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多省公开“双通道”药店遴选方案，大连锁盯准院边店展开收购，加速布局专业药房。
药店分层将更明显
昨天（6月22日），河南省医保局发布《河南省国家医保谈判药品 “双通道” 定点零售药店遴选方案 (试行)》（以下简称“《遴选方案》”）。
《遴选方案》对有意申请双通道的药店提出了十一项基本条件（文末附完整条件），符合要求的定点药店可提供相应证明材料，自愿申报。
在河南之前，江西、河北、广东等省市也出台了相关遴选标准，随着“双通道”遴选的透明化、普遍化，药店分类将不止普通药店、定点药店两种，定点药店内部的分层也会更加明显——
一是普通定点药店，满足普通医保品类销售，即目前主流的医保药店；二是门诊药店，开通门诊费用直接结算，承接普病、慢病处方；三则是以“双通道”药店，主要销售慢病、特病等的用药。
对照此前河北省医保局发布的《关于将符合条件的定点零售药店纳入门诊保障范围的通知》，“双通道”药店的标准比门诊药店更高。
例如，在门店执业药师配备上，门诊药店要求是“至少应配备1名执业药师，且注册地在该定点零售药店”；此次河南“双通道”药店的要求是“具有2名及以上注册到店的执业药师 (且有一名为执业中药药师)”。
连锁盯准院边店收购
从普通定点药店，到门诊药店，再到“双通道”药店，一层层划分的目的与此前药店分级管理的目的有着相通之处，即推动药品零售行业转型升级。
知名职业经理人李震曾告诉赛柏蓝-药店经理人，国家通过不同标准对现有药店进行分类、分级管理，把原来的整个药店分成N个系列，“能活的继续活着，抓不住机遇的就淘汰”，以此逐步形成达标的方式。
以往，药品零售行业“小、散、乱”问题较突出，行业标准化、信息化、集约化水平整体偏低，药店管理水平和服务能力参差不齐，这些短板都对处方药外流、用药管理的发展造成了制约。
而抓住机会向“双通道”药店、门诊药店转型的门店，在未来承接处方等方面也会更有优势。为此，不少连锁药店已经开始行动了。
某知名上市连锁的高管曾向赛柏蓝-药店经理人透露，目前连锁收购院边店的竞争比较激烈，“因为大家都看好未来的发展，都有意向这些方面去发展。”
各大上市连锁的年报也透露出这股趋势。
例如，国大药房的重点拓展方向就是“医保统筹药房”和“双通道”药店，截至2021年末，国大药房零售门店总数达到10259家，其中专业药房1461家，较上年末增加144家。去年年底，国大药房的“双通道”门店总数共403家，已覆盖全国25个省份。
益丰大药房同样在以院边店为依托，积极布局 DTP 专业药房、“双通道”医保定点以及特慢病医保统筹药房。截至今年5月初，益丰拥有院边店超 500 家， DTP药房237家
老百姓大药房也较重视医院周边布局，以此在“双通道”政策下获取更多竞争优势。截至2021年，老百姓直营门店中院边店占比10%，拥有特殊门诊 452 个，DTP药房145家。全年DTP销售占比约10%，处方药销售占比约36%。
除了老牌龙头连锁，新上市的达嘉维康也在年报中提到，其核心竞争力之一就在于“通过专业药房拓宽处方药的院外销售渠道，又为患者提供专业药学服务及药品配送服务”，未来，达嘉维康也将“以专业药房业务为核心，在重点省份收购连锁药店”，打造专业药房新模式。
河南申请“双通道”药店的11项基本要求
（一）已纳入医疗保障定点零售药店协议管理；
（二）近3年内无重大药品质量事故，无行政处罚，无暂停或解除医保服务协议等情形；
（三）具有与所经营药品相适应确保质量的物流、仓储、配送、冷链等条件 (包括但不限于保温箱、冷藏柜、冷库、UPS、温湿度监控系统等)，具备相关验证报告，具备对所售药品实现电子追溯的技术，做到所售药品全周期信息可追溯，确保每一盒药品来源明确，去向可查，“双通道”管理药品的注射制剂，须由 “双通道”定点零售药店或配送机构按照冷链运输等要求配送至定点医疗机构调配使用，定点医疗机构和定点零售药店共同负责用药安全；
（四）具备冷链药品全程实时监控系统 (有药品贮藏温湿度超出规定范围的实时及远程报警功能)，有关于冷链药品的采购、储存、配送相关管理制度、操作规程和应急预案以及人员培训记录；
（五）具有与零售药店 “双通道”管理药品供应业务相适应的经营管理服务能力和谈判药品供药能力，设置有专门的 “双通道”管理药品经营区域和显著标识，“双通道”管理药品供药率不低于 《河南省医疗保障局 河南省人力资源和社会保障厅关于执行<国家基本医疗保险、工伤保险和生育保险药品目录 (2021年)>的通知》 (豫医保办 〔2021〕72号)内河南省 “双通道”管理药品目录的85% (不包含超出零售药店经营范围药品，随我省 “双通道”管理药品目录动态调整)；
（六）具有2名及以上注册到店的执业药师 (且有一名为执业中药师)，配备 “双通道”药品专职管理人员，设置独立患教区域，为使用 “双通道”管理药品的参保患者建立购药档案(电子或纸质档案)并留存，做到 “一人一档”；
（七）营业用房面积应在100平方米 (含)以上，如为租赁用房，提供自申报之日起3年以上 (申报日期至租赁结束日期)的租赁合同；
（八）使用国家医疗保障信息平台定点管理子系统，具备电子处方流转及追溯或自建功能完善的、能够与国家医疗保障信息平台直接对接的 “进销存”系统，真实、全面、准确、实时上传药品“进销存”数据和结算费用数据；
（九）配置24小时视频监控系统，具备完善的参保患者购药视频采集功能，对购药人员进行身份识别或确认，具备实时上传能力，相关视频至少保存2年以上备查；
（十）所售 “双通道”管理药品必须有正规进货发票，且不高于谈判价格销售；
（十一）具有国家医保谈判药品生产企业或经营企业授权代理资格、与慈善机构援助项目合作的定点零售药店可优先纳入。
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在日常生活中，我们经常会听到一句话：“这个地方的意思是什么？”或者类似的问题。而“该地的意思”作为一个关键词，似乎引发了更多的思考。本文将深入探索“该地的意思”的含义，从不同的角度…
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奶奶走了，整个过程很快…… 图片来自网络 晚上9点半，当我接到弟弟的电话时我惊了一下，听到弟弟很难过的回话声，作为姐姐我本能反应的安慰弟弟，“奶奶走了，她去享福了”，可就在我挂完电…