为深入贯彻落实党中央、国务院决策部署，全面推进落实AG真人国际厅官网省国家组织药品集中采购和使用试点扩大区域范围工作，根据《国务院办公厅关于印发国家组织药品集中采购和使用试点方案的通知》（国办发〔2019〕2号）、国家医保局等九部门《关于国家组织药品集中采购和使用试点扩大区域范围的实施意见》（医保发〔AG真人国际厅官网2019〕56号）和《国家医疗保障局关于国家组织药品集中采购和使用试点医保配套措施的意见》（医保发〔2019〕18号）精神，结合AG真人国际厅官网省实际，AG真人国际厅官网局拟定了《江苏省推进落实国家组织药品集中采购和使用试点扩大区域范围工作实施方案（征求意见稿）》，现向社会公开征求意见。有关意见和建议请于11月5日前通过电子邮件、传真、信函等形式反馈至省医疗保障局医药价格和招标采购处。
chuanzhen:
AG真人国际厅官网lianxidizhi: jiangsushengyiliaobaozhangjuyiyaojiagehezhaobiaocaigouchu211fangjian（nanjingshiqinhuaiqujianyelu168hao10haolou youbian210004）
AG真人国际厅官网jiangsushengyiliaobaozhangju
2019nian10yue28ri
AG真人国际厅官网
江苏省推进落实国家组织药品集中采购和使用试点扩大区域范围工作实施方案
（zhengqiuyijiangao）
weiquebaoguojiazuzhiyaopinjizhongcaigouheshiyongshidiankuodaquyufanwei（yixiajiancheng“shidiankuowei”）gongzuorenwuzaiagzhenrenguojitingguanwangshengquanmianluoshi，genju《guowuyuanbangongtingguanyuyinfaguojiazuzhiyaopinjizhongcaigouheshiyongshidianfangandetongzhi》（guobanfa〔2019〕2hao）、guojiayibaojudengjiubumen《guanyuguojiazuzhiyaopinjizhongcaigouheshiyongshidiankuodaquyufanweideshishiyijian》（yibaofa〔2019〕56hao）he《guojiayiliaobaozhangjuguanyuguojiazuzhiyaopinjizhongcaigouheshiyongshidianyibaopeitaocuoshideyijian》（yibaofa〔2019〕18hao）jingshen，jieheagzhenrenguojitingguanwangshengshiji，zhidingbenshishifangan。
yi、zongtiyaoqiu
（yi）zhuyaomubiao。quanmiantuijinluoshishidiankuoweigongzuo，shifuhetiaojiandeyiliaojigounenggoutigongzhiyoujialiandeshidianyaopin，ranggaigechengguohuijigengduoqunzhong；shixianyaojiamingxianjiangdi，jianqinghuanzheyaofeifudan；jiangdiqiyejiaoyichengben，jinghualiutonghuanjing，gaishanxingyeshengtai；yindaoyiliaojigouguifanyongyao，zhichigongliyiyuangaige；tansuowanshanyaopinjizhongcaigoujizhiheyishichangweizhudaodeyaopinjiagexingchengjizhi。
AG真人国际厅官网（er）zongtisilu。anzhaoguojiazuzhi、lianmengcaigou、pingtaicaozuodezongtisilu，zaiguojiatongyizuzhi、tongyibushu、tongyizhengcedekuangjiaxia，yiquanshenggongliyiliaojigouweijizhongcaigouzhuti，wenbutuijinshidiankuoweigongzuo，quanmianzhixingguojiazuzhiyaopinjizhongcaigoujieguo。
（san）jibenyuanze。yishijianchiyirenminweizhongxin，baozhanglinchuangyongyaoxuqiu，qieshijianqinghuanzhefudan，quebaoyaopinzhiliangjigongying。ershijianchishichangjizhihezhengfuzuoyongxiangjiehe，jizunzhongyishichangweizhudaodeyaopinjiagexingchengjizhi，yougenghaofahuizhengfudapingtai、cuduijie、baogongying、qiangjianguanzuoyong。sanshijianchipingwenguodu、tuodangxianjie，chulihaoshidiankuoweigongzuoyuxianyoucaigouzhengceguanxi。sishijianchibumenliandongronghe，duocuobingju，jiaqiangcaigou、shiyong、jiesuan、zhifudengduofangmiandezonghejianguantixiagzhenrenguojitingguanwang。
