Preferential medicines legal documents. How to get free medicines. XXV. Drugs affecting the respiratory system

Currently, in the city of Moscow there is a procedure for preferential drug provision to certain groups of the population entitled to benefits, approved by Order of the Moscow Government dated August 10, 2005 No. 1506-RP “On the implementation of social support measures for certain categories of citizens of the city of Moscow for the provision of medicines and medical products prescriptions prescribed by doctors free of charge or with a 50% discount.”

The above-mentioned order approved: A list of population groups for the outpatient treatment of which medicines and medical products are dispensed according to doctors' prescriptions free of charge or with a 50% discount, and a List of categories of diseases for the outpatient treatment of which medicines and medical products are dispensed according to doctors' prescriptions free of charge.

Federal Law No. 178-FZ of July 17, 1999 “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, of necessary drugs for medical use according to prescriptions. medications, medical products with prescriptions for medical products, as well as specialized medical nutrition products for disabled children, for certain categories of citizens specified in Articles 6.1 and 6.7 of the said Federal Law.

Providing certain categories of citizens with medicines and medical products according to doctors’ prescriptions free of charge or with a 50% discount is carried out through pharmacy organizations (pharmacies of various forms of ownership and pharmacy points located directly in medical organizations (outpatient clinics) in administrative districts at the place of residence) . The list of pharmacy organizations is approved by the Moscow Department of Health.

Pharmaceutical organizations providing logistics services for the provision of medicines to certain categories of citizens according to doctor’s prescriptions free of charge or with a 50% discount in the city of Moscow:

• Northern Administrative Okrug, North-Western Administrative Okrug, ZelAO of Moscow - LLC "TD "Pharm-center"
• Eastern Administrative District, North-Eastern Administrative District of Moscow - State Budgetary Healthcare Institution of Moscow "Center for Drug Supply of the Moscow Health Department"
• South-Western Administrative District of Moscow - PJSC Pharmimex
• Central Administrative District, South-Eastern Administrative District, Southern Administrative District, Western Administrative District, TNAO of Moscow - State Budgetary Healthcare Institution of Moscow “Center for Drug Supply of the Moscow Health Department”.

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 Moscow City Law No. 11/23/2005 No. 60 “On social support for families with children in Moscow.”

Informationon the procedure for providing citizens with a package of social services

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 on August 22, 2004, December 29, 2004), the period for providing citizens with a set of social services is a calendar year.

In accordance with paragraph 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 providing a set of social services to certain categories of citizens,” an application for refusal of 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 1 October of this year. Citizens have the right to withdraw a submitted application for refusal to receive a set of social services (social services) for the next year until October 1 of the current year.

It is permissible to refuse to receive a set of social services in full, to refuse to receive social services provided for in paragraph 1 of part 1 of Article 6.2 of the Federal Law of July 17, 1999 No. 178-FZ (additional free assistance, including provision of necessary medications according to doctor’s prescriptions, provision of if there are medical indications, vouchers for sanatorium-resort treatment), and refusal to receive social services provided for in paragraph 2 of part 1 of Article 6.2 of Federal Law No. 178-FZ of July 17, 1999 (providing free travel on suburban railway transport, as well as on intercity transport to the place of treatment and back).

Information on the production of drugs from the world's leading brands

Official information on the localization of production of drugs from the world's leading brands at the industrial sites of Russian pharmaceutical manufacturers is published on the Internet on the following sites.

In Russia, certain categories of citizens have the right to be treated at public expense, but few know about this possibility. Even fewer people enjoy this privilege. The national priority project “Health” is designed to provide assistance to the population with benefits. By law, the treatment of some serious diseases must be paid for by the state. If doctors demand that citizens who have the right to free treatment pay for expensive drugs, they are grossly violating the requirements of the law. But in practice it turns out that not everything is so simple.

How to get a discounted prescription for medications? Where should I go for this and what documents should I present? What are the rules for prescribing and dispensing preferential medications under the ONLS program? We will try to answer these questions in this article.

Who is eligible for discounted medications?

