New rules for dispensing drugs: stop panicking. How to get a discounted prescription for drugs

Establishes a regulated list of medicines that are issued free of charge to citizens. The Ministry of Health and the Ministry of Social Development issue an order that clearly defines all social categories of Russian citizens who, by law, are entitled to receive subsidized medicines. The order is often revised due to the fact that the list of medicines is replenished, and some medicines are deleted from the list of free ones.

Categories of medicines covered by the free medicines list this year:

Analgesics. Both not of a narcotic nature, and containing opium and its derivatives;
Non-steroidal anti-inflammatory drugs;
L medicines to help treat allergic reactions, as well as in the treatment of gout and Parkinson's disease;
Tranquilizers (anxiolytics), neuroleptics (antipsychotics), anticonvulsant drugs;
Sleeping pills, antidepressants;
Antibiotic substances
P reparations aimed at combating viruses and fungal flora;
Medicines that improve the functioning of the gastrointestinal tract, respiratory and cardiovascular systems;
Hormonal drugs etc.

With the help of medicines that include a preferential list, it is possible to achieve a cure for almost any disease, with the exception of rare ones that require expensive specific treatment.

Who is entitled to free medicines in 2018?

Let us consider in more detail which categories of Russians have the legal right to receive free medicines. The state guarantees the release of free drugs:

People who are participants in the Great Patriotic War, as well as other citizens who took part in hostilities;
Blockade. Persons who have the sign "Inhabitant of besieged Leningrad" receive free medicines;
Family members of veterans, as well as those who died during hostilities;
Persons who served in those military units that were not part of the active army during the Second World War;
Home front workers;
Family members of health workers who died during the blockade while serving in hospitals and hospitals;
Persons with disabilities;
Irradiated during the disaster at the Chernobyl Nuclear Power Plant.

Receiving preferential drugs is also supposed to Russians who suffer from the following diseases:

multiple sclerosis;
cystic fibrosis;
pituitary dwarfism;
Hemophilia;
Gaucher disease
Myeloid leukemia

Also, patients receive free medicines after organ transplantation. The drugs they take are aimed at suppressing their own immunity so that foreign tissue can take root.

Whom should I contact for free medicines?

How can you find out which medicines you can get free of charge to treat your illness? Only your doctor can answer this question based on your medical history. You can also find the answer to this question from insurance agents who deal with health insurance and make cash payments for treatment.

The doctor writes out a prescription according to the protocol for treating your illness. The recipe is endorsed by the head of the department.

On any prescription, both paid and free, there is an expiration date. Usually, a period of about a month is indicated, from the date of discharge. It is during this period that you can get the drug or its analogue, if the drug prescribed for you is not in stock.

The prescription can be renewed. If it is extended for 10 days, the pharmacy must provide you with the drug. If the treatment does not help and there is a need for a second course, or the patient has lost the prescription, the attending physician must issue a free prescription again.

What if the patient is bedridden or unable to walk to the pharmacy on their own? In this case, any relative or acquaintance can purchase the medicine under a preferential prescription. When presenting a prescription at a pharmacy, there is no difference who purchases the drug. The patient himself or someone from his environment.

What if there is no free medicine in the pharmacy?

What to do if the necessary drug is not available? If the pharmacies do not have your prescription drug in stock, then the pharmacy should offer you an analogue. You will be offered a drug that contains the same active ingredient as the one in your prescription. If there is no analogue in the pharmacy, then your prescription will be registered. The pharmacy should provide you with the drug as soon as possible.

After your prescription is registered, the pharmacy must find the medicine you need and notify you by phone that you can get it. If this does not happen, you should complain to the head physician or other higher service.

There is a single phone number throughout Russia for information, by calling which you can find out if this or that drug is available.

In each region of the Russian Federation and in any of the major cities there is a telephone number for inquiries.

Review of the drug list

Compared to the previous year, this year the list was replenished with 42 names of drugs. There are 646 positions on the list of free medicines. About six medicines are produced directly on the territory of our country. Among the list of expensive medicines, there was one more position, and among the established minimum of medicines, there were two more items.

Free medicines 2018 for the treatment of children under the age of three

Children are prone to various kinds of diseases, perhaps more often than adults. The Government of the Russian Federation allocates significant funds to strengthen the social protection of mothers and children. For young patients, there is a list of benefits in the field of medical care. Let us consider in more detail who is entitled to free drugs, as well as what exactly is included in the list of subsidized funds for children.

It is no secret for parents that even the most common cold is not cheap. At least two thousand is spent from the family budget for the treatment of the youngest member of the family. Few people know that there is a legal provision that states that small patients are just as entitled to receive free medicines as adult beneficiaries. Moreover, free drugs exist for almost every disease.

At the beginning of each new year, the list of drugs is updated. For young children who are not yet three years old, there is a single list. Children with disabilities, children from low-income families, children of wealthy parents receive equal rights. There is no division into each of the categories, what and who is supposed to. There is a list of medicines, among which you can find what you need in order to put the child on his feet without spending fabulous sums on treatment.

The Ministry of Health strictly regulates the maximum receipt of funds to provide free medicines to people in each of the regions of Russia. Due to funding restrictions, there is a threshold beyond which doctors are not eligible to prescribe free medicines. In other words, the number of "free" recipes is strictly limited.

Let's touch on the topic of which little patients over three years old are supposed to write free prescriptions.

There are several categories of young Russians who are entitled to benefits:

All children under three years of age who enter the hospital are treated free of charge;
Children from large families who have not yet gone to school (from 3 to 6 years old inclusive);
Children with disabilities of any group.

If we touch on the topic of medical care for children with disabilities, it is necessary to note one important fact. Parents or guardians of a child with a disability receive free medicines for the child until the child reaches the age of majority.

If the parents preferred monetary compensation to real medicines, then naturally they do not receive medicines.

Parents of frequently ill children need to know that there are no limits on free prescriptions for your child. If you need to prescribe discounted medicines more than once a month, your doctor must reissue a free prescription.

What does the list of free medicines include?

Below is a list of medicines that doctors are required to prescribe free of charge to children under the age of three.

