How to get preferential medicine. How and where to get subsidized medications Availability of medications at regional benefits
Thanks to changes in recommendations and orders of the Ministry of Health Russian Federation, many medications will be available by prescription starting March 1, 2017. The beginning of this year turned out to be stormy for many pharmacy chains, as well as the pharmaceutical industry in general. Some instructions have already entered into force, others will come into force soon. Some orders introduced a moratorium on the work of pharmacists, while others made dispensing prescription drugs significantly more difficult.
What prescription drugs are available as of March 1, 2017?
By order of the Ministry of Health, certain restrictions are introduced on the sale of medicinal products. Implementation medical supplies in one hand is carried out in limited quantities. This refers to the trade in syrups and tinctures that contain ethanol in a concentration of at least 15%. Pharmacists can sell no more than two packages per person. The purpose for which they do this is clear to many. Today, not all drugs are bought by people to fight illnesses. This fact is confirmed by the mass poisoning with hawthorn tinctures in Irkutsk, where more than 70 people were injured.
In addition, pharmacists are prohibited from advising clients on more expensive medications if there are inexpensive analogue. Although, according to many representatives of the pharmaceutical industry, such standards were previously prescribed in the instructions for pharmacy workers.
Pharmacists are also required to provide their clients with information about the characteristics and contraindications of medications, as well as their shelf life, storage conditions and dosage. Previously, such things were not talked about at all.
Prescription drugs
According to the law of the Ministry of Health No. 785, medicines are available by prescription from March 1, 2017. An exception is the list of drugs that can be dispensed without a prescription.
The list of prescription drugs since March 1, 2017 is quite extensive. It includes drugs from literally all medicinal groups. Most of all on the list are antibiotics. According to the ministry's idea, they should all be prescription. Therefore, if we act strictly according to the law, more than 50% of all drugs in pharmacies must be sold only with a prescription from the attending physician.
Opinion of representatives of the pharmacy business
According to representatives of the pharmaceutical industry, at present there are practically no recipes in the classical sense. Doctors write prescriptions on pieces of paper. At the same time, according to the director of one of pharmacy chain Kakhaber Bakuradze, today many pharmacy pharmacists are retraining to new way. He also reports that every day everything more people they come to the pharmacy with prescriptions, and pharmacists work exclusively according to instructions, that is, in accordance with current legislation.
Today sale of prescription drugs medicines without availability necessary documents threatens with a fine of up to 50 thousand rubles. Authorities are considering making penalties for selling prescription drugs without a prescription more severe. It's about about potential cessation of activity for a period of up to 90 days.
Information about over-the-counter medications may be placed on shelves, in wobbler and poster formats, as well as on other media so that the buyer can fully familiarize themselves with the product. In a comfortable view it is necessary to place a price tag with the name, number of doses in the package, dosage, manufacturer.
Barcode on medical products
In addition, another important innovation comes into force - labeling on each medicine. A pilot project of the appropriate type is being launched in several Russian cities. the main objective The measures are to combat counterfeit and counterfeit medical products.
According to preliminary data, this project will help track about six billion packs of medical supplies. At the initial stage in March, barcodes will be placed on 60 product items. Including 10 drugs for the treatment of rare ailments, as well as more than 30 names of drugs that are included in the list of vital necessary medications by prescription since March 2017. It is planned that by the end of this year, automation of the accounting system is considered voluntary. IN next year it will be coercive.
According to Rospotrebnadzor, each package of a medical product at production will be equipped with a two-dimensional barcode. It will be located next to information about the period until which the medicine may be valid. Such a system will allow you to determine the origin of the drug without leaving the pharmacy counter.
Difficulties in using the barcode
However, some problems were also discovered. On mobile device A program must be installed to read the code. There is another option. The buyer can use a pharmacy scanner, which must be installed in pharmacies participating in the project. The system will give the buyer comprehensive information about where, who and when the drug was manufactured.
Kakhaber Bakuradze claims that there should be no problems with the new barcodes. The IT department specialists produced all the required templates long ago. This will make it possible to forever forget about counterfeit and gray drugs, the origin of which is unknown. Honest pharmaceutical businessmen will only benefit from such changes.
Are medicines becoming more expensive?