All categories of citizens entitled to receive preferential benefits and social support are divided into regional and federal beneficiaries in accordance with Law No. 122 on the monetization of benefits. The law includes the following as federal beneficiaries:

• Veterans of military operations and WWII;
• Military personnel, including those in the reserve.
• Family members of deceased veterans;
• Heroes of the USSR, Russian Federation, holders of the Order of Glory;
• Parents, minor children, widows of persons holding the title of Hero, full holders of the Order of Glory;
• Knights of the Order of Labor Glory, 3 degrees, heroes of Socialist Labor;
• Disabled due to health reasons;
• Persons awarded the badge “Resident of besieged Leningrad”.

These categories of citizens are entitled to medications, the payment for which is partially or fully carried out from the federal budget. By refusing these benefits, citizens of these categories can receive a certain amount of money each month instead.

Regional beneficiaries are patients who fall under the regional program “7 nosologies” for non-disabled persons with certain diseases or social status. Among them:

• Low-income families with children under 6 years of age;
• Children under 3 years old;
• Pregnant women.

Money for prescription drugs for these categories is allocated from the local budget. The amount of funds allocated under the regional program is an order of magnitude lower than the federal one. Different regions have different conditions for receiving social support required by law.

How to get a discounted prescription for medications?

You can get medications for free with a prescription from a doctor in a public hospital or from a private practitioner included in the register of medical organizations working in the field of compulsory health insurance. Since doctors do not often offer patients the opportunity to exercise their right to receive medications for free, citizens must exercise their rights independently.

The first thing you need to do is come to an appointment with a doctor and confirm the medical conditions that entitle you to receive free medications. This procedure is the main condition that can be used by a representative of the preferential category of recipients of free drug treatment. The doctor is obliged to write out a prescription on a special prescription form according to form No. 148-1/u-06 (l). In order for a citizen to receive a prescription for preferential drug coverage, a certain package of documents must be provided. It includes:

• Passport;
• A document confirming the right to benefits;
• A certificate issued by the Pension Fund stating that there was no refusal to receive social assistance in favor of monetary compensation;
• Medical insurance;
• SNILS (insurance number).

If a child under 3 years of age needs free medications, the doctor must only show his birth certificate. Based on these documents, the doctor must issue a prescription and be sure to enter the prescriptions into the patient’s outpatient card. It may be necessary over time to obtain a card statement to confirm the appointment. The prescription form must be filled out correctly. It is signed by the head of the clinic. It is important that the form contains all the necessary signatures and seals - the doctor and the clinic.

The doctor can give the patient the addresses of pharmacies that serve preferential patients; they cannot be obtained from any pharmacy. Information about pharmacies that have the right to dispense medications to beneficiaries can be posted in a visible place in the clinic. The issued prescription usually has a limited validity period of up to 1 month. A prescription for a longer period of up to 3 months can only be issued for children or disabled people of group I. If your prescription has expired, you need to go back to the clinic to get a new one.

If the pharmacy does not have the necessary drugs, the pharmacist can recommend their analogues or write a prescription deferred for 10 days with registration in a special journal. When the medicine is in stock at the pharmacy, you can come and get it. If the patient had to independently purchase medications that were not available in the pharmacy, you need to keep the receipt and contact the insurance company with which the patient took out a medical policy. She is obliged to reimburse the money spent by the policyholder.

Sample of a preferential prescription form (form 148-1/у-06(l))

Order No. 1175n, as amended, effective from January 1, 2017, approved the form of prescription forms, including those for receiving subsidized medications. A sample prescription form can be found here. Under the name of the form in the upper left corner there should be a stamp of the medical organization that issued the prescription, OGRN code, on the opposite side - the name of the form. Below is a table and all the necessary data. These include:

• Source of financing;
• Share of payment from source;
• Validity period of the prescription (15, 30, 90 days);
• Series, date of issue of the prescription;
• Patient's name, date of birth;
• SNILS;
• Compulsory medical insurance policy number;
• Patient's medical card number;
• Full name of the attending physician, his code;
• On the left - drugs (name, dosage), signature, seal of the attending physician;
• On the right is the part filled out by the pharmacy worker (prescription date, drug code, trade name, quantity, amount, pharmacy seal).

The patient prescription tear-off stub contains the dosage of the drug and how to take it. In addition, this document is a security printed product of level “B”, produced on pink paper measuring 10 cm x 15 cm, it must meet the requirements specified in Appendix No. 3 to the order of the Ministry of Finance of the Russian Federation dated February 7, 2003 No. 14n “On the implementation of the Decree of the Government of the Russian Federation of November 11, 2002 N 817.”