AG真人国际厅官网er、shishifanweihecaigouzhouqi
（yi）jigoufanwei。shengneisuoyougongliyiliaojigou、canjiashidiankuoweidejunduiyiliaojigouheziyuancanjiashidiankuoweideyibaodingdianshehuibanyiliaojigou、yibaodingdianlingshouyaodian。
（er）yaopinfanwei。guojiazuzhiyaopinjizhongcaigouheshiyongshidianzhongxuande25getongyongmingyaopin。
（san）xieyiqixian。genjuzhongxuanqiyedeshuliang，zhongxuanyaopindecaigouzhouqifenbiewei1nianhe2nian，shishijiqingkuangkeyanzhangyinian。
san、zhengcecuoshi
AG真人国际厅官网（yi）dailiangcaigou，yilianghuanjia。anzhaoshangnianduagzhenrenguojitingguanwangshengxiangguanyiliaojigoushidiankuowei25geyaopinyongliangde50%-70%jisuanzhongxuanyaopinyuedingcaigouzongliang，jinxingdailiangcaigou，jiangzhongxuanyaopinyuedingcaigouzongliangluoshidaogejiyiliaojigou。xiangguanyiliaojigougenjuzhongxuanjiageyuzhongxuanqiyeqiandingdailianggouxiaohetong，hetongmeinianyiqian。yuedingcaigouyiwaideshengyuyongliang，gexiangguanyiliaojigourengketongguoshengjiyaopinjizhongcaigoupingtaicaigouqitajiageshiyideguawangpinzhong。duiyunarushidiankuoweide25getongyongmingyaopin，tongpinzhongyaopintongguozhiliangheliaoxiaoyizhixingpingjiadeshengchanqiyedadao3jiayishangde，zaiquebaogongyingdeqingkuangxia，yaopinjizhongcaigouzhongbuzaixuanyongweitongguoyizhixingpingjiadepinzhong。
（er）zhaocaiheyi，baozhengshiyong。gexiangguanyiliaojigouyouxianshiyongzhongxuanpinzhong，binggenjudailianggouxiaohetongyueding，zaixieyiqineiwanchenghetongyongliangheyuedingcaigoubiliyaoqiu。caigouliangwanchenghou，rengyingyouxianshiyongzhongxuanpinzhong。
（san）zhiliangyouxian，baozhanggongying。zhongxuanqiyeshibaozhangzhilianghegongyingdediyizerenren，yaoyangezhiliangguanli，zizhuxuandingyoupeisongnengli、xinyuduhaodejingyingqiyepeisong，binganzhaogouxiaohetongjianlishengchanqiyeyingjichubei、kucunhetingchanbaogaozhidu。xiangguanbumenjiaqiangduizhongxuanyaopinshengchan、liutong、shiyongdequanliantiaozhiliangjianguan，jiaqiangshengchanhekucunjiance，fangfanyinjiagexiajiangerjiangdiyaopinzhiliangdexingwei，quebaoyaopinzhilianghegongying。
chubukekangliyinsuwai，chuxianzhilianghegongyingwentidezhongxuanqiyeyingchengdantihuanchanshengdeewaifeiyong，fouzejiangbeishiweishixinxingwei，xiangguanshixinqiyesuoyouchanpinliangnianneibudecanjiaquanshengfanweineisuoyougongliyiliaojigouyaopinheyiyonghaocaijizhongcaigou。