Many are interested in the question of whether these changes will affect ordinary people in a financial sense? According to pharmaceutical market experts, the changes will not affect the cost of drugs in any way. As they report, the new requirements will be useful to buyers, as well as owners of honest pharmacies that do not use illegal schemes for selling drugs.
The cost of drugs should not increase. This is also evidenced by the prices of drugs in pharmacies in January. Prices have hardly changed.
List of free medicines for 2017
It is worth noting that there is a specific list free medicines for 2017 for preferential categories of the population. However, information about free medications is provided by the attending physician. He himself is obliged to inform the patient. If the doctor ignores his duties, the patient has the right to clarify the information. Information about free medications is also provided by the insurance company.
| List of free medicines | |
| Group of analgesics: | |
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| Antiepileptics: | |
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| Antiparkinsonian: | |
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| Psycholeptics: | |
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| Psychoanaleptics: | |
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| Anticholinesterase: | |
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| Treatment of infections: | |
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| Antitumor: | |
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| Strengthening bones: | |
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| Blood clotting: | |
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| Medicines for the heart: | |
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| Bowel preparations: | |
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| Hormonal for the thyroid gland: | |
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| For diabetes: | |
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| Drugs for the treatment of kidneys: | |
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| Ophthalmic medications: | |
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| Asthma medications: | |
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| Antihistamine type medications: | |
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By the way, in 2017 the film “A Cure for Health” was released, which colorfully illustrates the situation with medicines in our country.
An increasing number of patients are faced with the impossibility of obtaining free medicine prescribed by their attending physician. The reason for this is not only the frequent absence the necessary drugs in pharmacies, but also the dishonesty of their employees who refuse to serve beneficiaries. How to protect your rights?
According to the requirements of Roszdravnadzor, there is a clear algorithm of actions that the pharmacist must adhere to if pharmacy there was no subsidized medicine needed by the patient. But not all citizens know about it. Therefore, having heard a refusal, they purchase expensive drugs at personal funds, while leaving violators of their rights without punishment.
What should a pharmacy employee do if there are no subsidized medications?
If prescribed by a doctor free drugs At the time of the patient's request, the drug is not available in the pharmacy, the pharmacist has the right to offer available similar products. If the client refuses to receive substitute medications, then the pharmacist is obliged to act according to the following algorithm:
- Accept a discounted prescription from the patient.
- Register it in a special pharmacy journal of unmet demand, assigning it the status of deferred maintenance.
- Enter recipe details into electronic program institutions.
- Submit a written/electronic request for medications to the supplier company.
The authorized pharmaceutical organization must also register the incoming request and provide an official response to the pharmacy regarding availability/absence and availability this drug. If the application cannot be satisfied on its part, the pharmacy must purchase the drug itself, and the costs incurred will subsequently be compensated by the state.
If the drug is not available in the pharmacy indicated by the doctor who wrote the preferential prescription, the patient has the opportunity to get it at another social pharmacy, provided that it is located on the territory of the same municipality, and the heads of both institutions agreed on this point among themselves. If the drug is not available in the right dosage, the pharmacist can replace it with a medicine with a lower dosage, but increasing its volume to an amount that will be sufficient for therapy. At the same time, to dispense the drug in a larger dosage than prescribed, you must contact your doctor for another prescription. No pharmacy has the right to limit the volume of subsidized medicine. Only the attending doctor has this competence.
How long does it take for the pharmacy to provide medications?
Roszdravnadzor allocates 10 working (not calendar!) days for the delivery of previously unavailable medications. If the drugs were prescribed through a medical commission, then this period increases to 15 days. The client is notified of the arrival of the order often by telephone on the same day that the necessary funds arrive at the pharmacy.
Where should I file a complaint against a pharmacy?