Rules for prescribing and dispensing preferential medications under the ONLS program

In order to receive assistance under the state program for the provision of essential medicines (ONLS), it is necessary that the drugs prescribed to the patient according to indications are contained in the List of Medicines (RF Government Decree No. 2724-r dated December 26, 2015) and Government Order 2053-r. as amended on December 27, 2010.

To receive medicines and medical products under this program, you need to contact health care facilities that provide primary medical care. Specialized therapeutic and preventive nutrition can be obtained at health care facilities that provide medical and genetic care.

At the registry of the health care facility, an outpatient card or a history of the child’s development is created for the patient, which is marked with the letter “L”. It also indicates the patient's insurance number (SNILS). The patient’s medical record or the child’s development history indicates the period during which he can exercise the right to state assistance.

The basis for prescribing medications under the ONLS program are the documents provided (listed at the beginning of the article). The doctor examines the patient and, based on the results, writes a prescription for medicines, medical devices or medical products for disabled children included in the List. These medications can be obtained from pharmacies that are eligible to dispense medications free of charge under this program.

If a citizen has temporarily traveled to the territory of another subject of the federation, he can receive free medicines at the appropriate health care facility. You must present documents, an extract from your medical record or the child’s development history indicating SNILS. When prescribing medications to such a patient, they must write “non-resident” on the prescription form on the right at the top of it.

Conclusion

To receive a preferential prescription for medications, the patient must contact his attending physician or a specialized specialist at the healthcare facility to which he is assigned. Based on the documents provided confirming the right to the benefit, the doctor of the medical institution will write a prescription, which can be sold at one of the pharmacies serving benefit patients.

Disease in the modern world is a common problem among the population.

According to statistics, almost every year more than 100 billion rubles are spent to provide citizens with medical care.

And it’s no secret that there is an urgent issue about the financing of hospitals and clinics, as well as the provision of medical supplies. More people need highly qualified help, the list of people grows every year, and medical personnel are reduced.

In Russia, medical care can be quite expensive for citizens. It often happens that citizens simply cannot afford to purchase medicines. Many people are unaware of their rights to receive free medications. Every year, 100 million rubles are spent from the country’s budget on such events.

And during a crisis, medicines rise in price, which significantly increases the demand for such a government program.

Legislative regulation

The provision of medicines for beneficiaries is regulated by the decree of June 30, 1994 “On State. supporting the development of medicine and improving the provision of medical supplies to citizens.”

And also an important document is the bill “On approval of the list of medications dispensed by prescription when providing additional services.” medical assistance to certain groups of persons entitled to receive state social help."

Who is eligible to receive free medications?

It is worth understanding that not all citizens have the right to count on such a government program. Only beneficiaries can take advantage of the privilege to receive free medicines. And not every medical product is included in the free supply.

Get guaranteed help can:

Also count on government support citizens can, which:

• hemophilia;
• cystic fibrosis;
• tuberculosis;
• multiple sclerosis;
• cancer;
• myeloid leukemia;
• after organ transplantation.

The strangest thing is that citizens suffering from cancer receive insufficient funding, as well as insufficient medical care. It is most difficult for them to obtain the prescribed medications from the state for pain relief. But they still deserve help.

Provides information about freely provided medications Therapist. He must do this on his own. But if he does not do this on his own, then every patient has the right to clarify this information. You can easily find information about freely provided medications on the Internet. It is also possible to find out about this from the insurance company.

What medications can be provided free of charge?

State provision and current legislation allow citizens to receive free medical care. The list of medications provided free of charge for both outpatient and inpatient treatment is specified in the government decree. Many of these drugs are available exclusively according to prescriptions medical workers. For outpatient treatment, you can get a 50% discount on many medications.

Group analgesics:

1. Codeine;
2. Morphine;
3. Drug;
4. Papaverine;
5. Thebaine;
6. Trimeperidine;
7. Acetylsaliylic acid;
8. Ibuprofen;
9. Diclofenac;
10. Ketoprofen;
11. Ketorolac;
12. Paracetomol and Tramadol.

