Annex		『Measures to Eradicate Illegal Medical Rebates』

□ Regarding rebates given in exchange for prescribing or purchasing drugs or medical devices

⇒ Strengthening a voluntary control system through developing legal and institutional tools to get rid of illegal medical rebates at the root by reinforcing the role of members of medical groups.

※ Toughening the standard for self-screening of affiliates of pharmaceutical groups (associations, etc.)

□ Regarding a weak legal basis upon which to punish those disturbing order in the distribution of medicine and medical supplies since pharmaceutical contract sales organizations through which medical rebates are provided do not fall under the category of medical suppliers (pharmaceuticals, importers, and wholesalers) under the Pharmaceutical Affairs Act

⇒ Explicitly providing for a legal phrase to punish pharmaceutical CSOs and establishing management system such as sales agency reporting

□ Concerning  pharmaceutical companies’ illegal transactions     causing leakage of financial resources for health insurance by raising funds to offer illicit economic benefits as medical rebates through post-sales discount, unit price discount, etc.

⇒ Establishing a system of reporting on details of support (e.g. sales incentives, unit price discount, etc.) provided on condition of sales

□ Concerning the act of prescribing a patient who needs medical accessories, or inducing the patient to use, a certain medical device

⇒ Prohibiting the act of prescribing, recommending, or inducing to use, certain medical devices, and publishing it on web-sites, etc. of relevant ministries and organizations so that anybody can be aware of it.

□ Regarding giving unlawful economic benefits to physicians through selling package medical products, including sales on a buy-one-get-one-free basis or on a trade-in basis.

⇒ Establishing a system of management of details of services provided on condition of purchase, such as offering products for payment or free of charge, additional discount, etc.

□ Regarding international medical conference held at home

⇒ Publishing the statement of settlement of various support funds provided for the international conference held at home by pharmaceuticals and drug importers, etc. on an official web-site of medical associations, etc.