AG真人国际厅官网（si）baozhenghuikuan，jiangdijiaoyichengben。yiliaojigouzuoweiyaokuanjiesuandiyizerenren，yinganhetongguidingyuqiyejishijiesuan，jiangdiqiyejiaoyichengben，yuanzeshangcongyaopinjiaohuoyanshouhegedaofukuanbudechaoguo 30 tian，yanchayiliaojigoubuanshijiesuanyaokuanwenti。yibaojingbanjigouyingjishixiangyiliaojigoujiefuyibaofeiyong。getongchouquyibaojingbanjigouzaiyibaojijinzongeyusuandejichushang，anbudiyucaigoujinede30%tiqianyufujiyiliaojigou，zaiwanchengyuedingcaigoulianghou，yingjiehezhongxuanyaopinshijicaigouliangjixuyuyiyufu，yiliaojigouyingjixubaozhengjishihuikuan。
AG真人国际厅官网（wu）tansuojizhongcaigouyaopinyibaozhifubiaozhunyucaigoujiaxietong。duiyujizhongcaigoudeyaopin，zaiyibaoyaopinmulufanweineideyijizhongcaigoujiagezuoweiyibaozhifubiaozhun，yuanzeshangduitongyitongyongmingxiadeyuanyanyao、canbizhiji、tongguoyizhixingpingjiadefangzhiyao，yibaojijinanxiangtongdezhifubiaozhunjinxingjiesuan。huanzheshiyongjiagegaoyuzhifubiaozhundeyaopin，chaochuzhifubiaozhundebufenyouhuanzhezifu，zhifubiaozhunyineibufenyouyibaoanguidingbaoxiao，ruhuanzheshiyongdeyaopinjiageyuzhongxuanyaopinjizhongcaigoujiagechayijiaoda，jianjindiaozhengzhifubiaozhun，zai2-3nianneidiaozhengdaowei，bingzhidingpeitaocuoshi；huanzheshiyongjiagediyuzhifubiaozhundeyaopin，anshijijiagezhifu。zaibaozhangzhilianghegongyingdejichushang，yindaoyiliaojigouhehuanzhexingchenghelideyongyaoxiguan。
AG真人国际厅官网（liu）tongguojizhizhuanhua，cujinyiliaojigougaige。shenhuayibaozhifufangshigaige，jianliyibaojingbanjigouyuyiliaojigoujian“jieyuliuyong、helichaozhifendan”dejilihefengxianfendanjizhi，tuidongyiliaojigoushiyongzhongxuandejiageshiyideyaopin。duihelishiyongzhongxuanyaopin、lvxinggouxiaohetong、wanchengjizhongcaigouyaopinyongliangdedingdianyiliaojigou，buyinjizhongcaigoupinzhongyaopinfeiyongxiajiangerjiangdicaigouhetongzhixingyigenianduneizongekongzhizhibiao，duicaigoujieguozhixinghetongqineiweizhengchangwanchengzhongxuanpinzhongcaigouliangdedingdianyiliaojigou，xiangyingkoujianxiayinianduyibaofeiyongedu。jixutuijinanbingzhong、anjibingzhenduanxiangguanfenzu、anchuangridengdingefufei，duishiyongjizhongcaigouyaopindezhiliao，buyinyaopinfeiyongxiajiangerjiangdicaigouhetongzhixingyigenianduneidingezhifubiaozhun。gongliyiliaojigouyiliaoagzhenrenguojitingguanwangshouzhixingchengjieyude，keanzhao“lianggeyunxu”（yunxuyiliaoweishengjigoutupoxianxingshiyedanweigongzidiaokongshuiping，yunxuyiliaoagzhenrenguojitingguanwangshourukouchuchengbenbinganguidingtiqugexiangjijinhouzhuyaoyongyurenyuanjiangli）deyaoqiu，tongchouyongyurenyuanxinchouzhichu。
