home Adviсe List of pharmacies dispensing medications on preferential prescriptions. Preferential drug provision. I. Anticholinesterase drugs

List of pharmacies dispensing medications on preferential prescriptions. Preferential drug provision. I. Anticholinesterase drugs

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Some categories of citizens productively use vital social measure support. Free subsidized medications are prescribed by local therapists (pediatricians) and issued in individual pharmacies according to prescriptions. Every year, hundreds of millions of rubles are allocated from the federal budget for the implementation of this project. Unfortunately, not all people know their rights, so they do not use the privileges intended for them.

The state regularly develops and introduces preferences. Each innovation is supported by a legal act. The process of supplying beneficiaries with medicines is controlled by the federal
decision “On state support for the development of medicine and improving the provision of citizens medicines" dated June 30, 1994

In addition, there is a document that presents a list of approved medications dispensed on a prescription form when providing medical care to specific social groups enjoying privileges.

List of beneficiaries for receiving free drugs

So, not everyone is entitled to government preferences. The list of candidates includes the following persons:

Children under 3 years old.
Disabled people of the Second World War.
Decorated military personnel.
Veterans of the Second World War, Afghanistan, and the Chechen War.
Home front workers.
Participants in combat operations.
Liquidators of the consequences of the nuclear power plant accident in Chernobyl.
Disabled people of all groups.
Large families raising children under 6 years of age.
Low-income people.
Family members of a WWII veteran and disabled person.

The list is supplemented by patients who have undergone organ transplant surgery, as well as those with rare and complex chronic diseases:

Unfortunately, it is worth noting that cancer patients, who are primarily entitled to preferences, do not receive sufficient government support measures. I would like more funding for them and a different quality of medical care. Nevertheless, they are required by law to take drugs that reduce the pain threshold as strongly as possible.

Each healthcare institution has an information board that displays information about beneficiaries and a list of medications, which the attending physician must also have. However, due to some circumstances, the pediatrician or therapist does not want to make the data public and prescribes medications the old fashioned way on an advertising pad. Everything is in the hands of the patient himself. He must demand and defend his rights.

Who writes discounted prescriptions?

It is worth taking a closer look at the officials whose powers the federal law included the procedure for prescribing free forms for receiving medications.

Preferential medicine is taken from the approved list and prescribed by the attending physician in accordance with the disease and medical history. The prescription form is certified by the head of the therapeutic or specialized department.

Features of registration of a preferential document

The procedure for filling out a prescription is the same, so doctors and pharmacists must regularly check and study innovations in this industry. But for some reason, patients regularly suffer from these innovations: either the name is written incorrectly, or there is no dot, or instead of an address they indicate a card number. And every time the patient has to go and redo the paper.

The main fields that the beneficiary can check for accuracy are:

the recipe has a number and series;
age;
Full name of the patient;
home address at the place of registration (only the outpatient card number is allowed);
Full name of the doctor;
stamps: stamp of a clinic, doctor, triangle “for prescriptions”;
doctor's signature;
prescription expiration date.

Check spelling on Latin name of the drug to the common man It’s difficult without the appropriate education, so this fact remains on the doctor’s conscience.

Prescription for preferential treatment drug provision can be passed on to anyone. This is very important when it comes to citizens with limited mobility, who find it difficult to independently pick up the form at the clinic and use it at the pharmacy.

Free children's medications

The most vulnerable category is young patients. There is a choice of drugs in the pharmacy industry, but the funds are not always available to purchase them, since the prices for them are out of the world of fantasy. Rights to preferential provision All children under three years of age, as well as children under six years of age from large families, are provided with medications. In addition to these patients, free drugs are provided to children with rare diseases.
diseases.

After the birth of the baby, parents need to:

register him at his place of residence;
issue a birth certificate;
receive SNILS from the Pension Fund;
order a compulsory medical insurance policy from Alfastrakhovaniye;
attach it to the clinic.

Based on the latter, the child has the right to receive free medications.

What to do if the pharmacy does not dispense discounted medicine?

First, the patient must request a prescription from a doctor. Then a useless trip to the benefits department awaits him. As a rule, these reasons are the basis for the refusal of average patients to receive government support. You don’t always have to blame the pharmacy management - they are just intermediaries between
patients with a preferential prescription and a government machine that supplies medicines to the first party.

