{"id":6354,"date":"2020-12-17T18:52:39","date_gmt":"2020-12-17T15:52:39","guid":{"rendered":"http:\/\/www.ced.org.tr\/?p=6354"},"modified":"2021-06-04T18:03:09","modified_gmt":"2021-06-04T15:03:09","slug":"eczaci-karliliklari-giderek-azaliyor","status":"publish","type":"post","link":"http:\/\/www.ced.org.tr\/?p=6354","title":{"rendered":"Eczac\u0131 Karl\u0131l\u0131klar\u0131 Giderek Azal\u0131yor"},"content":{"rendered":"\n<p>\u00d6ncelikle nedir bu ila\u00e7 fiyat kademeleri meselesi ?<\/p>\n\n\n\n<p>Hepimizin bildi\u011fi \u00fczere, d\u00f6viz kurundaki de\u011fi\u015fime ba\u011fl\u0131 olarak yap\u0131lan ila\u00e7 fiyat g\u00fcncellemeleri ile ila\u00e7lar\u0131n fiyat\u0131 y\u00fckselirken, ila\u00e7 fiyat kademelerinin g\u00fcncellenmemesi sebebiyle eczac\u0131n\u0131n karl\u0131l\u0131\u011f\u0131 giderek azal\u0131yor.&nbsp;<\/p>\n\n\n\n<p>G\u00fcncelleme i\u015flemine dayanak olu\u015fturan kararla<a href=\"applewebdata:\/\/FECB7644-55DD-42AF-9A72-64B95D90C8A8#_ftn1\"><sup>[1]<\/sup><\/a>&nbsp;eczac\u0131 ve depocu karl\u0131l\u0131klar\u0131 be\u015f kademede 2015 y\u0131l\u0131nda al\u0131nan karara g\u00f6re, a\u015fa\u011f\u0131daki gibi uygulan\u0131yor:<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"872\" height=\"360\" src=\"http:\/\/www.ced.org.tr\/wp-content\/uploads\/2020\/12\/image.png\" alt=\"\" class=\"wp-image-6355\" srcset=\"http:\/\/www.ced.org.tr\/wp-content\/uploads\/2020\/12\/image.png 872w, http:\/\/www.ced.org.tr\/wp-content\/uploads\/2020\/12\/image-300x124.png 300w, http:\/\/www.ced.org.tr\/wp-content\/uploads\/2020\/12\/image-768x317.png 768w\" sizes=\"auto, (max-width: 872px) 100vw, 872px\" \/><\/figure>\n\n\n\n<p><sub>Kademeleri belirleyen bu fiyat aral\u0131klar\u0131 2015 y\u0131l\u0131ndan bu yana g\u00fcncellenmedi bununla beraber, ila\u00e7 fiyatlar\u0131nda her y\u0131l yap\u0131lan g\u00fcncellemelerle bir \u00e7ok ilac \u00fcst kademelere ta\u015f\u0131nd\u0131. Zam alarak \u00fcst kademelere ta\u015f\u0131nan ila\u00e7lar\u0131n kar oranlar\u0131 azald\u0131 ve bu tablo 2015\u2019 ten bu yana eczac\u0131 ve depocu karl\u0131l\u0131\u011f\u0131n\u0131n y\u0131ldan y\u0131la giderek azalmas\u0131 ile sonu\u00e7land\u0131.<\/sub><\/p>\n\n\n\n<p>Bir \u00f6rnek eczane i\u00e7in yaln\u0131zca 2020-2021 ge\u00e7i\u015finde, ortalama de\u011ferler \u00fczerinden basit\u00e7e hesaplad\u0131\u011f\u0131m\u0131zda,<\/p>\n\n\n\n<p>\u00d6rne\u011fin, \u015eubat 2021\u2019 de %20\u2019 lik bir ila\u00e7 fiyat art\u0131\u015f\u0131 yap\u0131laca\u011f\u0131 varsay\u0131l\u0131rsa ;&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td><\/td><\/tr><tr><td><strong>KADEMELER<\/strong><\/td><td><strong>ZAMLI KADEME<\/strong><\/td><td><strong>\u00dcR\u00dcN