赠药模式与国家医保药品谈判模式对药品销售情况的影响对比——以曲妥珠单抗为例  

Comparison of the effect between drug donation model and national drug negotiated model on drug sales:taking trastuzumab as an example

作　　者：胡紫馨 谢金平 王苑如 邵蓉[1] HU Zixin;XIE Jinping;WANG Wanru;SHAO Rong(Research Center of National Drug Policy&Ecosystem,China Pharmaceutical University,Nanjing 211198,China)

机构地区：[1]中国药科大学国家药物政策与医药产业经济研究中心,南京211198

出　　处：《中国药房》2022年第19期2305-2308,2313,共5页China Pharmacy

基　　金：国家社会科学基金重大项目(No.15ZDB167)。

摘　　要：目的对比赠药模式与国家医保药品谈判模式对企业药品销售情况的影响,为制药企业优化经营策略提供案例参考。方法基于江苏省A市2013-2018年的医保统计及结算数据,以曲妥珠单抗为代表药品,对其在实施赠药策略和进入谈判药目录期间的销售、使用情况进行对比,同时对部分患者的用药行为变化进行分析。结果实施赠药策略后,当年曲妥珠单抗的销售量较上年提升了193.87%,销售额增长了155.71%,随后增长趋势趋于平稳;进入国家谈判药品目录后,曲妥珠单抗当年的使用人数较上年增长了87.68%,销售量增长了48.06%;销售额在单价大幅降低的情况下依然增长了22.81%。2种模式均能提升药品销量,同时多元线性回归结果也证明,不同模式对患者曲妥珠单抗使用量有显著影响。结论在药品单位价格水平近似相同的情况下,赠药模式与国家医保药品谈判模式均能提升药品销售量,扩大药品覆盖面;而后者进一步降低了患者的用药门槛,在提升患者用药可及性的同时对企业销售、发展也起到了正向影响作用。OBJECTIVE To compare the effect between drug donation model and national drug negotiated model on drug sales,and to provide reference for pharmaceutical enterprises to optimize their business strategies.METHODS Based on medical insurance statistics and settlement data of city A in Jiangsu province from 2013 to 2018,trastuzumab was selected as the representative drug.The sales and utilization of trastuzumab were compared during the implementation of the two models.At the same time,the changes of medication behavior of some patients were analyzed.RESULTS After the implementation of drug donation model,sales volume and turnover of trastuzumab increase by 193.87% and 155.71% in that year compared with the previous year,and then the growth trend became stable;after including the national negotiated drug list,the number of users of trastuzumab in the year increased by 87.68% compared with the previous year,and the sales volume increased by 48.06%;turnover increased by 22.81% even though the unit price decreased significantly.Both models could improve drug sales,and the results of multiple linear regression also proved that different models had a significant impact on the consumption sum of trastuzumab in patients.CONCLUSIONS Under the condition that the unit price level of drugs is approximately the same,both drug donation model and national drug negotiated model can increase the sales volume and expand the coverage of drugs.The latter reduces the drug threshold of patients,and plays a positive role in improving the drug accessibility of patients and the sales and development of enterprises.

关 键 词：赠药模式 国家医保药品谈判 以量换价 药品价格 

分 类 号：R979.1[医药卫生—药品] R-012[医药卫生—药学]