How to get preferential medicine. How to get preferential medications and who is entitled to them Deadlines for issuing preferential medications under the federal program

Purchasing medicines can seriously hit the pockets of even fairly wealthy citizens, not to mention vulnerable 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. Read on to find out who is eligible for free medications and in what order, as well as the latest changes to the list.

Legislative regulation

Providing citizens with free medicines is carried out on the basis. In particular, it provides a set of social services for beneficiaries, which, in addition to the issuance of medicines, includes sanitary treatment and travel on intercity and urban public transport.

In more detail, the categories of beneficiaries and the forms of provision to them medicines are presented in Decree of the Government of the Russian Federation No. 890 of July 30, 1994. Lists of free medicines are annually reviewed and approved by the Ministry of Health of the Russian Federation with mandatory 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;
expansion of the list discounted medications;
financial support for pharmacy chains dispensing free medicines;
increased allocations for budgetary institutions(clinics, 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 entitled to free medicines?

The list of persons entitled to receive free medicines is presented in. It includes the following categories of citizens.

WWII participants, including disabled people. This category includes military personnel, civilian personnel, employees of military enterprises, partisans and other participants in the war. In addition to medications, they are entitled to free dressings, various medical products (urine and colostomy bags, applicators, medical belts, etc.), and dentures. Persons who received wounds in the orbital area of the eyes during the war are additionally given free glasses for vision correction.
Veterans of combat operations (Afghanistan, Chechnya, etc.). They are provided with free medicines and dentures.
Family members of deceased combatants. The benefit is given to parents and spouses of deceased military personnel.
Residents of besieged Leningrad. They can count on both medicine and free dentures.
Heroes of Russia and the USSR, holders of the Order of Glory.
Prisoners of concentration camps.
Disabled people of groups 1 and 2, as well as minor children with disabilities. In addition to medicines, they are entitled to assistance in the form of free medical products and dressing materials. Group 2 disabled people are given medications only if they are unemployed.
Persons exposed to radiation. Citizens, both those living in areas contaminated by radiation and those 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 small nationalities of the Far North.

Persons who are not included in any of the listed categories can also receive preferential medications if they have serious illness requiring expensive treatment. TO similar diseases include:

HIV infection;
oncology;
tuberculosis;
bronchial asthma;
diabetes;
multiple sclerosis;
recovery period after internal organ transplantation;
myocardial infarction (only during the first 6 months);
mental illnesses, 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 minimum size pensions;
employed disabled people of the 2nd group;
unemployed disabled people of the 3rd group;
victims of political repression;
rear workers with at least 6 months of experience during the Second World War (with the exception of work in occupied territories).

Benefits for receiving 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 medications can I get?

The initial list of free medicines has been approved. Since then, it has been revised and supplemented annually. WITH latest version, adopted for 2018, can be found on the website of the Ministry of Health of the Russian Federation in the section dedicated to the drug supply department.

In total in 2017 this list includes 646 items. This is 42 positions more than last year. In 2018, the trend towards expanding the list of free drugs will continue, and it will be replenished with another 25 items. Among them:

antitumor agents “Panitumumab”, “Brentuximab vedotin”, “Afatinib”, “Aflibercept”, etc.;
immunosuppressants “Apremilast”, “Pirfenidone”, “Tofacitinib”, etc.;
medications for the treatment of the gastrointestinal tract “Mesalazine”, “Eliglustat”, hemostatics, etc.;
hormonal drug "Lanreotide";
antiviral agents “Narlaprevir”, “Dolutegravir”, “Dasabuvir”, etc.;
diabetes medications Empagliflozin and Lixisenatide;
drugs for rheumatism “Dexketoprofen”, “Perampanel”, “Tetrabenazine”, etc.;
ophthalmic drugs "Aflibercept" and "Tafluprost";
other medicines.

Before you start applying for benefits, be sure to consult with your doctor about the availability of preferential list the medications you need or their analogues.

How to get benefits for free medicines?

