反对过度内卷！国家医保局：本次集采不再简单选用最低报价，要求企业不低于成本报价

Core Viewpoint - The National Healthcare Security Administration has released the 11th batch of centralized drug procurement documents, emphasizing principles of stabilizing clinical needs, ensuring quality, preventing collusion, and countering excessive competition. Group 1: Stabilizing Clinical Needs - The primary goal of the procurement is to ensure clinical medication needs, with optimized reporting methods for medical institutions allowing for both generic and brand-specific reporting [4] - Approximately 46,000 medical institutions participated in this procurement, with 77% of the reported quantities specified by brand [4] - The procurement volume is set at 60% to 80% of the reported quantities, allowing institutions to choose brands for the remaining portion [4] - New selection rules encourage major companies to participate by offering opportunities to those whose products meet clinical demand but did not initially qualify [4] - Special attention is given to ensuring the supply of pediatric medications, with adjusted pricing rules for small specifications to encourage supply [4] Group 2: Ensuring Quality - The procurement process has incorporated higher quality control standards based on feedback from regulatory bodies [2] - Bidders must have at least two years of production experience for similar formulations, and their production lines must pass GMP compliance checks [4] - The assessment of production quality has been expanded to include the production line's compliance history [4] - Preference will be given to companies with stable quality and clinical recognition when bids are equal [4] Group 3: Preventing Collusion - Measures to prevent collusion have been enhanced, including treating closely related companies as a single entity during bidding [4] - A "first to report leniency" mechanism has been introduced to encourage reporting of collusion [4] - Stricter penalties will be applied to companies found to be colluding, including being placed on a violation list [4] Group 4: Countering Excessive Competition - The procurement will implement a "weak elimination" rule to prevent extreme price increases, with the highest valid bid being a critical measure [5] - Adjustments to price control mechanisms will ensure fairness and prevent excessively low bids from disrupting the market [5] - Companies are required to commit to not bidding below their costs, with explanations needed for any bids below the established price anchor [5] - The procurement process will strengthen the execution of selected results, holding companies accountable for timely delivery and medical institutions for adhering to procurement agreements [5]