SAYISI<\/strong><\/td><td><strong>ESK\u0130 F\u0130YAT<\/strong><\/td><td><strong>YEN\u0130 F\u0130YAT<\/strong><\/td><\/tr><tr><td><strong>1<\/strong><\/td><td>1<\/td><td>739<\/td><td>25,0%<\/td><td>25,0%<\/td><\/tr><tr><td><strong>1<\/strong><\/td><td>2<\/td><td>245<\/td><td>25,0%<\/td><td>25,0%<\/td><\/tr><tr><td><strong>2<\/strong><\/td><td>2<\/td><td>2389<\/td><td>25,0%<\/td><td>25,0%<\/td><\/tr><tr><td><strong>2<\/strong><\/td><td>3<\/td><td>175<\/td><td>25,0%<\/td><td>25,0%<\/td><\/tr><tr><td><strong>3<\/strong><\/td><td>3<\/td><td>443<\/td><td>25,0%<\/td><td>25,0%<\/td><\/tr><tr><td><strong>3<\/strong><\/td><td>4<\/td><td>123<\/td><td>25,0%<\/td><td>24,3%<\/td><\/tr><tr><td><strong>4<\/strong><\/td><td>4<\/td><td>352<\/td><td>23,4%<\/td><td>22,2%<\/td><\/tr><tr><td><strong>4<\/strong><\/td><td>5<\/td><td>84<\/td><td>21,0%<\/td><td>19,9%<\/td><\/tr><tr><td><strong>5<\/strong><\/td><td>5<\/td><td>817<\/td><td>13,6%<\/td><td>13,3%<\/td><\/tr><tr><td><strong>Genel Toplam<\/strong><\/td><td><strong>&nbsp;<\/strong><\/td><td><strong>5367<\/strong><\/td><td><strong>20,72%<\/strong><\/td><td><strong>20,45%<\/strong><\/td><\/tr><tr><td>&nbsp;<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td><strong>0,27%<\/strong><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><sub>Hesaplama ila\u00e7 kademelerinin da\u011f\u0131l\u0131m\u0131 bak\u0131m\u0131ndan genel ortalama dikkate al\u0131narak yap\u0131lm\u0131\u015ft\u0131r.&nbsp;Yani %20\u2019lik ila\u00e7 fiyat zamm\u0131n\u0131n yarataca\u011f\u0131 kademesel de\u011fi\u015fimin eczane karl\u0131l\u0131\u011f\u0131na yans\u0131mas\u0131, ila\u00e7 fiyat kararnamesinde bilindi\u011fi \u00fczere Eczac\u0131 Karl\u0131l\u0131\u011f\u0131 ilk \u00fc\u00e7 kademede %25\u2019e sabitlenmi\u015ftir. Bundan dolay\u0131 ilk \u00fc\u00e7 kademede negatif bir etki yoktur. Eczane taraf\u0131ndaki negatif etki 3. Kademeden 4. kademeye, 4. Kademenin kendi i\u00e7erisinde, 4. Kademeden 5. Kademeye ve 5. Kademenin de kendi i\u00e7erisindedir.<\/sub><\/p>\n\n\n\n<p>Bir \u00f6rnek olarak incelenen, zam \u00f6ncesi A\u011f\u0131rl\u0131kl\u0131 Kademeli Eczac\u0131 Karl\u0131l\u0131\u011f\u0131&nbsp;<strong>%20,72<\/strong>&nbsp;olan eczanenin, zam sonras\u0131 A\u011f\u0131rl\u0131kl\u0131 Kademeli Eczac\u0131 Karl\u0131l\u0131\u011f\u0131&nbsp;<strong>%20,45<\/strong>\u2019e&nbsp;<strong>d\u00fc\u015fecektir.