"Ox" is concerned about the hospital's homemade "Shen medicine"

Author:Look at the think tank Time:2022.08.11

Outdoor time is not enough, Atropine is supplemented -this is the choice of Beijing's parents Li Hao in the past year. In order to ensure the study time of his son as much as possible, Li Hao rarely took his son to carry out outdoor activities. However, in order to prevent his son's future glasses, Li Hao aimed at Adin's eye drops and bought it through the Internet hospital every three.

But recently, this "myopia magic" has been "falling" in a question. Several eye medicine companies have announced that Atropine's eye drops have been suspended from online sales, but they can still be opened for offline physical hospitals.

Some people in the industry said that the drug has not been approved for listing in the country in China, and it is sold through the "Internet hospital channel+internal preparation qualifications". risks of.

Only then did Li Hao understand that the "magic medicine" that he often purchased belongs to the internal preparation, that is, the preparation developed by the hospital himself. After fear and anxiety: Is it true that the drugs that have not been approved for listing are true, and how to ensure safety?

There are not many people who buy preparations in the courtyard at will without knowing it. Someone had acne on his face, so he went to the social platform to buy "acne magic medicine"; some people left sequelae after injury, and went to buy "national athlete special trauma cream"; some people suffered from gastritis, so they went to buy "×× Hospital The gastritis nemesis developed "...

When there is demand, there is market. Some businesses seize business opportunities and set up purchasing business through the method of ordering the online order. The reporter recently investigated that self -made medicinal agents in Beijing, Nanjing, Shanghai and other places are selling hot online.

So how exactly does this in -hospital preparation gray interest chain formed?

Wen | Zhao Li, Zhao Jingyi Jia Jingyao

This article is reproduced from the WeChat public account "Daily of the rule of law" (ID: Fazhiribaoxinwen). The original first was released on August 9, 2022. It does not mean watching think tank viewpoints.

Quality and low price of drugs

Patients are rushing

There is no other thing at the white bottle of potion, except for the red explanation content. This acne rubber pressed by a dermatologist at a three -section of Beijing was regarded by Beijing resident Jia Xiaoqi as "acne medicine".

Earlier this year, Jia Xiaoqi's face suddenly had acne on a large area, not only red and swollen, but also did not retreat for a long time. After going to the aforementioned hospital for consultation, the doctor quickly took the medicine list and told Jia Xiaoqi that two of them were self -made medicine for the hospital, did not take medical insurance, and told him how to use it.

Jia Xiaoqi focused on the two self -made medicines that the doctor said, namely external acne rubbing agents and acne particles internally. Both medicines are not expensive, only tens of yuan. The common point is that the outer packaging is extremely rude, and the bottom of the hospital also focuses on the hospital. After taking the medicine for a period of time, Jia Xiaoqi's face skin improved.

"For patients, as long as the medicine is useful, it will definitely repurchase, especially behind these self -made medicines. There are often hospital reputation, which is even more convincing." Jia Xiaoqi said that some self -made medicines are a bit like "magic medicine recipes". Except for the difficulty of buying, you can't see other shortcomings.

According to Zheng Xueqian, vice president of the Chinese Society of Health Law, the internal preparations are the products of the special era. At the beginning of the founding of New China, due to the backward pharmaceutical industry in my country, the production and supply of drugs cannot meet social needs. Therefore Drugs used in the research and development of hospitals to fill the vacancy of the market. This promotes the development of the internal preparations, and many hospitals have formed during this period.

"At the same time, some hospital preparation rooms also have problems such as many varieties, mixed dosage forms, rough preparation quality standards, and backward inspection equipment." Zheng Xueqian said that the internal preparations can only be purchased by patients at their own expense and cannot be reimbursed by medical insurance. It is to facilitate the treatment of patients to treat patients and achieve better diagnosis and treatment effects. It is not to promote the market. Therefore, its pricing is not for profit, and there is a special pricing formula. There is no problem of zero difference. "

Despite the flaws, the internal preparations are still a new "top flow" due to low prices and "endorsement" of hospitals, with a lot of fans.

The reporter's investigation found that on various social platforms, there were many people who admired the preparations in the hospital like Jia Xiaoqi. With keywords such as "hospital self -made medicine", "hospital divine medicine" and "intra -hospital preparations", you can see a large number of posts from netizens sharing related clinic experience and recommendation in the hospital in the hospital. A useful hospital self -made medicine. " Many netizens in the comment area of these posts are "asking for recommendation" and "buying".