Antiepileptics:

Antiparkinsonian:

1. Trihexyphenidyl;
2. Levodopa;
3. Benserazide;
4. Amantadine;
5. Carbidol.

Psycholeptics:

1. Zuclopenthixol;
2. Haloperridol;
3. Quetiapine;
4. Olanzapine;
5. Risperidone;
6. Periciazine;
7. Sulpiride;
8. Trifluoperazine;
9. Thioridazine;
10. Flupenthixol;
11. Fluphenazine;
12. Chlorpromazine;
13. Oxazepam;
14. Diazepam.

Psychoanaleptics:

Anticholinesterase:

1. Pyridostigmine bromide;
2. Neostigmine methyl sulfate.

Treatment infections:

1. Doxycycline;
2. Tetracycline;
3. Amoxicillin + Clavulanic acid;
4. Cephalexin;
5. Benzathine benzylpenicillin;
6. Cefuroxime;
7. Sulfasalazine;
8. Clarithromycin;
9. Azithromycin;
10. Ciprofloxacin;
11. Fluconazole;
12. Clotrimazole;
13. Tiloron;
14. Acyclovir;
15. Metronidazole;
16. Benzyl benzoate.

Antitumor:

Strengthening Bones:

1. Calcitonin;
2. Colecalciferol;
3. Alfacalcidol;
4. Alendronic acid.

Blood clotting:

1. Heparin sodium;
2. Warfarin;
3. Pentoxifylline;
4. Clopidogrel.

Drugs for heart:

1. Lappaconitine hydrobromide;
2. Digoxin;
3. Amiodarone;
4. Propafenone;
5. Sotalol;
6. Isosorbide mononitrate;
7. Isosorbide dinitrate;
8. Nitroglycerine;
9. Bisoprolol;
10. Atenolol;
11. Metoprolol;
12. Carvedilol;
13. Verapamil;
14. Amlodipine;
15. Nifedipine;
16. Losartan;
17. Captopril;
18. Lisinopril;
19. Enalapril;
20. Perindopril;
21. Methyldopa;
22. Clonidine;
23. Potassium and magnesium aspartate;
24. Spironolactone;
25. Furosemide;
26. Indapamide;
27. Hydrochlorothiazide;
28. Acetazolamide;
29. Ivabradine;
30. Atorvastatin;
31. Simvastatin;
32. Moxonidine.

Drugs for the intestines:

1. Metoclopramide;
2. Omeprazole;
3. Drotaverine;
4. Bisacodyl;
5. Sennosides A and B;
6. Lactulose;
7. Pancreatin;
8. Dioctahedral smectite.

Hormonal for the thyroid gland:

For diabetes mellitus:

1. Gliclazide;
2. Glibenclamide;
3. Glucagon;
4. Insulin aspart;
5. Insulin aspart biphasic;
6. Insulin detemir;
7. Insulin glargine;
8. Insulin glulisine;
9. Biphasic insulin;
10. Insulin lispro;
11. Insulin isophane;
12. Insulin is soluble;
13. Insulin lispro biphasic;
14. Repaglinide;
15. Metformin.

Drugs for kidney treatment:

1. Finasteride;
2. Doxazosin;
3. Tamsulosin;
4. Cyclosporine.

Ophthalmological medications:

1. Timolol;
2. Pilocarpine.

Drugs against asthma:

1. Beclomethasone;
2. Aminophylline;
3. Budesonide;
4. Beclomethasone + Formoterol;
5. Ipratropium bromide + fenoterol;
6. Salbutamol;
7. Formoterol;
8. Tiotropium bromide;
9. Acetylcysteine;
10. Ambroxol.

Medicines antihistamine type:

1. Loratadine;
2. Cetirizine;
3. Chloropyramine.

Since 2018 by the Government of the Russian Federation significantly expanded a list of medicines regulated as vitally important, provided to certain categories of citizens free of charge.

The list of medications is classified according to indications and consists of two sections. The first section has been increased by 25 positions, and the second section contains about 60 additional products and 8 new drugs released recently.

The list is dominated by anti-cancer, hormonal drugs, and antidepressants. Due to the fact that in recent months there has been a slight increase in the prices of the declared groups of goods, funding from the federal budget for this item has been increased to 21.6 billion rubles. There has been an increase in allocations for HIV-infected people.