<\/strong><\/p>\n\n\n\n<p>Kademe da\u011f\u0131l\u0131m\u0131 bu ortalamadan farkl\u0131 olan, \u00f6rne\u011fin 4. Ve 5. Kademe a\u011f\u0131rl\u0131\u011f\u0131 daha y\u00fcksek olan eczanelerin&nbsp;<strong>karl\u0131l\u0131\u011f\u0131 oransal olarak daha da fazla d\u00fc\u015fecektir<\/strong>. Bunun yan\u0131nda unutulmamal\u0131d\u0131r ki ge\u00e7ti\u011fimiz y\u0131llarda bu g\u00fcncellemenin yap\u0131lmay\u0131\u015f\u0131yla, 2015 y\u0131l\u0131ndan bu yana&nbsp;<strong>karl\u0131l\u0131klar\u0131m\u0131z bir \u00f6nceki y\u0131la g\u00f6re eczane \u00fcr\u00fcn gam\u0131na g\u00f6re de\u011fi\u015fen oranlarda ancak d\u00fc\u015ferek seyretmi\u015ftir.&nbsp;&nbsp;<\/strong><strong><\/strong><\/p>\n\n\n\n<p>Yan\u0131 s\u0131ra 2020- 2021 y\u0131llar\u0131 i\u00e7in ge\u00e7irmekte oldu\u011fumuz ola\u011fan \u00fcst\u00fc salg\u0131n s\u00fcrecinde, B Grubu re\u00e7etelerin say\u0131lar\u0131n\u0131n azalmas\u0131yla beraber, eczane cirolar\u0131ndaki 1. 2. ve 3. kademe ila\u00e7lar\u0131n a\u011f\u0131l\u0131klar\u0131n\u0131n azalmas\u0131 ile T\u00fcrkiye ila\u00e7 pazar\u0131nda 4. Ve 5. kademe ila\u00e7lar\u0131n a\u011f\u0131rl\u0131\u011f\u0131n\u0131n belirgin olarak y\u00fckseldi\u011fi izlenebilmektedir.&nbsp;<\/p>\n\n\n\n<p>Da\u011f\u0131t\u0131m kanallar\u0131 bak\u0131m\u0131ndan ise; 4. ve 5. Kademe ila\u00e7lar\u0131n depocu br\u00fct karl\u0131l\u0131klar\u0131n\u0131n %4 ve %2 oldu\u011fu ve 1. 2. ve 3. dahil her kademe ge\u00e7i\u015finde depocular i\u00e7in, karl\u0131l\u0131\u011f\u0131n azald\u0131\u011f\u0131 da dikkate al\u0131nd\u0131\u011f\u0131nda, bu karl\u0131l\u0131k d\u00fc\u015f\u00fc\u015f\u00fcn\u00fcn da\u011f\u0131t\u0131m kanallar\u0131na daha y\u00fcksek oranda yans\u0131d\u0131\u011f\u0131 ve yans\u0131yaca\u011f\u0131 anla\u015f\u0131lmaktad\u0131r. Depoculuk faaliyet giderlerinin cirodan, b\u00fcy\u00fck oranda %2\u2019 nin olduk\u00e7a \u00fcst\u00fcnde bir pay ald\u0131\u011f\u0131 bilgisiyle beraber de\u011ferlendirildi\u011finde g\u00fcncelleme yap\u0131lmay\u0131\u015f\u0131n\u0131n sekt\u00f6r\u00fc negatif olarak, farkl\u0131 oranlarda ama mutlaka etkiledi\u011fi anla\u015f\u0131labilmektedir.&nbsp;<\/p>\n\n\n\n<p><strong>Karl\u0131l\u0131klar\u0131m\u0131z\u0131n g\u00fcnden g\u00fcne erimesinin \u00f6n\u00fcne ge\u00e7mek i\u00e7in!<\/strong><strong><\/strong><\/p>\n\n\n\n<p>\u00c7\u00f6z\u00fcm yollar\u0131 a\u00e7\u0131k ve ortadad\u0131r:<\/p>\n\n\n\n<p>Kademeleri belirleyen fiyat aral\u0131klar\u0131, ila\u00e7 fiyat de\u011fi\u015fimleri oran\u0131nda g\u00fcncellenmelidir.&nbsp;<\/p>\n\n\n\n<p>Kademelerdeki karl\u0131l\u0131k oranlar\u0131 erimenin \u00f6n\u00fcne ge\u00e7ecek bi\u00e7imde y\u00fckseltilmelidir.&nbsp;<\/p>\n\n\n\n<p>Ve bu de\u011fi\u015fiklikler, mevzuat gere\u011fi i\u00e7inde bulundu\u011fumuz Aral\u0131k ay\u0131 i\u00e7erisinde yap\u0131lmal\u0131d\u0131r.