On December 4, the topic of "oseltamivir hospital pricing is only 20 yuan" appeared on the hot search. According to reports, in the past month, the daily average search popularity of "flu" in the index has increased by 177 times year-on-year, and the daily average value of the influenza-related information index has soared by 482 times year-on-year, and has increased by 2037 times month-on-month. Oseltamivir, a commonly used anti-influenza drug, is also substantially larger. For the same drug, some pharmacies sell 3 times more than hospitals.
In recent years, oseltamivir, as the "miracle drug" of the first pandemic influenza, has been sold out almost every year. Different from previous years, oseltamivir has been included in the seventh batch of national centralized procurement drugs this year, and it was implemented in various provinces and cities as early as November last year. In recent years, the newly launched dosage form "oseltamivir dry suspension" in the market has been included in the eighth batch of centralized drug procurement organized by the state, with a decrease of 80%.
Affected by the epidemic of respiratory diseases, the sales of anti-influenza drugs have surged. According to data from Dingdang Fast Medicine, in the past 30 days, the search volume of drugs related to upper respiratory tract diseases in Beijing has been more than ten times that of before, and the sales of antiviral, antibacterial, heat-clearing and detoxifying, cough and phlegm and antipyretic drugs have reached 4 to 5 times that of before. Among them, the number of drugs for Mycoplasma pneumoniae and the number of drugs for influenza increased by more than 5 times.
According to the report, a number of pharmacies show that some of the oseltamivir granules that can be delivered immediately exceed 100 yuan, and the price of oseltamivir capsules is as high as 339 yuan. For the same manufacturer and the same dose of oseltamivir, the hospital price is only about 20 yuan.
At present, the drugs sold on the market are oseltamivir phosphate capsules, oseltamivir phosphate granules and oseltamivir phosphate dry suspension. ** and adolescents over 13 years of age can choose oseltamivir phosphate capsules. For children, oseltamivir needs to be taken according to body weight, and children weighing 40kg will only use one capsule (75mg), so for children weighing 40kg, it is recommended to choose granules or suspensions to accurately grasp the dosage.
Oseltamivir phosphate capsules, as an ordinary chemical drug, have been included in the previous national procurement, and the national purchase price is as low as 1 yuan tablet after inclusion. In March 2023, the eighth batch of national procurement was opened in Lingshui County, Hainan Province. A total of 40 varieties were involved in this national mining. According to the maximum price of the agreed purchase volume in the first year, the procurement amount of this batch of national procurement is 21.6 billion yuan. According to the results of the proposed selection, 39 kinds of drugs were successfully procured in this centralized procurement, and the average price of drugs was reduced by 56%. Among them, the average price of oseltamivir phosphate dry suspension of influenza A was reduced by 83%.
Seven companies won the bid for oseltamivir phosphate dry suspension, of which the lowest winning bid price was 1599 yuan box, the selected company is Borui Pharmaceutical (Suzhou)**, which is a holding subsidiary of Borui Pharmaceutical, an A-share listed company;The second lowest winning bid was 197 yuan box, the winning company is Guangdong East Sunshine Pharmaceutical Co., Ltd., the third lowest bid price is 248 yuan box, the winning company is Qilu Pharmaceutical (Hainan)**The highest bid price is the imported manufacturer Hetero Labs Limited's oseltamivir phosphate dry suspension (Ovipine), of which the price is 3511 yuan box. Aoweiping's ** company in China is Beimei Pharmaceutical.
Regarding the pricing system of drugs in pharmacies, a chain pharmacy related person told a reporter from Beijing Business Daily that the hospital is a medical insurance centralized procurement and hanging network bidding, so it is fixed, but because of the purchase channels and the nature of profit-making institutions, the sales of each pharmacy may be different. In addition, pharmacies are affected by supply and demand, and some small pharmacies cannot stably take the goods. According to its disclosure, during the epidemic, there was a temporary provision for pharmacies that could only increase the price based on 20% of the cost, but this could not form a terminal selling price based on the cost markup for a long time.
Beijing Business Daily reporter |Yao Qian
Borui Pharmaceutical's official website.
Edit|Aspen.