Impact of volume-based procurement on the use of original and generic oral hypoglycemic drugs in a hospital
Objective To determine the influence of volume-based procurement on the use of original and generic oral hypoglycemic drugs in a hospital,and reflect on the influence.Methods Excel software was used to summarize the drug price,defined daily dose(DDDs),defined daily cost(DDC),substitution rate and cost saving of oral hypoglycemic drugs in a hospital.Results After the implementation of volume-based procurement,the prices of both original and generic drugs fell.Among them,the unit price of original acarbose decreased 91.39%.The DDDs of original drugs decreased by 8.23%,and the total cost decreased by 85.81%.The DDDs of generic drugs increased by 825.14%,while the total cost decreased by 5.02%.The substitution rate of generic drugs increased from 2.07%to 82.61%,the total cost savings reaching 4.44 million.Conclusion The implementation of volume-based procurement not only reduces the cost of drugs and alleviates the economic burden of patients,but also greatly promotes the replacement of original drugs with generic oral hypoglycemic drugs.
volume-based procurementoral hypoglycemic drugoriginal druggeneric drug