<\/p>\n\n\n\n<p>Zira, \u201cBe\u015feri T\u0131bbi \u00dcr\u00fcnlerin Fiyatland\u0131r\u0131lmas\u0131 Hakk\u0131nda Tebli\u011f\u201d in, Ger\u00e7ek kaynak fiyat de\u011fi\u015fiklikleri ba\u015fl\u0131kl\u0131 10 uncu maddesinde yer alan takvim kapsam\u0131nda firmalar taraf\u0131ndan Kuruma yap\u0131lan ba\u015fvurular ve Kurumca yay\u0131mlanan ara listelere itirazlar\u0131n de\u011ferlendirmelerinin, her y\u0131l oldu\u011fu gibi bu y\u0131l da Aral\u0131k ay\u0131nda yap\u0131laca\u011f\u0131 hepimizin malumudur.&nbsp;<\/p>\n\n\n\n<p>Meslek \u00f6rg\u00fctlerimiz, fiyat de\u011fi\u015fikli\u011fi olacak ila\u00e7lar\u0131n g\u00fcncel listelerini yay\u0131nlamaktan \u00f6te, eczanelerimizin eriyen karl\u0131l\u0131klar\u0131yla sonu\u00e7lanan bu durumu dikkate almak, konu ile ilgili eczac\u0131 kamuoyunu bilgilendirmek, karl\u0131l\u0131klar\u0131m\u0131z\u0131n giderek erimesi kar\u015f\u0131s\u0131nda m\u00fccadele etmek, gerekli giri\u015fimlerde bulunarak s\u00fcre\u00e7 ve sonu\u00e7lar\u0131 eczac\u0131 kamuoyunun dikkatine sunmakla g\u00f6revlidir.<\/p>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<p><a href=\"applewebdata:\/\/FECB7644-55DD-42AF-9A72-64B95D90C8A8#_ftnref1\"><sup>[1]<\/sup><\/a>&nbsp;10 Temmuz 2015 Tarihli ve 29412 Say\u0131l\u0131 Resm\u00ee Gazetede yay\u0131mlanan 2015\/7752 Say\u0131l\u0131 BE\u015eER\u0130 TIBB\u0130 \u00dcR\u00dcNLER\u0130N F\u0130YATLANDIRILMASINA DA\u0130R KARAR<strong>&nbsp;<\/strong>https:\/\/www.titck.gov.tr\/faaliyetalanlari\/ilac\/ilacta-fiyatlandirma&nbsp;&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6ncelikle nedir bu ila\u00e7 fiyat kademeleri meselesi ? Hepimizin bildi\u011fi \u00fczere, d\u00f6viz kurundaki de\u011fi\u015fime ba\u011fl\u0131 olarak yap\u0131lan ila\u00e7 fiyat g\u00fcncellemeleri&#46;&#46;&#46;<\/p>\n","protected":false},"author":1,"featured_media":5917,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1,1234,64],"tags":[],"class_list":["post-6354","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ced","category-duyuru","category-mevzuat"],"aioseo_notices":[],"jetpack_featured_media_url":"http:\/\/www.ced.org.tr\/wp-content\/uploads\/2018\/08\/loge\u00e7a\u011fda\u015f-kopya-e1534576680113.png","jetpack_sharing_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/6354","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=6354"}],"version-history":[{"count":2,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/6354\/revisions"}],"predecessor-version":[{"id":6360,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/6354\/revisions\/6360"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/media\/5917"}],"wp:attachment":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6354"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=6354"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=6354"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}