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通用药品成交量博弈:新浪财经_高鹰生殖中心

来源: 新华社
07:35:15

珀莱雅通用药品成交量博弈:新浪财经

那座城这家人

    以游戏为基础的仿制药采购已经发生了巨大的变化。据《泰晤士周刊》报道,全国大量采购靴子已经落户深圳,仿制药市场正面临一场大地震。12月6日,国家医疗保险局牵头的“47市”批量采购在上海开标。31个通用名称的药品品种,数十家制药企业通过两轮“降价”确定最终中标者。根据公布的预选结果,除6个品种外,其余25个品种的平均价格下降了52%,最高下降了96%,价格下降非常明显。尽管由于实行批量采购,预计药品价格会下跌,但招标结果公布后,资本市场仍然反应激烈。A股医药行业连续两天大幅下跌,市值蒸发1000多亿元。“我没想到对方会比我们强硬。”一个以数量参与这次采购的药品制造商别无选择,只能大笑起来。他没有料到该公司在12月6日上午的第一轮预选中失败,尽管“公司内部以前做过非常详细的精算工作,包括竞争对手的成本-利润估计等,都已充分准备”。今年以来,关于国家集约的谣言和计划已经多次传出,品种一致性评价的招标政策是国内许多制药企业热议和重复权衡的重大事件。这也是国家医疗保险局经过全国肿瘤药品医疗保险协商后的第二大举措。试点项目在北京、上海、天津、重庆、广州、深圳、沈阳、大连、西安、成都、厦门等11个城市进行。由于采购量一致,制药企业期望值明确,国家招标采购采用的降价机制比上次招标更为严厉。根据预选结果,共有13个品种,其中3个以上品种进入。根据最低投标价格,其中有6家与招标企业的最低国家价格相比降低了50%以上。其中恩替卡韦和替诺福韦双酯在适日晴天的成都的价格分别下降了94%和91%。其他三个主要品种阿托伐他汀、瑞舒伐他汀和氯吡格雷也分别下降了83%、75%和58%。其他上市企业不到3个品种。由于竞争格局相对较好,下降幅度在0%-60%之间。国家医疗保险局认为,这次征集的降价是出乎意料的。集中采购本身具有降低采购价格的作用。具体而言,企业具有不同的成本结构和市场结构,其下降率高低不一。2017年,上海开始采购26种质量标准药品,平均减少54%。从上海的影响来看,集中采购的总体下降趋势与预期一致。有关联合收购负责人说。“47”定额采购计划是对上海定额采购的推广和推广。自2014年底以来,上海已批量实施了三批采购。结果表明,上海地区第一、二、三批平均降幅分别为64%、53%和54%。刚刚结束全国医疗保险谈判的17种抗癌药物的价格下降了56.7%。事实上,降价是降低企业的制度成本。在购买“47”之前,国家医疗保险局已经计算出,在排除了教育和促销费用、临床处方费用和存款费用的影响后,仿制药的价格可降低50%-60%。此外,国家医疗保险局还从许多邻国收集了相同品种的价格,这是价格谈判的基本期望。接近健康保险局的知情人士告诉泰晤士报。游戏与权衡:对于制药公司来说,这个游戏与权衡的结果可以被描述为若干喜悦与悲伤。结果,由于买方报价低,六种品种在第二轮讨价还价中获得了提振。十药集团的阿奇霉素、阿莫西林胶囊和盐酸曲马多片已分别预价48%、52%和28%,但在随后的谈判过程中意外被拒绝。其中有重庆药友公司生产的无花果酚片、常州药业公司生产的卡托普利片和海南药业公司生产的阿奇霉素注射液。相比之下,恩特卡韦,这是一个阳光明媚的日子,有资格参加选举,价格为17.36元/盒,比其在该国以前的最低中标下降94%。主动降价如此之多是为了确保中标,我们的中标也是危险的胜利,公司已经议价了。这个价格决定了我们自己的成本和竞争对手的成本。我们仍然可以赚钱。我们当然不会亏钱。相关负责人郑大天青日前在与投资者的电话会议上表示。其主要策略是保持核心品种的市场份额,“无论如何,我们必须中标,在降价影响后我们重新调整。”