II. Prescribing drugs in the provision of medical care in inpatient conditions
Order of the Ministry of Health of the Russian Federation of June 30, 2015 No. 386n “On amendments to the annexes to the order of the Ministry of Health Russian Federation dated December 20, 2012 No. 1175n “On approval of the procedure for the appointment and discharging drugs, as well as forms of prescription forms for medicinal products, the procedure for registration of these forms, their accounting and storage ”(did not come into force)
I order:
1. To amend the appendices to the order of the Ministry of Health of the Russian Federation dated December 20, 2012 No. 1175n "On approval of the procedure for prescribing and prescribing medicinal products, as well as forms of prescription forms for medicinal products, the procedure for issuing these forms, their accounting and storage" ( registered by the Ministry of Justice of the Russian Federation on June 25, 2013, registration No. 28883) as amended by order of the Ministry of Health of the Russian Federation No. 886n dated December 2, 2013 (registered by the Ministry of Justice of the Russian Federation on December 23, 2013, registration No. 30714), according to ...
| The minister | IN AND. Skvortsova |
Registration number 38379
Changes,
which are included in the appendices to the order of the Ministry of Health of the Russian Federation dated December 20, 2012 No. 1175n "On approval of the procedure for prescribing and prescribing medicinal products, as well as forms of prescription forms for medicinal products, the procedure for preparing these forms, recording and storing them"
1. In Appendix No. 1 "Procedure for Prescribing and Prescribing Medicines" to the order:
1) in clause 3, the words "and indicating their position" shall be deleted;
2) add clause 3.1. following content:
"3.1. Prescribing and prescribing medications when providing medical care in stationary conditions carried out under an international non-proprietary, grouping or trade name. "
3) in paragraph 5, footnote 2 shall be stated as follows:
"(2) With respect to the person specified in part 2 of Article 20 of the Federal Law of November 21, 2011 No. 323-FZ" On the Fundamentals of Health Protection of Citizens in the Russian Federation "(Collected Legislation of the Russian Federation, 2011, No. 48, Art. 6724 ; 2012, No. 26, Art. 3442, 3446; 2013, No. 27, Art. 3459, 3477; No. 30, Art. 4038; No. 39, Art. 4883; No. 48, Art. 6165; No. 52, Art. 6951 ; 2014, No. 23, Art. 2930; No. 30, Art. 4106, 4206, 4244, 4247, 4257; No. 43, Art. 5798; No. 49, Art. 6927; 2015, No. 1, Art. 72, 85; No. 10, Art. 1403, 1425; No. 14, Art. 2018; No. 27, Art. 3951; No. 29 (Part I), Art. 4339, 4397, 4356, 4359). ";
4) Clause 6.2 shall be stated as follows:
"6.2. individual entrepreneurs carrying out medical activities for narcotic drugs and psychotropic substances included in lists II and III of the List (hereinafter referred to as narcotic and psychotropic drugs of lists II and III of the List). ";
5) in clause 8, the words "List II of the List" shall be replaced by the words "List II of the List (hereinafter referred to as narcotic and psychotropic drugs of List II of the List), with the exception of drugs in the form of transdermal therapeutic systems,";
6) in clause 9:
"1) narcotic and psychotropic drugs of List II of the List in the form of transdermal therapeutic systems, psychotropic substances included in List III of the List, registered in the prescribed manner as drugs (hereinafter - psychotropic drugs of List III of the List);";
subparagraph 2 after the words "subject-quantitative accounting" shall be supplemented with the words "(except for medicinal products sold without a prescription)";
subparagraph 3 after the words "anabolic activity" add the words "(in accordance with the main pharmacological action)»;
7) in clause 13:
in the first paragraph, the words "in clause 15" shall be replaced by the words "in clauses 15 and 23";
in the second paragraph the words "in clauses 15 and 23" shall be replaced by the words "in clauses 15, 22 and 23";
8) in clause 15:
the words “in the provision of palliative care to patients” shall be replaced by the words “in the provision of primary health care and palliative care to patients in need of long-term treatment”;
supplement with the second paragraph of the following content:
"In the cases stipulated by the first paragraph of this paragraph, the inscription" For special purposes "is made on the prescriptions, separately sealed with the signature of a medical worker and the seal of the medical organization" For prescriptions. ";
9) Clause 20 shall be stated as follows:
"20. Prescriptions written on prescription form Forms No. 148-1 / y-88, valid for 15 days from the date of issue. ";
10) in clause 21:
in the first paragraph, the words “one month” shall be replaced with the words “30 days”;
