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国家发展改革委会同有关部门公布取消绝大部分药品政府定价全面推进药品价格形成机制改革
662
2014-05-05

    近(jin)日(ri),经国务院(yuan)同(tong)意,国家(jia)发(fa)展改革委会同(tong)国家(jia)卫生(sheng)计(ji)生(sheng)委、人力资源社(she)会保障部等部门联合(he)发(fa)出《关于印发(fa)推进药品(pin)价(jia)格改革意见(jian)的通(tong)知》,决(jue)定从2015年6月1日(ri)起(qi)取消绝大(da)部分药品(pin)政府定价(jia),完善(shan)药品(pin)采购机(ji)制(zhi),发(fa)挥医保控(kong)费作用,药品(pin)实际交(jiao)易价(jia)格主要由市场竞(jing)争形(xing)成。

    《通知》规定(ding),除麻(ma)醉药(yao)品(pin)(pin)和(he)第(di)一(yi)类精神药(yao)品(pin)(pin)仍暂时由国家(jia)(jia)发展改革委实(shi)行(xing)(xing)最高出(chu)厂价(jia)(jia)(jia)(jia)格和(he)最高零(ling)售价(jia)(jia)(jia)(jia)格管(guan)理(li)外(wai),对其(qi)(qi)他药(yao)品(pin)(pin)政府(fu)定(ding)价(jia)(jia)(jia)(jia)均(jun)予以取(qu)消,不再实(shi)行(xing)(xing)最高零(ling)售限价(jia)(jia)(jia)(jia)管(guan)理(li),按(an)照分类管(guan)理(li)原则,通过(guo)不同的(de)(de)方式由市场(chang)形成(cheng)价(jia)(jia)(jia)(jia)格。其(qi)(qi)中:(一(yi))医(yi)(yi)保(bao)基金支付的(de)(de)药(yao)品(pin)(pin),通过(guo)制(zhi)(zhi)定(ding)医(yi)(yi)保(bao)支付标准探索引导药(yao)品(pin)(pin)价(jia)(jia)(jia)(jia)格合理(li)形成(cheng)的(de)(de)机制(zhi)(zhi);(二)专(zhuan)利(li)药(yao)品(pin)(pin)、独(du)家(jia)(jia)生产(chan)药(yao)品(pin)(pin),通过(guo)建(jian)立公(gong)开透明、多方参与的(de)(de)谈(tan)判机制(zhi)(zhi)形成(cheng)价(jia)(jia)(jia)(jia)格;(三(san))医(yi)(yi)保(bao)目录外(wai)的(de)(de)血液制(zhi)(zhi)品(pin)(pin)、国家(jia)(jia)统一(yi)采购的(de)(de)预防免疫药(yao)品(pin)(pin)、国家(jia)(jia)免费(fei)艾(ai)滋(zi)病抗病毒治疗(liao)药(yao)品(pin)(pin)和(he)避孕药(yao)具,通过(guo)招标采购或谈(tan)判形成(cheng)价(jia)(jia)(jia)(jia)格。其(qi)(qi)他原来实(shi)行(xing)(xing)市场(chang)调(diao)节价(jia)(jia)(jia)(jia)的(de)(de)药(yao)品(pin)(pin),继续(xu)由生产(chan)经(jing)营者依据生产(chan)经(jing)营成(cheng)本和(he)市场(chang)供(gong)求(qiu)情况(kuang),自主(zhu)制(zhi)(zhi)定(ding)价(jia)(jia)(jia)(jia)格。

