386 N of 30.06 recipe form. For medical applications approved by order
Ministry of Health of the Russian Federation
On Amendments
In order to determine the initial (maximum) price
Contract, contract prices concluded with the only
Supplier (contractor, performer), in carrying out
Procurement of drugs for medical
Applications approved by the Order of the Ministry
Health of the Russian Federation
Dated October 26, 2017 N 871n
Order:
Approve the accompanying changes that are entered into the procedure for determining the initial (maximum) contract price, the contract price concluded with the only supplier (contractor, performer), in the implementation of drug purchases for drugs for medical application, approved by order of the Ministry of Health of the Russian Federation of October 26, 2017 N 871n (registered by the Ministry of Justice Russian Federation November 27, 2017, registration N 49016).
Minister
V.I.Skvortsov
Approved
Order of the Ministry of Health
Russian Federation
dated June 26, 2018 N 386n
Changes
Which are entered into the procedure for determining the initial
(Maximum) contract price, contract price concluded
With the only supplier (contractor, performer),
In the implementation of procurement of drugs
For medical applications approved by order
Ministry of Health of the Russian Federation
Dated October 26, 2017 N 871n
1. In paragraph 2, the footnote is considered invalid.
2. Complete paragraph 2.1 of the following content:
"2.1. When calculating the NMCC, wholesale surcharges, the size of which should not exceed the limit dimensions of the wholesale premises established by the executive authorities of the constituent entities of the Russian Federation (Article 63 of the Federal Law of April 12, 2010 N 61-FZ" On Creating medicines"(Assembly of the legislation of the Russian Federation, 2010, N 16, Art. 1815; 2015, N 29, Art. 4367) are used in the implementation of drug purchases, which are included in the list of vital and most important drugs (except in cases of procurement from Producer medicines):
a) to ensure federal needs if the NMCC does not exceed ten million rubles, as well as if the NMCC is over ten million rubles, subject to non-examination of the price of the unit planned for procurement medicinal preparation above the price of such a drug contained in the State Register of Limit vacation prices manufacturers for drugs included in the list of vital and essential drugs;
b) to ensure the needs of the subject of the Russian Federation, municipal needs, if the NMCC does not exceed the size, which is established by the Supreme Executive Body of the State of the constituent entity of the Russian Federation and is not more than ten million rubles, as well as if the NMCC is over the subject of the subject of the Russian Federation established by the Supreme Executive Authority Size or over ten million rubles, subject to the unparallement of the unit of the unit planned for the purchase of a drug over the price of such a drug contained in the state register of limiting selling prices of manufacturers for drugs included in the list of vital and essential drugs. ".
3. In paragraph 3:
a) in subparagraph "b" the word "prisoners" replace the word "executed";
4. In the fourth paragraph of paragraph 4:
a) the word "calculation" to replace the word "calculation";
b) add footnote to the following content:
"Until July 1, 2019, the price of prisoners made by VAT, after the specified date, are taken into account, after this date, the data of the contracts fulfilled excluding VAT and the wholesale allowance."
5. Paragraph 5 shall be amended as follows:
"5. For the price of the unit of the unit planned for the purchase of a drug, the Customer takes the minimum value of the price from the prices calculated by it with the simultaneous use of the methods provided for by clause 3 of this Procedure."
6. In paragraph 9, the words "Maximum value of the price provided for" should be replaced by the words "the price is not higher than the maximum value of the price provided for."
- Application. Changes that are made to the annex to the order of the Ministry of Health of the Russian Federation of December 20, 2012 N 1175n "On approval of the procedure for appointing and writing out drugs, as well as forms of prescription forms for drugs, the order of registration of these forms, their accounting and storage"
Order of the Ministry of Health of the Russian Federation of June 30, 2015 N 386n
"On Amendments to Annexes to the Order of the Ministry of Health of the Russian Federation of December 20, 2012 N 1175n" On approval of the procedure for the appointment and discharge of drugs, as well as forms of prescription forms for drugs, the order of registration of these forms, their accounting and storage "
Order:
|
IN AND. Skvortsova |
Registration N 38379.
Changes in the order of appointment and prescribing drugs are aimed primarily on the increase in the availability of narcotic drugs for patients.
Transdermal therapeutic systems of narcotic and psychotropic drugs are allowed to be written out not on special beds, but on the formative form form N 148-1 / y-88. This will simplify the procedure for obtaining anesthetic therapy by patients.
From January 1, 2016, the duration of recipes written on the formative form of form N 148-1 / U-88 is increased from 10 to 15 days.
The maximum permissible number of individual narcotic and psychotropic drugs to be prescribed to one recipe is specified.
It is allowed to increase the amount of drug, psychotropic and other drugs discharged 2 times to be addressed, not only by palliative patients, but also to patients who need long-term treatment, which are primary health care.