in the second paragraph, the words “three months” shall be replaced with the words “90 days”;
in the third paragraph, the words "up to three months" shall be replaced by the words "up to 90 days";
11) in clause 22 the words “two months” shall be replaced by the words “60 days”;
12) the first paragraph of clause 23 shall be amended as follows:
"23. Prescriptions for barbituric acid derivatives, combined medicinal products containing codeine (its salts), other combined medicinal products subject to quantitative accounting, medicinal products with anabolic activity in accordance with the main pharmacological action, for the treatment of patients with chronic diseases can be prescribed for the course of treatment is up to 60 days. ";
13) in the first paragraph of clause 25 the words “as well as with a doctor - clinical pharmacologist” shall be replaced by the words “and, if any, with a doctor - clinical pharmacologist”;
14) in clause 26 the words "in clause 25" shall be replaced by the words "in clauses 25 and 27";
15) in clause 29, after the words “lists II and III of the List”, add the words “potent medicinal products”;
16) subparagraph 3 of paragraph 31 shall be stated in the following edition:
"3) the primary prescription of narcotic and psychotropic drugs to the patient of lists II and III of the List (if the head of the medical organization decides on the need to coordinate the appointment of such drugs with the medical commission).";
17) Clause 32 shall be stated in the following edition:
"32. Prescription and prescription of narcotic and psychotropic drugs of lists II and III of the List is carried out for patients with severe pain syndrome of any genesis, as well as for patients with sleep disturbances, convulsive conditions, anxiety disorders, phobias, psychomotor agitation by a medical professional or a medical worker on their own by a decision of the medical commission ( if the head of the medical organization makes a decision on the need to coordinate the primary prescription of such medicinal products with the medical commission). ";
18) in paragraph 34:
subparagraph 1 shall be stated in the following edition:
"1) certain categories of citizens who have the right to receive state social assistance in the form of a set of social services, in accordance with the list of drugs for medical use, including medicinal products for medical use, prescribed by decision of medical commissions of medical organizations (6); ";
supplement with footnote 6 as follows:
"(6) Order of the Government of the Russian Federation of December 30, 2014 No. 2782-r" On approval of the list of vital and essential medicines for 2015, as well as lists of medicines for medical use and minimum assortment medicinal products necessary for the provision of medical care "(Collected Legislation of the Russian Federation 2015, No. 3, Art. 597).";
in subparagraph 3 the words "dated July 30, 1994, No. 890." replace with the words "dated July 30, 1994 No. 890;";
supplement with subparagraph 4 as follows:
"4) citizens suffering from life-threatening and chronic progressive rare (orphan) diseases, leading to a reduction in the life expectancy of citizens and their disability (8).";
supplement with footnote 8 as follows:
"(8) Decree of the Government of the Russian Federation of April 26, 2012 No. 403" On the procedure for maintaining the Federal register of persons suffering from life-threatening and chronic progressive rare (orphan) diseases that lead to a reduction in the life expectancy of citizens and their disabilities, and its regional segment " (Collected Legislation of the Russian Federation, 2012, No. 19, Art. 2428; No. 37, Art. 5002). ";
19) Clause 38 shall be stated in the following edition:
"38. On the prescription form of form No. 148-1 / y-04 (l) and form No. 148-1 / u-06 (l), the prescription is written out by a medical worker in two copies, with one copy of which the patient applies to the pharmacy organization. The second copy of the prescription is attached to the patient's medical record. ”;
20) in clauses 39 and 40, the words “in 3 copies” shall be replaced by the words “in duplicate”;
21) in Appendix No. 1 "Maximum permissible number of individual narcotic and psychotropic drugs for prescription per prescription" to the Procedure for prescribing and prescribing drugs, approved by order of the Ministry of Health of the Russian Federation No. 1175n dated December 20, 2012:
position 5 shall be stated as follows:
positions 7, 8, 9 shall be stated in the following edition:
position 11 shall be stated in the following edition:
add position 18 as follows:
22) in Appendix No. 2 “The Recommended Number of Individual Medicines for Prescription per Prescription” to the Procedure for Prescribing and Prescribing Medicines, approved by Order No. 1175n of the Ministry of Health of the Russian Federation dated December 20, 2012, item 11 shall be invalidated.