（qi）diaodongyiliaojigoujijixing，quebaoyongliang。gulishiyongjizhongcaigouzhongxuandeyaopin，jiangzhongxuanyaopinshiyongqingkuangnaruyiliaojigouheyiwurenyuanjixiaokaohe、yibaoxieyiguanli。geyouguanbumenheyiliaojigoubudeyifeiyongkongzhi、yiliaojigouyongyaopinzhongguigeshuliangyaoqiu、yaoshiweiyuanhuishendingdengweiyouyingxiangzhongxuanyaopindehelishiyongyugongyingbaozhang。duibuanguidingcaigou、shiyongyaopindeyiliaojigou，zaiyibaozongezhibiao、yiliaojigoujixiaokaohe、yibaodingdianzige、yiliaojigoufuzerenmubiaozerenkaohezhongyuyichengjie。duibuanguidingshiyongzhongxuanyaopindeyiwurenyuan，anzhao《chufangguanlibanfa》he《yiyuanchufangdianpingguanliguifan（shixing）》xiangyingtiaokuanyansuchuli。jiaqianglinchuangyaoshizaichufangdiaojishenhezhongdezuoyong，cujinyunxuyouxianshiyongzhongxuanyaopin。yaojinyibuwanshanyaopinlinchuangyingyongzhinan，jiaqiangyiliaojigouyaopinshiyongjiance，yangechufangshenhehechufangdianping，jiaqiangyishihelinchuangyaoshixuanchuanpeixun，zuzhikaizhanyaopinlinchuangzonghepingjia，cujinkexueheliyongyao，baozhanghuanzheyongyaoanquan。
si、zuzhibaozhang
（yi）mingquebumenzhize。yibao、yiliao、yiyaozhuguanbumenyaogesiqizhi，xiediaoliandong，quebaoshidiankuoweigongzuoshunlishishi。
shengyiliaobaozhangjuchengdanzhidingshidiankuoweigongzuofangan、xiangguanyibaopeitaozhengcehejiandushishidezhize，zhidaogediyibaobumenzuohaoyuedingcaigouliangfenjie、yibaozhifu、jiesuanhezongeyusuanguanlidenggongzuo。
shengweishengjiankangweifuzejiaqiangduigongliyiliaojigoushiyongzhongxuanyaopindezhidaohejiandu，ducugongliyiliaojigouyouxiancaigouheshiyongzhongxuanyaopin，wanchenghetongqineiyuedingcaigouliang。kaizhanyishixuanchuanpeixun，tigaozhongxuanyaopinhelishiyongshuiping。jianggongliyiliaojigouzhixingdailiangcaigouqingkuangnaruyiliaojigoujixiaokaohe。zuohaozhongxuanyaopinlinchuangshiyongqingkuangjiance、jianceyujingyaopinduanquexinxi、zhidaogongliyiyuangaigedeng。
AG真人国际厅官网shengyaopinjianduguanlijufuzeduizhongxuanyaopinshengchan、liutongheshiyongdezhiliangjianguan，qianghuaduibenshengzhongxuanyaopinshengchanqiyedejiandujiancha，ducushengchanqiyeluoshitingchanbaogaocuoshi。
shenggongyehexinxihuatingfuzeducushengneiyiyaoqiyezhongxuanyaopinluoshishengchangongyingzeren、zhichiqiyekaizhanshengchanjishugaizao，tishengzhongxuanyaopingongyingbaozhangnengli。
AG真人国际厅官网shengshangwutingjiaqiangduiyaopinliutongdezhidao。
shengshichangjianduguanlijufuzedajiraoluanshichanggongpingjingzhengdexingwei，qianghuayaopinshichangjiagexingweijianguan,yifachachujiageweifaxingwei。
shengcaizhengtingyifafuzeduiyibaojijindeguanlihejiandu。
shengrenliziyuanshehuibaozhangtingfuzezhidaogongliyiliaojigoujinxingxinchouzhidugaige。
shengzhengwuagzhenrenguojitingguanwangguanlibangongshifuzecaigoupingtaishengjigaizao，shujuxinxiduijie，huizongquanshengzhongxuanyaopincaigouxuqiu，bingjishizuohaowangshangcaigou、peisongdengshujudefenxiheweihu。