So, how to get the coveted pill if the drugs are out of stock in the discount department?

If the medicine is unavailable, it should be replaced with an analogue.
If the drug is temporarily unavailable and cannot be replaced with a similar one, then the rules of action are as follows:

The pharmacy management must register the prescription form;
take all possible measures to reduce the delivery time of the product;
notify the patient when receiving the drug of interest from the warehouse.

If a patient is denied medication, his main task is to report the violation to higher authorities or the departmental head physician.

The regions have established Feedback. Beneficiaries will be helped to check the availability of medications by calling the toll-free multi-channel number 8-800-100-0122. Each pharmacy also has an internal contact telephone number for obtaining information.

Names of free drugs

In 2019, the parliamentary sector made adjustments to the list of vital therapeutic agents. It increased by 42 items and amounted to 646 positions. It is worth noting that 6 pharmaceutical manufacturers operate in Russia, and the list of expensive drugs has increased by one component.

Name of preferential medicines
Removal products pain threshold, antipyretic
1. Morphine 3. Acetylsalicylic acid 4. Ketoprofen	5. Papaverine 6. Paracetamol 7. For children Panadol 8. Ibuprofen	10. Diclofenac 11. Drug 12. Ketorolac 13. Trimeperidine
Drugs for the occurrence of neurological seizures of epilepsy
1. Carbamazepine 2. Oxcarbazepine 3. Benzobarbital 4. Phenobarbital	5. Topiramate 6. Valproevaya complex 7. Ethosuximide 8. Penicillamine	9. Clonazepam 10. Hydrochloroquine
Drugs for Parkenson's disease
1. Carbidol 2. Amantadine	3. Levodopa 4. Benserazide	5. Trihexyphenidyl
For psychoneurological disorders
1. Chlorpromazine 2. Trifluoperazine 3. Zuclopenthixol 4. Quetiapine 5. Oxazepam	6. Fluphenazine 7. Periciazine 8. Haloperridol 9. Olanzapine	10. Quetiapine 11. Thioridazine 12. Flupenthixol 13. Risperidone 14. Diazepam
Remedies for neoplasms
1. Hydroxyurea 2. Interferon alpha-2a or alpha-2b 3. Chlorambucil 4. Anastrozole	5. Medroxyprogesterone 6. Busulfan 7. Flutamide 8. Melphalan 9. Azathioprine	10. Mercaptopurine 11. Methotrexate 12. Tamoxifen 13. Mitomycin 14. Cyclophosphamide
To strengthen the bone skeleton
1. Alendronovaya 2. Colecalciferol	3. Calcitonin 4. Alfacalcidol
To restore intestinal flora
1. Drotaverine 2. Lactulose 3. Dioctahedral smectite	4. Metoclopramide 5. Bisacodyl 6. Pancreatin	7. A and B Sennosides 8. Omeprazole
To normalize kidney function
1. Cyclosporine 2. Finasteride	3. Tamsulosin 4. Doxazosin
Antihistamines
1. Chloropyramine	2. Cetirizine	3. Loratadine
Agents that inhibit the activity of the enzyme cholinesterase
1. Neostigmine methyl sulfate		2. Pyridostigmine bromide
Psychoanaleptics that stimulate the central system
1. Glycine 2. Aminophenylbutyric acid 3. Pipofezin 4. Betahistine 5. Fluoxetine	6. Amitriptyline 7. Ethylmethylhydroxypyridine succinate 8. Clomipramine 9. Tizanidine 10. Piracetam	11. Imipramine 12. Sertraline 13. Vinpocetine 14. Paroxetine
Antibiotics, antivirals
1. Benzyl benzoate 2. Cephalexin 3. Clarithromycin 4. Tiloron 5. Amoxicillin + Clavulanic acid 6. Fluconazole	7. Tetracycline 8. Acyclovir 9. Benzathine benzylpenicillin 10. Metronidazole 11. Cefuroxime 12. Clarithromycin	13. Clotrimazole 14. Ciprofloxacin 15. Sulfasalazine 16. Cephalexin
For the cardiovascular system
1. Propafenone 2. Isosorbide dinitrate or mononitrate 3. Potassium and magnesium aspartate 4. Enalapril 5. Carvedilol 6. Simvastatin 7. Bisoprolol 8. Nifedipine 9. Hydrochlorothiazide 10. Perindopril	11. Lappaconitine hydrobromide 12. Digoxin 13. Sotalol 14. Atenolol 15. Verapamil 16. Losartan 17. Moxonidine 18. Atorvastatin 19. Acetazolamide 20. Indapamide	21. Amiodarone 22. Nitroglycerin 23. Metoprolol 24. Amlodipine 25. Ivabradin 26. Furosemide 27. Spironolactone 28. Clonidine 29. Methyldopa 30. Lisinopril 31. Captopril
In case of illness respiratory tract asthmatic in nature
1. Beclomethasone + Formoterol 2. Acetylcysteine 3. Salbutamol	4. Tiotropium bromide 5. Beclomethasone 6. Formoterol 7. Budesonide	8. Ambroxol 9. Aminophylline 10. Ipratropium bromide + fenoterol
For diabetes
1. Metformin 2. Repaglinide 3. Glucagon 4. Gliclazide 5. Glibenclamide	6. Insulin (biphasic, aspart, biphasic aspart, detemir, glargine, glulisine, lispro, lispro biphasic isophane, soluble
To restore thyroid function (hormonal therapy)
1. Hydrocortisone 2. Prednisolone 3. Levothyroxine sodium 4. Allopurinol	5. Dexamethasone 6. Methylprednisolone 7. Desmopressin 8. Thiamazole	9. Betamethasone 10. Methylprednisolone aceponate 11. Fludrocortisone 12. Bromocriptine
For vision diseases
1. Timolol 2. Pilocarpine
To normalize the blood clotting process
1. Clopidogrel 2. Heparin sodium	1. Pentoxifylline 2. Warfarin

