Drugs are not completely cut off from hospital pharmacists, but global raw materials are scarce and it is difficult to obtain goods
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org tw Health > News Current Approvals > Instant News Drugs are not completely cut off Hospital pharmacists: but the global lack of raw materials is difficult to obtain goods 2023/02/25 12 : 25 Drug shortages have spread from community pharmacies to hospitals.
Hospital pharmacists pointed out that due to the global shortage of raw materials, a small number of drugs are no longer as easy to order as before, only about 70% to 80% of the previous ones Although there are still substitutes available, Very few drugs, such as anticoagulants, are running out of stock, and other brands may have to be used.
The picture is for illustration only and has nothing to do with this article (The picture is taken from photoAC) [Reporter Wu Liangyi/Report from Taipei] The drug shortage has spread from community pharmacies to hospitals.
Hospital pharmacists pointed out that due to the global shortage of raw materials, a small number of drugs are no longer as easy to order as before Up to 80%, although there are still alternatives available, very few drugs such as anticoagulants are running out of stock, and other brands may have to be replaced.
Chen Yuying, a pharmacist at Chang Gung Hospital in Linkou and deputy secretary-general of the National Association of Pharmacists, pointed out that the antibiotics that are often talked about recently, such as Amoxicillin, are actually not so easy to sell, but the manufacturers are controlling the supply so that there will be no shortage The goods may not be available, and there are some macrocyclic antibiotics, anti-allergic drugs, etc.
In fact, there are alternative drugs available Please continue to read, but Chen Yuying pointed out that drugs only available in hospitals, such as muscle relaxants and anticoagulants for intubated patients, are more troublesome, because there are relatively few alternative drugs, and anticoagulants alone It is said that there is only one brand at present, although there is stock, but the quantity is not enough.
If it is used up in the future, another brand will have to be replaced, but the mechanism of the drug is different ".
Chen Yuying said that at present, the shortage of medicines has been registered on the medicine shortage platform In response to the shortage of medicines in hospitals, the national health insurance Department stated today that when communicating with medical representatives and the director of the medical center on related issues yesterday, the Taiwan Community Hospital Association provided 58 shortage drug items.
The national health insurance Department compared the drug shortage assessment of the Food and Drug Administration List, most drugs have not been adjusted in the principle of drug price adjustment, and most of the other items belong to the three same items (same ingredients, dosage form, content) that have been included in the national health insurance for more than 15 years or have other alternatives for the same indication.
Or the reason for the lack of medicines is short-term production and supply problems, such as the failure of medicine packaging machines, and the supply has gradually resumed Recently, there have been shortages of medicines.
In response to the shortage of medicines, the national health insurance Administration stated that this year’s price adjustments will take into account factors such as the impact of the epidemic, the Ukrainian-Russian War, and inflation Pharmaceutical shock.
In addition, if the health insurance payment price has reached the basic price or is lower than the basic price after adjustment, no adjustment will be made this year If there is insufficient cost after the drug price adjustment, the manufacturer can check the cost information within two weeks after the announcement and report it to the national health insurance Department.
Before the re-approval is completed, the price will not be adjusted for the time being The national health insurance Administration stated that it is necessary to comprehensively review the health insurance drug price policy, and at the same time establish a risk management and control mechanism to continuously monitor the supply and demand of drugs with limited market or limited supply and clinical demand, and provide appropriate protection mechanisms, and plan drug shortage centers as necessary.
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Later, it will be announced that the Director of Health Insurance Interview 4-3 "Temporarily listing the system to accelerate the payment of new drugs is ineffective, and there will be an exit mechanism for ALS drugs as soon as April Patients will be able to save nearly 14 million in the first year and double the amount of a compound antibiotic! The Food and Drug Administration urgently coordinates and clarifies whether there is any abnormality.
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