New Retail or Professional Retail? New Choice of DTP Pharmacy Driven by Policy

category:Finance
 New Retail or Professional Retail? New Choice of DTP Pharmacy Driven by Policy


New Retail or Professional Retail

In recent years, with more and more Internet companies entering the pharmaceutical retail industry, new drug retail has become a hot word in the industry. Many retail pharmacies have begun to spontaneously or choose to cooperate with Internet companies to develop new businesses such as automatic pharmacy and unmanned retail pharmacy and explore the new drug retail mode.

Xie Zilong, chairman of the Peoples Pharmacy Chain, said that new retailing is a concept that Internet enterprises hype, but it is just a change of tactics for Internet enterprises: If he can subvert traditional retailing by doing new retailing, what will he do if he buys so many substantive pharmacies with controlling shares? He believes that as long as chain retail drugstores seriously do a good job, such as how to do a good job of pharmaceutical professional services around customer needs, how to use Internet thinking to promote professional service capabilities.

As Xie Zilong said, in the pharmacy new retail aspect, to improve professional service capacity has become the consensus of the industry. In recent years, under the background of medical insurance control fee, the policy of pharmaceutical industry has been frequent, and separation of medicine has become a major trend. In 2016, the NDRC issued a document entitled Division of Labor Program for Key Work Departments of Guidance on Promoting the Healthy Development of the Pharmaceutical Industry, which made it clear that medical institutions should formulate prescriptions in accordance with the generic name of drugs and take the initiative to treat patients. Provide prescriptions to protect patientsright to purchase medicines, and do not restrict the outflow of prescriptions.

In April 2017, the State Health Planning Commission issued a circular calling for the comprehensive reform of public hospitals to be carried out by September 30, and all public hospitals to abolish drug additions (except Chinese herbal decoction pieces). The zero-plus policy requires hospitals to cancel drug additions. Except for some traditional Chinese medicines, all medicines in hospitals should be priced at the same price. A third-tier hospital president told the Economic Observer that in order to cope with the high cost of hospital pharmacy department, the hospital now encourages and supports the outflow of prescriptions, but is still doubtful about whether the retail pharmacy can accept the outflow of prescriptions.

At the Western Popular Conference, Wanquan, a researcher from the Health Development Research Center of the National Health and Health Commission, deduced that the theoretical scale of hospital prescription outflow could reach about 250 billion yuan by dismantling the structure of drug costs in public hospitals. This is undoubtedly a huge number, but can social retail pharmacies handle it? Do you have the professional ability to undertake this market?

DTP pharmacy came into being at the historic moment

In this context, the retail pharmacy DTP pharmacy came into being. DTP pharmacy originated in the United States, is a specialized drug sales model. Under this model, pharmaceutical companies directly authorize drug stores to act as agents for their products, and patients take prescriptions issued by doctors to purchase drugs directly from pharmacies, and can obtain professional drug guidance. Different from the traditional retail pharmacies selling OTC and general drugs, DTP pharmacies are mainly for new special drugs such as tumors, autoimmune diseases, and chronic diseases, which need to be taken for a long time. These sales usually have higher gross profit and are the advanced version of general pharmacies.

A person from the retail drug industry told the Economic Observer that DTP pharmacies have indicators and matching evaluation criteria. Not all existing pharmacies can become DTP pharmacies. At the end of 2018, the Ministry of Commerce officially launched the latest edition of Specification for Drug Services for Special Diseases Operated by Retail Drugstores (Trial Implementation). On June 30, this year, the first batch of 60 Specifications for Drug Services for Special Diseases in Retail Drug Stores were published at the Annual Conference of Chinas Pharmaceutical Retail Industry in 2019 and the First China Professional Pharmacy Development Forum sponsored by China Pharmaceutical Business Association. Detailed contents of inspection items are included in the scoring table of on-the-spot inspection in the Standards for Drug Services for Special Diseases Operated by Retail Drug Stores. The inspection includes seven items, including personnel training, business service environment, pharmaceutical care, cold chain management and so on.

