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Table 2 Pilot new medicine distribution models and procedures

From: Distribution of essential medicines to primary care institutions in Hubei of China: effects of centralized procurement arrangements

Distribution Model Main Procedure
Medicine-tied distributor Qualified distributors share the task of delivery of medicines, each delivering certain numbers of medicines. Only one distributor is allowed for each type of medicines. If established contracts between a supplier and the listed distributors exist, they remain valid.
Those distributors are eligible to deliver the medicines specified in their contracts. Suppliers can also enter into a new contract with those who do not have an existing contract, for distributing certain types of medicines.
Recipient-tied distributor One distributor is selected by a primary care institution (from those nominated by suppliers and selected by local government) to deliver all of its ordered medicines. Existing contracts remain valid between a supplier and the listed distributors. A supplier has to establish a new contract with the listed distributors if no valid contract exists.
Recipient-medicine-tied distributor A supplier nominates two distributors for each of its supplied medicines. The primary care institution chooses one of them as a distributor for the specified type of medicines. A supplier nominates two distributors (from the panel list of government approved distributors) for each of its medicines; once accepted, the supplier enters into a contract with the distributors for delivering the specified medicine.