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骗取医保基金1939万元!思派健康子公司被处罚9695万元

Core Viewpoint - The article discusses the administrative penalties imposed on Heilongjiang Sipai Pharmacy for fraudulent prescription practices, highlighting the implications for the company and the healthcare industry in China [1][2][4]. Company Summary - Heilongjiang Sipai Pharmacy was found to have sold drugs using 7,869 forged prescriptions, leading to a penalty of 96.95 million yuan for defrauding the medical insurance fund [2][4]. - The pharmacy's operating license was revoked by the Harbin Market Supervision Administration on July 1, 2025, following the investigation [2][4]. - The company is a subsidiary of Sipai Health, which reported a revenue of 4.565 billion yuan in 2024, with a loss of 362 million yuan [4][5]. - Sipai Health's specialty pharmacy business generated 3.975 billion yuan in revenue in 2024, accounting for approximately 87% of its total revenue, but saw a year-on-year decline of 5.1% [4][5]. Industry Summary - The incident reflects broader issues within the pharmaceutical retail sector, particularly concerning the sale of prescription drugs without proper authorization, which undermines the integrity of the healthcare system [7][8]. - The regulatory environment is tightening, with increased scrutiny on pharmacies to prevent fraudulent activities that exploit medical insurance funds [6][7]. - The specialty drug market, which includes high-value medications for critical illnesses, is subject to strict purchasing protocols to prevent abuse, indicating a need for compliance and oversight in the industry [7][8].