价差80%！电商平台卖19元，医院卖34.93元，又一乱象曝光

Core Viewpoint - The significant price discrepancies between hospital and retail/e-commerce prices for pediatric calcium D3 granules raise concerns about the effectiveness of centralized procurement policies and public trust in healthcare pricing [1][3][7]. Group 1: Price Discrepancies - Pediatric calcium D3 granules from Hunan Warner Pharmaceutical are priced at 34.93 yuan in a pediatric hospital, while the same product is available for approximately 19 yuan in pharmacies and e-commerce platforms, indicating a price difference of over 80% [1]. - A similar case was reported where a consumer found a vitamin D product priced at 47.4 yuan in a hospital, while the same product was 63 yuan in a retail pharmacy and only 29.8 yuan online [2]. - The price of pediatric calcium D3 granules in hospitals is reportedly higher than the centralized procurement price of 2.495 yuan per bag, which raises questions about the adherence to procurement policies [3][4]. Group 2: Causes of Price Differences - The price discrepancies are attributed to several factors, including the dynamic nature of market conditions, raw material costs, and the potential disconnect between procurement prices and actual supply costs [7][10]. - Public hospitals are expected to follow a zero-markup policy, but actual selling prices may reflect higher supply costs, leading to price deviations from the centralized procurement prices [7][10]. - The lack of timely updates to the listed prices on procurement platforms compared to the competitive pricing in retail and e-commerce markets contributes to these discrepancies [10][11]. Group 3: Regulatory Responses - The National Medical Insurance Administration has initiated actions to compare prices across different sales channels and address any significant discrepancies [14]. - Local governments, such as in Guangdong and Anhui, have implemented rules to ensure that listed prices align with local retail prices and to prompt adjustments when prices exceed a certain threshold [15][16]. - Experts suggest establishing a transparent pricing mechanism that allows for real-time price comparisons across channels to enhance market competition and reduce reliance on administrative controls [17].