Sergei Sobyanin
Free medicines for the heart. New program of the Moscow Government
In recent years, we have created a full-fledged network of vascular centers for the surgical treatment of heart attacks and strokes.
Now we solve the next task - improvement systems for the prevention of cardiovascular diseases.
Every year, more and more effective drugs appear on the market that reduce the risk of developing a heart attack or stroke.
Unfortunately, these drugs cost a lot of money. You need to take them for a long time or even for life. Most of those in need simply cannot afford them. Therefore, today the Moscow Government approved a program of free drug provision for citizens suffering from cardiovascular diseases.
We will purchase in total 8 new drugs for three groups of patients:
1) Patients after acute myocardial infarction.
The main risk in this group is a second heart attack. To prevent it, or at least to postpone it, for six months, patients receive free antiplatelet drugs.
But, according to doctors, six months is too short a period.
Under the new program, the provision of free drugs will be extended for at least one year.
We will buy ticagrelor and prasugrel.
2) Patients suffering from atrial fibrillation.
As you know, this is the shortest path to stroke.
Patients with atrial fibrillation will receive modern anticoagulants(blood thinners) that reduce the risk of stroke by 5 times. As a rule, you will need to take them for life.
We will buy dabigatran etexilate, rivaroxaban and apixaban.
3) Patients with high blood cholesterol.
High cholesterol leads to both heart attack and stroke.
In this case, statins are the standard therapy. But, unfortunately, even drugs as effective as statins do not always achieve the desired goal.
Therefore, patients with an extremely high risk of developing heart attacks, strokes and insufficient effectiveness of statins will be prescribed new hypolipidemic drugs that lower cholesterol levels.
We will buy alirokumab, evolocumab and ezetimibe.
According to our estimates, free medicines will be received by about 80 thousand Muscovites who need them.
Medicines will be prescribed regardless of the presence or absence of disability or other privileged status - solely for medical reasons.
It will be possible to apply for anticoagulants in the coming days, and the rest of the drugs - from January 2020.
Hopefully the new drug program will help save many lives. Be healthy!
Preferential drug provision
Currently, in the city of Moscow, there is a procedure for preferential drug provision for certain groups of the population entitled to benefits, approved by the Order of the Moscow Government dated 10.08.2005 No. 1506-RP "On the implementation of measures of social support for certain categories of citizens of the city of Moscow for the provision of drugs and medical products. appointments dispensed by prescriptions of doctors free of charge or with a 50% discount. "
The aforementioned decree approved: the List of population groups, for outpatient treatment of which drugs and medical products are dispensed on prescriptions of doctors free of charge or with a 50% discount, and the List of categories of diseases, for outpatient treatment of which medicines and medical products are dispensed on prescriptions of doctors free of charge.
Federal Law of 17.07.1999 No. 178-FZ "On State Social Assistance" 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, with the necessary drugs for medical use on prescriptions for medicinal drugs, medical devices on prescriptions for medical devices, as well as specialized medical food products for disabled children, for certain categories of citizens specified in Articles 6.1 and 6.7 of the said Federal Law.
Pharmaceutical organizations that provide logistics services for the provision of drugs to certain categories of citizens on prescriptions from doctors for free or with a 50% discount in the city of Moscow:
CJSC, CJSC, Zelenograd Administrative District of Moscow - LLC "TD" Pharm-Center "
Eastern Administrative District, Northern Eastern Administrative District, Southern Administrative District of Moscow - ZAO VILARD
ZAO Moscow - OOO FTK Vremya
South-Western Administrative District of Moscow - PJSC "Pharmimex"
CAD, SEAD, TNAO of Moscow - GBUZ of the city of Moscow "Center for drug supply of the Department of Health of the city of Moscow
Children from large families under the age of 18 are provided with medicines free of charge (these social support measures are provided to large families until the youngest child reaches the age of 16 (students in an educational institution implementing general education programs - up to 18 years) in accordance with the Law of the City of Moscow from 23.11.2005 № 60 "On social support for families with children in the city of Moscow."
Information on the procedure for providing citizens with a package of social services
In accordance with clause 2 of Article 6.3 of the Federal Law of 17.07.1999 No. 178-FZ "On State Social Assistance" (as amended on 22.08.2004, 29.12.2004), the period for providing citizens with a set of social services is a calendar year.
In accordance with clause 1.11 of the order of the Ministry of Health and Social Development of Russia dated December 29, 2004 No. 328 "On approval of the procedure for the provision of a set of social services to certain categories of citizens", an application to refuse a set of social services for the next year is submitted by a citizen to the territorial body of the Pension Fund of the Russian Federation annually within a period of up to 1 October this year. Citizens have the right to revoke the submitted application for refusal to receive a set of social services (social services) for the next year before October 1 of the current year.
It is allowed to refuse to receive a set of social services in full, to refuse to receive a social service provided for in clause 1 of part 1 of article 6.2 of Federal Law No. 178-FZ dated July 17, 1999 (additional free assistance, including providing in the presence of medical indications, a voucher for sanatorium-resort treatment), and refusal to receive social services provided for in paragraph 2 of part 1 of article 6.2 of the Federal Law of July 17, 1999 No. 178-FZ (provision of free travel on suburban railway transport, as well as on intercity transport to the place of treatment and back).
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Who is eligible for concessional drugs?
The legislation defines several categories of citizens who can count on free medicines:
· WWII veterans and invalids, as well as participants in other hostilities;
· Liquidators of accidents at the Chernobyl nuclear power plant;
· Citizens affected by political repression in the 20th century;
· People recognized as victims of political claims - spouses and relatives of those convicted for political reasons;
· Children under three years old. For children from large families, the age threshold is set up to six years;
· Disabled children under the age of sixteen;
· Mothers with many children with at least ten dependent children;
· Heroes of the Russian Federation and the USSR;
· People with disabilities of 1-3 groups.
In addition to these categories of citizens, people suffering from the following diseases have the right to receive medicines free of charge:
Myeloid leukemia
· Multiple sclerosis;
· Gaucher disease;
· Cystic fibrosis;
· Hemophilia;
· Cerebral palsy;
· Oncology;
· Tuberculosis;
Asthma
· Lepra;
· Schizophrenia;
· Dystrophy;
· General blood disease;
· HIV;
Citizens who have undergone a transplant of internal organs have the right to receive specialized medications free of charge.
What medicines are free for disabled people?
The complete list of free medicines for disabled people includes about 400 items.
Providing a disabled person of 1-3 groups of a specific medicine on a preferential basis depends on the illness of the disabled person.
More detailed advice on preferential dispensing of medicinal products to a person can be provided by his attending physician.
In addition to the Federal List, there is a regional list of free medicines.
Local authorities have the right to independently include certain medicines in the regional preferential list.
Today, the following categories of medicines are subject to vacation on preferential terms to disabled citizens:
1. Pain relievers narcotic drugs;
2. Psychostimulants;
3. Antidepressants;
4. Antipyretics;
5. Anti-inflammatory medicines;
6. Psycholeptic means;
7. Anxiolytics;
8. Antiepileptic drugs;
9. Antiparkinsonian drugs;
11. Beta blockers;
12. Macrolides;
13. Diuretics;
14. Inhibitors;
15. Antiarrhythmic drugs;
16. Cytostatics;
17. Antifungal drugs;
18. Anxiolytics;
19. Beta-lactam antibiotics;
20. Dopaminergic drugs;
21. Cardiovascular medications;
22. Immunosuppressants;
23. Other medicines on the list of essential medicines.
What needs to be done to receive free medicines for a disabled person of 1-3 groups?
The list of papers for which a doctor has the authority to write free prescriptions is as follows:
· Identity document (passport);
· A paper confirming your belonging to the privileged social category;
· A paper from pension or other social support bodies, confirming the receipt by a disabled citizen on a preferential basis of material benefits or other services.
SNILS;
· Policy of compulsory medical insurance;
After receiving the prescription, the beneficiary must go to the pharmacy, where he will receive the necessary drug for free.
A person can also receive compensation in the pharmacy for the full cost of a pre-purchased medicine. To do this, he will definitely need a cash document confirming the purchase.