Painkillers include regular Paracetamol and, in severe cases, Morphine;
Means that are aimed at combating allergies: Suprastin, Clemastin;
Ibuprofen belongs to the anti-inflammatory drugs included in the free list in the same way as Mesalazine;
Phenytoin is mandatory on the list, as it is a vital drug in the treatment of epilepsy. It prevents the occurrence of muscle cramps;
Ampicillin is included in the list of free antibiotics along with Vancomycin;
Clozapine is prescribed in the treatment of CNS disorders in the same way as Vinpacetine;
Glipizide is prescribed to lower blood sugar levels, or a free prescription can be issued for insulin;
Diazepam is prescribed free of charge for the treatment of sleep disorders. In addition to it, it is possible to prescribe Zolpidem free of charge;
Hydrocortisone as a treatment for a fungal infection;
The list of free antiviral drugs is made up of drugs such as Viferon, Acyclovir and Anaferon;
Bifidobacteria bifidum are drugs aimed at normalizing the functioning of the gastrointestinal tract.

All drugs are presented in various forms from suspensions to capsules. There is no shortage of drugs in Russian pharmacies, most often you can find all the necessary funds in every pharmacy.

Initially, the Government of the Russian Federation assumed that it would be possible to make absolutely all drugs available to patients of the youngest age. It was planned that children who were not yet three years old would be provided with a full list of medicines. But in reality it turned out differently. The government in the regions has established a clear regulation, which indicates no more than a few dozen drugs.

You need to know that the list in each region is different. It depends on how much money each region can allocate from its budget. Therefore, there are significant differences. In one region with a difficult economic situation, the list includes about 190 medicines, but in another, things are different. In regions with the best economic situation, the number of drugs that fall into the list reaches four hundred.

In order to get acquainted with the names of medicines that can be prescribed free of charge, contact the clinic to which you belong. The registry or pediatrician has complete information regarding your region.

Children with disabilities are entitled to free medicines until the age of majority.

How to get free medicines in 2018

In order to get the necessary drug, you need to come to the doctor's appointment. A doctor is not authorized to write prescriptions for you outside of a medical facility, for example, while attending a call.

The prescription is issued on a special form, which must have two stamps. Pediatrician and your clinic. The recipe is only valid if both are present. The recipe has three copies. One copy of the prescription is kept in your child's card, the other two are given to you.

In order for the pediatrician to be able to write you a prescription, you must submit the following documents and their copies: a birth certificate, a certificate from the housing office, which confirms the patient's place of residence and SNILS. Also, you need to present the OMS policy.

You need to know that the medicines that the pediatrician prescribes must be on the preferential list. It is illegal for a doctor to ask you to prove eligibility for benefits. The only proof of benefits is your child's age. You should not be asked for proof of income or other similar documents. Your income does not affect your child's rights in any way.

Once you have the prescription in hand, the medicine can be purchased at any municipal pharmacy. You can find the addresses of pharmacies on the Internet, or ask your doctor. The clinic will tell you exactly the addresses of all city pharmacies in your city.

What if the doctor does not prescribe free medicines?

Often there is an unpleasant situation at the doctor's office. For one reason or another, the pediatrician refuses to prescribe you medicines for free. The arguments are usually given as follows - there is no funding in hospitals, or in pharmacies this medicine is not currently available. Both are mostly lies. Pharmacies have a sufficient reserve of subsidized medicines. The budget of the polyclinic is in no way connected with the regional budget. Therefore, such statements have no basis.

Where to find the truth? Complain to the head of the clinic. If there is no response, you have the right to file a complaint with the Ministry of Health. The Department of Health accepts complaints in writing. But you can file a complaint with the Ministry of Health by going to the website. The Ministry of Health may refuse to satisfy your request if your region exceeds the allowable limit for allocating money for the purchase of medicines. Then the doctors really do not have the opportunity to provide your child with free medicines.

List of free medicines 2018

I. Anticholinesterase drugs

Galantamine - coated tablets.
Ipidacrine tablets.
Pyridostigmine bromide - tablets.

II. Opioid analgesics and mixed action analgesics

Buprenorphine - solution for intravenous and intramuscular administration; sublingual tablets; The therapeutic system is transdermal.
Morphine - solution for injection; film-coated tablets of prolonged action.
Morphine + Narcotine + Papaverine hydrochloride + Codeine + Thebaine - solution for injection.
Tramadol - capsules; injection; rectal suppositories; film-coated tablets of prolonged action; tablets.
Trimeperidine - solution for injection; tablets.
Fentanyl is a transdermal therapeutic system.

III. Non-narcotic analgesics and non-steroidal anti-inflammatory drugs

Acetylsalicylic acid - tablets.
Diclofenac - gel; eye drops; ointment; rectal suppositories; enteric-coated tablets; prolonged action tablets.
Ibuprofen - gel for external use; cream for external use; coated tablets; oral suspension.
Indomethacin - ointment for external use; suppositories; coated tablets.
Ketoprofen - capsules; cream; suppositories; retard tablets; forte film-coated tablets.
Ketorolac - coated tablets.
Meloxicam tablets.
Metamizole sodium and combined preparations containing metamizole sodium - tablets.
Paracetamol - rectal suppositories; tablets.
Paracetamol + Phenylephrine + Pheniramine + Ascorbic acid - powder for solution for oral administration.
Piroxicam - gel.

IV. Medicines for the treatment of gout

Allopurinol tablets.
Colchicum splendid alkaloid - coated tablets.

V. Other anti-inflammatory drugs

Mesalazine - rectal suppositories; rectal suspension; enteric-coated tablets.
Penicillamine - tablets.
Sulfasalazine tablets.
Chloroquine - tablets.
Chondroitin sulfate - capsules; ointment.

VI. drugs for the treatment of allergic reactions

Diphenhydramine tablets.
Ketotifen - tablets;
Clemastine tablets.
Levocetirizine - coated tablets.
Loratadine tablets.
Mebhydrolin - dragee.
Hifenadine - tablets.
Chloropyramine - tablets.
Cetirizine - drops for oral administration; coated tablets.

