Author: Shang Feng.
If there are no major accidents, the policy of medical insurance outpatient co-ordination covering pharmacies will be fully implemented in 2024. Judging from the policies of the regions that have been implemented, there are "conditions" attached to entering pharmacies that are co-ordinated by medical insurance outpatient clinics, mainly because of the "zero price difference" of medical insurance varieties, or a maximum of 15%;There are higher requirements for the proportion of medical insurance varieties in pharmacy drugs, or there are higher requirements for the annual purchase amount of medical insurance varieties.
As a result, many pharmacies are amazed: with such a high proportion of "low gross profit" goods, how can pharmacies achieve profitability?The subtext is that pharmacies are not profitable to sell medical insurance varieties, or they are not enough to make up for the operating costs of pharmacies.
Is this true?On the surface, this is absolutely true!In the past, although pharmacies also had low-gross profit or loss-making varieties, the proportion of the number was basically controlled within 30%, mostly around 20%, and the pure loss-making varieties or flat-in and flat-out varieties were controlled at about 5%. Now the requirement is about 60%, which has a great impact on the performance of pharmacies, especially profits.
However, is there really no profit margin for medical insurance varieties?In fact, through careful analysis of the phenomenon, it is not difficult for us to come up with the real answer!If there is really no profit margin for medical insurance varieties, that is, there is really zero price difference in hospitals, then, for hospitals, selling medical insurance varieties will not only have no profit income, but also spend a lot of money to build drug storage and sorting equipment, and be equipped with a large number of personnel. So why has the official call for many years of hospital prescription leakage been met with huge resistance from hospitals?
Of course, the reason is not that the sales of medical insurance drugs stay in the hospital, which will increase their actual income, but for example, if the patient's condition does not improve after diagnosis and treatment, is it the hospital's best problem, or the quality problem caused by the storage of the drug?Of course, this is also a reason, but it is certainly not the root cause.
At the same time, on the question of whether there is a profit margin for medical insurance drugs, as long as a person who uses a little bit of money in the pharmaceutical industry, it is not difficult to see the truth through the surface. Comparing the various drugs on the medical security information platform of various provinces** with the retail ** of pharmacies, it is not difficult to find that many of these so-called zero-price difference drugs ** that have been lowered after soul bargaining are higher than the retail ** of pharmacies.
Of course, there are also **lower than the retail sales of pharmacies**, but in the end, let's refer to Baitangping, and compare the market share before the centralized procurement from the price reduction with the market share afterward, and you will understand: how miserable the medical insurance varieties without profit margins will be.
So, are these profit margins reserved for drug manufacturers?How is that possible?Don't the "experts" involved in the medical insurance negotiation go into the pharmacy?Or is it completely cut off from the outside world?It can be said that the participants in all links, including doctors and pharmacists, do not have contact with the outside worldI don't know the **???In fact, there is only one truth, just look at the introduction of corruption cases in the medical sector!
Therefore, pharmacies should not think that there is no profit margin for selling medical insurance varieties, but whether your volume or actual sales volume is enough to attract the attention of manufacturers and their business personnel, and adopt a seemingly compliant and legal way to realize the space. Don't expect to drop prices directly, no matter how big the pharmacy is, it is also in a small position in its national chess game, and it is not enough to damage their "big picture" because of your request!
In fact, the key is to know these truths, the question of how to do it, to be honest, the article of the empty development table, it is really not convenient to explain in detail, those who are interested, can discuss and communicate together!