The registration of benefits for free medicines is carried out at the territorial branches 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.

Supporting documents may include a certificate of disability, a combat 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 classified as one of the preferential categories.

After checking the accuracy of the submitted data, the Pension Fund will issue you a certificate confirming your right to receive free medicines. There is also an alternative that allows you to monetize this benefit. To receive instead of free medicines monetary compensation, you must write a corresponding application to the Pension Fund and submit the above certificate, if it was issued previously.

The procedure for obtaining preferential medications at the pharmacy

Before going to the pharmacy for free medications, you must fill out a prescription at the clinic to receive them. To do this, the attending physician must provide a certificate received from the PRF confirming the right to the benefit.

Prescriptions are written out on special forms (usually forms 107/u-NP or 148 -1/u-88) and, in addition to the attending physician (paramedic), are certified by the head of the department. They must indicate the expiration date during which you need to get the medicine.

If the clinic does not have the required form, and the purchase of medications does not require delay, buy them at your own expense and keep the receipts. Later, when the doctor is able to write you a prescription, these checks will be able to reimburse you for the money spent.

To buy 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 clinic. In addition to the prescription, the pharmacist must present a passport and a medical extract confirming your diagnosis. If, for health reasons, the patient cannot visit the pharmacy on his own, any other person who has provided all the necessary documents can receive discounted medications for him.

If the pharmacy does not have the drugs you need or their analogues, you are required to order them and provide them within 10 days. The doctor, in turn, must extend the validity of the prescription. And if the prescription was lost, you are required to write it out again. At the same time, in outpatient card A note is made to the patient, and a notification about the loss of the document is sent to the pharmacy. These measures are necessary to ensure that those who find the recipe cannot use it.

There are no restrictions on the quantity or cost of medicines provided free of charge. Their quantity and dose are set by the doctor based on the patient’s diagnosis.

Features of providing regional benefits for medicines

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 low-income citizens and other vulnerable segments of the population. In addition, regions can completely change the approach to assigning benefits. For example, in St. Petersburg, it is not the categories of beneficiaries that have been approved, but specific diseases for which any citizen can receive free medicine, regardless of his merits or income level.

Subjects of the Russian Federation have the right to establish their own lists of free drugs. They are developed by territorial divisions of the Ministry of Health, taking into account diseases common in the region and the capabilities of the local budget. The most extensive regional programs for preferential security medicines are represented in Moscow and St. Petersburg, the Republic of Tatarstan, Khanty-Mansi Autonomous Okrug.

The same person cannot simultaneously be a beneficiary under both the federal and regional programs. Therefore, before you apply for benefits, you should find out at what level the medicines you need are provided.

About the opportunity free receipt the patient's medications are required to be informed medical workers. But this does not always happen, so for information you can contact the insurance company where you received compulsory medical insurance policy, as well as to local units of the Pension Fund and the Social Protection Fund.

The right to a regional benefit is formalized in the same manner as for a federal one. To do this, apply to the Pension Fund branch with a similar package of documents. The issuance of free drugs is also carried out only according to doctor’s prescriptions in pharmacies participating in the regional program.

Drug prices are rising faster than the incomes of most of the population. At the same time, many citizens are unaware that they have the opportunity to receive free medicines from the state. Doctors don't always care to inform patients about their rights, so never hesitate to find out for yourself.

If you have difficulties obtaining subsidized medications (queues at clinics, lack of medications in pharmacies) - do not give up. Believe that everything will work out for you and be patient! The state provides the opportunity to receive free medicines separate categories population. But people do not always know how to defend their rights and receive the guarantees they are entitled to under the law.

