Objective: It summarizes provincial Volume-based Procurement (VBP), analyzes characteristics and problems, and puts forward suggestions. Methods: Policy and literature analysis and expert consultation are used to analyze the VBP policy. Results: Provincial-level VBP has been fully rolled out. The category width was larger, including a considerable proportion of injections. Grouping rules of most provincial VBP were according to originality which needed to be standardized, and few without quality levels distinguishing faced higher quality control requirements. Provincial VBP generally adopt combined procurement modes and bidding rules. The distribution proportion of purchasing quantity of provincial-level VBP is close to that of national-level VBP. The exploration of determining the purchase quantity according to the decline is carries out. Conclusion: Provincial VBP mainly draws lessons from national VBP. It is necessary to clear targets to correct the disorder of drug procurement, perfect purchase rules and standardize the formulation, improve the conditions for setting payment standards and promote the transformation of the role of medical insurance.