If after specified period delivery of the missing medicine was not carried out, or the pharmacist completely refused service to the client with a preferential prescription, you can first try to resolve the controversial situation by filing a complaint with the manager of the pharmacy. If the violation is not eliminated, you must file an oral or written complaint against the establishment, outlining the essence of the problem. Below are the main ways to file a complaint against a social pharmacy that violates the rights of a beneficiary to receive medicines:
- Call the hotline of the Department of Health of your city/region. You can find out its number from the help desk operators or on the structure’s website, where you can also familiarize yourself with the specialists’ work schedule;
- Contact operators « hotline» Pharmacy Department of the Department of Health of your city/region, having found out its contact information in a similar way;
- Leave a request on the official website of Roszdravnadzor, indicating your contact details, name and address of the pharmacy, detailed description the situation;
- Contact the administration of the clinic where the preferential prescription was issued. The specialist on duty is engaged in the solution controversial issues problems encountered by patients, including the provision of subsidized medications. Information about his work schedule, as well as a contact phone number, can be obtained from the reception desk;
- Submit an application to the prosecutor's office against the organization or official who created obstacles to the patient receiving free medicines, attaching copies of the passport, beneficiary ID, and prescription.
Each pharmacy has the right to refuse to issue a medicine to a person if the preferential prescription was not written on an official form or its validity period has expired. In this case, complaints against the pharmacy will not be considered. And the patient will need to contact his doctor with a request for a new prescription.
You need to fill out a prescription for deferred care at the pharmacy. There they are required to register it in the register of unsatisfied demand. Such a magazine should be in every pharmacy that dispenses medications according to preferential prescriptions.
If a prescription is registered in the backlog, it does not need to be left at the pharmacy. The patient takes it with him, but it must be marked with a mark indicating its acceptance for service: date of registration, pharmacy number, signature of the pharmacist.
After registering a prescription, the pharmacy must submit a request for the drug to the pharmaceutical company authorized to supply preferential drugs to the region and provide the drug to the patient within 10-15 days.
The patient can call the pharmaceutical company that supplies subsidized drugs to the region and find out if they have it in stock. necessary drug, when it will be delivered to the pharmacy, for what reason it is missing. You can also notify the company that the prescription has been accepted by the pharmacy for deferred service (the pharmacy may not inform the company about the deferred prescription). The phone number of the pharmaceutical company can be found at the pharmacy.
If 16 days have passed and the drug has not yet arrived at the pharmacy, you need to write a complaint to the authorized pharmaceutical company that you have not received the discounted drug.
You need to wait for a response, which may indicate that the Ministry of Health did not hold scheduled tenders for the purchase of medicines or the medicine was not indicated in the specification for public procurement. The company's response will be the basis for going to court - based on the content of the response, the defendant is determined: the Ministry of Health and Social Development, the pharmacy, pharmaceutical company etc.
Medicine prescribed to a patient free of charge according to a preferential prescription can be purchased for own funds, and then demand compensation from the pharmacy. To do this, you need to write a claim to the pharmacy with a request to reimburse the costs. If the pharmacy does not reimburse the money spent, you can go to court.
The court may refuse to satisfy a claim for compensation Money, if the medicine is purchased independently and the prescription has not been put on deferred maintenance.
The data set allows you to get detailed information about discounted holiday points medicines, get acquainted with their location on the map, as well as find out the exact address, opening hours and other contact information.
Drug provision is integral part healthcare system and is aimed at guaranteed, timely and high-quality satisfaction of the needs of the Moscow population for medicines for medical use, medical devices, as well as specialized products therapeutic nutrition for disabled children.
Medicine provision as one of the most important components healing process, and first of all, free drug provision for certain categories of citizens entitled to state social assistance is subject to government regulation and control, since it has the most important economic and social significance. IN modern conditions The state must act as a guarantor of the safety, quality and effectiveness of pharmaceutical goods and services to the consumer.
Federal Law of July 17, 1999 No. 178-FZ “On State social assistance"(as amended) establishes the right to receive state social assistance in the form of a set of social services, which includes the provision, in accordance with the standards of medical care, of necessary drugs for medical use according to prescriptions for drugs, medical products according to prescriptions for medical products, and also specialized medical nutrition products for disabled children, for certain categories of citizens specified in articles 6.1. and 6.7. named Federal Law. Also, by order of the Moscow Government dated August 10, 2005 No. 1506-RP “On the implementation of measures social support certain categories of Moscow residents for the provision of medicines and products medical purposes dispensed according to doctors’ prescriptions free of charge or with a 50 percent discount” (as amended), social support measures are provided for certain categories of residents of the city of Moscow.
