Who can eat more "cakes" when the prescription is out?

In October, the pharmacy in Yinzhou, Guangxi, began to implement prescription sharing. Patients can choose to go to any shared platform pharmacy to pay for medical treatment and take medicine within 24 hours. This move means that the prescription information sharing platform implemented by the Ganzhou Municipal Health Planning Commission will officially enter the implementation phase after four months of piloting in May.

Since the beginning of this year, various localities have issued policies to clarify the outflow of prescriptions. However, there seems to be no obvious increase in the sales of prescription drugs in pharmacies. The prescription outflow of hospitals still does not form a climate, but no one doubts the inevitable trend of prescription outflow. Therefore, Chenzhou, a breakthrough reform involving the local health planning committee, is particularly interesting.

According to industry estimates, prescription outflows will result in at least 200 billion yuan in drug sales from hospital pharmacies to the terminal market outside the hospital. By 2020, prescription drugs will reach one-third of the total prescription. However, it is not just pharmacies that look at this "big cake". Who can eat more "cakes" when the prescription goes out?

Prescription outflow "footsteps" gradually

In fact, as early as the "Prescription Management Measures" issued in 2007, it has been clearly stipulated that "the hospital must not restrict the outflow of prescriptions in any way", and the formal proposal is that the Ministry of Commerce and other six departments jointly issued the "Implementation" in September 2014. Notice of the 2014 Annual Medical Reform Key Tasks to Improve the Level and Efficiency of Drug Distribution Services. The "Notice" pointed out that "it is necessary to gradually form a new model for physicians to be responsible for outpatient diagnosis, and patients to purchase medicines by themselves at medical institutions or retail pharmacies." But until last year, the "footsteps" of prescription outflows gradually began to sound.

In addition to the country's successive policies, local authorities have also actively followed up. For example, the implementation of the “Implementation and Improvement of Drug Production and Use Policies” issued by the Fujian Provincial Government in September this year requires: medical institutions should issue drugs under the generic name. Prescribe and actively provide prescriptions to patients. In May last year, the Food and Drug Administration of Xi'an and the Municipal Health and Family Planning Commission jointly issued a notice requesting drug retail enterprises to establish prescriptions for prescription drugs for chronic diseases. For example, if patients continuously purchase prescription drugs for more than 3 months, or when the variety of purchased drugs changes, It is only necessary for the physician to re-submit the prescription according to the patient's condition. In just one year, the obvious changes in local policies have made pharmacy operators feel that prescription outflows are within reach.

The policy of promoting the outflow of prescriptions is that in 2017, the proportion of public hospitals in the provinces and cities will fall below 30%, encourage doctors to practice more, and the population of medical insurance and commercial insurance will continue to expand. In this regard, Yifeng Chairman Gao Yi believes that the trend of prescription outflows will not change. The question is how much and how long the prescription outflow can be achieved.

"Trying" is difficult to meet the thirst of pharmacies

In order to allow hospital prescriptions to flow into pharmacies, some places are constantly trying. Looking at these attempts, there is an identical precondition that you need to graft the doctor's resources in the hospital and complete the hospital's medical treatment process online. However, this way of using the Internet as a tool to build a platform by hospitals, e-commerce and pharmacies has limitations on resources and partners, and it is difficult to understand the thirst for hospital prescriptions. In addition, from the perspective of practical effects, it has not been recognized by most patients.

April 2016

The State Council once again mentioned in the "Deepening the Medical and Health System Reform 2016 Key Tasks" that hospitals should not restrict prescription outflows;

February 2017

The National Health and Family Planning Commission issued the "Electronic Medical Record Application Management Regulations (Trial)", which is considered by the industry to be a major initiative by the government to promote separation of medicines and outflow of electronic prescriptions;

July 2017

The National Development and Reform Commission issued the "Division Plan for the Key Work Departments of the Guiding Opinions on Promoting the Healthy Development of the Pharmaceutical Industry", proposing that "the medical institutions are prohibited from restricting the outflow of prescriptions", and that medical institutions should prescribe according to the generic names of drugs and proactively provide prescriptions to patients.

Even the prescription drug information sharing platform that Zhangzhou pushes to the city's pharmacies is subject to conditions: pediatric medication, chronic disease reimbursement, retired cadres, and patients requiring hospital invoices cannot go to the platform pharmacy to take medicine. The majority of pharmacy operators hope that the prescription outflow is worthy of the name - to achieve the hospital's medical separation, the pharmacy to take over the hospital's prescription.

Kang Zhen, a consultant of the CFDA National Licensed Pharmacist Qualification Center, pointed out that prescription outflows can be done without relying on pilots. This practice is often in the form. It needs supporting information system and a set of system services as a support, and must share the patient information of the hospital. Therefore, the linkage between the chain and the medical information system is the key, and the supporting policies and regulations can achieve real prescription outflow.