VII. Anticonvulsants

Benzobarbital - tablets.
Valproic acid - drops for oral administration; syrup; enteric-coated tablets; film-coated tablets of prolonged action.
Carbamazepine - tablets; prolonged action tablets; film-coated tablets of prolonged action.
Clonazepam tablets.
Lamotrigine tablets.
Primidone - tablets.
Topiramate - capsules; coated tablets.
Phenytoin - tablets.
Phenobarbital - tablets.
Ethosuximide - capsules.

VIII. Drugs for the treatment of parkinsonism

Bromocriptine tablets.
Levodopa + Carbidopa tablets.
Levodopa + Benserazide - capsules; dispersible tablets; tablets.
Piribedil is a film-coated, controlled release tablet.
Tolperisone - coated tablets.
Cyclodol tablets.

IX. Anxiolytics

Alprazolam - tablets; prolonged action tablets.
Diazepam - tablets.
Hydroxyzine - coated tablets.
Medazepam - tablets.
Nitrazepam - tablets.
Tofisopam - tablets.
Phenazepam - tablets.

X. Antipsychotic drugs

Haloperidol - drops for oral administration; tablets.
Zuclopenthixol - coated tablets.
Quetiapine - film-coated tablets.
Clozapine - tablets.
Levomepromazine - coated tablets.
Perphenazine - coated tablets.
Risperidone - lozenges; coated tablets.
Sulpiride - capsules; tablets.
Thioproperazine - coated tablets.
Thioridazine - dragee; coated tablets.
Trifluoperazine - coated tablets.
Flupentixol - coated tablets.
Chlorpromazine - dragee.
Chlorprothixene - coated tablets.

XI. Antidepressants and drugs of normothymic action

Amitriptyline - tablets; coated tablets.
Venlafaxine - modified release capsules; tablets.
Imipramine - dragee.
Clomipramine - coated tablets.
Lithium carbonate - tablets of prolonged action.
Maprotiline - coated tablets.
Milnacipran capsules.
Paroxetine - coated tablets.
Pipofezin - tablets.
Pirlindol - tablets.
Sertraline - coated tablets.
Fluvoxamine - coated tablets.
Fluoxetine - capsules.
Escitalopram - film-coated tablets.

XII. Drugs for the treatment of sleep disorders

Zolpidem - coated tablets.
Zopiclone film-coated tablets.

XIII. Other drugs that affect the central nervous system

Baclofen tablets.
Betahistine tablets.
Vinpocetine - tablets; coated tablets.
Gamma-aminobutyric acid - coated tablets.
Hopantenic acid - tablets.
Nicotinyl gamma-aminobutyric acid - tablets.
Piracetam - capsules; oral solution; coated tablets.
Tizanidine tablets.
Phenibut - tablets.
Phenotropil - tablets.
Cinnarizine tablets.

XIV. Preparations for the prevention and treatment of infections

Antibiotics
Azithromycin - capsules; coated tablets.
Amoxicillin - capsules; coated tablets; tablets.
Amoxicillin + Clavulanic acid - powder for suspension for oral administration; dispersible tablets; coated tablets; tablets.
Gramicidin C - cheek tablets.
Josamycin - tablets; dispersible tablets.
Doxycycline - capsules.
Clarithromycin - coated tablets.
Clindamycin - capsules.
Midecamycin - coated tablets.
Rifamycin - ear drops.
Tetracycline - eye ointment.
Fosfomycin - granules for the preparation of a solution for oral administration.
Fusidic acid - cream for external use; ointment for external use; coated tablets.
Chloramphenicol - eye drops; liniment; tablets.
Erythromycin - eye ointment; ointment, for external use; enteric-coated tablets.

Synthetic antibacterial drugs

Co-trimoxazole - oral suspension; tablets.
Levofloxacin - coated tablets.
Moxifloxacin - coated tablets.
Nitrofurantoin - tablets.
Nitroxoline - coated tablets.
Norfloxacin - coated tablets.
Ofloxacin - coated tablets.
Pipemidic acid - capsules.
Sulfacetamide - eye drops.
Furazidin - capsules; tablets.
Ciprofloxacin - eye drops; coated tablets.

XV. Antivirals

Arbidol - coated tablets; capsules.
Acyclovir - tablets; ointment for external use; eye ointment.
Interferon alfa-2a - solution for intranasal use.
Interferon alfa-2b - lyophilisate for solution for intranasal administration.
Interferon gamma - lyophilisate for the preparation of a solution for intranasal administration.
Ribavirin - capsules; tablets.
Rimantadine tablets.

XVI. Antifungal drugs

Itraconazole - capsules; oral solution.
Ketoconazole - tablets.
Clotrimazole - cream for external use.
Nystatin - ointment for external use; vaginal suppositories; rectal suppositories; coated tablets.
Terbinafine - cream for external use; spray; tablets.
Fluconazole - capsules.

Mebendazole tablets.
Metronidazole tablets.
Pirantel - tablets; oral suspension.
Furazolidone tablets.

XVIII. Antineoplastic, immunosuppressive and concomitant drugs

Azathioprine tablets.
Aminoglutethimide - tablets.
Anastrozole - coated tablets.
Bicalutamide - coated tablets.
Busulfan tablets.
Granisetron - coated tablets.
Calcium folinate - capsules.
Capecitabine - coated tablets.
Letrozole - coated tablets.
Lomustine - capsules.
Medroxyprogesterone tablets.
Melphalan - coated tablets.
Mercaptopurine tablets.
Methotrexate - tablets.
Ondansetron - coated tablets.
Sehydrin - enteric-coated tablets.
Tamoxifen tablets.
Flutamide tablets.
Chlorambucil - coated tablets.
Cyclosporine - capsules; oral solution.
Cyclophosphamide - coated tablets.
Cyproterone - tablets.
Etoposide - capsules.

XIX. Drugs for the treatment of osteoporosis

Alfacalcidol - capsules.
Dihydrotahisterol - drops for oral administration; oral solution.
Calcitriol - capsules.
Colecalciferol - drops for oral administration.