2. In Appendix No. 2 "Forms of Prescription Forms" to the order:
1) in the prescription form "Form No. 148-1 / y-88":
the words "No. medical card outpatient __________ (developmental history of the child) "shall be replaced by the words" the number of the patient's medical record receiving medical care in outpatient setting»;
the words “10 days” shall be replaced with the words “15 days”;
2) in the prescription form "Form No. 107-1 / y" the words "2 months" shall be replaced with the words "60 days";
3) in the prescription form "Form No. 148-1 / y-04 (l)":
the words "Address or medical card number of an outpatient patient __________ (child development history)" shall be replaced by the words "Medical record number of a patient receiving medical care on an outpatient basis";
the words “10 days, 1 month, 3 months” shall be replaced by the words “, 15 days, 30 days, 90 days”;
4) in the prescription form "Form No. 148-1 / y-06 (l)":
the words “10 days, 1 month, 3 months” shall be replaced with the words “15 days, 30 days, 90 days”;
the words "No. of the outpatient's medical record (history of the child's development)" shall be replaced by the words "The number of the patient's medical record receiving medical care on an outpatient basis."
3. In Appendix No. 3 "The procedure for registration of prescription forms, their accounting and storage" to the order:
1) paragraph 4 shall be stated in the following edition:
"4. Registration is allowed:
1) all the details of prescription forms of form No. 107-1 / y with a number and (or) series, a place for applying a barcode, and form No. 148-1 / y-06 (l) using computer technology;
2) all details (with the exception of the requisite "Signature of the attending physician") of prescription forms of form No. 148-1 / y-88 and form No. 107-1 / y (without a number and (or) series, a place for applying a barcode) using printing devices. ";
2) in clause 8, after the word "(SNILS)" add the words "(if any)";
3) point 9:
to read as follows:
"nine. In the prescription forms of form No. 148-1 / y-88, in the column "Address or number of the patient's medical record receiving medical care on an outpatient basis", the full postal address of the patient's place of residence (place of stay or place of actual residence) and the patient's medical record number are indicated, receiving medical care on an outpatient basis (2).
In the prescription forms of form No. 148-1 / u-04 (l) and form No. 148-1 / u-06 (l), in the column "Number of the patient's medical record receiving medical care on an outpatient basis," the number of the patient's medical record is indicated. medical care on an outpatient basis. ";
supplement with footnote 2 as follows:
"(2) Order of the Ministry of Health of the Russian Federation of December 15, 2014 No. 834n" On approval of unified forms of medical documentation used in medical organizations providing medical care on an outpatient basis, and procedures for filling them out "(registered by the Ministry of Justice of the Russian Federation 20 January 2015, registration No. 36160). ";
4) in clause 10, after the word "patronymic", add the words "(if any)";
5) in clause 16:
the words “2 months” and “1 month, 3 months” shall be replaced by the words “60 days” and “30 days, 90 days”, respectively;
the words “(10 days)” shall be replaced by the words “(15 days)”;
6) in paragraph 18, the words "Form No. 148-1 / y-04 (l) and Form No. 148-1 / y-06 (l)" shall be replaced by the words "Form No. 107-1 / y, Form No. 148-1 / u-88, form No. 148-1 / u-04 (l) and form No. 148-1 / u-06 (l) ".
Document overview
Changes in the order of prescribing and prescribing drugs are aimed primarily at increasing the availability of narcotic drugs for patients.
Transdermal therapeutic systems of narcotic and psychotropic medicines it is allowed to write out not on special forms, but on prescription forms of form N 148-1 / y-88. This will make it easier for patients to receive pain management.
