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终于明白了什么是“两票制”

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发表于 2020-10-21 12:39:55 | 显示全部楼层 |阅读模式

                    

                    

                    
                    
                    <p style="max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 22.4px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="font-size: 14px;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">1、多票制的现状</strong></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 22.4px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="font-size: 14px;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></strong></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 22.4px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="font-size: 14px;">目前我国医药行业市场上的开票模式“多票制”,指的是药品生产厂家开底价票给代理商(代理商亦可是N重)或其指定的过票公司(过票公司亦可是N重),过票公司开票到商业公司,商业公司回款到过票公司,过票公司返款给代理商。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 22.4px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style="max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 22.4px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><img class="" data-ratio="0.45401174168297453" src="http://mmbiz.qpic.cn/mmbiz/Df7nib0ic4FONIJLd4mc1icbiauByeOJiaiayTfdc1GUBFeAfZoY5XZI1wbCQjPDic0v8WeTQstcibparcfrl6hTlq8tlA/640?wx_fmt=jpeg" data-type="jpeg" data-w="511" style="max-width: 640px; border: 0px; vertical-align: middle; width: 634.406px; box-sizing: border-box !important; word-wrap: break-word !important; visibility: visible !important;" title="未标题-17.jpg" width="100%"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style="max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 22.4px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style="max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 22.4px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="font-size: 14px;">多票制存在的问题非常多。首先最重要的一点,过票公司本身的业务就是不合规的,而且营改增后还存在税务法律方面的风险。从前是医药厂家把经营风险转移出去的同时,也将财税等法律风险一并转嫁,由代理商和过票公司则承担了较高的风险。而现在,随着两票制的到来,靠底价代理模式的代理商将不得不面临营销转型,那么大量靠过票生存的公司会直面生死存亡,甚至会历史追溯。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 22.4px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style="max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 22.4px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="font-size: 14px;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">2、什么是两票制</strong></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 22.4px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="font-size: 14px;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></strong></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 22.4px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="font-size: 14px;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">如图所示:</strong></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 22.4px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="font-size: 14px;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></strong></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 22.4px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="font-size: 14px;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><img class="" data-ratio="0.1737704918032787" src="http://mmbiz.qpic.cn/mmbiz/Df7nib0ic4FONIJLd4mc1icbiauByeOJiaiayThu0lia1oFAMbDRPHjh4KiaAfvYhmEsUgBicIsTQKGPjpibibFlSiciasc4oWw/640?wx_fmt=jpeg" data-type="jpeg" data-w="610" style="max-width: 640px; border: 0px; vertical-align: middle; width: 634.406px; box-sizing: border-box !important; word-wrap: break-word !important; visibility: visible !important;" title="未标题-18.jpg" width="100%"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></strong></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 22.4px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style="max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 22.4px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="font-size: 14px;">国家推行两票制的目的是希望改变目前药价虚高,药品流通环节过多,层层加价的问题。正是因为药品行业有利可图,因此才延伸出了非常多的中间环节,而国家要做的就是要将这些“一刀切”。</span></p><p style="max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 22.4px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></p><p style="max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 22.4px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="font-size: 14px;">两票制甚至一票制的出现,降低药价是一方面<span style="font-size: 14px; max-width: 100%; line-height: 1.6; box-sizing: border-box !important; word-wrap: break-word !important;">,另一方面,可能会使得那些自身销售能力有限、渠道窄小,同时对新增税负敏感的小药企进入了一个更艰难的时期,对跨国药企相对利好,因为他们很早就理顺这些问题了。但这个结果,对于整个国内医药行业来说都是个挑战,而对于各个活下来的移动医疗企业来说,却是大时代到来。</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 22.4px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="max-width: 100%; line-height: 1.6; font-size: 14px; box-sizing: border-box !important; word-wrap: break-word !important;"><br  /></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 22.4px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="font-size: 14px;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">二、两票制带来什么?</strong></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 22.4px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="font-size: 14px;"><strong style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"><br style="max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;"  /></strong></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 22.4px; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);"><span style="font-size: 14px;">“两票制”将促使当前医药行业药品流通格局发生重大调整,将对各类医药生产、流通企业产生深远的影响。<span style="font-size: 14px; max-width: 100%; box-sizing: border-box !important; word-wrap: break-word !important;">压缩药品流通环节的“两票”势必增加厂家的商业成本,厂家用于“分销渠道”的费用将会高度透明化。</span></span></p><p style="max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; 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