XX. Drugs that affect hematopoiesis, the coagulation system

Aktiferin - syrup.
Warfarin tablets.
Heparin sodium - gel for external use.
Dipyridamole - dragee; coated tablets.
Iron hydroxide polymaltose - syrup; chewable tablets.
Iron gluconate + Manganese gluconate + Copper gluconate - oral solution.
Iron sulfate + Ascorbic acid - coated tablets.
Pentoxifylline - coated tablets.
Folic acid - tablets.
Epoetin alfa - solution for injection.
Epoetin beta - lyophilisate for the preparation of a solution for subcutaneous administration; injection.

XXI. Drugs affecting the cardiovascular system

Amiodarone tablets.
Amlodipine tablets.
Atenolol - tablets.
Atenolol + Chlorthalidone - coated tablets.
Acetazolamide - tablets.
Validol - sublingual capsules; sublingual tablets.
Verapamil - coated tablets; film-coated tablets of prolonged action.
Hydrochlorothiazide - tablets.
Hydrochlorothiazide + Triamteren - tablets.
Digoxin tablets.
Diltiazem - coated tablets; film-coated tablets of prolonged action.
Isosorbide dinitrate - sublingual dosed aerosol; prolonged action tablets; tablets.
Isosorbide mononitrate - capsules of prolonged action; retard tablets; tablets.
Indapamide - capsules; coated tablets; modified release tablets.
Inosine - coated tablets.
Captopril tablets.
Captopril + Hydrochlorothiazide - tablets.
Carvedilol tablets.
Clonidine tablets.
Corvalol - drops for oral administration.
Lisinopril tablets.
Metoprolol - coated tablets; tablets.
Moxonidine - coated tablets.
Molsidomin - retard tablets; tablets.
Moexipril - coated tablets.
Peppermint oil + Phenobarbital + Hop cones oil + Ethyl bromisovalerianate - oral drops.
Nebivolol tablets.
Nitroglycerin - sublingual dosed spray; sublingual tablets; prolonged action tablets; transdermal therapeutic system.
Nifedipine - capsules; film-coated tablets of prolonged action; film-coated tablets Rapid-retard; modified release tablets; tablets.
Perindopril tablets.
Perindopril + Indapamide - tablets.
Procainamide - tablets.
Propranolol tablets.
Ramipril tablets.
Reserpine + Dihydralazine + Hydrochlorothiazide - tablets.
Reserpine + Dihydralazine + Hydrochlorothiazide + Potassium chloride - coated tablets.
Rilmenidine tablets.
Sotalol - tablets.
Spirapril tablets.
Spironolactone tablets.
Trimethylhydrazinium propionate - capsules.
Felodipine - tablets of prolonged action, film-coated.
Fosinopril tablets.
Furosemide tablets.
Quinapril - coated tablets.
Cilazapril - coated tablets.
Enalapril tablets.
Enalapril + Hydrochlorothiazide - tablets.
Enalapril + Indapamide - tablets.
Etatsizin - coated tablets.

XXII. Drugs for the treatment of diseases of the gastrointestinal tract

drugs used to treat diseases accompanied by erosive and ulcerative processes in the esophagus, stomach, duodenum

Algeldrat + Magnesium hydroxide - oral suspension; chewable tablets.
Bismuth tripotassium dicitrate - coated tablets; tablets.
Metoclopramide tablets.
Omeprazole - capsules.
Rabeprazole is an enteric coated tablet.
Ranitidine - coated tablets.
Famotidine - coated tablets.

Antispasmodic drugs

Benziklan - tablets.
Drotaverine - tablets.
Mebeverin - capsules of prolonged action.

Laxatives

Bisacodyl - rectal suppositories; coated tablets.
Lactulose - syrup.

Antidiarrheals

Activated carbon - tablets.
Loperamide - capsules.

pancreatic enzymes

Pancreatin - capsules; coated tablets.
Pancreatin + Bile components + Hemicellulose - dragee; enteric-coated tablets.
Holenzym - coated tablets.

Drugs used to treat diseases of the liver and biliary tract

Ademetionine - enteric-coated tablets.
Allochol - coated tablets.

Combined preparations containing phospholipids - capsules.

Pumpkin seed oil - capsules; oil for oral administration; rectal suppositories.
Ursodeoxycholic acid - capsules.
Phosphogliv - capsules.

Preparations for the restoration of intestinal microflora

Bifidobacterium bifidum is a lyophilisate for preparing a solution for oral and topical use.

XXIII. Hormones and drugs that affect the endocrine system

Non-sex hormones, synthetic substances and antihormones

Betamethasone - cream; ointment.
Hydrocortisone - eye ointment; ointment for external use; tablets.
Dexamethasone - eye drops; tablets.
Desmopressin tablets.
Clomiphene tablets.
Levothyroxine sodium tablets.
Levothyroxine sodium + Liothyronine - tablets.
Levothyroxine sodium + Liothyronine + Potassium iodide - tablets.
Liothyronine tablets.
Methylprednisolone tablets.
Methylprednisolone aceponate - cream for external use; ointment for external use; ointment for external use (oily); emulsion for external use.
Prednisolone - eye drops; ointment for external use; tablets.
Somatropin - lyophilisate for solution for injection; solution for subcutaneous administration.
Thiamazole - coated tablets; tablets.
Triamcinolone - ointment for external use; tablets.
Fluocinolone acetonide - gel for external use; ointment for external use.
Fludrocortisone tablets.

Drugs for the treatment of diabetes

Acarbose - tablets.
Glibenclamide tablets.
Glibenclamide + Metformin - coated tablets.
Gliquidone tablets.
Gliclazide - modified release tablets; tablets.
Glimepiride tablets.
Glipizide tablets.
Insulin aspart - solution for intravenous and subcutaneous administration.
Biphasic insulin aspart - suspension for subcutaneous administration.
Insulin glargine - solution for subcutaneous administration.
Biphasic insulin (human genetically engineered) - suspension for subcutaneous administration.
Insulin detemir - solution for subcutaneous administration.
Insulin lispro - solution for injection.
Soluble insulin (human genetically engineered) - solution for injections.
Insulin isophane (human genetically engineered) - suspension for subcutaneous administration.
Metformin - coated tablets; tablets.
Repaglinide tablets.
Rosiglitazone - tablets, film-coated.