From January 1, 2016, the validity period of prescriptions written out on the prescription form of Form N 148-1 / y-88 is increased from 10 to 15 days.
The maximum permissible number of individual narcotic and psychotropic drugs for prescription per prescription has been clarified.
It is allowed to double the number of prescribed narcotic, psychotropic and other drugs subject to quantitative accounting, not only for palliative patients, but also for patients in need of long-term treatment, who are provided with primary health care.
When discharged from the hospital, a patient sent to continue treatment on an outpatient basis may be prescribed or given not only narcotic and psychotropic drugs, but also potent ones.
To speed up the procedure for issuing a repeated prescription, a norm is introduced on the possibility of coordinating with the medical commission only the primary prescription of narcotic drugs and psychotropic substances.
Adjusted general requirements to prescribing medications. So, it is provided that when providing medical care in a hospital, drugs are prescribed and prescribed by the international non-proprietary, grouping or trade name.
The number of copies of prescriptions for privileged categories of citizens has been reduced from 3 to 2.
The requirements for the preparation of prescription forms for various registration forms have been clarified.
"On Amendments to the Appendices to the Order of the Ministry of Health of the Russian Federation No. 1175N of December 20, 2012" On Approval of the Procedure for Prescribing and Prescribing Medicines, as well as Forms of Prescription Forms for Medicines, the Procedure for Executing These Forms, Their Accounting and Storage "
MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION
ORDER
dated June 30, 2015 N 386н
AMENDING THE ANNEX TO THE ORDER OF THE MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION OF DECEMBER 20, 2012 N 1175N "On approval of the Appointments and prescribing drugs, and also a form of prescription forms for drugs, order of registration of the said form, THEIR POLICIES AND STORAGE
1. To amend the 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 prescribing and prescribing medicinal products, as well as forms of prescription forms for medicinal products, the procedure for issuing these forms, their accounting and storage" ( registered by the Ministry of Justice of the Russian Federation on June 25, 2013, registration N 28883) as amended by 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 application.
2. Sub-clauses 9-12 of clause 1, clause 2 and sub-clauses 3 and 5 of clause 3 of the annex to this order shall enter into force on January 1, 2016.
The minister
IN AND. SKVORTSOVA
"<2> In relation to the person specified in part 2 of Article 20 of the Federal Law of November 21, 2011 N 323-FZ "On the Basics of Health Protection of Citizens in the Russian Federation" (Collected 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, Art . 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 clause 15" shall be replaced by the words "in clauses 15 and 23";
in the second paragraph, the words "in clauses 15 and 23" shall be replaced by the words "in clauses 15, 22 and 23";
the words "in the provision of palliative care to patients" shall be replaced by the words "in the provision of primary health care and palliative care to patients in need of long-term treatment";
supplement with the second paragraph of the following content:
"In the cases stipulated by the first paragraph of this clause, the inscription" For special purposes "is made on the prescriptions, separately sealed with the signature of the medical worker and the seal of the medical organization" For prescriptions. "
"20. Prescriptions written out on the prescription form of Form N 148-1 / y-88 are valid for 15 days from the date of prescription.";
in the first paragraph, the words "one month" shall be replaced with the words "30 days";
in the second paragraph, the words "three months" shall be replaced by the words "90 days";
in the third paragraph, the words "up to three months" shall be replaced by the words "up to 90 days";
12) the first paragraph of clause 23 shall be stated as follows:
"23. Prescriptions for derivatives of barbituric acid, combined medicinal products containing codeine (its salts), other combined medicinal products subject to quantitative accounting, medicinal products with anabolic activity in accordance with the main pharmacological action, for the treatment of patients with chronic diseases can be discharged for a course of treatment up to 60 days. ";