Beijing resident Yan Bei is keen to collect the "magic medicine" of various hospitals on social platforms. She showed a screenshot of her medicine "planting grass" to reporters. One of them was used by the dermatology research and creation of a three -level hospital in Beijing for acute exudate dermatitis or eczema. "This ointment can only be prescribed through this hospital's dermatology department Get, you can only buy one at a time, the unit price is 6 yuan. " The reporter noticed that the drug label indicates that "this preparation is limited to the use of this medical institution", and its approval number is "Beijing Pharmaceutical Word".

"On social platforms, this" small medicine "sharing blog post is particularly popular, and almost every article has many users' to seek purchasing." Yan Bei told reporters that in addition to offline treatment, purchasing also purchases such in -hospital preparations. One of the methods of ointment. 2

Requirement to the market

Purchase free pricing

According to regulations, the internal preparations can only be purchased in the development hospital, but the huge demand has spawned a online sales chain.

The reporter searched and found that in some of the posts and blog posts mentioned in the hospital, from time to time, some netizens asked "whether you can purchase", and most bloggers will reply to "can be performed".

"Sometimes I see someone recommending some dermatologists on social platforms. I will go to the e -commerce platform to search for the name of this medicine, and I see that there are purchasing procurement for these medicines." Yan Bei said.

The reporter searched the name of Yan Bei mentioned on an e -commerce platform and found that there were indeed merchants engaged in purchasing, and the medicines of several well -known three -in -one hospitals in Beijing were within their purchasing scope.

In order to avoid risks, merchants have started a purchasing business on social platforms, claiming that "selling major internal preparations" and "providing various medical services" and so on.

After the reporter contacted a purchasing agent, after adding his private chat account, the other party said that "the internal preparations of the Three A Hospital in Beijing can be purchased, and there are also ways to go outside the city hospital, but it will be longer." The circle of friends has released a lot of self -made medicines from hospitals, with a lot of copywriting, such as "popular trauma cream, the best gift for parents! ×× Hospital star products! Now this season, there are many people with leg pain and arms. The effect is superb! National athletes special medicine "" Treasure of the town house of the largest Chinese hospital in Asia, compound jujube cream, life -saving straw of insomnia "," various gastritis nemesis, stomach relief capsule, ×× hospital for more than 30 years of clinical trials The results of scientific research solve the pain for countless gastric patients ... "

After asking the price, the reporter found that the price of the internal preparations they sold was more than double the original price. Taking acne rubbing agents as an example, the hospital's official website specifies the price of 30 yuan per bottle, and its price is 80 yuan, not free shipping. Regarding the pricing, the purchasing agent explained that all the medicines on their hands were registered regular medicines, which added registered fees, labor costs, and leg running fees based on the original price.

It is not new to preparations such as free pricing and pricing price in the courtyard.

The reporter found from a purchasing agency that can buy a self -made drug in Nanjing's hospital that he will release a video of his queues in the hospital once a month. The names of the four people have repeatedly appeared. The diagnosis of the column is basically "pigmentation after inflammation", "eczema", "hair loss" and other common skin symptoms. The average purchase of the corresponding 3 to 5 ointment is purchased. Some can open 10 to 20 branches.

During the communication between the reporter and the purchasing purchase, the other party said that the ointment was not limited to the purchase. In the end, the transaction price of the "nicotinamide gel" purchased by the reporter was more than 4 times that of some users on the social platform. The obtained ointment obtained on the purchased ointment also shows that "this preparation is limited to the use of this medical institution", the approval number is "Soviet Pharmaceutical", and the shelf life is less than 1 year.

Another purchasing agent recommended an intra -hospital preparation to the reporter, saying that its medicines were registered through the hospital, "absolutely reliable". The original price of related drug hospitals is 55 yuan, plus registration fee and leg running fee, the purchase price is 120 yuan.

Purchase running operation

It is difficult to distinguish between the authenticity of the medicine

It is worth noting that the reporter's investigation found that the purchasing agent in the hospital has almost become "group".

Through the search, the reporter added several in -hospital preparation purchases, and found that his circle of friends claimed that "the experts can be registered on behalf of experts, special effects of major hospitals in Beijing, and medical cosmeceuticals."

When the reporter asked whether one of the purchasing purchases could be distributed, the other party explained that: At present, the hospitals are strict and controlled by each hospital. You can reduce the price. The reporter asked how to buy 80 units at one time, and the other party said that it would take about a week to issue it. "In order to avoid pressing goods, this business rarely stocks, so it is not possible to prescribe such a large amount of medicine at present, and you need to find a partner 'borrowing'." The purchasing agent said.

It is not only the above -mentioned "partnership" when it comes to the "partnership" of preparations in the hospital. There are also purchasing agents that the "ox" of the internal preparation has formed its own "small circle", and each purchasing purchase has different "mouths".