Gestagens

Dydrogesterone - coated tablets.
Norethisterone tablets.
Progesterone capsules.
Estrogens
Estriol - vaginal cream; vaginal suppositories; tablets.
Ethinylestradiol tablets.

XXIV. Drugs for the treatment of prostate adenoma

Doxazosin tablets.
Tamsulosin - modified release capsules; film-coated tablets with controlled release.
Terazosin tablets.
Finasteride - coated tablets.

XXV. drugs that affect the respiratory system

Ambroxol - syrup; tablets.
Aminophylline - tablets.
Acetylcysteine - effervescent tablets.
Beclomethasone - breath-activated aerosol inhaler (easy breathing); nasal spray.
Bromhexine - syrup; coated tablets; tablets.
Budesonide - dosed powder for inhalation; suspension for inhalation.
Dornase alfa - solution for inhalation.
Ipratropium bromide - an aerosol for inhalation; solution for inhalation.
Ipratropium bromide + Fenoterol - dosed aerosol for inhalation; solution for inhalation.
Cromoglycic acid and its sodium salt - dosed aerosol for inhalation; eye drops; powder for inhalation in capsules; solution for inhalation.
Nafazolin - nasal drops.
Salmeterol is an aerosol for inhalation.
Salmeterol + Fluticasone - dosed aerosol for inhalation; dosed powder for inhalation.
Salbutamol is a breath-activated aerosol inhaler (easy breathing); solution for inhalation; tablets; film-coated tablets, prolonged action.
Theophylline - capsules of prolonged action; retard tablets.
Tiotropium bromide - capsules with powder for inhalation.
Fenoterol - dosed aerosol for inhalation; solution for inhalation.
Formoterol - capsules with powder for inhalation; dosed powder for inhalation.
Formoterol + Budesonide - dosed powder for inhalation.

XXVI. Preparations used in ophthalmology

Azapentacene - eye drops.
Atropine - eye drops.
Betaxolol - eye drops.
Idoxuridine - eye drops.
Latanoprost - eye drops.
Pilocarpine - eye drops.
Pilocarpine + Timolol - eye drops.
Proxodolol - solution-eye drops.
Taurine - eye drops.
Timolol - eye drops.
Cytochrome C + Adenosine + Nicotinamide - eye drops.
Emoksipin - eye drops.

Peginterferon alfa-2b is a lyophilisate for the preparation of a solution for subcutaneous administration.
Raltitrexide is a lyophilisate for solution for infusion.
Risperidone - powder for the preparation of a suspension for intramuscular administration of prolonged action;
Rituximab is a concentrate for solution for infusion.
Rosuvastatin - coated tablets.
Roxithromycin - film-coated tablets.
Simvastatin - coated tablets.
Temozolomide - capsules.
Ticlopidin - coated tablets.
Tolterodine - capsules of prolonged action; coated tablets.
Trastuzumab is a lyophilisate for solution for infusion.
Tretinoin - capsules.
Trimetazidine - coated tablets; coated tablets with modified release; capsules.
Triptorelin is a lyophilisate for the preparation of a suspension for intramuscular administration of prolonged action.
Tropisetron - capsules.
Coagulation factor VIII - lyophilized powder for solution for injection.
Coagulation factor IX - lyophilized powder for solution for injection.
Fludarabine - coated tablets.
Fluticasone - dosed aerosol for inhalation.
Celecoxib capsules.
Cerebrolysin - solution for injection.
Cefazolin - powder for solution for intravenous and intramuscular administration.
Ceftriaxone - powder for solution for intravenous administration; powder for solution for intramuscular injection.
Cyproterone - tablets.
Exemestane - coated tablets.
Enoxaparin sodium - solution for injection.
Eprosartan - coated tablets.
Eprosartan + Hydrochlorothiazide - coated tablets.
Eptacog alfa (activated) - powder for injection solution

Taking care of the population, the state provides an opportunity not only to be treated free of charge, but also to receive medicines at a 100% discount. The list of drugs is established by the Ministry of Health and is intended for certain categories of citizens, which are determined both at the level of the entire state and in each region individually.

The Order of the Ministry of Health and Social Development No. 601 dated 09/28/2005 contains a list of subsidized drugs provided free of charge to the population. For convenience, the list of drugs is divided into categories depending on the effect and direction of treatment.

An approximate list of drugs, divided into groups, is as follows:

analgesics (Analgin, Ketofen);
antibiotics (Amoxicillin, Cefazolin);
antihistamines (Cetirizine, Ketotifen);
drugs for heart disease (Bisoprolol, Digoxin);
medicines for the gastrointestinal tract (Bisacodyl, Omeprazole);
drugs used in the treatment of the nervous system (Zolpidem, Phenotropil);
antiviral drugs (Arbidol, Interferon);
anti-inflammatory drugs (Ibuprofen, Diclofenac);
anticonvulsants (phenobarbital).

Important! The list of discounted drugs can be clarified with the insurance company that pays for the patient's treatment. Also, the attending physician should have information about free medicines.

Who is eligible for drug benefits

The state has defined a list of persons entitled to guaranteed receipt of subsidized medicines. It is necessary to distinguish between citizens who are provided with subsidized medicines on the federal list, and persons who receive medicines at the regional level.

Federal beneficiaries

participants, veterans and disabled people of various military operations;
home front workers during the Great Patriotic War;
residents of besieged Leningrad;
disabled people regardless of disease and age;
liquidators of the accident at the Chernobyl nuclear power plant.

There are also a number of special diseases for which free medicines are prescribed:

tuberculosis;
oncology;
hemophilia;
multiple sclerosis;
organ transplant;
cystic fibrosis.

