017年12月停购停用药品目录》,其中涉及品种高达160个。

沧州中心医院12月6日发布通知,为了降低本院药占比,对本院院重点监控药品采取限量采购或停用措施。限量品种目录包括了35种注射液或粉针,以中药注射液居多。

山东省临沂市人民医院的停药情况,该院12月9日发布了《关于暂时停止销售我院中成药注射剂的通知》,对17个品规的中成药注射剂决定暂停销售。

大品种早没得玩了!

有知情人士向笔者透露,广东省内目前的大医院,基本每个月10几号左右大品种就会断货。

为什么呢?因为医院控费和30%的药占比,尤其是严控辅助用药。

一旦药品进入严控名单,医院就在该药品设了金额,月初进一批药,当使用量到了设定值,医生想用也用不了,药房采购也采不进,只能停药了。有些品种,可能没到一个星期,就把设定的金额用完了。

想要继续销售,等下个月吧。可是,情况还是会像上个月一样,用完定额的数量就会把目录关了,这样一直循环下去。

这么看,如果严控品种设定的采购金额很低,那真的跟停药没啥区别了。不过,严控还是要比进入停药目录要好一些的。严控是固定每月用量,用完必须等下个月再采购。停用就是不采购了,基本可以算是踢出采购目录的先兆。

业内人士认为,在严控之下,如果企业有能力把设定的采购金额提高,那么对于这些品种来说,还是可以避免受影响。但是,总的来说,按现在的行情,大品种早就没得玩了!

随着各省市发不完的重点监控目录,医院发不完的停药目录,我们能感受到控费之下,医院和企业所承受的压力。

今年,医药人的寒冬似乎来得更早一些。

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    2018-06-29 1771ae4158m

    学习一下很不错

    0

  3. 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createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Sat Dec 16 16:25:22 CST 2017, time=2017-12-16, status=1, ipAttribution=)]
    2018-06-02 1771ae4158m

    学习一下很不错

    0

  4. 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status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270641, encodeId=e2ed2e064149, content=学习一下很不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/11/23/ac01daf0962458a9eb8c0b1e2f6ce5bc.jpg, createdBy=04b81710322, createdName=1771ae4158m, createdTime=Tue Dec 19 14:09:25 CST 2017, time=2017-12-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1460811, encodeId=b33414608113f, content=<a href='/topic/show?id=b8012e675d7' target=_blank style='color:#2F92EE;'>#停药#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27675, encryptionId=b8012e675d7, topicName=停药)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3c6d6379100, 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createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Sat Dec 16 16:25:22 CST 2017, time=2017-12-16, status=1, ipAttribution=)]
    2018-04-11 1771ae4158m

    学习一下很不错.

    0

  5. 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createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Sat Dec 16 16:25:22 CST 2017, time=2017-12-16, status=1, ipAttribution=)]
    2018-01-20 1771ae4158m

    学习一下.很不错

    0

  6. 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createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Sat Dec 16 16:25:22 CST 2017, time=2017-12-16, status=1, ipAttribution=)]
    2018-01-06 1861ee5797m

    为什么要停药?和医保密切相关吗?

    0

  7. 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createdName=yinhl1980, createdTime=Sun Dec 17 16:07:00 CST 2017, time=2017-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=269973, encodeId=3b152699e3cc, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfDEeydJz0GlP8O0ngrUX6AYCXFic0XDOOAyeQicIqnOd4TrWSwiagJrsFNYuWC1Uc6iavbS1hWt9xtZAhAqLGHqZyl/0, createdBy=42891977006, createdName=1e17414fm02(暂无匿称), createdTime=Sun Dec 17 05:36:08 CST 2017, time=2017-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=269877, encodeId=507f2698e7df, content=学习了谢谢作者分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=15, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Sat Dec 16 16:25:22 CST 2017, time=2017-12-16, status=1, ipAttribution=)]
    2017-12-19 1771ae4158m

    学习一下很不错

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=2052709, encodeId=6bc22052e0963, content=<a href='/topic/show?id=e54c4365204' target=_blank style='color:#2F92EE;'>#大品种#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=43652, encryptionId=e54c4365204, topicName=大品种)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b30d401, createdName=huangshifeng, createdTime=Sun Nov 18 02:07:00 CST 2018, time=2018-11-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327977, encodeId=b20632e97730, content=学习一下很不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/11/23/ac01daf0962458a9eb8c0b1e2f6ce5bc.jpg, createdBy=04b81710322, createdName=1771ae4158m, createdTime=Fri Jun 29 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status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=270641, encodeId=e2ed2e064149, content=学习一下很不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/11/23/ac01daf0962458a9eb8c0b1e2f6ce5bc.jpg, createdBy=04b81710322, createdName=1771ae4158m, createdTime=Tue Dec 19 14:09:25 CST 2017, time=2017-12-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1460811, encodeId=b33414608113f, content=<a href='/topic/show?id=b8012e675d7' target=_blank style='color:#2F92EE;'>#停药#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27675, encryptionId=b8012e675d7, topicName=停药)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=3c6d6379100, createdName=yinhl1980, createdTime=Sun Dec 17 16:07:00 CST 2017, time=2017-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=269973, encodeId=3b152699e3cc, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfDEeydJz0GlP8O0ngrUX6AYCXFic0XDOOAyeQicIqnOd4TrWSwiagJrsFNYuWC1Uc6iavbS1hWt9xtZAhAqLGHqZyl/0, createdBy=42891977006, createdName=1e17414fm02(暂无匿称), createdTime=Sun Dec 17 05:36:08 CST 2017, time=2017-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=269877, encodeId=507f2698e7df, content=学习了谢谢作者分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=15, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Sat Dec 16 16:25:22 CST 2017, time=2017-12-16, status=1, ipAttribution=)]
    2017-12-17 yinhl1980
  9. [GetPortalCommentsPageByObjectIdResponse(id=2052709, encodeId=6bc22052e0963, content=<a href='/topic/show?id=e54c4365204' target=_blank style='color:#2F92EE;'>#大品种#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=43652, encryptionId=e54c4365204, topicName=大品种)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b30d401, createdName=huangshifeng, createdTime=Sun Nov 18 02:07:00 CST 2018, time=2018-11-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=327977, encodeId=b20632e97730, content=学习一下很不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/11/23/ac01daf0962458a9eb8c0b1e2f6ce5bc.jpg, createdBy=04b81710322, createdName=1771ae4158m, createdTime=Fri Jun 29 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createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Sat Dec 16 16:25:22 CST 2017, time=2017-12-16, status=1, ipAttribution=)]
    2017-12-17 1e17414fm02(暂无匿称)

    学习

    0

  10. 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createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Sat Dec 16 16:25:22 CST 2017, time=2017-12-16, status=1, ipAttribution=)]
    2017-12-16 1e145228m78(暂无匿称)

    学习了谢谢作者分享!

    0