Also, in order to receive the medicine, together with the prescription to the pharmacy, you must provide a passport and an extract from a health worker, confirming the state of health of a disabled person.
If a disabled citizen is faced with the lack of the necessary medication, then he has every right to demand its provision within 24 hours. If the pharmacy does not have the ability to provide the necessary drug within such a period, then the beneficiary has the right to provide it within ten working days.
It should be remembered that not all pharmacies are entitled to dispensing medications free of charge. If a disabled person does not pay for the drug, then the State will do it for him.
Therefore, a disabled person will be dispensed with the drug only in the pharmacy that has entered into an agreement with representatives of the State on compensation for subsidized drugs. If such an agreement has not been concluded, then the pharmacy has the right to refuse to dispense the drug to a person, because no one has a desire to pay for it from their own funds.
It is also important to adhere to the expiration dates of the prescription. As a rule, the prescription is valid within a month from the date of issue.
But there are drugs for which the dispensing period can be reduced. Thus, medicines containing narcotic substances can be claimed no later than five days after the receipt of the prescription.
Toxic or psychotropic medications can be requested within two weeks of receiving the prescription. If a free prescription is lost, a disabled person must see a doctor for re-issuing it.
If there is an unreasonable refusal to dispense a drug, then the disabled person must file a complaint with the Department of Health Protection or contact the local judicial authorities.
Documentation:
Order No. 45 of January 26, 2018 On amendments to the order of the Moscow Department of Healthcare No. 376 of April 29, 2016
The purchase of medicines can seriously hit the pockets of even fairly wealthy citizens, not to mention the unprotected segments of the population. Therefore, at the state level, programs are being adopted to support low-income citizens and people in need of expensive treatment by providing free medicines. About who is entitled to and in what order the free medicines are provided, as well as about the latest changes in the list, read on.
Legislative regulation
The provision of citizens with free medicines is carried out on the basis of. In particular, the set of social services for beneficiaries is given, which, in addition to the issuance of medicines, includes sanitary treatment and travel by intercity and city public transport.
In more detail, the categories of beneficiaries and the forms of providing them with drugs are presented in the Decree of the Government of the Russian Federation No. 890 of July 30, 1994. The lists of free drugs are annually revised and approved by the Ministry of Health of the Russian Federation with the obligatory publication of the results on the official website of the department.
The authorities of the constituent entities of the Russian Federation have the right to make additions to the procedure established at the federal level. Their powers include:
- introduction of additional categories of beneficiaries;
- expanding the list of preferential drugs;
- financial support for pharmacy chains that dispense free medicines;
- an increase in allocations for budgetary institutions (polyclinics, children's boarding schools, nursing homes, etc.) for the purchase of medicines;
- the appointment of preferential tariffs for utilities for medical industry enterprises in order to reduce the cost of their products.
All regional programs can be found on the website of the administration of your region.
Who is eligible for free medicine?
The list of persons entitled to receive free medicines is presented in. It includes the following categories of citizens.
- Participants of the Second World War, including the disabled. This category includes military personnel, civilian personnel, employees of military enterprises, partisans and other participants in the war. In addition to medicines, they are entitled to free dressing materials, various medical products (urine and colostomy bags, applicators, medical belts, etc.), and dentures. Persons who were injured in the orbit of the eyes during the war are additionally given free glasses for correcting vision.
- War veterans (Afghanistan, Chechnya, etc.). Medicines and dentures are provided free of charge.
- Family members of the deceased participants in hostilities. The privilege is given to the parents and spouses of the deceased servicemen.
- Residents of besieged Leningrad. They can count on both medicines and free dentures.
- Heroes of Russia and the USSR, holders of the Order of Glory.
- Concentration camp prisoners.
- Disabled groups 1 and 2, as well as minor children with disabilities. In addition to medicines, they are entitled to help in the form of free medical products and dressings. Disabled persons of the 2nd group are given medicines only in the absence of employment.
- Radiation-exposed persons. Citizens, both living in areas contaminated with radiation, and eliminating the consequences of radiation disasters, are entitled to free medicines and dentures.
- Children under 3 years of age. For children from large families, this period is extended to 6 years.
- Representatives of the small ethnic groups of the Far North.
Individuals who are not included in any of the categories listed can also receive subsidized drugs if they have a serious illness that requires expensive treatment. Such diseases include:
- HIV infection;
- oncology;
- tuberculosis;
- bronchial asthma;
- diabetes;
- multiple sclerosis;
- recovery period after internal organ transplant;
- myocardial infarction (only during the first 6 months);
- mental illness, etc.
Certain groups of citizens can also count on a 50% discount on the purchase of medicines. Their list is presented in and includes:
- pensioners with a minimum pension;
- employed persons with disabilities of the 2nd group;
- unemployed disabled persons of the 3rd group;
- victims of political repression;
- home front workers with experience of 6 months or more during the Second World War (except for work in the occupied territories).
Benefits for obtaining medicines or purchasing them at a discount may additionally be provided by the authorities of the constituent entities of the Russian Federation to large families, labor veterans, pregnant women, low-income and unemployed citizens.
What drugs can you get?
The initial list of free drugs was approved. Since then, it has been annually revised and supplemented. The latest version, adopted for 2020, can be found on the website of the Ministry of Health of the Russian Federation in the section dedicated to the department of drug supply.
In total, in 2017, this list includes 646 items. This is 42 positions more than last year. In 2020, the trend towards expanding the list of free drugs will continue, and it will be replenished with another 25 items. Among them:
- antineoplastic agents Panitumumab, Brentuximab Vedotin, Afatinib, Aflibercept, etc .;
- immunosuppressants "Apremilast", "Pirfenidone", "Tofacitinib", etc .;
- medicines for the treatment of the gastrointestinal tract "Mesalazin", "Eliglustat", hemostatics, etc .;
- hormonal drug "Lanreotide";
- antiviral drugs Narlaprevir, Dutegravir, Dasabuvir, etc .;
- drugs for diabetes "Empagliflozin" and "Lixisenatide";
- drugs for rheumatism "Dexketoprofen", "Perampanel", "Tetrabenazine", etc .;
- ophthalmic drugs "Aflibercept" and "Tafluprost";
- other medicines.
Before proceeding with the registration of a benefit, be sure to consult with your attending physician about the availability of medicines or their analogues that you need on the preferential list.
How do I get Free Drugs Benefit?
Registration of benefits for free medicines is carried out in the territorial offices of the Pension Fund of the Russian Federation. There you need to write an application and submit the following package of documents:
- passport or birth certificate;
- SNILS;
- documents confirming the right to receive benefits.
A certificate of disability, a war veteran's certificate, medical documents proving the presence of a serious illness (for cancer patients, diabetics, etc.), as well as other documents by which you can be attributed to one of the privileged categories can act as supporting documents.
After checking the accuracy of the submitted data, the FIU will issue you a certificate confirming the right to receive free drugs. There is also an alternative that allows you to monetize this benefit. In order to receive monetary compensation instead of free medicines, you must write a corresponding application to the Pension Fund and submit the above certificate, if it was issued earlier.
The procedure for obtaining subsidized medicines in a pharmacy
Before heading to the pharmacy for free medicines, you need to issue a prescription at the clinic for them. To do this, the attending physician must provide a certificate received from the RPF confirming the right to the benefit.
Prescriptions are written out on special forms (usually forms 107 / y-NP or 148 -1 / y-88) and, in addition to the attending physician (paramedic), are certified by the head of the department. They must indicate the validity period during which you need to have time to get the medicine.
If the clinic did not have the necessary form, and the purchase of medicines does not require delay, buy them at your own expense and keep the receipts. Later, when the doctor has the opportunity to write you a prescription, these checks will be able to reimburse you for the money spent.
For medicines, you need to go only to those pharmacies that are participants in the state program. Information about such organizations can be obtained from the polyclinic. In addition to the prescription, the pharmacist must present a passport and a medical record confirming your diagnosis. If for health reasons the patient is unable to visit the pharmacy on his own, any other person who has provided all the necessary documents can get preferential medicines for him.