Regional beneficiaries

The list of citizens entitled to free medicines is established independently for each region. Usually it includes the unprotected and low-income segments of the population:

families with children (usually there should be more than 3 or 4 people);
children without parental care;
single pensioners older than the age established by the region (for example, older than 75 or 80 years);
children up to a regionally determined age (up to 3 years or up to 1.5);
honorary donors;
labor veterans.

What is the difference between federal and regional beneficiaries

The main difference between the two categories of beneficiaries is the source of funding. Citizens on the all-Russian list receive funds from the federal budget. Persons identified at the regional level are financed from the local budget.

Another difference is that the list of all-Russian beneficiaries is enshrined in federal law and is a constant value. It rarely changes. Regions have the right to change the lists of drug beneficiaries at their own discretion. The main measure for them is the availability of money in the local budget.

There is also a difference in the way in which benefits are granted. For federal beneficiaries, an appeal to the department of the Pension Fund of the Russian Federation is required, regional ones are included in the list directly when contacting the clinic.

Video - Where and how to get prescription drugs?

How to get a free drug benefit

Receipt of benefits will depend on the list to which a particular citizen belongs.

Benefits for the federal list

To apply for a nationwide benefit, you must contact the department of the Pension Fund of the Russian Federation, where the personal presence of a citizen receiving medication is required. An application for benefits is being made. You will need the following documents with you:

Russian passport;
benefit document;
SNILS;
OMS policy.

The citizen will receive a certificate of the right to receive free medicines. At the first visit to the clinic, you need to show the certificate to the attending physician, who will enter the information from it into the outpatient card.

Getting monthly payments instead of drugs

A person who is eligible for drug benefits may file another application that says no to social support. In this case, instead of medicines, a citizen will receive a strictly fixed amount of money every month. So the benefit will be monetized (FZ No. 122 of 08/22/2014).

An application for establishing or refusing benefits for the next year must be submitted before October 1 of the current year. For 2018, the amount for free receipt of medicines is 807.94 rubles.

Benefits for the regional list

You can apply for a regional benefit for medicines directly when you contact the clinic. If in the region this citizen fits the list of beneficiaries, then a note on the presence of such a benefit will also be entered in his card. At the same time, some categories of citizens will be able to receive drugs for free, others - at a 50% discount. In Moscow, honorary donors and pensioners have such a discount.

For children under 3 years of age, certain medicines are provided free of charge. Such a benefit for them is issued automatically when the baby is registered.

How to get free medicines

Discounted medicines are provided only on a special prescription, which is issued by the attending physician. You should contact city clinics, hospitals or dispensaries.

The prescription is issued on a special form 148-1 / y-04 (l) or 148-1 / y-06 (l), which contains digital coding. It specifies:

medical institution code;
code of the preferential category of a citizen;
source of payment;
doctor code;
drug code.

The prescription must be stamped by a medical institution and a doctor.

You can get a free prescription drug only in special pharmacies. They are usually located in the buildings of clinics or dispensaries.

The recipe has a time limit, usually it is a month. For children and citizens with disability group I, the prescription period is extended to 3 months.

Important! If the prescription has expired, then you need to re-contact your doctor.

Sometimes the drug you need is not available in the pharmacy. In such a situation, the pharmacist should:

Record a preferential prescription in a special electronic journal. It will be assigned the status of a delayed document.
Enter the desired medicine in the electronic queue. Within 10 days, drugs from the federal list must go to the pharmacy. For the regional list, this period corresponds to 15 days.

If during this time the prescription has expired, then it is not necessary to renew it, since it is included in a special list.

You can find out about the availability of drugs on a reduced-price prescription at https://uslugi.mosreg.ru/zdrav/medicines. It is enough to enter the prescription number and the system will show a list of pharmacies where you can get a free medicine.

Important! If the required drug is available in the pharmacy in a lower dosage than what is written in the prescription, the pharmacist can release the medicine in the right amount in terms of the required course of treatment. The recipe does not need to be modified. If the dosage of the drug available is higher than indicated in the prescription, the patient should consult a doctor. He will either issue a new prescription, adjusting the dosage, or replace the drug with its analogue.

Features of the provision of drugs by regions

Usually, regions are given the right to independently decide which categories of citizens will be provided with medicines on a preferential basis from the local budget. Regional authorities can also adjust the list of subsidized medicines. The most extended list of drugs has been approved in Moscow, St. Petersburg, and Tatarstan. In some places, the provision of free drugs does not depend on a certain category to which a citizen belongs, but on his disease. This approach is used in St. Petersburg.

Any citizen cannot receive medicines from both the federal and regional budgets at the same time. When applying, you should find out which benefit is more profitable for a citizen: where the medicines needed by a particular patient are provided free of charge.

Discounted medicines for pensioners

Pensioners who are not disabled are offered a certain list of medicines at the regional level as a benefit. The amount of the discount depends on the amount of money allocated from the budget of the local authority. Usually these are medicines with a 50% discount.

To receive benefits, the pensioner must contact the clinic, where the attending physician will prescribe the required drugs by writing a prescription. To do this, you need to have SNILS and a medical policy. With the received prescription, the pensioner must go to special pharmacies that give out free medicines or medicines at a discount.

A pensioner can receive a refund of part of the amount for purchased medicines for. This requires the fulfillment of certain conditions:

Medicines must be prescribed by the attending physician.
For a prescription, the pensioner applied to a state medical institution.
A citizen must have deductions of 13% from earnings for the last 3 years.

Pregnancy drug benefits

Medicines for pregnant women are allocated from the regional budget. To receive them, you need to register in the antenatal clinic. Usually, expectant mothers are prescribed vitamins and medications to maintain a normal pregnancy. The obstetrician prescribes the necessary drugs after 30 weeks if this is a normal pregnancy, and after 28 weeks with multiple pregnancies. You can get drugs only in special pharmacies, either free of charge or with a 50% discount. A list of pharmacy kiosks is provided at. In the absence of the necessary medicine, its replacement is offered, or it is additionally supplied within a 2-week period.