Disabled people and WWII veterans, disabled people of groups I and II, and disabled children have the right to preferential purchase of medicines. It is for this category of citizens that medications are financed by the federal budget. In addition, children under 3 years of age have the right to receive preferential medications (if the family has many children, then up to 6 years of age). However this information Honey is often kept silent. staff of clinics and hospitals. In each individual region there is a list of citizens who are entitled to preferential treatment. There are also a number of diseases for which a citizen has the right to preferential treatment. At the same time, his status and age do not matter. These diseases include tuberculosis, AIDS, diabetes etc. Sometimes benefits are granted on a permanent basis, sometimes temporarily (for example, after a myocardial infarction, a citizen can count on free treatment within six months). To receive discounted medications, you must visit a doctor and show him:

a document according to which you have the right to preferential treatment (pension certificate, veteran’s certificate);
a certificate from the Pension Fund confirming that you did not refuse social package, including preferential treatment (for disabled people);
SNILS;
compulsory medical insurance policy.

Benefits can be obtained if there is a diagnosis established by a highly specialized specialist. The hospital card must also contain a note from the therapist. The doctor will issue you a prescription for a subsidized drug (according to Form No. 148-1у-06(l)) based on the documents provided and the presence of indications for treatment. A certificate with appointments must be signed by a doctor, certified with a seal, a round seal of a medical doctor. organizations. This recipe is valid for 2-4 weeks. The local doctor must submit an application to the pharmacist of the city (district) hospital about your need for subsidized medications. You should submit your prescription to a pharmacy that specializes in providing discounted medications. If medications are not available, they will take your prescription and write it down for deferred servicing, and the pharmacist must make an entry in a special journal. The ordered medicine must be delivered no later than 10 days from the moment the citizen is registered at the pharmacy. If this does not happen, you can call the Department of Health hotline and explain the situation. The issue will be under the control of management. A list of preferential medications and other information can be obtained on the Roszdravnadzor website. If you have any difficulties obtaining subsidized medications, you can write a request on the Roszdravnadzor website. In the application you must indicate your full name, nature of benefits, contact information (telephone, email), residential address. In the text of the appeal, it is important to describe in detail, but to the point, the problems you encountered. The clearer the essence is stated, the greater the chances of a quick and effective solution to your issue. If necessary, you can attach a file to your application. When everything is completed, enter the characters from the picture in the special window and click the “Submit” button.

Thanks to changes in recommendations and orders of the Ministry of Health Russian Federation, many medications will be available by prescription starting March 1, 2017. The beginning of this year turned out to be stormy for many pharmacy chains, as well as the pharmaceutical industry in general. Some instructions have already entered into force, others will come into force soon. Some orders introduced a moratorium on the work of pharmacists, while others made dispensing prescription drugs significantly more difficult.

What prescription drugs are available as of March 1, 2017?

By order of the Ministry of Health, certain restrictions are introduced on the sale of drugs medicinal purposes. Implementation medical supplies in one hand is carried out in limited quantities. This refers to the sale of syrups and tinctures that contain ethyl alcohol in a concentration of at least 15%. Pharmacists can sell no more than two packages per person. The purpose for which they do this is clear to many. Today, not all drugs are bought by people to fight illnesses. This fact is confirmed by the mass poisoning with hawthorn tinctures in Irkutsk, where more than 70 people were injured.

In addition, pharmacists are prohibited from advising clients on more expensive medications if there are inexpensive analogue. Although, according to many representatives of the pharmaceutical industry, such standards were previously prescribed in the instructions for pharmacy workers.

Pharmacists are also required to provide their clients with information about the characteristics and contraindications of medications, as well as their shelf life, storage conditions and dosage. Previously, such things were not talked about at all.

Prescription drugs

According to the law of the Ministry of Health No. 785, medicines are available by prescription from March 1, 2017. An exception is the list of drugs that can be dispensed without a prescription.

The list of prescription drugs since March 1, 2017 is quite extensive. It includes drugs from literally all medicinal groups. Most of all on the list are antibiotics. According to the ministry's idea, they should all be prescription. Therefore, if we act strictly according to the law, more than 50% of all drugs in pharmacies must be sold only with a prescription from the attending physician.