Issuance of preferential medications carried out in accordance with the legislative procedure. Price turnover is controlled and approved by the government of the Russian Federation, which aims to reduce the cost of medicines supplied to medical organizations.

Receipt sequence

The beneficiary needs to know the process of providing a prescription form.

None of medical personnel has no right to refuse to issue the treasured leaflet.
The prescription is issued by the attending physician or other official specified in the charter of the medical institution.
IN rural areas This function is performed by a paramedic.

If a person belongs to one of the social categories, then in order to receive preferential medicine, he should contact his local physician and present a document confirming his status.

List of documents

To receive the benefit, the applicant will have to prepare a package of official papers:

passport;
SNILS;
outpatient medical record;
a certificate from social security confirming the availability of a preferential category;
other documents confirming the disease and special status.

You can refuse the preference by writing an application to the territorial department of social support of the population, and receive monthly monetary compensation. In some cases, this step is justified, since suppliers of subsidized medicines do not meet delivery deadlines and patients are forced to buy expensive drugs with their own money.

The Russian Government compiles a list of preferential medications every year. It is called the list of drugs for medical use. The list of preferential medicines for 2019 was approved by order of the Russian Government The list was approved by Decree of the Government of Russia No. 2738-r dated December 10, 2018 “On approval of the list of vital and essential medicines for 2019, as well as lists of medicines for medical use and the minimum range of medicines necessary for the provision of medical care.”

There are several different lists in the document. You need a “List of medications for medical use, including medications for medical use prescribed by decision of medical commissions of medical organizations” (Appendix 2).

">No. 2738-r dated December 10, 2018. You can receive drugs for free or at a discount only from this list and only to people in preferential categories:

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 dispensing points for subsidized medications, check 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 medical nutrition products for disabled children.

Medicine provision as one of the most important components healing process, and first of all, free medicine individual categories citizens entitled to state social assistance are 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 residents of the city of Moscow for the provision of medicines and medical products 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.

If there are 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.

Temporary absence of a drug in pharmacy on the day of application is not a basis for refusing to issue a prescription. In the event of a temporary lack of medicines and medical products at a pharmacy that dispenses medicines and medical products to certain categories of citizens, the pharmacy worker is obliged to supply prescriptions for deferred supply and enter them in 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.

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) in Latin, the name of the medicinal product (international non-proprietary or group, or trade name), 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 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.