People with disabilities are more likely than others to use medicines to maintain their health. Often the cost of these drugs is "unbearable" for them. If you look at the situation directly and without any exaggeration, modern medicines are not always affordable for most citizens of our country. Several reasons can be found at once - ranging from inflationary shocks against the backdrop of sanctions and cheap oil to the lack of a well-developed production of medicines in Russia. Both the Ministry of Health and the Ministry of Economic Development are working on this, but everyone understands that it will not be possible to reach the required (and even more advanced) level of production of free medicines for the population in a short time, even if significant amounts are injected into this industry.

Free medicines for the disabled (list below) for 2018 will be replenished with 25 items at once. The decision on this was made at one of the meetings of the Ministry of Health back in September 2016, and later it was supported by Prime Minister Dmitry Medvedev, who said that until the moment of complete import substitution of vital medicines, their purchase will continue from foreign suppliers and the disabled and beneficiaries will receive free medicines in 2018 in full.

List of free medicines for the disabled, children and beneficiaries for 2017

Approved on December 30, 2014 by Government Decree No. 2782-r, the list of free medicines () for children, the disabled and includes:

I. Anticholinesterase agents

Galantamine - coated tablets.
Ipidacrine tablets.
Pyridostigmine bromide - tablets.

II. Opioid analgesics and mixed action analgesics

III. Non-narcotic analgesics and non-steroidal anti-inflammatory drugs

IV. Means for the treatment of gout

Allopurinol tablets.
Colchicum splendid alkaloid - coated tablets.

V. Other anti-inflammatory drugs

Mesalazine - rectal suppositories; rectal suspension; enteric-coated tablets.
Penicillamine - tablets.
Sulfasalazine tablets.
Chloroquine - tablets.
Chondroitin sulfate - capsules; ointment.

VI. Means for the treatment of allergic reactions

VII. Anticonvulsants

VIII. Remedies for the treatment of parkinsonism

IX. Anxiolytics

Alprazolam - tablets; prolonged action tablets.
Diazepam - tablets.
Hydroxyzine - coated tablets.
Medazepam - tablets.
Nitrazepam - tablets.
Tofisopam - tablets.
Phenazepam - tablets.

X. Antipsychotics

XI. Antidepressants and normothymic drugs

XII. Means for the treatment of sleep disorders

Zolpidem - coated tablets.
Zopiclone film-coated tablets.

XIII. Other drugs affecting the central nervous system

XIV. Means for the prevention and treatment of infections

Antibiotics
Azithromycin - capsules; coated tablets.
Amoxicillin - capsules; coated tablets; tablets.
Amoxicillin + Clavulanic acid - powder for suspension for oral administration; dispersible tablets; coated tablets; tablets.
Gramicidin C - cheek tablets.
Josamycin - tablets; dispersible tablets.
Doxycycline - capsules.
Clarithromycin - coated tablets.
Clindamycin - capsules.
Midecamycin - coated tablets.
Rifamycin - ear drops.
Tetracycline - eye ointment.
Fosfomycin - granules for the preparation of a solution for oral administration.
Fusidic acid - cream for external use; ointment for external use; coated tablets.
Chloramphenicol - eye drops; liniment; tablets.
Erythromycin - eye ointment; ointment, for external use; enteric-coated tablets.

Synthetic antibacterial agents

XV. Antivirals

XVI. Antifungals

Mebendazole tablets.
Metronidazole tablets.
Pirantel - tablets; oral suspension.
Furazolidone tablets.

XVIII. Antineoplastic, immunosuppressive and concomitant drugs

XIX. Means for the treatment of osteoporosis

Alfacalcidol - capsules.
Dihydrotahisterol - drops for oral administration; oral solution.
Calcitriol - capsules.
Colecalciferol - drops for oral administration.

XX. Means that affect hematopoiesis, the coagulation system

XXI. Drugs affecting the cardiovascular system

XXII. Means for the treatment of diseases of the gastrointestinal tract

Means used to treat diseases accompanied by erosive and ulcerative processes in the esophagus, stomach, duodenum

Antispasmodics

Benziklan - tablets.
Drotaverine - tablets.
Mebeverin - capsules of prolonged action.

Laxatives

Bisacodyl - rectal suppositories; coated tablets.
Lactulose - syrup.

Antidiarrheals

Activated carbon - tablets.
Loperamide - capsules.

pancreatic enzymes

Pancreatin - capsules; coated tablets.
Pancreatin + Bile components + Hemicellulose - dragee; enteric-coated tablets.
Holenzym - coated tablets.

Means used to treat diseases of the liver and biliary tract

Ademetionine - enteric-coated tablets.
Allochol - coated tablets.

Combined preparations containing phospholipids - capsules.

Pumpkin seed oil - capsules; oil for oral administration; rectal suppositories.
Ursodeoxycholic acid - capsules.
Phosphogliv - capsules.

Means for restoring intestinal microflora

Bifidobacterium bifidum is a lyophilisate for preparing a solution for oral and topical use.

XXIII. Hormones and drugs that affect the endocrine system

Non-sex hormones, synthetic substances and antihormones

Means for the treatment of diabetes

Gestagens

Dydrogesterone - coated tablets.
Norethisterone tablets.
Progesterone capsules.
Estrogens
Estriol - vaginal cream; vaginal suppositories; tablets.
Ethinylestradiol tablets.

XXIV. Means for the treatment of prostate adenoma

Doxazosin tablets.
Tamsulosin - modified release capsules; film-coated tablets with controlled release.
Terazosin tablets.
Finasteride - coated tablets.

XXV. Means affecting the respiratory system

XXVI. Means used in ophthalmology

XXVII. Vitamins and minerals

Ascorbic acid - tablets.
Ascorbic acid + Dextrose - tablets.
Ascorbic acid + Rutozid - tablets.
Benfolipen - dragee.
Vitamin E - capsules; oral solution.
Gendevit - dragee.
Potassium iodide - tablets.
Potassium and magnesium asparaginate - tablets.
Nicotinic acid - tablets.
Retinol - dragee; oily solution for oral administration.
Retinol + Vitamin E + Menadione + Betacarotene - oily solution for topical and external use.
Thioctic acid - coated tablets.
Rosehip oil - oil for oral and topical use.
Rosehip syrup plus vitamin C - syrup.
Ergocalciferol - dragee.