这是价格和数量之间的权衡。据一些研究机构估计,在这个采购量中达成的采购量占11个城市销售量的40-50%。药品联合采购的有关负责人指出,药品企业的生产成本和合理利润只占药品销售价格的一小部分,因此在药品价格急剧下降后,销售成本等“水分”是主要因素。被挤出。同时,及时按量还清采购承诺,通过规模效应,降低了企业股权成本和融资成本,降低了药品的单位成本。这些因素可以对冲药品降价的影响。根据另一大类阿托伐他汀的情况,德占生所属的北京嘉林制药有限公司以每盒6.6元击败辉瑞制药和乐普制药,以83%的得票率入选。《泰晤士报》记者注意到,嘉林药业“Ale”(商品名)毛利率在90%以上。这次采购的减价与减量是相辅相成的。从企业的角度看,量价是一个可行的选择。总体而言,价格下调的市场空间预计会更大。德詹健康部主任杜一松最近在一次电话会议上说。也有一些企业有其他算盘。一位潜在中国制药公司的内部人士告诉《时代》周刊说,所选品种可能不会损失大笔资金,但利润水平将不可避免地下降,仿制药将成为一种微利品种。”利用所选品种占领市场,带动其他品种在同一条产品流水线上销售,将利润转化为其他品种。”根据“47”定额采购的有关规定,医疗机构在采购周期内,必须以定额采购为主。收集并收集选定的品种,并确保完成商定的采购量。这样,选定的企业将垄断这11个城市的近50%的市场份额。为确保完成约定的购买量,医疗保险局将采取以下措施:第一,将药品使用纳入医疗保险协议的管理,明确违约责任和处理方式;制定支付标准政策,引导患者合理用药;第三,加强对选购药品和未选购药品的即时控制;第四,规范用药。使用选定药物减少医疗保险基金支出的医院受到盈余比例的鼓励。第五,在医疗保险评价指标体系中包含选择药物的使用。许多业内人士认为,除了商定的采购量外,所选企业还可能获得剩余采购量的一定份额。在国家价格联动趋势下,不成功的企业也面临着降价和市场份额萎缩的危机。在仿制药的竞争中,跨国制药企业的原创研究药物几乎消失了。据统计,包括辉瑞、赛诺菲、葛兰素史克和利来在内的13家跨国制药公司参与了此次“47”批量采购。最终,只选择了阿斯利康的吉非替尼口服缓释剂型和百时美施贵宝的福辛普利口服缓释剂型。上述两种原始研究药物也为投标中标付出了很大的代价。中标建议价格分别比上次全国最低投标价格低76%和68%。与周边国家和地区的价格相比,这两种药物的价格也大约是25%。“专利悬崖”出现了。长期以来,国外制药企业对投标和谈判的一般态度是牺牲市场份额,而不是破坏价格体系。本轮调查结果表明,在量购模式下,高价原药无疑面临着仿制药替代品的挑战。过去,我国仿制药的质量水平普遍较低,很难与原药公平竞争。即使部分原产品已经过了专利期,但长期以来其价格仍明显高于周边国家和地区,中国没有出现专利悬崖。随着对非专利药品合格评价的大力推进,部分非专利药品已达到与原药质量和疗效相当的水平,为公平竞争提供了质量基础。集中采购试点项目通过统一评价,使仿制药与原药公平竞争,有利于加强竞争,促进仿制药替代,促进“专利悬崖”的实现。有关联合收购负责人说。根据联合采购,31个试点非专利药物中有25个将被集中采购,成功率为81%。其中仿制药22种,占88%,原药3种,占12%,仿制药的替代作用明显。国家医疗保险局的宗旨是在质量稳定、疗效稳定的前提下,逐步用低价仿制药取代高价原创研究药物,实现医疗保险基金“换鸟笼”的目标。上述知情人士向时代周刊透露,自9月份在上海实施第三批大宗采购以来,在相应的激励约束机制下,医疗机构优先购买和使用获奖品种。一些医院已经暂停或限制购买未中标的原创研究药物或其他非专利药物。”“可以肯定的是,未来47波段采购将包括越来越多的品种,并被推广到更多的省市。”业内人士告诉《时代周刊》。在国家价格联动的大趋势下,外资企业也必须面对原药高价的好日子即将结束的现实。责任编辑:李凤

