“都是降血脂的药，名字一样，产地不同，社区医院的价格竟然比药店贵8倍！”9月20日，南京市民刘先生在西祠胡同上发帖，称自己当天在药店买“非诺贝特”只要3元一盒，可此前他在社区医院买的“非诺贝特”却要26.77元一盒。“同样疗效，为何不选低出厂价的药品釆购呢？”昨天，对于刘先生的疑问，扬子晚报记者展开了调查。

"Are all fall hematic fat medicine,name,Different producing areas,Community hospital price unexpectedly than pharmacy your 8 times!"On September 20th,Nanjing citizens XiCiHuTong Mr Liu in the post,Say they are in the drug store to buy"fenofibrate"As long as 3 yuan a box of,But before he bought in community hospitals"fenofibrate"But to 26.77 yuan a box."The same effect,Why not choose low ex-factory price drug can purchase?"yesterday,For Mr Liu's question,Yangzi evening news reporter launched an investigation.

　　网友发帖 抱怨社区医院卖“天价药” Netizens Posting complain that the community hospital sell"Day price medicine"

　　“左边这幅照片中的两盒药名是相同的，都是降低血中‘甘油三酯’的药物。更主要的是，它们的主要成分、化学名称、分子式、分子结构式、分子量都完全相同。只是生产厂家不同，为什么价格不同？”9月20日，刘先生在西祠胡同上发帖讲述自己遇到的奇怪事。

"The picture on the left side of the two boxes of medicines are the same,All is to reduce blood‘triglyceride’drugs.More major is,Their main ingredients/Chemical name/Molecular formula/Molecular formula/Have the same molecular weight.But different manufacturers,Why is the price difference?"On September 20th,Mr Liu in XiCiHuTong Posting on his side of the story meet the strange things.

　　刘先生贴出的图片中有两盒药，"1"号药每盒总量：200mg，产地浙江，药名是“非诺贝特胶丸”。"2"号药每盒总量250mg，产地广东，药名是“非诺贝特胶囊”。刘先生说，"1"号药是他在南京玄武区红山社区卫生服务中心的药房，凭医生处方刷医保卡拿的药，每盒单价26.77元。"2"号药，是刘先生在普通药房买的，每盒的单价3元。“同样疗效的药，在‘零差价’的社区卫生院的价格竟然比药房高出8倍！这还是广大中、老年高血脂病人天天都要服用的、最普通的药品！”刘先生说，他很不能理解“同样疗效的药，为何不选低出厂价的药品釆购呢？”

Mr. Liu posted pictures are two boxes of medicine,"1"The total amount, medicine boxes:200 mg,Origin zhejiang,Medicines are"Fenofibrate capsule"."2"Number each medicine total 250 mg,Origin guangdong,Medicines are"Fenofibrate capsule".Liu said,"1"No medicine is he in nanjing hongshan xuanwu borough community health service center of pharmacy,A doctor's prescription brush cure to keep card take medicine,The magazine unit price 26.77 yuan."2"Number medicine,Is Mr. Liu in ordinary pharmacy buy,The unit price of each 3 yuan."The same therapeutic medicine,in‘Zero spread’Community health center price was higher than pharmacies 8 times!This is in general/Elderly patients with high blood fat every day to take all the time/The most common drug!"Liu said,He is can't understand"The same therapeutic medicine,Why not choose low ex-factory price drug can purchase?"

　　但记者发现，刘先生说的两种药名字的确非常像，但并非完全一样，便宜药最后两字是“胶囊”，贵药的最后两字却是“胶丸”。

But the reporter discovers,Mr Liu said the two kinds of medicine name is really like,But not exactly the same,Cheap medicine is the last two words"capsule",Your medicine is the last two words"capsule".

　　记者探访 药店也有高价“非诺贝特” Reporter visits pharmacy also have high prices"fenofibrate"

　　记者随即电话采访了发帖人刘先生，刘先生告诉记者，非诺贝特是他经常吃的药，此前在红山社区卫生服务中心拿药，一直没觉得价格有什么异样。9月20日，他在南京长营村附近的一家药店偶然看到同样的药，价格竟然只有医院药价的1/9！一时不太相信的刘先生赶紧喊来药店服务员询问是否真有此事，“服务员用电脑查了以后跟我说，确实是3块钱一盒，但暂时只有两盒。”刘先生当即付了90块钱，预定了30盒。“这药经常吃的。虽然医院买药刷的是医保卡，但那也是咱自己的钱啊！还是要省着花才是！”刘先生说。

Reporter telephone interview immediately the post one Mr. Liu,Mr. Liu told reporters,Fenofibrate is he often eat medicine,Previously in the red mountain community health service center medicine,Haven't think the price any different.On September 20th,He in nanjing long camp near the village of a pharmacy happened to see the same drug,The price was only 1/9 of the hospital drug prices!Don't too believe Mr. Liu to shout to drugstore clerk asked whether there is such a matter,"The waiter use the computer to check later said to me,It is 3 yuan a box,But temporarily only two box."Mr. Liu promptly paid 90 dollars,Booked 30 box."This medicine often eat.Although the hospital medicine brush is medical insurance card,But it is also me their money!Still want to save the flower is!"Liu said.