If the pharmacy does not have the drugs or their analogues you need, you must order and provide them within 10 days. The doctor, in turn, must extend the validity of the prescription. And if the prescription has been lost, you must re-write it. In this case, a note is made in the patient's outpatient card, and a notification about the loss of the document is sent to the pharmacy. These measures are necessary so that those who found the recipe could not use it.
There are no restrictions on the number or cost of free medicines. Their number and doses are established by the doctor based on the patient's diagnosis.
Specifics of providing a regional drug benefit
Most regions of Russia have their own programs to provide the population with free medicines. The authorities of the constituent entities of the Russian Federation have the right to expand the federal categories of beneficiaries, adding there poor citizens and other unprotected segments of the population. In addition, the regions can completely change the approach to the assignment of benefits. For example, in St. Petersburg, not the categories of beneficiaries are approved, but specific diseases, in the presence of which any citizen can receive free medicines, regardless of his merits or level of income.
The subjects of the Russian Federation have the right to establish their own lists of free drugs. They are developed by the territorial divisions of the Ministry of Health, taking into account the diseases common in the region and the possibilities of the local budget. The most extensive regional programs for preferential provision of medicines are presented in Moscow and St. Petersburg, the Republic of Tatarstan, Khanty-Mansi Autonomous Okrug.
One and the same person cannot simultaneously be a beneficiary of both federal and regional programs. Therefore, before you qualify for a benefit, you should find out at what level the drugs you need are provided.
Medical workers are obliged to inform the patient about the possibility of receiving medications free of charge. But this does not always happen, so for information you can contact the insurance company where you received the compulsory medical insurance policy, as well as the local branches of the Pension Fund of the Russian Federation and the social protection fund.
The right to a regional benefit is drawn up in the same manner as for a federal one. To do this, with a similar package of documents, they apply to the department of the Pension Fund. Free drugs are also dispensed only on the basis of a doctor's prescription in pharmacies participating in the regional program.
Drug prices are growing faster than the incomes of most of the population. At the same time, many citizens do not suspect that they have the opportunity to receive free medicines from the state. Doctors don't always care about educating patients about their rights, so never hesitate to find out for yourself.
Order of the Moscow Healthcare Department, Moscow Department of Information Technologies dated October 22, 2014 N 914 / 64-16-421 / 14 "On the procedure for maintaining the Unified City Register of Citizens Eligible for Free Prescriptions by Doctors"
In order to improve the efficiency of the drug supply system for receiving state social assistance in the city of Moscow, we order:
1. To approve:
1.1. The order of certain categories of citizens entitled to the provision of drugs and medical devices dispensed by prescriptions of doctors free of charge or with a 50 percent discount in the city of Moscow (hereinafter referred to as the Procedure) ().
3.1. Order of the Moscow Healthcare Committee of 02.12.2001 N 65 "On the preparation of a unified city register of the population entitled to preferential and free dispensing of medicines and medical products."
3.2. Order of the Moscow Health Department of January 19, 2005 N 31 "On Amending the Order of the Moscow Health Committee of February 12, 2001 N 65" (as amended by orders of the Moscow Health Department of May 18, 2006 N 211, of August 25, 2006 N 319 , dated 02.02.2007 N 54, dated 05.07.2007 N 304, dated 06.10.2008 N 748, dated 26.03.2013 N 273).
3.3. Appendix 3 to the order of the Moscow Department of Healthcare and the Moscow City Information Technology Department of October 25, 2013 N 1047 / 64-16-481 / 13 "On the operation of drug supply services of the Unified Medical Information and Analytical System of the City of Moscow (UMIAS), intended for maintaining a register of preferential categories of citizens and prescribing prescriptions in electronic form in the city of Moscow "in terms of maintaining a register of certain categories of citizens entitled to the provision of necessary medicines.
4. Control over the implementation of this order shall be entrusted to the first deputy head of the Moscow City Health Department, N.N. Potekaev and Deputy Head of the Moscow Department of Information Technologies V.V. Makarov.
Appendix
to the Department
health care in Moscow
and the Department of Information
technologies of Moscow
dated October 22, 2014 N 914 / 64-16-421 / 14
Order
maintaining the Unified City Register of Citizens Eligible for the Provision of Medicines and Medical Devices dispensed by prescriptions of doctors free of charge or with a 50% discount in the city of Moscow
1. General Provisions
1.1. The maintenance of the Unified City Register of Citizens Eligible for the Provision of Medicines and Medical Devices for Free or with a 50% Discount in the City of Moscow in accordance with the current legislation, the right to receive state social assistance in the city of Moscow.
1.2. The LO register is a state information resource for the city of Moscow.
1.3. The LO Register includes:
1.3.1. Citizens who have the right to receive state social assistance in the form of a set of social services in accordance with the Federal Law of 17.07.1999 N 178-ФЗ "On State Social Assistance" in terms of providing the necessary medicines for prescriptions for medicines, medical products for prescriptions for medical products, in accordance with the standards of medical care, as well as specialized medical food products for disabled children and included in the regional segment of the Federal Register.
1.3.2. Residents of the city of Moscow who have the right to social support measures in the form of providing drugs and medical devices free of charge or with a 50% discount on prescriptions of doctors in accordance with the Law of the city of Moscow dated 03.11.2004 N 70 "On measures of social support for certain categories of residents of the city of Moscow "and the order of the Government of Moscow dated 10.08.2005 N 1506-RP" On the implementation of measures of social support for certain categories of residents of the city of Moscow for the provision of drugs and medical products dispensed by prescriptions of doctors free of charge or with a 50% discount. "
1.4. The inclusion of a citizen in the PA Register is the basis for issuing electronic prescriptions to him for receiving medicines and medical devices free of charge or with a 50 percent discount using the functionality of the UMIAS, as well as for registering in UMIAS prescriptions written by doctors in the name of a citizen using printed forms.
1.5. This Procedure does not apply to:
1.5.1. To maintain the LR Register in terms of registering persons with hemophilia, cystic fibrosis, pituitary dwarfism, Gaucher's disease, malignant neoplasms of lymphoid, hematopoietic and related tissues, multiple sclerosis, persons after organ and (or) tissue transplantation, the organization of which is provided with drugs according to the list approved by the Government of the Russian Federation and formed in accordance with the procedure established by it (Resolution of the Government of the Russian Federation dated 04.26.2012 N 404 "On Approval of the Rules for Maintaining the Federal Register of Persons with Hemophilia, Cystic Fibrosis, Pituitary Nanism, Gaucher's Disease, Malignant Neoplasms of the Lymphoid, Hematopoietic and Related them of tissues, multiple sclerosis, persons after organ and (or) tissue transplantation ").
1.5.2. To maintain the LR Register in terms of registering citizens suffering from life-threatening and chronic progressive rare (orphan) diseases leading to a reduction in the life expectancy of citizens or their disability (Decree of the Government of the Russian Federation of 26.04.2012 N 403 "On the procedure for maintaining the federal register of persons suffering from life-threatening and chronic progressive rare (orphan) diseases leading to a reduction in the life expectancy of citizens or their disability, and its regional segment ").
2. Information support for the maintenance of the PA register
2.1. The LO register is maintained using the functionality of the Unified Medical Information and Analytical System of the City of Moscow (hereinafter - UMIAS).
2.2. The entry of information about citizens into the Register of Leningrad Oblast is carried out by medical organizations of the state health system of the city of Moscow, to which citizens are assigned to receive primary health care as part of the implementation of the choice by the insured person of a medical institution that implements the territorial compulsory health insurance (CHI) program, in accordance with the legislation Of the Russian Federation and the city of Moscow and stationary state institutions of social services of the Department of social protection of the population of the city of Moscow. The list of medical organizations authorized to maintain the PH Register is approved by the Moscow City Health Department.
2.3. The entry of information about citizens in terms of certain categories of diseases, for outpatient treatment of which drugs and medical devices are dispensed by prescription free of charge, is carried out by medical organizations providing primary specialized medical and sanitary care for the corresponding profile of diseases. The list of medical organizations authorized to maintain the PH Register in terms of certain categories of diseases is approved by the Moscow City Health Department.