    《通(tong)知》强(qiang)(qiang)调,推进(jin)药(yao)(yao)品(pin)(pin)价(jia)(jia)(jia)(jia)(jia)(jia)格(ge)改革必须(xu)充分发挥市场(chang)和(he)(he)(he)政(zheng)(zheng)府“两只手”作用,建立科学合理的(de)(de)价(jia)(jia)(jia)(jia)(jia)(jia)格(ge)形成机制(zhi)。要(yao)(yao)充分发挥市场(chang)配置(zhi)资源的(de)(de)决定(ding)(ding)性(xing)作用,同(tong)(tong)时要(yao)(yao)更好地发挥政(zheng)(zheng)府的(de)(de)作用,有(you)关部门(men)都要(yao)(yao)切实履行(xing)(xing)(xing)(xing)(xing)责任,加强(qiang)(qiang)事(shi)中(zhong)事(shi)后监(jian)(jian)(jian)(jian)(jian)管(guan)(guan)(guan)(guan)。取消药(yao)(yao)品(pin)(pin)政(zheng)(zheng)府定(ding)(ding)价(jia)(jia)(jia)(jia)(jia)(jia)后,要(yao)(yao)做好与(yu)(yu)药(yao)(yao)品(pin)(pin)采(cai)(cai)购(gou)、医(yi)(yi)(yi)保支付等(deng)改革政(zheng)(zheng)策的(de)(de)衔接,强(qiang)(qiang)化(hua)医(yi)(yi)(yi)药(yao)(yao)费用和(he)(he)(he)价(jia)(jia)(jia)(jia)(jia)(jia)格(ge)行(xing)(xing)(xing)(xing)(xing)为(wei)(wei)监(jian)(jian)(jian)(jian)(jian)管(guan)(guan)(guan)(guan)。按照(zhao)“统筹(chou)考虑、稳步推进(jin)”的(de)(de)要(yao)(yao)求,《通(tong)知》重点从完善(shan)药(yao)(yao)品(pin)(pin)采(cai)(cai)购(gou)机制(zhi)、强(qiang)(qiang)化(hua)医(yi)(yi)(yi)保控费作用、强(qiang)(qiang)化(hua)医(yi)(yi)(yi)疗行(xing)(xing)(xing)(xing)(xing)为(wei)(wei)和(he)(he)(he)价(jia)(jia)(jia)(jia)(jia)(jia)格(ge)行(xing)(xing)(xing)(xing)(xing)为(wei)(wei)监(jian)(jian)(jian)(jian)(jian)管(guan)(guan)(guan)(guan)等(deng)方(fang)面,强(qiang)(qiang)化(hua)医(yi)(yi)(yi)药(yao)(yao)费用和(he)(he)(he)价(jia)(jia)(jia)(jia)(jia)(jia)格(ge)行(xing)(xing)(xing)(xing)(xing)为(wei)(wei)百姓彩票监(jian)(jian)(jian)(jian)(jian)管(guan)(guan)(guan)(guan),以促进(jin)建立正常的(de)(de)市场(chang)竞争机制(zhi),引(yin)导市场(chang)价(jia)(jia)(jia)(jia)(jia)(jia)格(ge)合理形成。卫生(sheng)计生(sheng)部门(men)要(yao)(yao)根(gen)据药(yao)(yao)品(pin)(pin)特性(xing)和(he)(he)(he)市场(chang)竞争情况,实行(xing)(xing)(xing)(xing)(xing)分类(lei)采(cai)(cai)购(gou),并调动多方(fang)参与(yu)(yu)积(ji)极性(xing),促进(jin)市场(chang)竞争,合理确(que)定(ding)(ding)药(yao)(yao)品(pin)(pin)采(cai)(cai)购(gou)价(jia)(jia)(jia)(jia)(jia)(jia)格(ge);同(tong)(tong)时加强(qiang)(qiang)医(yi)(yi)(yi)疗机构(gou)诊疗行(xing)(xing)(xing)(xing)(xing)为(wei)(wei)监(jian)(jian)(jian)(jian)(jian)管(guan)(guan)(guan)(guan),控制(zhi)不合理使用药(yao)(yao)品(pin)(pin)医(yi)(yi)(yi)疗器械(xie)以及(ji)过度检查(cha)(cha)和(he)(he)(he)治疗。医(yi)(yi)(yi)保部门(men)要(yao)(yao)会同(tong)(tong)有(you)关部门(men)制(zhi)定(ding)(ding)医(yi)(yi)(yi)保药(yao)(yao)品(pin)(pin)支付标(biao)准(zhun),做好医(yi)(yi)(yi)保、招(zhao)标(biao)采(cai)(cai)购(gou)政(zheng)(zheng)策的(de)(de)衔接配合,促进(jin)医(yi)(yi)(yi)疗机构(gou)和(he)(he)(he)零售药(yao)(yao)店主动降低采(cai)(cai)购(gou)价(jia)(jia)(jia)(jia)(jia)(jia)格(ge)。价(jia)(jia)(jia)(jia)(jia)(jia)格(ge)主管(guan)(guan)(guan)(guan)部门(men)要(yao)(yao)健全价(jia)(jia)(jia)(jia)(jia)(jia)格(ge)监(jian)(jian)(jian)(jian)(jian)测(ce)体系,强(qiang)(qiang)化(hua)药(yao)(yao)品(pin)(pin)价(jia)(jia)(jia)(jia)(jia)(jia)格(ge)行(xing)(xing)(xing)(xing)(xing)为(wei)(wei)监(jian)(jian)(jian)(jian)(jian)管(guan)(guan)(guan)(guan),对价(jia)(jia)(jia)(jia)(jia)(jia)格(ge)欺诈、价(jia)(jia)(jia)(jia)(jia)(jia)格(ge)串通(tong)和(he)(he)(he)垄(long)断行(xing)(xing)(xing)(xing)(xing)为(wei)(wei),要(yao)(yao)依法严肃查(cha)(cha)处(chu)。

    《通知》要(yao)求(qiu),各(ge)地区、各(ge)有关(guan)(guan)部门要(yao)强化(hua)组织领导,建立评(ping)估机(ji)制,密切(qie)关(guan)(guan)注(zhu)改(gai)革(ge)(ge)后药品价格和医药费用变化(hua)情况,对改(gai)革(ge)(ge)中出(chu)现的新问题要(yao)及(ji)(ji)时研究提出(chu)解(jie)决措施;要(yao)做好宣传解(jie)释工(gong)作,及(ji)(ji)时回应(ying)社(she)会(hui)关(guan)(guan)注(zhu)的热点问题,争取社(she)会(hui)各(ge)界的理解(jie)支(zhi)持,凝(ning)聚各(ge)方共识,形(xing)成改(gai)革(ge)(ge)合力,确(que)保(bao)改(gai)革(ge)(ge)顺利(li)推(tui)进。


来源:http://www.sdpc.gov.cn/


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