原研药与仿制药的药品最高零售限价与药品集中招标采购中标-中国药房.PDFVIP

·药品招投标与配送· 原研药与仿制药的药品最高零售限价与药品集中招标采购中标 价的差异比较 ＊ # 万 曜 ，刘 宝（复旦大学公共卫生学院/健康风险预警治理协同创新中心/ 卫生部卫生技术评估重点实验室， 上海 200032） 中图分类号 R95 文献标志码 A 文章编号 1001-0408（2015）15-2032-03 DOI 10.6039/j.issn. 1001-0408.2015.15.06 摘 要 目的：为深化我国药品价格改革提供参考。方法：通过纳入的抗微生物药物和循环系统药物（94个品规），计算我国 2005－2013年原研药与仿制药最高零售限价和药品集中招标采购中标价差率。结果：仿制药最高零售限价与中标价差异大，而 原研药最高零售限价与中标价则较为接近。就仿制药而言，抗微生物药的最高零售限价与中标价差率明显高于循环系统药；而就 原研药而言，抗微生物药的最高零售限价与中标价差率接近循环系统药。结论：药品最高零售限价与药品集中招标采购中标价并 存的格局应逐步转型为以药品集中招标采购中标价为基础的格局。 关键词 药品最高零售限价；药品集中招标采购；中标价；价格改革 Comparative Study on the Differences between the Maximum Retail Price and Purchasing Tender Price of Original and Generic Drugs WAN Yao ，LIU Bao （School of Public Health ，Fudan University/Collaborative Innovation Center of Social Risks Governance in Health/Key Lab of Health Technology Assessment ，Ministry of Health ，Shanghai 200032，China ） ABSTRACT OBJECTIVE ：To provide reference for the deepening veform of drugs price in china. METHODS ：Based on the 94 antimicrobial and circulatory system drugs ，the percentage differences between the maximum retail price and tender price of origi- nal and generic drugs from 2005 to 2013 were calculated. RESULTS ：The percentage difference between maximum retail price and tender price in generic drugs was large, while the corresponding difference in original drugs was much smaller. Regarding generic drugs, the percentage difference between maximum retail price and tender price for antimicrobial drugs was larger than that for circu- latory system drugs. Regarding original drugs ，the percentage difference between maximum retail price and tender price for antimi- crobial drugs was similar to that for circulatory system drugs. CONCLUSIONS ：The coexistence of maximum retail price and ten- der price should be gradually changed to a system based on centralized tendering pr