Since its establishment，Handan Medical Security Bureau has focused on the chronic disease of high prices of consumables，made bold innovations，and actively explored a new mode of medical consumables procurement，which is centralized procurement at Prefecture and city level + volume procurement. Based on the methods and experience of the national 4 + 7 drug volume purchase，this paper summarizes the achievements of the drug volume purchase and the centralized purchase of consumables from July 1，2019，focuses on promoting the online purchase and improving the settlement method，quickly opens the information channel of the transaction between medical institutions and enterprises，strengthens the refined management of the procurement of consumables，and relieves the government supervision The barrier of management；in view of the scheme design of purchasing consumables with volume，organize the platform and medical institutions to investigate the difficulties and key problems in the actual operation；research and explore reasonable and effective solutions. We need to build a solid foundation for achieving results.