（er）jianlilianxihuiyijizhi。zaishengyaopin（yiyonghaocai）jizhongcaigougongzuolingdaoxiaozulingdaoxia，jianliyoushengyiliaobaozhangju、shengweishengjiankangwei、shengyaopinjianduguanliju、shengzhengwuagzhenrenguojitingguanwangguanlibangongshi、shenggongyehexinxihuating、shengshangwutingdengbumenzuchengdelianxihuiyijizhi，yanjiushidiankuoweigongzuozhongdashixiang，xiediaojiejuezhongdawenti，shengyiliaobaozhangjufenguanfuzetongzhidanrenlianxihuiyizhaojiren。lianxihuiyijizhigechengyuandanweiyaoluoshizhengceyaoqiu，jishichutaixiangguanpeitaocuoshi，jiaqiangduigedixiangguangongzuodezhidao，quebaoshidiankuofanweigongzuopingwenyouxutuijin。
AG真人国际厅官网（san）jijituijinyangguangcaigoupingtaiagzhenrenguojitingguanwang。jiakuaishengpingtaishengjigaizao，quanligoujianagzhenrenguojitingguanwangshengyangguangcaigoupingtai，shixianzhengfuduiyaopinjiagehongguandiaokong，qianghuashehuijiandu，tuidongshichangweizhudaodejiagexingchengjizhi，shixianyaopingongyingyuyiyuanxinxixitongdeduijie，guoguanpingtai、yibao、yaojianxitonglianjie，quanchengshishijianguan、xinxiliuchangtong，dadaozhao、cai、pei、yong、guanwugecengmiandezongheguanli。
AG真人国际厅官网（si）yashishudizeren。difanggejirenminzhengfuhexiangguanbumenyaochongfenrenshishidiankuoweigongzuodezhongyaoyiyi，qieshitigaozhengzhizhanwei，yangeluoshizhutizeren，jiaqiangduiluoshishidiankuoweigongzuodezuzhihelingdao，jianliyushengjicengmianduiyingdelianxihuiyijizhi，mingquegexiangguanbumenhetongchoudiquzerenfengong，anzhaoguojiahequanshengshishifanganfenjiexihuawanshanjutijucuo，cengcengyashizeren，renzhenluoshiquebaozhiliang、quebaogongying、quebaohuikuandengzhengceyaoqiu，quebaowanchenggaigerenwu。
AG真人国际厅官网（wu）jiaqiangxuanchuanyindao。geyouguandifanghebumenyaoyijugezizhizejiaqiangzhengcejieduhezhengmianxuanchuan，qianghuaduiyizhixingpingjiadenggongzuodexuanchuanhejiedu，zhongdianzuohaoxiangguanliyiquntidexuanchuanyindao，heliyindaoshehuiyulunhequnzhongyuqi。jiaqiangyuqingjiance，jishihuiyingshehuiguanqie，yingzaolianghaogaigefenwei。jiaqiangduiyiwurenyuandezhengcejieduhepeixun，tuidongzuohaolinchuangshiyongzhongxuanyaopindejieshiyindao。geyouguandifanghebumenyaoqianghuafengxianfangfan，renzhenyanpangongzuotuijinzhongkenengcunzaidefengxian，tiqianzhuxiangzhidingyingduicuoshi，jishifaxianhetuoshanchulikenengchuxiandeqingkuanghewenti，quebaoshidiankuoweigongzuopingwenyouxutuijin。ruyuzhongdawenti，jishibaogao。
2019nian12yue31riqianquanmianzhixingguojiashidiankuoweijieguohegexiangpeitaozhengce。