New names not previously included in the list:

• Means for eliminating pathologies of the liver and biliary tract - Nicotamide, Succinic acid, Inosine, Melumin - are available in injections.
• Antidiarrheal drugs, intestinal and gastric anti-inflammatory drugs - suspension, tablets of the suppository class.
• For the treatment of diabetes mellitus – Sacubitril, Valsartan. Produced in tablets.
• Activating systems - Renin-angiotensin, tablets.
• Hypolipidemitis – Alirocumab, Evolocumab – liquid mixtures for injection into the deep skin layers.
• Hormonal - Lanreotide - is available in gel form.
• Systemic antibacterial agents - Daptomycin, Telavancin - powder mixtures for the preparation of injections.
• Systemic antivirals - Narvaprevir and Dolutegravir - in tablets.
• Anticancer drugs - in the form of concentrated formulations for injection. More than 15 titles.
• For the treatment of eye pathologies - Tafluprost, Aflubercept - in drops.
• Medicines for general use.

Receipt procedure

No person has the right to refuse preferential categories of citizens. Issue a prescription The attending physician is obliged to receive medications if he needs these medications. The list of employees who have the right to issue a prescription for free medications is specified in each medical institution separately.

For residents of rural settlements, medication assistance is also calculated. If a person’s place of residence has a clinic included in the insurance system, then paramedics have the right to give prescriptions. To receive it you need visit a sick doctor.

What documents need to be provided

To receive you need to provide next package of documents:

You need to know that the patient has the right to refuse to receive medications for free and receive. The benefit is provided only when a diagnosis is made by a specific doctor. A note is made on the client's card. The prescription is written out on a special form of the established form. The patient must check for signature and seal. Otherwise, the form becomes invalid. This document is valid for no more than a month.

In addition, the local medical worker submits documents to the state pharmacy to register a specific client in the register. If medical drugs not available, then they are delivered within ten days. If the medicines have not arrived within the specified period, you can leave a request on the Roszdravnadzor website. After this, the case passes to state control. There is also a list of free medications. Here you can also file a claim against your doctor or pharmacy for refusal to provide free medicines.

Procedure in case of refusal to issue medications free of charge

Law is law. But in fact, many citizens never received free medicines.

Citizens have the right to refuse only if the prescription is not filled out correctly or there are not enough documents. If the hospital does not provide free medications, then you need to submit a written statement to the head physician or administrator of the medical institution. In case of refusal, a statement is written that the head physician must sign. The document is needed to be submitted to the prosecutor's office.

An option to receive free medicines becomes filing a complaint with Roszdravnadzor. A standard form is filled out there. The claim must be stated clearly with supporting facts. There are no deadlines for a claim, just as there is no specified period for consideration of the application.

For information on the provision of medications for children under three years of age (up to 6 years of age if the child is from a large family), see the following video:

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 drugs on 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 whether the required drug is in stock, when it will be delivered to the pharmacy, and why it is not available. 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, a pharmacy, a pharmaceutical company, etc.

A medicine prescribed to a patient free of charge under a preferential prescription can be purchased with one’s own funds, and then demand payment of 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 reimbursement of funds if the medicine is purchased independently and the prescription has not been put on deferred maintenance.

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Free in Russia

Some categories of citizens productively use vital social support measures. 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 medical supplies to citizens” 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:

1. Children under 3 years old.
2. Disabled people of the Second World War.
3. Decorated military personnel.
4. Veterans of the Second World War, Afghanistan, and the Chechen War.
5. Home front workers.
6. Participants in combat operations.
7. Liquidators of the consequences of the nuclear power plant accident in Chernobyl.
8. Disabled people of all groups.
9. Large families raising children under 6 years of age.
10. Low-income people.
11. 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:

• tuberculosis;
• myeloid leukemia;
• oncological diseases;
• multiple sclerosis;
• cystic fibrosis;
• hemophilia.

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.

It is difficult for an ordinary person without the appropriate education to check the correct spelling of the name of a drug in Latin, so this fact remains on the doctor’s conscience.

A prescription for subsidized drug coverage can be given 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. All children under three years of age, as well as under six years of age from large families, are entitled to preferential provision of medicines. 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?

1. If the medicine is unavailable, it should be replaced with an analogue.
2. 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.

Feedback has been established in the regions. 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.

The issuance of preferential medications is 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.

1. None of the medical personnel has the right to refuse to issue the coveted leaflet.
2. The prescription is issued by the attending physician or other official specified in the charter of the medical institution.
3. 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.