In time, the hospital's prescription outflow, this big "cake" pharmacy can eat a large share is not easy to say, because the upstream industry, downstream wholesale enterprises and e-commerce. Last year, Shenwei Pharmaceutical Co., Ltd., a subsidiary of Shenwei Pharmaceutical, became the pioneer of the implementation of the Group's “One Body and Two Wings” strategy. It not only ploughed into the pharmaceutical retail market in Hebei, but also signed framework agreements with 12 regional well-known chain enterprises in Tangshan, Handan and Zhangzhou. The total number of stores is nearly 500, and the goal is to become the largest chain in the region – which means that the layout has established a first-hand advantage to meet the prescription outflow.

Recently, Renhe Pharmaceutical's Dangdang Express announced that it has launched a new retail health strategy featuring AI (Artificial Intelligence) and completed the 3.0 upgrade of Dangdang Smart Pharmacy. Its self-developed “Dangdang Dabai” AI robot was officially unveiled. "Dangdang Dabai" can be connected to the online doctor of Wuzhen Internet Hospital to realize remote consultation of common diseases. After the consultation, the online doctor will prescribe the electronic prescription and directly purchase the medicine on the self-service drug dispenser in the smart pharmacy. Behind the jingle express drug, the FSC Pharmaceutical Alliance, which is also upgraded, is supported by the alliance. The alliance has gathered more than 400 Chinese and foreign well-known pharmaceutical companies including Sino-American Shike and Bayer.

There is never a "rest" for preparation and hard work.

To realize the separation of medicines, “hosting hospital pharmacies” is one of the solutions. In this respect, large-scale wholesale enterprises have greater advantages. According to the “China Drug Circulation Industry Development Report (2016)”, large-scale commodity circulation enterprises have been more than 1,000. The home medical institution has set up an information management platform to realize the whole process of intelligent drug procurement, distribution, deployment, and department use. There are also DTP pharmacies, and large wholesale companies are also more competitive and promising. In recent years, Sinopharm has gained a lot in the construction of DTP pharmacies. For example, Sinopharm Holdings Fujian Co., Ltd. has achieved monthly sales of more than one or two million yuan in a single product in a DTP pharmacy in a provincial capital city. Performance.

In addition to large pharmaceutical companies and wholesale companies, pharmaceutical e-commerce is also the main competitor for pharmacies to compete for outflow prescriptions. In August last year, when Jianke.com opened its 20th store in Guangzhou Science City, its CEO Xie Fangmin said that the number of planned offline pharmacies will increase to 50. “The current pharmaceutical retail market is still in the hospital, according to the future hospital prescription outflow. Policy trends, we hope that through the offline pharmacies, more users will be brought online, making it easy for users to buy medicines."

Even if there is a competitor's interception, if the prescription drug outflow is realized, there will still be a large share of the pharmacy. But are all pharmacies able to live happily ever after? The answer is "not necessarily." Gao Yi pointed out that in order to meet the prescription outflow, pharmacies should be deployed as early as possible to undertake prescription outflows. In fact, the “dark war” between the chain pharmacies to meet the prescription outflow has begun.

Last year, DTP pharmacies were hot, and large chains such as ordinary people, Yixintang and Yifeng seized the “highlands” and expanded DTP business. Dashenlin, which was listed in the first half of this year, will also open DTP pharmacies as the focus of work in the second half of the year. In addition, the layout of the competition for chronically ill patients is also the focus of the chain pharmacy contest in the past two years.

For prescription outflows, Xie Zilong, the chairman of the People's Congress Pharmacy, made a suggestion: to include medical institutions, basic medical insurance agencies, and social pharmacies to achieve system docking and information sharing, and to ensure that electronic prescription information will not be artificially restricted. This is the condition for the implementation of prescription outflow, but the competition after the prescription outflow depends on its own conditions. For example, the people have been working hard to build a team of licensed pharmacists for many years, and even set standards, but also opened "hypertension" earlier? Diabetes Health Life Museum, to accumulate experience.

On the outflow of prescriptions, the information platform will also become an indispensable part of chain pharmacies. It is understood that as of June 30, 2017, Yifeng has invested nearly 20 million yuan in the “O2O Health Cloud Service Platform Construction and Operation Promotion Project” to achieve online health consultation and lightness for more than 6 million members. The needs of consultation, chronic disease management, patient communication, etc., "will form a unique advantage in the competition in the same industry, enhance customer trust, obtain more loyal members, further increase the frequency of members' consumption, and enhance the overall profit of the company. ability".

Although the current prescription outflow is still not ideal, from the signs of this year, the arrival of the peak period of prescription outflow is only a matter of time. The pharmacy's final competition is not a form, but the preparations and efforts behind it.

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