The provision of medicines for medical use, medical devices, as well as specialized medical nutrition products for disabled children of certain categories of citizens entitled to state social assistance is carried out in pharmacies located in medical organizations, which allows medicinal assistance targeted and accessible. At the same time, dispensing on preferential prescriptions is carried out in the pharmacy departments of the State Budgetary Healthcare Institution "TsLO DZM" (narcotic drugs and psychotropic substances, as well as medications made according to an individual prescription). Many pharmacy organizations are located in close proximity to medical organizations (city hospitals, clinics, oncology clinics), providing the population with easy access to the necessary medical care.
In the presence of medical indications citizens who seek medical help from a medical organization, as well as if it is necessary to continue treatment after the patient is discharged from the hospital, are prescribed medications and prescriptions for them are written out in the prescribed manner. Based on the nature and severity of diseases among privileged categories of citizens, medications for the treatment of diseases in outpatient setting are prescribed in the required quantity directly by the attending physician in accordance with the approved list of medications and are one of the types of state social assistance.
In accordance with the order of the Ministry of Health of the Russian Federation dated December 20, 2012 No. 1175n “On approval of the procedure for prescribing and prescribing medicines, as well as forms of prescription forms for medicines, the procedure for completing these forms, their recording and storage”, the prescription and prescribing of medicines is carried out medical worker according to the international nonproprietary name, and in its absence - the group name. In the absence of international generic name and the generic name of the medicinal product, the medicinal product is prescribed and prescribed by a medical professional by trade name.
In the presence of medical indications (individual intolerance, for health reasons) by decision of the medical commission medical organization medications are prescribed and prescribed: those that are not included in the standards of medical care according to trade names. The decision of the medical commission of the medical organization is recorded in medical documents patient and the medical commission journal.
The temporary absence of a medicinal product in a pharmacy on the day of treatment is not grounds for refusal to issue a prescription. In case of temporary unavailability of medicines, medical products at a pharmacy that dispenses medications and medical products to certain categories of citizens, the pharmacy worker is obliged to supply prescriptions for deferred supply with entry into the “Unmet Demand Journal.” In accordance with the established procedure, measures must be taken to ensure their provision within the time frame approved by the Ministry of Health of Russia: for drugs included in the “federal” List (Order of the Government of the Russian Federation dated December 26, 2015 No. 2724-r) - 10 working days from the moment the patient contacts pharmacy organization and 15 for medications prescribed by decision of the medical commission of a medical organization.
In accordance with the order of the Ministry of Health of the Russian Federation dated December 20, 2012 No. 1175n “On approval of the procedure for prescribing and prescribing medications, as well as forms of prescription forms for medications, the procedure for processing these forms, their recording and storage”:
1. On prescription forms in the left top corner a stamp of the medical organization is affixed indicating its name, address and telephone number. Additionally, the code of the medical organization is indicated on prescription forms.
2. On prescription forms issued individual entrepreneurs, licensed to medical activities, in the upper left corner, the doctor’s address, license number and date, and name of the authority must be indicated in typography or by stamping state power who issued the license.
3. Prescription forms are filled out by the doctor legibly, clearly, in ink or with a ballpoint pen.
4. Registration is allowedall details (except for the details “Signature of the attending physician”) of prescription forms using printing devices.
6. On prescription forms, in the “Age” column, the number of full years of the patient is indicated.
7. On prescription forms in the column “Address or number medical card patient receiving medical care in an outpatient setting" indicates the full postal address of the patient’s place of residence (place of stay or place of actual residence) and the medical card number of the patient receiving medical care on an outpatient basis.
8. In the column “Full name of the attending physician” of the prescription forms, the full last name, first name, patronymic (if any) of the medical worker who has the right to prescribe and prescribe medications is indicated.
9. In the “Rp” column of the prescription forms the following is indicated:
1) on Latin name of the medicinal product (international non-proprietary or group, or trade), its dosage;
2) in Russian or Russian and national languages, the method of administration of the medicinal product.
10. It is forbidden to be limited to general indications, for example, “Internal”, “Known”.
Only abbreviations accepted by the rules are allowed; solid and bulk pharmaceutical substances are prescribed in grams (0.001; 0.5; 1.0), liquid - in milliliters, grams and drops.