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bu hui sun shi da bi zi jin, dan li run shui ping jiang bu ke bi mian di xia jiang, fang zhi yao jiang cheng wei yi zhong wei li pin zhong." li yong suo xuan pin zhong zhan ling shi chang, dai dong qi ta pin zhong zai tong yi tiao chan pin liu shui xian shang xiao shou, jiang li run zhuan hua wei qi ta pin zhong." gen ju" 47" ding e cai gou de you guan gui ding, yi liao ji gou zai cai gou zhou qi nei, bi xu yi ding e cai gou wei zhu. shou ji bing shou ji xuan ding de pin zhong, bing que bao wan cheng shang ding de cai gou liang. zhe yang, xuan ding de qi ye jiang long duan zhe 11 ge cheng shi de jin 50 de shi chang fen e. wei que bao wan cheng yue ding de gou mai liang, yi liao bao xian ju jiang cai qu yi xia cuo shi: di yi, jiang yao pin shi yong na ru yi liao bao xian xie yi de guan li, ming que wei yue ze ren he chu li fang shi zhi ding zhi fu biao zhun zheng ce, yin dao huan zhe he li yong yao di san, jia qiang dui xuan gou yao pin he wei xuan gou yao pin de ji shi kong zhi di si, gui fan yong yao. shi yong xuan ding yao wu jian shao yi liao bao xian ji jin zhi chu de yi yuan shou dao ying yu bi li de gu li. di wu, zai yi liao bao xian ping jia zhi biao ti xi zhong bao han xuan ze yao wu de shi yong. xu duo ye nei ren shi ren wei, chu le shang ding de cai gou liang wai, suo xuan qi ye hai ke neng huo de sheng yu cai gou liang de yi ding fen e. zai guo jia jia ge lian dong qu shi xia, bu cheng gong de qi ye ye mian lin zhe jiang jia he shi chang fen e wei suo de wei ji. zai fang zhi yao de jing zheng zhong, kua guo zhi yao qi ye de yuan chuang yan jiu yao wu ji hu xiao shi le. ju tong ji, bao kuo hui rui sai nuo fei ge lan su shi ke he li lai zai nei de 13 jia kua guo zhi yao gong si can yu le ci ci" 47" pi liang cai gou. zui zhong, zhi xuan ze le a si li kang de ji fei ti ni kou fu huan shi ji xing he bai shi mei shi gui bao de fu xin pu li kou fu huan shi ji xing. shang shu liang zhong yuan shi yan jiu yao wu ye wei tou biao zhong biao fu chu le hen da de dai jia. zhong biao jian yi jia ge fen bie bi shang ci quan guo zui di tou biao jia ge di 76 he 68. yu zhou bian guo jia he di qu de jia ge xiang bi, zhe liang zhong yao wu de jia ge ye da yue shi 25." zhuan li xuan ya" chu xian le. chang qi yi lai, guo wai zhi yao qi ye dui tou biao he tan pan de yi ban tai du shi xi sheng shi chang fen e, er bu shi po huai jia ge ti xi. ben lun diao cha jie guo biao ming, zai liang gou mo shi xia, gao jia yuan yao wu yi mian lin zhe fang zhi yao ti dai pin de tiao zhan. guo qu, wo guo fang zhi yao de zhi liang shui ping pu bian jiao di, hen nan yu yuan yao gong ping jing zheng. ji shi bu fen yuan chan pin yi jing guo le zhuan li qi, dan chang qi yi lai qi jia ge reng ming xian gao yu zhou bian guo jia he di qu, zhong guo mei you chu xian zhuan li xuan ya. sui zhe dui fei zhuan li yao pin he ge ping jia de da li tui jin, bu fen fei zhuan li yao pin yi da dao yu yuan yao zhi liang he liao xiao xiang dang de shui ping, wei gong ping jing zheng ti gong le zhi liang ji chu. ji zhong cai gou shi dian xiang mu tong guo tong yi ping jia, shi fang zhi yao yu yuan yao gong ping jing zheng, you li yu jia qiang jing zheng, cu jin fang zhi yao ti dai, cu jin" zhuan li xuan ya" de shi xian. you guan lian he shou gou fu ze ren shuo. gen ju lian he cai gou, 31 ge shi dian fei zhuan li yao wu zhong you 25 ge jiang bei ji zhong cai gou, cheng gong lv wei 81. qi zhong fang zhi yao 22 zhong, zhan 88, yuan yao 3 zhong, zhan 12, fang zhi yao de ti dai zuo yong ming xian. guo jia yi liao bao xian ju de zong zhi shi zai zhi liang wen ding liao xiao wen ding de qian ti xia, zhu bu yong di jia fang zhi yao qu dai gao jia yuan chuang yan jiu yao wu, shi xian yi liao bao xian ji jin" huan niao long" de mu biao. shang shu zhi qing ren shi xiang shi dai zhou kan tou lu, zi 9 yue fen zai shang hai shi shi di san pi da zong cai gou yi lai, zai xiang ying de ji li yue shu ji zhi xia, yi liao ji gou you xian gou mai he shi yong huo jiang pin zhong. yi xie yi yuan yi jing zan ting huo xian zhi gou mai wei zhong biao de yuan chuang yan jiu yao wu huo qi ta fei zhuan li yao wu."" ke yi ken ding de shi, wei lai 47 bo duan cai gou jiang bao kuo yue lai yue duo de pin zhong, bing bei tui guang dao geng duo de sheng shi." ye nei ren shi gao su shi dai zhou kan. zai guo jia jia ge lian dong de da qu shi xia, wai zi qi ye ye bi xu mian dui yuan yao gao jia de hao ri zi ji jiang jie shu de xian shi. ze ren bian ji: li feng

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