Opinion of representatives of the pharmacy business

According to representatives of the pharmaceutical industry, at present there are practically no recipes in the classical sense. Doctors write prescriptions on pieces of paper. At the same time, according to the director of one of the pharmacy chains, Kakhaber Bakuradze, today many pharmacy pharmacists are being retrained in a new way. He also reports that every day everything more people they come to the pharmacy with prescriptions, and pharmacists work exclusively according to instructions, that is, in accordance with current legislation.

Today, the sale of prescription drugs without availability necessary documents threatens with a fine of up to 50 thousand rubles. Authorities are considering making penalties for selling prescription drugs without a prescription more severe. We are talking about a potential cessation of activity for a period of up to 90 days.

Information about over-the-counter medications may be placed on shelves, in wobbler and poster formats, as well as on other media so that the buyer can fully familiarize themselves with the product. In a comfortable view it is necessary to place a price tag with the name, number of doses in the package, dosage, manufacturer.

Barcode on medical products

In addition, another important innovation comes into force - labeling on each medicine. A pilot project of the appropriate type is being launched in several Russian cities. The main goal of the event is to combat counterfeit and counterfeit medical products.

According to preliminary data, this project will help track about six billion packs of medical supplies. At the initial stage in March, barcodes will be placed on 60 product items. Including 10 drugs for the treatment of rare ailments, as well as more than 30 types of drugs that have been included in the list of vital prescription drugs since March 2017. It is planned that by the end of this year, automation of the accounting system is considered voluntary. IN next year it will be coercive.

According to Rospotrebnadzor, each package of a medical product at production will be equipped with a two-dimensional barcode. It will be located next to information about the period until which the medicine may be valid. Such a system will allow you to determine the origin of the drug without leaving the pharmacy counter.

Difficulties in using the barcode

However, some problems were also discovered. The mobile device must have a program installed to read the code. There is another option. The buyer can use a pharmacy scanner, which must be installed in pharmacies participating in the project. The system will give the buyer comprehensive information about where, who and when the drug was manufactured.

Kakhaber Bakuradze claims that there should be no problems with the new barcodes. The IT department specialists produced all the required templates long ago. This will make it possible to forever forget about counterfeit and gray drugs, the origin of which is unknown. Honest pharmaceutical businessmen will only benefit from such changes.

Are medicines becoming more expensive?

Many are interested in the question of whether these changes will affect ordinary people in a financial sense? According to pharmaceutical market experts, the changes will not affect the cost of drugs in any way. As they report, the new requirements will be useful to buyers, as well as owners of honest pharmacies that do not use illegal schemes for selling drugs.

The cost of drugs should not increase. This is also evidenced by the prices of drugs in pharmacies in January. Prices have hardly changed.

List of free medicines for 2017

It is worth noting that there is a specific list of free medicines for 2017 for preferential categories of the population. However, information about free medications is provided by the attending physician. He himself is obliged to inform the patient. If the doctor ignores his duties, the patient has the right to clarify the information. Information about free medications is also provided by the insurance company.