When discharge from the hospital, the patient sent to continue treatment in outpatient conditions, not only narcotic and psychotropic drugs can be assigned, but also potent.
To speed up the procedure for registration of the repeated recipe, the norm on the possibility of coordination with the medical commission only in primary purpose is introduced narcotic drugs and psychotropic substances.
Adjusted general requirements To prescribe drugs. So, it is envisaged that with the provision of medical care in the hospital, the drugs are prescribed and discharged according to the international non-state, grouping or trade name.
The number of copies of recipes discharged by preferential categories of citizens is reduced from 3 to 2.
Requirements for the design of prescription blanks of various accounting forms.
Order of the Ministry of Health of the Russian Federation dated June 30, 2015 N 386n "On Amendments to Annexes to the Order of the Ministry of Health of the Russian Federation of December 20, 2012 N 1175N" On approval of the procedure for appointing and writing out drugs, as well as forms of prescription forms for drugs , order of registration of these blanks, their accounting and storage "
"On Amendments to Annexes to the Order of the Ministry of Health of the Russian Federation of December 20, 2012 N 1175n" On approval of the procedure for the appointment and discharge of drugs, as well as forms of prescription forms for drugs, the order of registration of these forms, their accounting and storage "
Ministry of Health of the Russian Federation
ORDER
dated June 30, 2015 N 386n
On Amendments to Annexes to the Order of the Ministry of Health of the Russian Federation of December 20, 2012 N 1175N "On Approval of the Procedure for the Appointment and Disposal of Medicines, as well as forms of prescription forms for drugs, the procedure for designing these forms, their accounting and storage
1. To make changes to the annex to the order of the Ministry of Health of the Russian Federation of December 20, 2012 N 1175n "On approval of the procedure for the appointment and discharge of drugs, as well as forms of prescription forms for drugs, the procedure for designing these forms, accounting and storage" ( Registered by the Ministry of Justice of the Russian Federation on June 25, 2013, registration No. 28883) with amendments made by the Order of the Ministry of Health of the Russian Federation of December 2, 2013 N 886N (registered by the Ministry of Justice of the Russian Federation on December 23, 2013, registration N 30714), according to app.
2. Subparagraphs 9 - 12 of paragraph 1, paragraph 2 and subparagraphs 3 and 5 of paragraph 3 of the annex to this order come into force on January 1, 2016.
Minister
IN AND. Skvortsova
"<2> In relation to the person specified in paragraph 2 of Article 20 of the Federal Law of November 21, 2011 N 323-FZ "On the Fundamentals of the Health of Citizens in the Russian Federation" (Meeting of the legislation of the Russian Federation, 2011, N 48, Art. 6724; 2012, N 26, Art. 3442, 3446; 2013, N 27, Art. 3459, 3477; N 30, Art. 4038; N 39, Art. 4883; N 48, Art. 6165; N 52, Art. 6951; 2014, n 23, Art. 2930; N 30, Art. 4106, 4206, 4244, 4247, 4257; N 43, Art. 5798; N 49, Art. 6927; 2015, N 1, Art. 72, 85; N 10, st . 1403, 1425; N 14, Art. 2018; N 27, Art. 3951; N 29 (Part I), Art. 4339, 4397, 4356, 4359). ";
in the first paragraph, the words "in paragraph 15" shall be replaced by the words "in paragraphs 15 and 23";
in the second paragraph, the words "in paragraphs 15 and 23" should be replaced by the words "in paragraphs 15, 22 and 23";
the words "when providing patients with palliative medical care" shall be replaced by the words "when providing patients who need long-term treatment, primary health care and palliative medical care";
supplement by paragraph the second following:
"In cases stipulated by paragraph, the first present paragraph, the recipes are inscription" in a special purpose ", separately fastened by the signature of the medical worker and the seal of the medical organization" for recipes ".";
"20. Recipes written on the formative form of form N 148-1 / U-88 are valid for 15 days from the date of writing.";
in the first paragraph, the words "one month" shall be replaced by the words "30 days";
in the second paragraph, the words "three months" shall be replaced by the words "90 days";
in paragraph, the third words "up to three months" shall be replaced by the words "up to 90 days";
12) Paragraph One of paragraph 23 shall be amended as follows:
"23. Recipes for barbituric acid derivatives, combined drugs containing codes (its salts), other combined drugs to be subject to subject-quantitative accounting, drugs with anabolic activity in accordance with the main pharmacological action, for the treatment of patients with chronic diseases may be written on the course of treatment up to 60 days. ";
13) in the first paragraph of paragraph 25, the words "as well as a doctor - a clinical pharmacologist" shall be replaced by the words "as well as, with a doctor - a clinical pharmacologist";
finance with a footnote 6 of the following content:
"<6> Order of the Government of the Russian Federation of December 30, 2014 N 2782-R "On approval of the list of vital and most important drugs for 2015, as well as listings of drugs for medical use and minimum range drugs needed to provide medical care "(Meeting of the legislation of the Russian Federation 2015, N 3, Art. 597).";
supplement subparagraph 4 of the following content:
"4) Citizens suffering from life-in-lawy and chronic progressive rare (orphan) diseases, leading to a reduction in the life expectancy of citizens and their disabilities<8>.";
complete with a footnote 8 of the following content:
" <8> Decree of the Government of the Russian Federation dated April 26, 2012 N 403 "On the procedure for maintaining a federal register of persons suffering from life-degraded and chronic progressive rare (orphan) diseases, leading to a reduction in the life expectancy of citizens and their disabilities, and its regional segment" (meeting of the legislation of the Russian Federation, 2012, N 19, Art. 2428; N 37, Art. 5002). ";
complete position 18 of the following content:
22) in Appendix N 2 "The recommended number of individual drugs for writing to one recipe" to the procedure for appointing and writing out drugs, approved by the Order of the Ministry of Health of the Russian Federation of December 20, 2012 N 1175n
Ministry of Health of the Russian Federation
On Amendments
In order to determine the initial (maximum) price
Contract, contract prices concluded with the only
Supplier (contractor, performer), in carrying out
Procurement of drugs for medical
Applications approved by the Order of the Ministry
Health of the Russian Federation
Order:
Approve the accompanying changes that are entered into the procedure for determining the initial (maximum) contract price, the contract prices concluded with the only supplier (contractor, performer), in the implementation of drugs for medical applications, approved by the Order of the Ministry of Health of the Russian Federation of October 26, 2017 N. 871n (registered by the Ministry of Justice of the Russian Federation on November 27, 2017, registration N 49016).
V.I.Skvortsov
Approved
order of the Ministry of Health
Russian Federation
Changes
Which are entered into the procedure for determining the initial
(Maximum) contract price, contract price concluded
With the only supplier (contractor, performer),
In the implementation of procurement of drugs
For medical applications approved by order
Ministry of Health of the Russian Federation
1. In paragraph 2, footnote< 1 > Recognize invalid.
2. Complete paragraph 2.1 of the following content:
"2.1. When calculating the NMCC, wholesale surcharges, the size of which should not exceed the limit dimensions of the wholesale premises established by the executive authorities of the constituent entities of the Russian Federation (Article 63 of the Federal Law of April 12, 2010 n 61-FZ. "On the circulation of medicines" (meeting of the legislation of the Russian Federation, 2010, N 16, Art. 1815; 2015, N 29, Art. 4367) are used in the implementation of drug purchases, which are included in the list of vital and most important drugs (for Except for the purchase of purchases from the manufacturer of drugs):
a) to ensure federal needs if the NMCC does not exceed ten million rubles, and also if the NMSCC is over ten million rubles, subject to the unbelievance of the unit of the unit planned for the purchase of a drug over the price of such a drug contained in the State Register of Limit Producers for Medicinal Products drugs included in the list of vital and essential drugs;
b) to ensure the needs of the subject of the Russian Federation, municipal needs, if the NMCC does not exceed the size, which is established by the Supreme Executive Body of the State of the constituent entity of the Russian Federation and is not more than ten million rubles, as well as if the NMCC is over the subject of the subject of the Russian Federation established by the Supreme Executive Authority Size or over ten million rubles, subject to the unparallement of the unit of the unit planned for the purchase of a drug over the price of such a drug contained in the state register of limiting selling prices of manufacturers for drugs included in the list of vital and essential drugs. ".
3. In paragraph 3:
a) in subparagraph "b" the word "prisoners" replace the word "executed";
b) in subparagraph "in" in the footnote< 3 > The words "July 1, 2018" shall be replaced by the words "January 1, 2019".
4. In the fourth paragraph of paragraph 4:
a) the word "calculation" replace the word "calculation< 4.1 > ";
b) add footnote< 4.1 > Next content:
" < 4.1 > Until July 1, 2019, the price of concluded contracts are made in the calculation of the unit of the drug, after the specified date - the data of the contracts executed without accounting for VAT and wholesale allowance. "
5. Paragraph 5 shall be amended as follows:
"5. For the price of the unit of the unit planned for the purchase of a drug, the Customer takes the minimum value of the price from the prices calculated by it with the simultaneous use of the methods provided for by clause 3 of this Procedure."
6. In paragraph 9, the words "Maximum value of the price provided for" should be replaced by the words "the price is not higher than the maximum value of the price provided for."
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