People in the industry told the Economic Observer that for retail pharmacies, 80% of the future profits will come from 20% of prescription drug sales, so the construction of DTP pharmacies has become the top priority of retail pharmacies, but the construction cost of DTP pharmacies is huge, not to mention, supporting pharmacist services are even more headache.

The March 15 evening party in 2019 exposed the problem of registration in the pharmaceutical industry. According to the data of the State Pharmaceutical Administration, the number of retail pharmacies in China in 2017 has exceeded 450,000. By the end of 2018, the total number of licensed pharmacists passing the national qualification examination had reached 103,000, of which 418,000 were registered in social pharmacies. However, there is still a big gap between the requirements of having at least two licensed pharmacists in each pharmacy. In July 2019, Yunnan Provincial Drug Administration issued the Notice of Opinions on Further Promoting the Healthy Development of Drug Retail Enterprises (hereinafter referred to as Opinions). The Opinion mentioned that social organizations such as drug circulation industry associations should be encouraged to explore the establishment of licensed pharmacistsremote service centers to provide licensed pharmacists remote pharmacy service and prescription examination service for drug retail enterprises. At the same time, the chain stores of pharmaceutical retail chain enterprises that carry out the telepharmacy service of licensed pharmacists and the prescription examination business may no longer be equipped with licensed pharmacists, but at least one legally qualified pharmacist should be equipped as the quality manager to carry out the pharmacy service. In addition, the licensed pharmacists telepharmacy service can also radiate monomer pharmacies.

But Tu Guangwei, senior consultant of Zhongkang Consulting, said that the remote auditing of retail pharmacies could alleviate the problem of large gap of licensed pharmacists to a certain extent, solve the problem of licensed pharmacistsregistration to a certain extent, and also reduce the cost of human resources of enterprises. However, the remote auditing of retail pharmacies also has disadvantages. Fang, because the remote auditing can not play the role of licensed pharmacists, but also restricts the development of licensed pharmacists. On the one hand, it may reduce the transfer threshold of retail pharmacies, which is not conducive to the overall development of the quality of the industry.

DTP pharmacy also put forward higher requirements for pharmacy pharmacists. Yan Wen, executive vice president of Yunnan Jianzhijia Health Chain Store Co., Ltd., said that DTP pharmacy pharmacists should be able to comprehensively evaluate the efficacy of patientsmedication, and various lifestyles, so as to carry out professional chronic disease management for patients. For example, if a pharmacist finds that the effect of patient assessment is not good in the process of disease management, and when the evaluation is not effectively controlled at a certain stage, he should make professional suggestions for patients to go to the hospital for examination. At present, there are few and more cases of drug interaction management, and the re-education of pharmacists is still a problem to be solved. So, since the hospital pharmacy department has a large number of professionals, which may become the cost burden of the hospital, and the retail chain drugstores hope to rapidly enhance their professional competence, will the talent of the hospital pharmacy department flow to the retail chain drugstores? Yan Wen said that because the prescription of the hospital is still dispensing in the hospital, these pharmacists are still in the hospital, and the brain drain is still relatively small. About a certain degree, talent will flow in. Source: Author of Economic Observatory: Liu Keliang Editor: Zhong Qiming_NF5619

DTP pharmacy also put forward higher requirements for pharmacy pharmacists. Yan Wen, executive vice president of Yunnan Jianzhijia Health Chain Store Co., Ltd., said that DTP pharmacy pharmacists should be able to comprehensively evaluate the efficacy of patientsmedication, and various lifestyles, so as to carry out professional chronic disease management for patients. For example, if a pharmacist finds that the effect of patient assessment is not good in the process of disease management, and when the evaluation is not effectively controlled at a certain stage, he should make professional suggestions for patients to go to the hospital for examination. At present, there are few and more cases of drug interaction management, and the re-education of pharmacists is still a problem to be solved.

So, since the hospital pharmacy department has a large number of professionals, which may become the cost burden of the hospital, and the retail chain drugstores hope to rapidly enhance their professional competence, will the talent of the hospital pharmacy department flow to the retail chain drugstores? Yan Wen said that because the prescription of the hospital is still dispensing in the hospital, these pharmacists are still in the hospital, and the brain drain is still relatively small. About a certain degree, talent will flow in.