List of free medicines
Group of analgesics:
Codeine Morphine Drug Papaverine Thebaine Trimeperidine	Acetylsalicylic acid Ibuprofen Diclofenac Ketoprofen Ketorolac Paracetamol and Panadol
Antiepileptics:
Benzobarbital Valproic acid Hydrochloroquine Penicillamine Carbamazepine	Clonazepam Topiramate Ethosuximide Phenobarbital Oxcarbazepine
Antiparkinsonian:
Trihexyphenidyl Levodopa Benserazide	Amantadine Carbidol
Psycholeptics:
Zuclopenthixol Haloperridol Quetiapine Olanzapine Risperidone Periciazine Sulpiride	Trifluoperazine Thioridazine Flupenthixol Fluphenazine Chlorpromazine Oxazepam Diazepam
Psychoanaleptics:
Amitriptyline Clomipramine Imipramine Paroxetine Sertraline Pipofezin Fluoxetine	Betagistine Aminophenylbutyric acid Vinpocetine Piracetam Glycine Tizanidine Ethylmethylhydroxypyridine succinate
Anticholinesterase:
Pyridostigmine bromide	Neostigmine methyl sulfate
Treatment of infections:
Doxycycline Tetracycline Amoxicillin+Clavulanic acid Cephalexin Benzathine benzylpenicillin Cefuroxime Sulfasalazine Clarithromycin	Azithromycin Ciprofloxacin Fluconazole Clotrimazole Tiloron Acyclovir Metronidazole Benzyl benzoate
Antitumor:
Hydroxyurea Busulfan Mercaptopurine Melphalan Methotrexate Chlorambucil Mitomycin Cyclophosphamide	Azathioprine Tamoxifen Medroxyprogesterone Anastrozole Flutamide Interferon alpha-2a Interferon alpha-2b
Strengthening bones:
Calcitonin Colecalciferol	Alfacalcidol Alendronic acid
Blood clotting:
Heparin sodium Warfarin	Pentoxifylline Clopidogrel
Medicines for the heart:
Lappaconitine hydrobromide Digoxin Amiodarone Propaphenone Sotalol Isosorbide mononitrate Isosorbide dinitrate Nitroglycerine Bisoprolol Atenolol Metoprolol Carvedilol Verapamil Amlodipine Nifedipine Losartan	Captopril Lisinopril Enalapril Perindopril Methyldopa Clonidine Potassium and magnesium aspartate Spironolactone Furosemide Indapamide Hydrochlorothiazide Acetazolamide Ivabradin Atorvastatin Simvastatin Moxonidine
Bowel preparations:
Metoclopramide Omeprazole Drotaverine Bisacodyl	Sennosides A and B Lactulose Pancreatin Dioctahedral smectite
Hormonal for the thyroid gland:
Dexamethasone Betamethasone Hydrocortisone Methylprednisolone Methylprednisolone aceponate Prednisolone	Fludrocortisone Desmopressin Levothyroxine sodium Bromocriptine Thiamazole Allopurinol
For diabetes:
Gliclazide Glibenclamide Glucagon Insulin aspart Insulin aspart biphasic Insulin detemir Insulin glargine Insulin glulisine	Biphasic insulin Insulin lispro Insulin isophane Insulin soluble Insulin lispro biphasic Repaglinide Metformin
Drugs for the treatment of kidneys:
Finasteride Doxazosin	Tamsulosin Cyclosporine
Ophthalmic medications:
Timolol	Pilocarpine
Asthma medications:
Beclomethasone Aminophylline Budesonide Beclomethasone+Formoterol Ipratropium bromide + fenoterol	Salbutamol Formoterol Tiotropium bromide Acetylcysteine Ambroxol
Antihistamine type medications:
Loratadine Cetirizine	Chloropyramine

By the way, in 2017 the film “A Cure for Health” was released, which colorfully illustrates the situation with medicines in our country.

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 if they have it in stock. necessary drug, when it will be delivered to the pharmacy, for what reason it is missing. You can also notify the company that the prescription has been accepted by the pharmacy for deferred service (the pharmacy may not inform the company about the deferred prescription). The phone number of the pharmaceutical company can be found at the pharmacy.

If 16 days have passed and the drug has not yet arrived at the pharmacy, you need to write a complaint to the authorized pharmaceutical company that you have not received the discounted drug.

You need to wait for a response, which may indicate that the Ministry of Health did not hold scheduled tenders for the purchase of medicines or the medicine was not indicated in the specification for public procurement. The company's response will be the basis for going to court - based on the content of the response, the defendant is determined: the Ministry of Health and Social Development, a pharmacy, a pharmaceutical company, etc.

Medicine prescribed to a patient free of charge according to a preferential prescription can be purchased for own funds, and then demand compensation from the pharmacy. To do this, you need to write a claim to the pharmacy with a request to reimburse the costs. If the pharmacy does not reimburse the money spent, you can go to court.

The court may refuse to satisfy a claim for reimbursement of funds if the medicine is purchased independently and the prescription has not been put on deferred maintenance.