On January 1, 2012, the law of 12 May 2011 on the reimbursement of medicines, food products of special nutritional purpose and medicinal products, intended to tighten up the reimbursement system, came into force in Poland. The new legislative act has significantly altered the previous principles of retail marketing of products subject to publicly financed reimbursement. First of all, the prices of reimbursed products have been unified through the introduction of fixed margins and prices and a ban--completely unknown until now--on using free market sales practices. These regulations are intended to lead to the abolition of price competition and its replacement with competition as to the quality of services provided by pharmacies. At the same time, entities engaged in retail marketing of medicinal products have been imposed a number of new obligations and highly repressive penalties for failure to fulfill them. The paper analyzes the legislative changes and points out the consequences, both those which can already be seen and the predictable ones. The assumed priority and criterion of evaluation of the reimbursement policy in question is its impact on the functioning of pharmacies which, according to the premises of Polish pharmaceutical law, should play the role of public health protection institutions.

译文

2012年1月1日,旨在加强2011年5月12日报销制度的《药品,特殊营养食品和药品报销法》在波兰生效。新的立法法案大大改变了以前接受公共融资报销的产品的零售营销原则。首先,通过引入固定利润和价格以及禁止使用自由市场销售做法的禁令 (迄今为止完全未知),已报销产品的价格已经统一。这些法规旨在废除价格竞争,并以药房提供的服务质量竞争代替竞争。同时,从事药品零售营销的实体受到了许多新的义务,并因未能履行这些义务而受到高度压制性的处罚。本文分析了立法变化,指出了已经可以看到的后果和可以预见的后果。所假定的有关报销政策的优先事项和评估标准是其对药房运作的影响,根据波兰制药法的前提,药房应发挥公共卫生保护机构的作用。

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