13) in the first paragraph of clause 25 the words "as well as with a doctor - clinical pharmacologist" shall be replaced with the words "and also, if any, with a doctor - clinical pharmacologist";
supplement with footnote 6 as follows:
"<6> Order of the Government of the Russian Federation of December 30, 2014 N 2782-r "On Approval of the List of Essential and Essential Medicines for 2015, as well as Lists of Medicines for Medical Use and the Minimum Range of Medicines Necessary for the Provision of Medical Care" (Collection the legislation of the Russian Federation 2015, N 3, art. 597). ";
supplement with subparagraph 4 as follows:
"4) citizens suffering from life-threatening and chronic progressive rare (orphan) diseases, leading to a reduction in the life expectancy of citizens and their disability<8>.";
supplement with footnote 8 as follows:
" <8> Decree of the Government of the Russian Federation of April 26, 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 and their disability, and its regional segment" Federation, 2012, N 19, Art. 2428; N 37, Art. 5002). ";
add position 18 as follows:
22) in Appendix No. 2 "Recommended number of individual medicinal products for prescription per prescription" to the Procedure for prescribing and prescribing medicinal products, approved by order of the Ministry of Health of the Russian Federation of December 20, 2012 No. 1175n
MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION
ABOUT CHANGES
IN THE ORDER OF DETERMINING THE STARTING (MAXIMUM) PRICE
OF THE CONTRACT, PRICES OF THE CONTRACT CONCLUDED WITH A SINGLE
BY THE SUPPLIER (CONTRACTOR, CONTRACTOR), WHEN IMPLEMENTING
PURCHASING OF MEDICINAL PREPARATIONS FOR MEDICAL
APPLICATIONS APPROVED BY ORDER OF THE MINISTRY
HEALTHCARE OF THE RUSSIAN FEDERATION
I order:
To approve the attached changes that are made to the Procedure for determining the initial (maximum) contract price, the price of a contract concluded with a single supplier (contractor, performer) when purchasing medicinal products for medical use, approved by order of the Ministry of Health of the Russian Federation of October 26, 2017 No. N 871n (registered by the Ministry of Justice of the Russian Federation on November 27, 2017, registration N 49016).
V. I. SKVORTSOVA
Approved
by order of the Ministry of Health
Russian Federation
CHANGES,
WHICH ARE MADE IN THE ORDER OF DETERMINING THE INITIAL
(MAXIMUM) PRICE OF THE CONTRACT, PRICE OF THE CONTRACT CONCLUDED
WITH THE SINGLE SUPPLIER (CONTRACTOR, CONTRACTOR),
WHEN PURCHASING MEDICINAL PRODUCTS
FOR MEDICAL USE, APPROVED BY ORDER
MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION
1.In paragraph 2, footnote< 1 > to be declared invalid.
2. Supplement with clause 2.1 as follows:
"2.1. When calculating the NMCC, wholesale markups, the amount of which should not exceed the maximum size of wholesale markups 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 Circulation of Medicines "(Collection of Legislation Russian Federation, 2010, N 16, Art.1815; 2015, N 29, Art.4367), are used in the procurement of medicinal products that are included in the list of vital and essential medicinal products (except for the cases of procurement from the manufacturer of medicinal products) :
a) to meet federal needs, if the NMCC does not exceed ten million rubles, and also if the NMCC is more than ten million rubles, provided that the price of a unit of the drug planned for purchase does not exceed the price of such a drug contained in the state register of limit selling prices manufacturers for medicines included in the list of vital and essential medicines;
b) to meet the needs of the constituent entity of the Russian Federation, municipal needs, if the NMCK does not exceed the amount established by the supreme executive body of state power of the constituent entity of the Russian Federation and is not more than ten million rubles, and also if the NMCK exceeds the amount established by the highest executive body of state power of the constituent entity of the Russian Federation amount or more than ten million rubles, provided that the unit price of the drug planned for procurement does not exceed the price of such a drug contained in the state register of maximum 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" shall be replaced by the word "executed";
b) in subparagraph "c" in the footnote< 3 > the words "July 1, 2018" shall be replaced with the words "January 1, 2019".