　　至于记者发现的“胶囊”和“胶丸”这一不同点。刘先生说，胶丸是像鱼肝油一样的药丸，没办法掰开的。胶囊则是两半胶囊组成的“用手一掰就开了，可以看到里面的‘药粉’。”刘先生觉得两者差别实在没什么。

As for the reporter discovered"capsule"and"capsule"The differences.Liu said,Capsule is like cod-liver oil pill as,Can't break in.Capsule is composed of two half capsule"With the hand a bye were opened,Can see inside‘powder’."Mr. Liu feel both difference really have.

　　记者随后走访了雨花西路附近的三家药店，这里的“非诺贝特”卖得都不多，只有1种标注是法国生产的“非诺贝特胶囊”，价格是37.6元一盒。“胶囊和胶丸还不一样吃！？”几家药店的服务人员都说，药的成分一样，功效基本都差不多，不用太在意是胶囊还是胶丸。

Reporter then visited yuhua west road nearby three pharmacy,here"fenofibrate"Sell very very much,Only one kind of dimension is the production of France"Fenofibrate capsule",The price is 37.6 yuan a box."Capsule and capsule is not like to eat!?"Several pharmacy service personnel said,The composition of medicine as,Efficacy basic about the same,Don't too care about is capsule or capsule.

　　官方回应 The official response

　　病人可申请更便宜的药 剂型不同差别大 The patient may apply for cheaper drug dosage form different difference is big

　　记者电话联系了南京红山社区卫生服务中心的马主任。马主任告诉记者，医院使用的药早已是“零差率”，医院不赚一分差价。“定价、进药等都是区卫生局负责的，其实我们医院里本还有更贵的非诺贝特，20多元的已经是相对便宜的。”马主任也提醒，医院和药店的进货渠道不一样，“药店以盈利为目的，有些情况并不好说。”

Reporters call the nanjing hongshan community health service center director the horse.Mr Ma told reporters,The use of hospital medicine is already"Zero rate",The hospital not to earn a point spread."pricing/In medicine is area health bureau responsible,In fact we hospital this and more expensive fenofibrate,20 multiple is relatively cheap."Mr Ma also remind,Hospital pharmacy and the sources of different,"Pharmacy to profit for the purpose,Some is not to say."

　　记者随后致电玄武区卫生局，工作人员给出的答复是，自2010年7月15日起，全国医院都严格按照国家基本药物制度定价和采购药物的。“省卫生厅采购中心制定标准，我们严格执行，进行采购。”工作人员说，她查了一下，在采购目录中非诺贝特也有便宜的，“一种片剂，一盒100片，100Mg的主要有4.08元和4.43元。”工作人员说，“如果病人想吃便宜的药可以和医生提出来，有些医院里病人不常买的片剂可能会少一些，但病人提出来要肯定会有的。”

Reporters then call the xuanwu borough health bureau,Staff given the answer is,Since the 2010 years since July 15,The national hospital are in strict accordance with the national system for basic drugs pricing and purchase of drugs."Provincial health department purchasing center formulation of standards,We strictly carry out,To purchase."Staff said,She checked the,In purchasing directory china-africa NuoBei characteristic also have cheap,"A tablet,A box of 100 pieces,100 mg main 4.08 yuan and 4.43 yuan."Staff said,"If patients want cheap medicine can and the doctor out,Some hospital patients do not often buy tablets may be less,But the patient carry out to will surely some."

　　记者最后又联系了南京市卫生局岳处，岳处称，目前全省的医院药价早已是“零差率”。“其实药品的定价和招标都是由省级以上部门制定的，我们都只是严格执行。”岳处说，目前各地医院的药价一定是严格按国家标准销售的，卫生局也会定期检查遵守情况，“病人可随时举报，或者上卫生局官网比对药价是否符合标准。”岳处也提醒，“胶囊”和“胶丸”是两种不同的剂型，不同剂型包装的药吸收效果不同。除此之外，两者生产工艺也不一样，药厂投入的成本也不一样。他在网上也查了一下，刘先生反映的“天价药”网上售价为三十多元。扬子晚报记者 张筠 文 (报料人供图)

Reporters then contacted the nanjing public health in yue,Yue's office says,At present the hospital drug prices is already"Zero rate"."In fact drug pricing and bidding are formulated by the departments at or above the provincial level,We are strictly carry out."Yue said in,The country at present the hospital drug prices must be strictly according to national standards of sales,Health bureau will also regular inspection abide by the situation,"The patient may at any time to report,The health bureau's website or drug prices than in compliance with standards."Yue place also remind,"capsule"and"capsule"It is two kinds of different dosage form,Different dosage form drug absorption effect different packaging.In addition,The production process is different also,Pharmaceutical factory investment cost is not the same.He also looked on the Internet,Mr. Liu reflects the"Day price medicine"Online sells for 30 multivariate.Yangzi evening news reporter ZhangJun text (Writer who offers a plan)