2.4. If a citizen is constantly monitored in a medical organization that is not included in the list of authorized medical organizations for maintaining the PA Register, information about him is entered into the PA Register by an authorized medical organization at the place of residence or, at the request of the citizen, by an authorized medical organization of his choice after being attached to this organization in the prescribed manner.
2.5. Control over the maintenance of the PH Register and organizational and methodological support of the processes of maintaining the register is carried out by the Information and Analytical Service of the State Budgetary Institution of Health "Center for Drug Supply and Quality Control of the Moscow Department of Health" (hereinafter - IAS GBUZ "CLO and KK DZM").
2.6. Technical and consulting support of the LR Register maintenance processes is carried out by the UMIAS Support Service.
2.7. Persons authorized to maintain the PH Register in a medical organization are appointed by orders of the head of the medical organization. Authorized persons are fully responsible for the accuracy of the information they have entered into the LO Register. Copies of orders on the appointment of authorized persons, as well as on changes in the list of authorized persons, are sent to the IAS GBUZ "TsLO and KK DZM" by fax: 8-495-974-92-79 or scanned by e-mail: [email protected]
2.8. The procedure for admitting citizens to enter information into the PA Register (in the registry or by a dedicated specialist) is established by the head of the relevant medical organization and communicated to the medical workers who receive patients and citizens (by posting the relevant information on information stands in the medical organization).
3. Provisions for the transitional period
3.1. The transition to maintaining the PH Register using UMIAS is carried out in stages in groups of medical organizations in accordance with the schedule for the introduction of LO UMIAS services.
3.2. Before the start of the transition to maintaining the PH Register using UMIAS, medical organizations submit to the IAS GBUZ "CLO and KK DZM" by fax or e-mail a list of persons authorized to maintain the PH Register with contact information: surname, name, patronymic, position, work and mobile phones , E-mail address.
3.3. Primary filling of the Register of LO UMIAS is carried out on the basis of information maintained by LLC "Gmktsrit" on the basis of the order of the Moscow Health Committee of 12.02.2001 N 65 "On the preparation of the Unified City Register of the Population Eligible for Preferential and Free Dispensing of Medicines and Medical Products ". The download of information from LLC "Gmktsrit" is carried out by the IAS GBUZ "TsLO and KK DZM" in accordance with the approved schedule for the implementation of UMIAS services. Based on the results of uploading information and their verification with the Unified Register of Insured Persons of the Moscow City Compulsory Medical Insurance Fund (hereinafter - ERZ), IAS GBUZ "CLO and KK DZM" generates upload reports for each medical organization with a list of identified inconsistencies and unidentified citizens.
3.4. Within a period of no more than 10 working days from the date of receipt of the loading report, the medical organization organizes the reconciliation of the data on the reports using the available paper documentation and the addition of data on the citizens indicated in the report to the PA Register.
3.5. Based on the results of the reconciliation, an Act is drawn up on the readiness of the medical organization to maintain the PH Register using UMIAS.
3.6. From the moment of downloading data from LLC "Gmktsrit" to the moment of drawing up the Act, the medical organization ensures the parallel entry of new information about citizens both in UMIAS and using the software of LLC "Gmktsrit". Entering information into LLC "Gmktsrit" is terminated from the moment of drawing up the Act.
3.7. During the transition period, it is allowed to enter data on federal categories of citizens into the Register of Leningrad Oblast without submitting certificates from the Pension Fund of Russia, based on information from OOO Gmktsrit (by registering in the Register of Leningrad Oblast the electronic document "Information on Reconciliation with OOO Gmktsrit").
4. General rules for maintaining the Register
4.1. The introduction (change) of data on the benefits of a citizen in the LH Register is carried out when he personally contacts a medical organization authorized to maintain the LH Register to which this citizen is attached.
4.2. The LO Register includes citizens of the Russian Federation permanently residing in the city of Moscow and included in the ERZ. In the absence of a citizen in the ERZ, before making an entry in the Register of LO, the citizen is registered in the ERZ.
4.3. The LO Register does not process personal data of citizens. Records of the grounds for receipt are stored in the PA Register in an impersonal form. The identification of citizens in the LP Register is carried out according to the EPZ data on the basis of their consent to the processing of personal data obtained during registration with the EPZ.
4.4. Before entering information into the PA Register, a citizen must be attached to a medical organization in accordance with the order of the Ministry of Health and Social Development of Russia dated 04.26.2012 N 406n "On approval of the Procedure for choosing a medical organization by a citizen when providing him with medical care within the framework of the program of state guarantees of free provision of medical care to citizens." A citizen is attached to an outpatient center - an association of several medical organizations that are part of one legal entity.
4.5. The attachment of citizens in terms of certain categories of diseases is carried out for observation by narrow specialists in medical organizations that are not part of the outpatient center, by making an appropriate entry (electronic certificate of attachment) in the LH Register on the basis of the diagnosis established by the authorized medical organization.
4.6. A citizen may have the right to receive drug coverage for one or several federal and regional categories that do not contradict each other. All categories to which a citizen can be assigned are entered into the LO Register, the control of the consistency of categories is provided automatically by the UMIAS software.
4.7. The entry of data into the PA Register is carried out on the basis of supporting documents submitted by citizens, or on the basis of electronic documents received from other state information resources. The details of the supporting documents submitted by citizens are entered into the Register of Leningrad Oblast by authorized persons of medical organizations. The determination of the composition and validity period of the categories to which a citizen can be assigned on the basis of the submitted documents is performed automatically by the UMIAS software.
4.8. All documents are entered into the LO Register once. If a citizen has grounds for assigning a new category, only supporting documents that are not in the LO Register are subject to registration in the UMIAS.
4.9. Invalid documents are not deleted from the LO Register.
4.10. A complete list of categories of citizens entitled to receive drugs and medical devices for free or with a 50 percent discount in the city of Moscow, indicating the grounds for entering data about them in the LO Register (types of supporting documents) is given in this Procedure.
5. Features of recording data on federal categories of citizens
5.1. Data on federal categories of citizens are entered into the LO Register based on information from the regional segment of the Federal Register of Persons Eligible for State Social Assistance (hereinafter referred to as the Federal Register). Medical workers (doctors and nurses during the reception of a patient) and authorized persons of a medical organization (in the course of entering information into the Register of Leningrad Oblast), upon oral requests from citizens, can request UMIAS to update data from the Federal Register. Information about a citizen's belonging to federal categories is entered into the LO Register according to the results of the request automatically.
5.2. A request for information about a citizen from the Federal Register is allowed no more than once a day, the number of requests is automatically limited by UMIAS.
5.3. If there is no information in the regional segment of the Federal Register about a citizen's right to receive drugs and medical devices free of charge or with a 50 percent discount, the information can be entered into the Leningrad Oblast Register by an authorized person of a medical organization on the basis of a certificate submitted by the citizen from the territorial branch of the Pension Fund of Russia about obtaining monthly cash payment in the form approved by the Resolution of the PFR Board of November 2, 2006 N 261p "On the organization of the work of the Pension Fund of the Russian Federation and its territorial bodies to provide citizens with documents confirming their right to receive a set of social services (social services)" (hereinafter - reference on receiving the EDV). The validity period of the category is set in accordance with the validity period of the certificate.
5.4. The grounds for the termination of the federal category for a citizen are:
5.4.1. Receipt from the Federal Register of information on the termination of the category.
5.4.2. Submission by the citizen of a certificate of waiver of the EDV.
5.4.3. The expiry of the validity period of the certificate of receipt of the EDV in the absence of information about the presence of a category from the Federal Register.
5.4.4. Submission by a citizen of a certificate of obtaining a monthly income in a category that contradicts the previously registered one.
6. Features of recording data on regional categories of citizens suffering from diseases, during outpatient treatment of which drugs and medical devices are dispensed by prescription free of charge or with a 50 percent discount
6.1. The entry into the LR Register of information about citizens suffering from diseases, during outpatient treatment of which drugs and medical devices are dispensed by prescription free of charge or with a 50% discount, is made on the basis of the decision of the medical commission of the medical organization to which the citizen is assigned to provide primary medical care. sanitary care, drawn up by the protocol (extract from the protocol).