4. In the fourth paragraph of clause 4:
a) the word "calculation" shall be replaced by the word "calculation< 4.1 > ";
b) add a footnote< 4.1 > following content:
" < 4.1 > Until July 1, 2019, the data of concluded contracts excluding VAT are taken into account in calculating the price per unit of a medicinal product, after that date - data of executed contracts excluding VAT and wholesale mark-up. "
5. Clause 5 shall be amended as follows:
"5. For the price of a unit of a medicinal product planned for procurement, the customer takes the minimum price from the prices calculated by him with the simultaneous application of the methods provided for in paragraph 3 of this Procedure."
6. In clause 9, the words "the maximum value of the price provided for" shall be replaced by the words "the price is not higher than the maximum value of the price specified".
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ABOUT CHANGES
IN THE ORDER OF DETERMINING THE INITIAL (MAXIMUM) PRICE
OF THE CONTRACT, PRICES OF THE CONTRACT CONCLUDED WITH A SINGLE
BY THE SUPPLIER (CONTRACTOR, CONTRACTOR), WHEN IMPLEMENTING
PURCHASING OF MEDICINAL PREPARATIONS FOR MEDICAL
APPLICATIONS APPROVED BY ORDER OF THE MINISTRY
HEALTHCARE OF THE RUSSIAN FEDERATION
I order:
To approve the attached changes that are made to the Procedure for determining the initial (maximum) contract price, the price of a contract concluded with a single supplier (contractor, performer) when purchasing medicinal products for medical use, approved by order of the Ministry of Health of the Russian Federation of October 26, 2017 No. N 871n (registered by the Ministry of Justice of the Russian Federation on November 27, 2017, registration N 49016).
V. I. SKVORTSOVA
Approved
by order of the Ministry of Health
Russian Federation
CHANGES,
WHICH ARE MADE IN THE ORDER OF DETERMINING THE INITIAL
(MAXIMUM) PRICE OF THE CONTRACT, PRICE OF THE CONTRACT CONCLUDED
WITH THE SINGLE SUPPLIER (CONTRACTOR, CONTRACTOR),
WHEN PURCHASING MEDICINAL PRODUCTS
FOR MEDICAL USE, APPROVED BY ORDER
MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION
1.In paragraph 2, footnote<1> to be declared invalid.
2. Supplement with clause 2.1 as follows:
"2.1. When calculating the NMCK, wholesale markups, the amount of which should not exceed the maximum size of wholesale markups 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 Circulation of Medicines" (Collection of Legislation of the Russian Federation, 2010, N 16, Art.1815; 2015, N 29, Art.4367), are used in the procurement of medicinal products that are included in the list of vital and essential medicinal products (except for cases of procurement from the manufacturer of medicinal products):
a) to meet federal needs, if the NMCC does not exceed ten million rubles, and also if the NMCC is more than ten million rubles, provided that the unit price of the drug planned for purchase does not exceed the price of such a drug contained in the state register of the maximum selling prices of manufacturers for medicinal drugs included in the list of vital and essential drugs;
b) to meet the needs of the constituent entity of the Russian Federation, municipal needs, if the NMCK does not exceed the amount established by the supreme executive body of state power of the constituent entity of the Russian Federation and is not more than ten million rubles, and also if the NMCK exceeds the amount established by the supreme executive body of state power of the constituent entity of the Russian Federation amount or more than ten million rubles, provided that the unit price of the drug planned for purchase does not exceed the price of such a drug contained in the state register of maximum 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" shall be replaced by the word "executed";
b) in subparagraph "c" in the footnote<3> the words "July 1, 2018" shall be replaced by the words "January 1, 2019".
4. In the fourth paragraph of clause 4:
a) the word "calculation" shall be replaced by the word "calculation 4.1";
b) add a footnote<4.1> following content:
«<4.1> Until July 1, 2019, the data of concluded contracts excluding VAT are taken into account in calculating the price per unit of a medicinal product, after that date - data of executed contracts excluding VAT and wholesale mark-up. "
5. Clause 5 shall be amended as follows:
"five. For the price of a unit of a medicinal product planned for procurement, the customer takes the minimum value of the price from the prices calculated by him with the simultaneous application of the methods provided for in paragraph 3 of this Procedure. "
6. In clause 9, the words “the maximum price value provided for” shall be replaced by the words “the price is not higher than the maximum price value provided for”.