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    處方藥如何賣?醫藥電商盼放開網售

    發布時間: 2016-03-15 瀏覽次數: 4758

    處方藥市場龐大,各家醫藥電商在激烈競爭面前忍不住“偷步”。日前,南方日報記者暗訪發現,部分網上藥店和O2O送藥企業存在違規銷售處方藥的問題。廣東省食品藥品監督管理局回應稱,該局對報道高度重視,立即安排檢查組到互聯網交易企業開展全方位的監督檢查,將對違規銷售處方藥等行為依法依規嚴肅處理。據透露,國家已將處方藥相關法規的修訂列入今年立法計劃。處方藥在網上如何賣,今年或許有眉目。

    法規不健全導致處罰力度不夠

    據省食品藥品監管局相關負責人介紹,廣東是互聯網藥品交易強省,對個人消費互聯網藥品交易企業現有82家,全國規模較大企業如康愛多、七樂康、健客、壹號藥店等。該負責人表示,省委、省政府高度重視電子商務發展,省食品藥品監管局也一直重視互聯網藥品交易企業的監管工作,持續開展專項整治,落實企業主體責任,根據違規情況采取警告、約談、限期整改、撤銷GSP認證證書及罰款等處罰措施,規范藥品互聯網交易行為,重點打擊通過互聯網銷售處方藥。

    但是,該負責人也直言,在監管中,確實存在法律法規不完善、企業主體責任不落實、消費者安全用藥意識不強等問題長期以來比較突出,我國藥品分類管理的主要法規《處方藥與非處方藥分類管理辦法(試行)》還是1999年原國家藥品監督管理局發布的部門規章。依據《藥品流通監督管理辦法》,零售藥店違規銷售處方藥的處罰是責令限期改正,給予警告;逾期不改正或者情節嚴重的,處以1000元以下的罰款,震懾力不夠。

    與此同時,企業主體責任落實也不到位。處方藥是否憑醫師處方銷售是衡量藥品分類管理制度實施成功與否的主要標志。由于目前在流通領域對處方藥實行雙軌制管理,僅要求少數處方藥必須憑處方銷售,部分互聯網藥品交易企業利用法規不完善,監管機制漏洞,采取線上咨詢、導購,線下配送形式,逃避監管。

    網售處方藥違規問題存在客觀原因

    該負責人分析,現實操作中,在憑處方銷售時也存在處方的真實性、開方者的資格無法準確判別等難題。而當下醫療機構的處方到藥店配藥的數量較少,沒有處方來源也影響了藥品分類管理深入開展。另一方面,我省執業藥師人數雖然在全國排在前列,但整體數量依然較少,且大部分不在藥品零售企業第一線服務,存在執業藥師數量不足、分布不合理的問題。執業藥師尚未真正承擔起用藥咨詢、用藥指導的作用,在一定程度上影響藥品分類管理工作的質量和實施。

    據悉,根據國家食藥監總局的資料,目前執業藥師約有28萬人,全國有47萬家藥店,再加上診所、醫院藥房以及藥企對執業藥師的需求,整個市場需要200萬名執業藥師才能形成平衡。

    從公眾的角度分析,當前公眾安全用藥知識也有待提高。該負責人表示,在我國,群眾自我藥療歷史悠久,觀念根深蒂固。許多消費者對于只有憑醫生處方才能購買處方藥難以理解。特別是心血管、糖尿病等長期服用的慢性病藥物,患者大多認為長期處方不變,到醫院處方會給自己增加了麻煩,而不是保障了用藥安全。

    另外,邊遠山區的醫療機構只是配備基本藥物,品種少,購藥不方便,不能滿足人民群眾日益增長的用藥需求。在群眾對藥品分類管理的認識水平有待進一步提高的現狀下,互聯網的方便性實用性帶來方便,也是帶來了違規網售處方藥的問題。

    相關法規今年已列入修訂計劃

    廣東省食藥監有關負責人表示,媒體報道后,省食品藥品監管局高度重視。立即安排了檢查組到互聯網交易企業開展全方位的監督檢查,就媒體報道的違規銷售處方藥等行為依法依規嚴肅處理。同時,省食品藥品監管局在3月22日召開全省監管系統會議,部署加強互聯網藥品交易監管、落實藥品分類管理工作,進一步打擊違規銷售處方藥行為。

    “國家總局已將修訂《處方藥與非處方藥分類管理辦法(試行)》列入2016年立法計劃。”該負責人透露,今后,我省監管部門將進一步加強對互聯網藥品交易企業日常監管,進一步落實企業的主體責任,引導企業依法經營,同時加大“處方藥與非處方藥分類管理”宣傳,提高人民群眾安全用藥意識。

    未來網售處方藥該如何管理?七樂康相關負責人認為,處方藥安全與郵寄沒有必然的關系,只要藥品運輸安全有保障的企業就應該允許其處方藥郵寄銷售。在有處方的前提下,顧客應該具有互聯網購買處方藥的權利。另外,社保卡網上支付完全可以放開:第一、互聯網已經具有完美的安全追溯條件,其追溯系統的完整性使得消費者在網上購藥甚至比實體藥店消費更加安全,網上支付醫保卡購藥可以使用網上支付管理體系,確保資金安全;第二、國家只要將網上購藥標準體系建立起來,合理用藥完全可以得到保障。


    廣東一家大型醫療電商負責人認為,處方藥網售應該使用逐步放開的方式,比如由400多家網上藥店根據大數據分析提供目錄給政府審核,等等。既有利于行業發展,也滿足市民購藥的需求。至于藥品運輸安全問題,醫藥電商可以跟有資質的第三方醫藥物流合作,保障網購藥品的安全。

    多位業內人士認為,醫藥電商還處于市場培育階段,目前最難的是培養用戶習慣和信任度。隨著各地互聯網醫院開花,業內人士認為,醫藥電商通過與互聯網醫院合作獲得醫生的電子處方,為互聯網診療提供線下藥品配送服務,也是一種很有想象力的方式。
    云南云龍制藥股份有限公司 版權所有 互聯網藥品信息服務資格證書:(滇)-非經營性-2017-0001 ICP經營許可證號:滇ICP備12001237號-1
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