11. The prescription is signed by a medical professional and certified with his personal seal. Additionally, the prescription is certified by the seal of the medical organization “For Prescriptions”.
12. Only one name of a medicinal product is allowed to be prescribed on one prescription form.
13. Corrections to the prescription written out on the prescription form are not allowed.
14. The validity period of the prescription written on the prescription form (15 days, 30 days, 90 days) is indicated by crossing out or underlining.
It is prohibited to write prescriptions for drugs:
In the absence of medical indications;
For medicinal products not registered in the Russian Federation;
For medications that, in accordance with the instructions for medical use are used only in medical organizations.
In accordance with paragraph 2 of Article 6.3 of the Federal Law of July 17, 1999 No. 178-FZ “On State Social Assistance” (as amended), the period for providing citizens with a set of social services is a calendar year.
A citizen may, until October 1 of the current year, submit an application for refusal to receive a set of social services ( social services) for the period from January 1 of the year following the year in which the said application was submitted, and until December 31 of the year in which the citizen applies for the resumption of the provision of a set of social services (social services). An application for the resumption of the provision of a set of social services (social services) is submitted before October 1 of the current year for the period from January 1 of the year following the year of filing the application (clause 4 of Article 6.3 of the Federal Law of July 17, 1999 No. 178-FZ “On State Social Assistance” ).
The current situation in Russia.
The Strategy for the provision of medicines to the population of the Russian Federation for the period until 2025, approved by the Ministry of Health of Russia in 2013, provides for the pilot implementation of various models of medicine provision.
Co-financing from patients (with the exception of certain categories of citizens for whom free drug coverage is provided) should depend on the nature of the patient’s disease and the cost of treatment, for example:
Costs are fully reimbursed by the state - for life-threatening, socially significant diseases, which make the largest contribution to mortality in Russia,
A high share of reimbursement is provided for drugs for the treatment of non- life-threatening diseases, but requiring long-term expensive treatment,
Low reimbursement rate - for diseases requiring therapy with low-cost drugs.
It is necessary to analyze the results of various models of pilot projects for drug provision with different categories of citizens participating in pilot projects, various diseases(by flow and cost of treatment) to generate calculations of financial costs.
The introduction of drug insurance in the city of Moscow is possible when the Russian Ministry of Health sums up the results of pilot projects in the constituent entities of the Russian Federation within the framework of the Drug Supply Strategy, which are carried out not for individual nosologies, but in full.
Do you know what?
Already in ancient times, people tried to save their lives using various natural medicinal substances. Most often these were plant extracts, but drugs were also used that were obtained from raw meat, yeast and animal waste. Some medicinal substances are available in easily accessible form in plant or animal raw materials, and therefore, medicine has been successfully used since ancient times big amount medicines of plant and animal origin. Only with the development of chemistry did people become convinced that healing effect Such substances consist in the selective effect on the body of certain chemical compounds. Later, such compounds began to be obtained in laboratories by synthesis.
If you have difficulties obtaining subsidized medications (queues at clinics, lack of medications in pharmacies) - do not give up. Believe that everything will work out for you and be patient! The state provides the opportunity to receive free medicines separate categories population. But people do not always know how to defend their rights and receive the guarantees they are entitled to under the law.
Disabled people and WWII veterans, disabled people of groups I and II, and disabled children have the right to preferential purchase of medicines. It is for this category of citizens that medications are financed by the federal budget. In addition, the right to discounted medications have children under the age of 3 years (if the family has many children, then up to 6 years). However this information Honey is often kept silent. staff of clinics and hospitals. In each individual region there is a list of citizens who are entitled to preferential treatment. There are also a number of diseases for which a citizen has the right to preferential treatment. At the same time, his status and age do not matter. These diseases include tuberculosis, AIDS, diabetes etc. Sometimes benefits are granted on a permanent basis, sometimes temporarily (for example, after a myocardial infarction, a citizen can count on free treatment within six months). To receive discounted medications, you must visit a doctor and show him:- a document according to which you have the right to preferential treatment (pension certificate, veteran’s certificate);
- certificate from Pension Fund certifying that you did not refuse social package, including preferential treatment (for disabled people);
- SNILS;
- compulsory medical insurance policy.