When the reporter asked the child to prepare for the child's prescription to a child -made drug purchasing at Nanjing ×× Hospital, the other party said that he was no longer a medicine for a children's hospital. He had handed this "mouth" to others. Essence The reporter was recommended by his business card and contacted another purchase. The other party also said that he "changed his mouth, and the children's mouth was not easy to run recently."

During the survey, the reporter also asked for medicine in the name of pubic pain. Some purchasing agents recommended the "magic medicine" of a well -known orthopedic hospital in Beijing. When the reporter searched the drug online, he found a website that specializes in purchasing self -made drugs in Beijing's hospitals. The page design is perfect, which is no different from the formal company website packaging.

The website sector composition includes self -made drug display in major hospitals in Beijing, profile in Beijing's major hospitals, news and contact information, and there are many hospitals involved. Each hospital has a very detailed introduction page. There are 200 kinds of self -made medicines that can be purchased, including the "magic medicine" of most hospitals. In the news bar, there are messages saying, "All medicines are purchased when they are registered. Please use it with confidence. It is definitely a genuine hospital." The website will also notify the buyer's latest drug access information through some secret words. In the column of contact information, the seller's various platform accounts are attached. Mr. Ma, a pharmaceutical representative, who has been in the industry for two years, revealed that the purchasing agent in the hospital is different from the pharmaceutical representatives: the business method of the pharmaceutical representative is to obtain the agency right to the drug, and cooperate with relevant hospitals and surrounding pharmacies to provide partners with medicines to provide medicines with medicines. Many pharmaceutical representatives chose to "keep the rabbit" outside the diagnosis and treatment, and when the patient's inquiry came out, he stepped forward to recommend his own drugs to open the market; and today's intra -hospital preparation purchases need to be registered to prescribe the prescription to prescribe the medicine.

"Although all purchases claim that the source of their medicine is absolutely formal and registered in person, it is actually difficult to guarantee." Mr. Ma said.

A doctor of the Chinese Medicine Department in a hospital in Beijing also told reporters that the internal preparations are prescribed drugs, and not the patient can buy it, and the medicine is determined according to the patient's situation. "It is impossible to open a dozen bottles at one time. Purchase may be fakes. "

Disappointed by facial diagnosis

Risk cannot be underestimated

In addition to finding purchasing agents in the hospital, online consultation has now become another "path".

On the social platform, some bloggers gave the entire process of purchasing the in -hospital preparations through the online consultation channels: click "Medical Services" in "Internet Medical" below the "×× Health" public account to complete the registration Later, you can choose the hospital for "online retail consultation".

After the reporter's experience, I noticed that in the process, the platform will repeatedly reminders that the uncle's first diagnosis recorders cannot conduct online re -examination, not only limited the number of service purchases within 1 month and 1 day, and fill in "Details Details" within 1 day. It is also necessary to upload photos of the most recent medical records, and said that the doctor has the right to determine whether the picture is compliant. If the non -compliance will be refunded, the single service price is 12 yuan.

However, although the reporter only uploaded a local skin picture, he also received the doctor's "retraining". After simply describing the condition, the doctor prescribed three ointments of vitamin E milk paste, nicotinamide gel and cottononin ointment, and explained how to use and courier.

On some social platforms, many netizens also provide themselves to obtain these ointments with online diagnosis without a first diagnosis. For example Netizens said that they spent two or three hundred yuan to open dozens of ointments with different effects.

However, is it really safe to buy in -hospital preparations at will?

A three -hospital pharmacist department in charge of pharmacist introduced to reporters that the general listing of the general listing drugs is "Chinese Medicine", such as "Z" in Chinese medicine; the in -hospital preparations are produced by the hospital by themselves. so tall. She also said that the shelf life of the general hospital is relatively short, and there are certain safety risks without facial diagnosis. It is not recommended that patients choose to choose to purchase.

Taking the "myopia magic medicine" Atropine as an example, Zheng Xueqian told reporters that Atto's eye drops are a kind of antibrokerd drug, which is an M-receptor blocking agent. There are many side effects and contraindications in clinical practice, which may cause perspiration, which can cause adverse reactions such as high fever, dryness, blurred vision, blurred vision, flushing skin, difficulty in urination, rare eye pressure, allergic rash or herpes. Long -term use of this medicine dripping eye can cause local allergic reactions and drugs to contact bond conjunctivitis. Even low -concentration Atto cannot be used at will. Patients should follow the prescription and doctor's advice to ensure the safety of medication under the guidance of the doctor to ensure the safety of medication.

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