XXVIII. Antiseptics and disinfectants

Iodine - solution for external use.
Chlorhexidine - solution for external use.
Ethanol - solution for external use and preparation of dosage forms.

XXIX. Other funds

Hydrogen peroxide - solution for local and external use.
Gentamicin + Betamethasone + Clotrimazole - cream for external use; ointment for external use.
Diosmin - coated tablets.
Diosmin + Hesperidin - coated tablets.
Ketosteril - coated tablets.
Codeine + Propyphenazone + Paracetamol + Caffeine - tablets.
Bacteria lysates mixture - capsules; suspension for intranasal administration; lozenges.
Omega-3 triglycerides (EPA/DHA-1.2/1-90%) - capsules.
Troxerutin - capsules.
Ethylmethylhydroxypyridine sulfate - capsules; coated tablets.

XXX. Means used by decision of the medical commission, approved by the head physician of the medical institution

Altretamine - capsules.
Asparaginase is a lyophilizate for the preparation of a solution for intravenous and intramuscular administration.
Atorvastatin - coated tablets.
Acetylsalicylic acid - enteric film-coated tablets.
Bevacizumab is a concentrate for solution for infusion.
Bisoprolol - coated tablets.
Bortezomib is a lyophilisate for the preparation of a solution for intravenous administration.
Botulinum toxin - lyophilized powder for solution for injection.
Buserelin is a lyophilizate for the preparation of a suspension for intramuscular administration of prolonged action.
Valganciclovir - coated tablets.
Valsartan - tablets, film-coated.
Vinorelbine is a concentrate for solution for infusion.
Ganciclovir - capsules; lyophilisate for solution for infusion.
Gefitinib tablets.
Hydroxycarbamide - capsules.
Glatiramer acetate is a lyophilisate for the preparation of a solution for subcutaneous administration, a solution for subcutaneous administration.
Goserelin - capsule for subcutaneous administration.
Chorionic gonadotropin is a lyophilisate for preparing a solution for intramuscular injection.
Dacarbazine is a lyophilisate for the preparation of a solution for intravenous administration.
Dalteparin sodium - solution for injections.
Iron hydroxide polyisomaltose - solution for intramuscular injection.
Iron hydroxide sucrose complex - solution for intravenous administration.
Zoledronic acid - concentrate for solution for infusion.
Imatinib capsules.
Imiglucerase - powder for solution for injection.
Normal human immunoglobulin - solution for intravenous administration.
Inosine - solution for intravenous administration.
Interferon alfa-2a - lyophilisate for solution for injection; injection.
Interferon alpha-2b - lyophilisate for solution for injection and topical application; lyophilized powder for solution for injection; injection.
Interferon beta-1 a - solution for subcutaneous administration.
Interferon beta-1 b - lyophilisate for solution for injection.
Interferon gamma - lyophilizate for solution preparation for intramuscular and subcutaneous injection.
Infliximab is a lyophilized powder for solution for intravenous administration.
Irbesartan tablets.
Cabergoline tablets.
Calcitonin - nasal spray.
Candesartan tablets.
Colecalciferol + Calcium carbonate - chewable tablets.
Lovastatin tablets.
Losartan - coated tablets.
Losartan + Hydrochlorothiazide - coated tablets.
Mycophenolic acid - enteric-coated tablets.
Mycophenolate mofetil - capsules; coated tablets.
Nadroparin calcium - solution for subcutaneous administration.
Oxybutynin - tablets.
Sodium oxodihydroacridinyl acetate - solution for intramuscular injection.
Octreotide - microspheres for suspension for injection; solution for intravenous and subcutaneous administration; injection.
Paclitaxel is a concentrate for solution for infusion.
Peginterferon alfa-2a - solution for injection.
Peginterferon alfa-2b is a lyophilisate for the preparation of a solution for subcutaneous administration.
Raltitrexide is a lyophilisate for solution for infusion.
Risperidone - powder for the preparation of a suspension for intramuscular administration of prolonged action;
Rituximab is a concentrate for solution for infusion.
Rosuvastatin - coated tablets.
Roxithromycin - film-coated tablets.
Simvastatin - coated tablets.
Temozolomide - capsules.
Ticlopidin - coated tablets.
Tolterodine - capsules of prolonged action; coated tablets.
Trastuzumab is a lyophilisate for solution for infusion.
Tretinoin - capsules.
Trimetazidine - coated tablets; coated tablets with modified release; capsules.
Triptorelin is a lyophilisate for the preparation of a suspension for intramuscular administration of prolonged action.
Tropisetron - capsules.
Coagulation factor VIII - lyophilized powder for solution for injection.
Coagulation factor IX - lyophilized powder for solution for injection.
Fludarabine - coated tablets.
Fluticasone - dosed aerosol for inhalation.
Celecoxib capsules.
Cerebrolysin - solution for injection.
Cefazolin - powder for solution for intravenous and intramuscular administration.
Ceftriaxone - powder for solution for intravenous administration; powder for solution for intramuscular injection.
Cyproterone - tablets.
Exemestane - coated tablets.
Enoxaparin sodium - solution for injection.
Eprosartan - coated tablets.
Eprosartan + Hydrochlorothiazide - coated tablets.
Eptacog alfa (activated) - powder for injection solution

About 100 million rubles are annually spent from the state treasury of the Russian Federation on drug provision of privileged categories of citizens. This measure allows to open access to the necessary medicines to the population. But not everyone is aware of their right to a drug list under federal or local law. According to the latter, the conditions for issuing drugs, their number, names and persons claiming preference vary at the discretion of the regional authorities.

The Federal Law establishes general rights for all citizens of the Russian Federation, regardless of material status and nationality. Benefits depend on belonging to a special category (disabled, veteran, poor).

Unfortunately, it is possible to receive medicines only on one of the grounds (although there is no direct prohibition on the simultaneous use of federal and regional preferences), so the beneficiary will have to make a choice. Payment for medicines to the state beneficiary is carried out by the Pension Fund, and to the regional one - by the social protection authority.