6.2. For certain categories of diseases indicated in the "Notes" column to this Procedure, it is allowed to enter information by authorized specialized medical organizations, the list of which is approved by the Moscow City Health Department.
6.3. The protocol of the decision of the medical commission must indicate:
6.3.1. Diagnosis code that gives a citizen the right to provide drugs and medical devices free of charge or with a 50 percent discount, according to the International Classifier of Diseases of the 10th revision (ICD-10) in accordance with this Procedure.
6.3.2. Surname, name, patronymic, position, signature and personal seal of the doctor - the chairman of the medical commission that established the diagnosis.
6.3.3. Date of re-examination (period of validity of the category), the indication "indefinitely" is allowed.
6.4. If the diagnosis is established by a medical organization that is not one of those authorized to maintain the LO Register, the medical documentation confirming the established diagnosis is submitted by the citizen or his representative to the medical commission of the authorized medical organization. To confirm the diagnosis, the medical commission, if necessary, can request additional medical documents and send the citizen for additional examination within the framework of the territorial compulsory health insurance program.
6.5. The grounds for the termination of accounting for the disease are:
6.5.1. Expiration of the category, if the medical commission established the term for re-examination to confirm the diagnosis, and the citizen did not appear for re-examination.
6.5.2. The conclusion of the medical commission on the cure or change in the diagnosis.
7. Termination of accounting
7.1. The grounds for the termination of the information of the Leningrad Oblast Register about a citizen's belonging to the number of persons entitled to receive drugs and medical devices free of charge or with a 50 percent discount are:
7.1.1. The expiration of the established period of validity of the right to receive drugs and medical devices free of charge or with a 50 percent discount (including the onset of the age limit up to which the benefit is valid).
7.1.2. Termination of the circumstances on the basis of which the citizen was assigned to the appropriate category (recovery, completion of training, and so on).
7.1.3. Termination of permanent residence in the city of Moscow (departure from the number of residents of the city of Moscow).
7.1.4. A written refusal of a citizen to exercise the right to receive drugs and medical devices free of charge or with a 50 percent discount.
7.2. The termination of the validity of information about a citizen in the PA Register is carried out:
7.2.1. Automatically based on the data entered in the LO Register received by UMIAS from the ERZ or from the Federal Register.
7.2.2. On the basis of documented information entered into the PA Register by an authorized person of a medical organization or an authorized specialist of the IAS GBUZ "TsLO and KK DZM" within the framework of control over the maintenance of the PA Register.
7.3. The grounds for terminating the registration of a citizen in the LO Register are:
7.3.1. Death of the registered person.
7.3.2. Identification of erroneous records (records for non-existent persons or persons not identified in the EPZ).
7.3.3. Identification of duplicate records about the same person (in relation to a duplicate record with the simultaneous exclusion of a duplicate from the EPZ).
7.3.4. Application of a citizen who is the subject of an entry in the PA Register.
7.4. To ensure retrospective accounting, records for which accounting has been stopped are not deleted, but transferred to the archive. The transfer of records to the archive is carried out by authorized persons of medical organizations using the UMIAS services.
7.5. It is not allowed to transfer records to the archive in connection with the expiration of the benefit period, the withdrawal of a citizen from the city of Moscow, detachment from a medical organization or other grounds suggesting the possibility of renewing the right to receive drugs and medical devices in the future. If a citizen loses the right to receive drugs and medical devices free of charge or with a 50 percent discount, the authorized person registers the termination of the category in the Register of the Leningrad Region.
7.6. The removal of the "archival" status from an entry in the Register of the Leningrad Region in case of its erroneous assignment is carried out by specialists of the IAS GBUZ "TsLO and KK DZM" on the basis of written requests from authorized persons of medical organizations.
7.7. Destruction of archival records of the LR Register is carried out in accordance with the general rules for archival storage of medical records.
Annex 1
to the maintenance of the Unified City Register
certain categories of citizens who have the right
for the provision of medicines
and medical devices sold
on prescriptions of doctors for free
or with a 50% discount in the city of Moscow
Scroll
codes of categories of citizens entitled to receive medicines and medical devices free of charge or with a 50 percent discount
| Category code | Category name | Supporting documents | Notes (edit) |
|---|---|---|---|
| Certain categories of citizens who have the right to receive state social assistance (and who have not refused to receive social services), in terms of the provision of medicines, medical devices, as well as specialized medical food products for disabled children (federal funding) | |||
| Federal Law of 12.01.1995 N 5-ФЗ "On Veterans" (as amended). | |||
| Federal Law of 09.01.1997 N 5-FZ "On the provision of social guarantees to Heroes of Socialist Labor and full holders of the Order of Labor Glory" (as amended). | |||
| Federal Law of 17.07.1999 N 178-FZ "On State Social Assistance" (as amended). | |||
| 010 | War invalids | Help in the form approved by the Resolution of the PFR Board of November 2, 2006 N 261p "On the organization of the work of the Pension Fund of the Russian Federation and its territorial bodies to provide citizens with documents confirming their right to receive a set of social services (social services)" | |
| 011 | Participants of the Great Patriotic War who became disabled | ||
| 012 | Servicemen and persons of the rank and file and commanding staff of the internal affairs bodies, the State Fire Service, institutions and bodies of the penal system who have become disabled due to injury, concussion or injury received in the performance of military service duties (official duties) | ||
| 020 | Participants of the Great Patriotic War | ||
| 030 | War veterans | ||
| 040 | Servicemen who served in military units, institutions, military educational institutions that were not part of the active army, in the period from June 22, 1941 to September 3, 1945, at least six months, servicemen awarded orders or medals of the USSR for service in specified period | ||
| 050 | Persons awarded with the sign "Inhabitant of the besieged Leningrad" | ||
| 060 | Family members of the deceased (deceased) war invalids, participants of the Great Patriotic War and war veterans | ||
| 061 | Family members of persons who perished in the Great Patriotic War from among the personnel of self-defense groups of object and emergency teams of local air defense, as well as family members of deceased workers of hospitals and hospitals in the city of Leningrad | ||
| 062 | Family members of military personnel, privates and commanding officers of internal affairs bodies, the State Fire Service, institutions and bodies of the penal system and state security bodies who died in the performance of military service duties (official duties) | ||
| 063 | Family members of servicemen who died in captivity, recognized in the established order as missing in the areas of hostilities, since the exclusion of these servicemen from the lists of military units | ||
| 064 | Parents and wives of military personnel who died as a result of injury, concussion or mutilation received during the defense of the USSR or while performing other duties of military service, or as a result of an illness associated with being at the front, whose death or death occurred before January 16, 1995 | On the procedure for establishing the preferential category by the PFR bodies, see the information letter of the Pension Fund of the Russian Federation of January 28, 2008 N KA 28-25 / 718 | |
| 081 | Disabled group III | ||
| 082 | Disabled group II | ||
| 083 | Disabled group I | ||
| 084 | Disabled children | ||
