The "two-vote system" of medicine means that the drug is sold from the pharmaceutical factory to the first-class dealer to issue an invoice, and the dealer sells it to the hospital to issue an invoice again. The "two-vote system" replaced the common seven-vote and eight-vote system, which reduced the exploitation of circulation links and strictly controlled the number of first-class dealers of each variety.

Policy objectives of implementing the two-vote system

1. Reduce drug circulation links, improve circulation efficiency and reduce inflated drug prices;

2. Strengthen drug supervision and realize traceability of quality and price;

3. Reduce the circulation of drugs, purify the circulation environment, and severely crack down on illegal affiliation, commercial bribery, tax evasion and other acts;

4. And promote the transformation and upgrading of related enterprises.

The main purpose of implementing the two-vote system is to "reduce the price of drugs", which is aimed at pharmaceutical commercial companies and pharmaceutical distributors and agents. As for pharmaceutical commercial companies, their role in the pharmaceutical industry is more "logistics distribution+advance funds". The formal implementation of the two-vote system was from 2065438 to June 2007, which is almost three years. Drug prices have not dropped much, and many small distributors and agencies have been swallowed up by large pharmaceutical commercial companies. Sinopharm Holdings, China Resources Pharmaceutical and Shanghai Pharmaceutical Holdings, as the three national commercial group companies in the industry, as well as regional commercial companies such as Zhejiang Intel and Nanjing Pharmaceutical, have become the biggest beneficiaries of this policy reform. The whole circulation industry will be highly concentrated and the pace of merger and reorganization will be accelerated.

When was the two-vote system for medicine implemented?

Since 20 18 10 1, all public medical institutions in the province have implemented the "two-vote system". On August 20 this year, the Provincial Department of Commerce, the Provincial Health and Wellness Commission, the Provincial Taxation Bureau, the Provincial Medical Insurance Bureau and the Provincial Drug Administration jointly issued the Notice on Printing and Distributing the Administrative Measures for Online Ticket Inspection of Drug Purchase in Yunnan Province (for Trial Implementation), relying on the public service platform of "Internet Plus Drug Circulation" in Yunnan Province, establishing and implementing a unified and credible online ticket inspection system in Yunnan Province, and strengthening

Legal basis: Article 22 of the Law of People's Republic of China (PRC) on Tax Collection and Management, the special VAT invoice is printed by the enterprise designated by the competent tax department of the State Council; Other invoices shall be printed by enterprises designated by the State Taxation Bureau and the Local Taxation Bureau of provinces, autonomous regions and municipalities directly under the Central Government in accordance with the provisions of the competent tax authorities of the State Council. No invoice shall be printed without the designation of the tax authorities specified in the preceding paragraph.