| 100 | Persons exposed to radiation and categories of citizens equated to them | ||
| 120 | Persons who worked during the Great Patriotic War at the objects of air defense, local air defense, at the construction of defensive structures, naval bases, airfields and other military facilities within the rear borders of operating fronts, operational zones of operating fleets, on the front-line sections of iron and automobile roads, as well as members of the crews of ships of the transport fleet, interned at the beginning of the Great Patriotic War in the ports of other states | ||
| 140 | Former underage prisoners of concentration camps, ghettos, and other places of detention created by the Nazis and their allies during the Second World War, recognized as disabled due to general illness, work injury and other reasons (with the exception of persons whose disability occurred as a result of their illegal actions) | ||
| 150 | Former underage prisoners of concentration camps, ghettos and other places of forced detention created by the Nazis and their allies during the Second World War | ||
| 801 | Heroes of the Soviet Union | ||
| 802 | Heroes of the Russian Federation | ||
| 803 | Full Cavaliers of the Order of Glory | ||
| 804 | Heroes of Socialist Labor | ||
| 805 | Full Cavaliers of the Order of Labor Glory | ||
| Categories of citizens entitled to the provision of social support measures for the provision of drugs and medical devices free of charge or with a 50 percent discount | |||
| Law of the city of Moscow of 03.11.2004 N 70 "On measures of social support for certain categories of residents of the city of Moscow" (as amended) | |||
| Law of the city of Moscow of 23.11.2005 N 60 "On social support for families with children in the city of Moscow" Order of the Government of Moscow of 10.08.2005 N 1506-RP "On the implementation of measures of social support for certain categories of residents of the city of Moscow for the provision of medicines and medical products , dispensed by prescription of doctors free of charge or with a 50 percent discount "(as amended) | |||
| Resolution of the Moscow Government dated June 19, 2012 N 275-PP "On the procedure for providing social support measures to certain categories of citizens with a place of residence in the territory annexed to the city of Moscow" | |||
| 702 | Children from large families aged 6 to 18 | see the Decree of the Moscow Government of 29.06.2010 N 539-PP (as amended by the decrees of the Government of Moscow of 02.11.2010 N 1002-PP, of 03.07.2012 N 301-PP, of 29.08.2013 N 577-PP) "On the transfer functions for the preparation and issuance of the document "Certificate of a large family of the city of Moscow" and its duplicate to the Department of social protection of the population of the city of Moscow and the approval of the Regulations for the preparation and issuance of the document "Certificate of a large family of the city of Moscow" and its duplicate on the principle of "one window" | |
| 703 | Children of the first three years of life | Birth certificate | |
| 704 | Orphans and children left without parental care, persons from among them while studying in state educational institutions of primary, secondary and higher vocational education | Certificate of the guardianship and trusteeship authority on the classification of persons from among orphans and children left without parental care Certificate of education in state educational institutions of primary, secondary and higher vocational education (for persons over 18 years old). | See the Decree of the Government of Moscow of 25.12.2007 N 1169-PP "On the implementation of measures of social support for orphans and children left without parental care, to persons from among them to pay for housing and utilities in the city of Moscow" |
| 706 | Citizens (persons and family members) from among pensioners living in Moscow, who were subjected to unjustified repressions and subsequently rehabilitated, as well as persons recognized as victims of political repressions | Decree of the Moscow Government of 10.04.2007 N 243-PP "On approval of the regulations for the preparation of documents issued by the Department of Social Protection of the Moscow City Population, Social Protection Directorates of Moscow districts, social assistance institutions for homeless citizens" (with amendments and additions). | |
| 708 | Citizens from among the retirees living in Moscow, awarded the medal "For the Defense of Moscow"; persons who worked continuously in Moscow during the defense of the city from July 22, 1941 to January 25, 1942; | Documents are submitted to the Department of Social Protection of the Population, in accordance with the requirements of internal regulations | |
| 709 | Participants in the prevention of the Cuban Missile Crisis of 1962 | See the Decree of the Presidium of the Supreme Soviet of the USSR of 28.12.1988 N 9964-XI "On the establishment of the Diploma of the Presidium of the Supreme Soviet of the USSR to a soldier-internationalist", order of the Ministry of Defense of the USSR N 220 of 05.07.1990. Documents are submitted to the Department of Social Protection of the Population, in accordance with the requirements of internal regulations | |
| 710 | Home front workers: persons who worked in the rear from June 22, 1941 to May 9, 1945 for at least six months, excluding the period of work in the temporarily occupied territories of the USSR, or who were awarded orders or medals of the USSR for selfless labor during the Great Patriotic War | The documents are submitted to the Department of Social Protection of the Population, in accordance with the requirements of internal regulations. | |
| 711 | Citizens awarded with the badges "Honorary Donor of Russia", "Honorary Donor of the USSR", "Honorary Donor of Moscow" | Certificate for the badge "Honorary Donor of Russia", "Honorary Donor of the USSR", "Honorary Donor of Moscow" | 50% discount |
| 712 | Pensioners receiving an old-age or survivor's pension in the minimum amount | 50% discount Documents are provided to the Department of Social Protection of the Population, in accordance with the requirements of internal regulatory | |
| 713 | Children from large families under the age of 6 | Birth certificate Certificate of a large family issued by the Department of Social Protection of the city of Moscow | See note to category 702 |
| 714 | Mothers with 10 or more children | Certificate of a large family of the city of Moscow of the approved sample | Decree of the Moscow Government dated June 29, 2010 N 539-PP (as amended by the decrees of the Moscow Government dated 02.11.2010 N 1002-PP, dated 03.07.2012 N 301-PP, dated 29.08.2013 N 577-PP) "On the transfer of functions for preparation and issuance of the document "Certificate of a large family of the city of Moscow" and its duplicate to the Department of social protection of the population of the city of Moscow and approval of the Regulations for the preparation and issuance of the document "Certificate of a large family of the city of Moscow" and its duplicate "on the principle of" one window " |
| 715 | Separate groups of the population suffering from helminthiases | Doctor's conclusion on registration according to the corresponding diagnosis | |
| 716 | Pregnant women | Doctor's conclusion on registration for pregnancy | |
| 900 | Persons born before January 1, 1935, with a place of residence in the territory annexed to the city of Moscow | 50% discount The register of these persons is provided by the State Treasury Institution "Directorate for the Operation of State Healthcare Institutions of the Troitsk and Novomoskovsk Administrative Districts of the City of Moscow" | |
| Categories of diseases, in the outpatient treatment of which drugs and medical devices are free of charge or with a 50% discount | |||
| Resolution of the Government of the Russian Federation of July 30, 1994 N 890 (with amendments and additions). | |||
| Order of the Moscow Government dated August 10, 2005 N 1506-RP "On the implementation of measures of social support for certain categories of residents of the city of Moscow for the provision of drugs and medical products dispensed according to doctors' prescriptions free of charge or with a 50% discount." | |||
| 721 | Conclusion of the medical commission of the medical organization of the Moscow Department of Health | ||
| 722 | Bronchial asthma | ||
| 723 | |||
| 724 | |||
| 725 | Tuberculosis | ||
| 726 | Diabetes | ||
| 728 | |||
| 729 | Hepatocerebral dystrophy and phenylketonuria (adults) | ||
| 730 | Cystic fibrosis | ||
| 731 | |||
| 732 | AIDS, HIV-infected | ||
| 733 | |||
| 734 | Radiation sickness | ||
| 735 | Leprosy | ||
| 736 | Severe brucellosis | ||
| 737 | |||
| 738 | |||
| 739 | |||
| 740 | Organ and tissue transplant | ||
| 741 | Pituitary dwarfism | ||
| 742 | |||
| 743 | Multiple sclerosis | ||
| 744 | Myasthenia gravis | ||
| 745 | Myopathy | ||
| 746 | Marie's cerebellar ataxia | ||
| 747 | Parkinson's disease | ||
| 748 | |||
| 749 | Syphilis | ||
| 750 | Glaucoma and cataracts | ||
| 751 | Addison's disease | ||
| 752 | Schizophrenia and epilepsy | ||
| 753 | Gaucher disease | ||
| 754 | |||
| 755 | Hemophilia | ||
| 756 | |||
| 998 | Crohn's disease (children) | ||
Appendix 2
to the maintenance of the Unified City Register
certain categories of citizens who have the right
for the provision of medicines
and medical devices sold
on prescriptions of doctors for free
or with a 50% discount in the city of Moscow
Scroll
correspondences between the categories of diseases, in the outpatient treatment of which drugs and medical devices are dispensed on prescriptions of doctors free of charge or with a 50% discount, and diagnosis codes according to the international classification of diseases of the 10th revision
| Category code | Disease category name | Diagnosis codes according to ICD-10 | The name of the diagnosis according to ICD-10 (for reference) |
|---|---|---|---|
| 715 | Helminthiasis | B65-B83 | Helminthiasis |
| 716 | Pregnant women | ||
| 721 | Oncological diseases (incurable patients) | C00-C97 | Malignant neoplasms |
| 722 | Bronchial asthma | J45 | Asthma |
| 723 | Myocardial infarction (first 6 months) | I21 | Acute myocardial infarction |
| I22 | Recurrent myocardial infarction | ||
| 724 | Mental illnesses (for patients working in medical-industrial enterprises to carry out occupational therapy, training in new professions and employment at these enterprises) | F00-F09 | Organic, including symptomatic, mental disorders |
| F10-F19 | Mental and Behavioral Disorders Associated with Substance Use | ||
| F30-F39 | Mood Disorders (Mood Disorders) | ||
| F40-F48 | Stress-related neurotic and somatoform disorders | ||
| F50-F59 | Behavioral syndromes associated with physiological disturbances and physical factors | ||
| F60-F69 | Disorders of personality and behavior in adulthood | ||
| F70-F79 | Mental retardation | ||
| F80-F89 | Disorders of psychological development | ||
| F90-F98 | Emotional and behavioral disorders with onset usually in childhood and adolescence | ||
| F99 | Unspecified mental disorders | ||
| 725 | Tuberculosis | A15-A19 | Tuberculosis |
| 726 | Diabetes | E10-E14 | Diabetes |
| 728 | Cerebral palsy | G80 | Cerebral palsy |
| 729 | Hepatocerebral dystrophy and phenylketonuria | E70.0 | Classical phenylketonuria |
| E70.1 | Other types of hyperphenylalaninemia | ||
| 730 | Cystic fibrosis | E84 | Cystic fibrosis |
| 731 | Acute intermittent porphyria | E80.0 | Hereditary erythropoietic porphyria |
| E80.1 | Slow cutaneous porphyria | ||
| E80.2 | Other porphyrias | ||
| 732 | AIDS, HIV-infected | B20-B24 | Human immunodeficiency virus (HIV) disease |
| Z20.6 | Contact with a sick person or the possibility of contracting the human immunodeficiency virus | ||
| Z21 | Asymptomatic Infection Status Caused by Human Immunodeficiency Virus (HIV) | ||
| R75 | Laboratory detection of human immunodeficiency virus (HIV) | ||
| 733 | Hematological diseases | S81-S96 | Malignant neoplasms of lymphoid, hematopoietic and related tissues |
| D46 | Myelodysplastic syndromes | ||
| D50-D53 | Nutritional Anemias | ||
| D55 | Anemia due to enzyme disorders | ||
| D56 | Thalassemia | ||
| D57 | Sickle cell disorders | ||
| D58 | Other hereditary hemolytic anemias | ||
| D59.0 | Drug-induced autoimmune hemolytic anemia | ||
| D59.1 | Other autoimmune hemolytic anemias | ||
| D59.2 | Drug-induced non-autoimmune hemolytic anemia | ||
| D59.4 | Other non-autoimmune hemolytic anemias | ||
| D59.6 | Hemoglobinuria due to hemolysis due to other external causes | ||
| D59.8 | Other acquired hemolytic anemias | ||
| D59.9 | Acquired hemolytic anemia, unspecified | ||
| D60 | Acquired pure red cell aplasia (erythroblastopenia) | ||
| D61.0 | Constitutional aplastic anemia | ||
| D61.1 | Drug-induced aplastic anemia | ||
| D61.2 | Aplastic anemia due to other external agents | ||
| D61.3 | Idiopathic aplastic anemia | ||
| D61.8 | Other specified aplastic anemias | ||
| D62 | Acute post-hemorrhagic anemia | ||
| D63 | Anemia in chronic diseases classified elsewhere | ||
| D64 | Other anemias | ||
| D65 | Disseminated intravascular coagulation (defibrination syndrome) | ||
| D66 | Hereditary factor VIII deficiency | ||
| D67 | Hereditary factor IX deficiency | ||
| D68.0 | Von von Willebrand disease | ||
| D68.1 | Hereditary factor XI deficiency | ||
| D68.3 | Hemorrhagic disorders caused by anticoagulants circulating in the blood | ||
| D68.4 | Acquired clotting factor deficiency | ||
| D68.8 | Other specified coagulation disorders | ||
| D68.9 | Unspecified coagulation disorder | ||
| D69.0 | Allergic purpura | ||
| D69.1 | Qualitative platelet defects | ||
| D69.2 | Other non-thrombocytopenic purpura | ||
| D69.4 | Other primary thrombocytopenias | ||
| D69.5 | Secondary thrombocytopenia | ||
| D69.6 | Thrombocytopenia, unspecified | ||
| D69.8 | Other specified hemorrhagic conditions | ||
| D69.9 | Hemorrhagic condition, unspecified | ||
| D70-D77 | Other diseases of the blood and blood-forming organs | ||
| D80 | Immunodeficiency with predominantly antibody deficiency | ||
| D81 | Combined immunodeficiency | ||
| D82 | Immunodeficiency disorders associated with other significant defects | ||
| D83 | Common variable immunodeficiency | ||
| D84.0 | Lymphocyte functional antigen-1 defect (LFA-1) | ||
| D84.8 | Other specified immunodeficiency disorders | ||
| D84.9 | Immunodeficiency, unspecified | ||
| D86 | Sarcoidosis | ||
| D89 | Other disorders involving the immune mechanism, not elsewhere classified | ||
| P50-P61 | Hemorrhagic and hematological disorders in the fetus and newborn | ||
| 734 | Radiation sickness | T66 | Unspecified radiation effects |
| 735 | Leprosy | A30 | Lepra (Hansen's disease) |
| 736 | Severe brucellosis | A23 | Brucellosis |
| 737 | Systemic chronic severe skin diseases | L40 | Psoriasis |
| L41 | Parapsoriasis | ||
| M33 | Dermatopolymyositis | ||
| M34 | Systemic sclerosis | ||
| M35 | Other systemic connective tissue lesions | ||
| 738 | Rheumatism, rheumatoid arthritis, systemic (acute) lupus erythematosus, ankylosing spondylitis | I00-I02 | Acute rheumatic fever |
| I05-I09 | Chronic rheumatic heart disease | ||
| M05 | Seropositive rheumatoid arthritis | ||
| M06 | Other rheumatoid arthritis | ||
| M08.0 | Juvenile rheumatoid arthritis | ||
| M32 | Systemic lupus erythematosus | ||
| M45 | Ankylosing spondylitis | ||
| M79.0 | Rheumatism, unspecified | ||
| 739 | Condition after heart valve replacement surgery | Z95.2 | Having a prosthetic heart valve |
| 740 | Organ and tissue transplant | Z94 | The presence of transplanted organs and tissues |
| 741 | Pituitary dwarfism | E23.0 | Hypopituitarism |
| E23.1 | Medication hypopituitarism | ||
| 742 | Premature sexual development | E30.1 | Premature puberty |
| 743 | Multiple sclerosis | G35 | Multiple sclerosis |
| 744 | Myasthenia gravis | G70.0 | Myasthenia gravis |
| 745 | Myopathy | G71 | Primary muscle lesions |
| G72 | Other myopathies | ||
| 746 | Marie's cerebellar ataxia | G11.2 | Late cerebellar ataxia |
| 747 | Parkinson's disease | G20 | Parkinson's disease |
| 748 | Chronic urological diseases | N30-N39 | Other diseases of the urinary system |
| 749 | Syphilis | A50 | Congenital syphilis |
| A51 | Early syphilis | ||
| A52 | Late syphilis | ||
| A53 | Other and unspecified forms of syphilis | ||
| 750 | Glaucoma and cataracts | H25 | Senile cataract |
| H26 | Other cataracts | ||
| H40 | Glaucoma | ||
| H42 | Glaucoma in diseases classified elsewhere | ||
| 751 | Addison's disease | E27.1 | Primary adrenal insufficiency |
| E27.2 | Addison's crisis | ||
| 752 | Schizophrenia and epilepsy | F20 | Schizophrenia |
| G40 | Epilepsy | ||
| G41 | Status epilepticus | ||
| 753 | Gaucher disease | E75.2 | Other sphingolipidoses |
| 754 | Diseases of the small and large intestine that cause the formation of a stoma. Diseases of the urinary system leading to the formation of a cutaneous stoma | K51 | Ulcerative colitis |
Document overview
The unified city register of citizens entitled to the provision of drugs and medical devices free of charge or with a 50 percent discount is maintained with the aim of streamlining the provision of drugs and medical devices, improving the quality of services for citizens eligible for state social assistance.
The inclusion of a citizen in the register is the basis for issuing electronic prescriptions to him for receiving medicines and medical devices free of charge or with a 50 percent discount using the functionality of the City's Unified Medical Information and Analytical System, as well as for registering prescriptions written by doctors in the name of a citizen in it. using letterhead.
Information about citizens is entered into the register by medical organizations to which citizens are attached, or by medical organizations providing primary specialized health care for the corresponding profile of diseases. The list of organizations authorized to maintain the Register is approved by the Health Department. If a citizen is observed in a medical organization that is not on the list, information about him is entered by an authorized organization at the place of residence or, at the request of the citizen, by an authorized organization of his choice after being attached to this organization.
The data set allows you to get detailed information about the points of sale of preferential drugs, see their location on the map, as well as find out the exact address, opening hours and other contact information.
Pharmaceutical provision is an integral part of the health care 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 health food products for disabled children.
Pharmaceutical provision as one of the most important components of the treatment process, and first of all, free drug provision for certain categories of citizens who have the right to state social assistance, is subject to state regulation and control, since it has the most important economic and social significance. In modern conditions, the state must act before the consumer as a guarantor of the safety, quality and efficiency of pharmaceutical goods and services.
Federal Law No. 178-FZ of July 17, 1999 "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, with the necessary drugs for medical use on prescriptions for medicines, medical devices on prescriptions for medical devices, as well as specialized medical food products for disabled children, for certain categories of citizens specified in Articles 6.1. and 6.7. of the named Federal Law. Also, by the order of the Moscow Government dated 08/10/2005 No. 1506-RP "On the implementation of measures of social support for certain categories of residents of the city of Moscow for the provision of medicines and medical products dispensed by prescriptions of doctors free of charge or with a 50% discount" (as amended) to certain categories the residents of the city of Moscow are provided with measures of social support.
The provision of medicines for medical use, medical devices, as well as specialized medical food products for disabled children of certain categories of citizens who have the right to state social assistance, is carried out in pharmacies located in medical organizations, which makes it possible to make drug assistance targeted and accessible. At the same time, dispensing with preferential prescriptions is carried out in the pharmacy subdivisions of the State Budgetary Healthcare Institution "CLO DZM" (narcotic drugs and psychotropic substances, as well as medicines made according to an individual prescription). Many pharmacy organizations are located in the immediate vicinity of medical organizations (city hospitals, polyclinics, oncological dispensaries), providing the population with walking access to the necessary medical care.
In the presence of medical indications, citizens who have applied for medical help to a medical organization, as well as if it is necessary to continue treatment after the patient is discharged from the hospital, drugs are prescribed and prescriptions for them are prescribed in the prescribed manner. Based on the nature and severity of diseases among privileged categories of citizens, drugs for the treatment of diseases on an outpatient basis are prescribed in the required amount directly by the attending physician in accordance with the approved list of drugs 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 20.12.2012 No. 1175n "On approval of the procedure for prescribing and prescribing medicinal products, as well as forms of prescription forms for medicinal products, the procedure for issuing these forms, recording and storing them", the appointment and prescription of medicinal products is carried out by the an employee under an international non-proprietary name, and in his absence - a grouping name. In the absence of an international non-proprietary name and a grouping name of a medicinal product, the medicinal product is prescribed and prescribed by a medical professional by the trade name.
In the presence of medical indications (individual intolerance, for health reasons), according to the decision of the medical commission of the medical organization, prescription and prescription of drugs is carried out: not included in the standards of medical care by trade names. The decision of the medical commission of the medical organization is recorded in the patient's medical documents and the journal of the medical commission.
The temporary absence of a medicinal product at the pharmacy on the day of contact is not a reason for refusing to issue a prescription. In the event of a temporary absence of drugs, medical devices in a pharmacy that dispenses drugs, medical devices to certain categories of citizens, the pharmacy worker is obliged to supply prescriptions for deferred provision with entry into the "Journal of unsatisfied demand". In accordance with the established procedure, measures must be taken to ensure them within the timeframe approved by the Ministry of Health of Russia: for drugs included in the "federal" List (order of the Government of the Russian Federation No. 2724-r dated December 26, 2015) - 10 working days from the moment the patient contacts the pharmacy organization and 15 for medications prescribed by the decision of the medical commission of the medical organization.
In accordance with the order of the Ministry of Health of the Russian Federation dated 20.12.2012 No. 1175n "On approval of the procedure for prescribing and prescribing medicinal products, as well as forms of prescription forms for medicinal products, the procedure for issuing these forms, recording and storing them":
1. On the prescription forms in the upper left corner, a stamp of the medical organization is put down with the indication of its name, address and telephone number. In addition, the prescription forms contain the code of the medical organization.
2. On prescription forms drawn up by individual entrepreneurs licensed for medical activity, the address of the doctor, the number and date of the license, the name of the government authority that issued the license must be indicated in the upper left corner by typographic method or by stamping.
3. Prescription forms are filled out by the doctor legibly, clearly, in ink or ballpoint pen.
4. Registration is allowedall the details (except for the "Signature of the attending physician" attribute) of the prescription forms of the form using printing devices.
6. In the prescription forms, the "Age" column indicates the number of full years of the patient.
7. In the prescription forms, in the column "Address or medical record number of a patient receiving medical care on an outpatient basis", the full mailing address of the patient's place of residence (place of stay or place of actual residence) and the number of the patient's medical record receiving medical care on an outpatient basis are indicated.
8. In the column "Full name of the attending physician" of the prescription forms, the full surname, name, patronymic (if any) of the medical worker who has the right to prescribe and prescribe medications shall be indicated.
9. Column "Rp" of prescription forms shall indicate:
1) in Latin, the name of the medicinal product (international non-proprietary or grouping, 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 of designations accepted by the rules are allowed; solid and free-flowing 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 by his personal seal. In addition, the prescription is certified by the seal of the medical organization "For Prescriptions".
12. Only one name of the medicinal product may be written out on one prescription form.
13. Corrections in a prescription written on a prescription form are not permitted.
14. The validity period of a prescription written on a prescription form (15 days, 30 days, 90 days) is indicated by strikethrough or underlining.
It is forbidden to write prescriptions for drugs:
In the absence of medical indications;
For medicinal products not registered on the territory of the Russian Federation;
For medicinal products 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 17.07.1999 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 can, before 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 of filing the specified application, and until December 31 of the year in which the citizen will apply to resume 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 submission of 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 of drug supply for the population of the Russian Federation for the period up to 2025, approved by the Ministry of Health of Russia in 2013, provides for a pilot implementation of various models of drug supply.
Co-financing by patients (with the exception of certain categories of citizens for whom free drug provision is provided) should depend on the nature of the course of the patient's illness and the cost of treatment costs, for example:
Costs are fully reimbursed by the state - for life-threatening, socially significant diseases that make the largest contribution to mortality in Russia,
A high proportion of reimbursement - provided for drugs for the treatment of non-life-threatening diseases, but requiring long-term expensive treatment,
Low share of reimbursement - for diseases requiring therapy with drugs with low cost.
It is necessary to analyze the results of various models of pilot projects of drug provision with various categories of citizens participating in pilot projects, various diseases (along the course and cost of treatment) to formulate calculations of financial costs.
The introduction of drug insurance in the city of Moscow is possible when the Ministry of Health of Russia summarizes the results of pilot projects in the constituent entities of the Russian Federation within the framework of the Strategy for drug provision, 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 preparations were also used that were obtained from raw meat, yeast and animal waste. Some medicinal substances are in readily available form in plant or animal raw materials, and therefore, medicine has successfully used a large number of medicinal products of plant and animal origin since ancient times. Only with the development of chemistry did people become convinced that the therapeutic effect of such substances lies in the selective effect of certain chemical compounds on the body. Later, such compounds began to be obtained in laboratories by synthesis.
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