Getting free medicines. Free medicines for beneficiaries. List of medicines for federal beneficiaries

The disease in the modern world is a common problem of the population.

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

And it's no secret to anyone that there is an acute issue of financing hospitals and clinics, as well as the provision of medicines. More people need highly qualified care, the list of people is growing every year, and the medical staff is shrinking.

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

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

Legislative regulation

The provision of medicines for beneficiaries is regulated by the Decree of June 30, 1994 “On the state. supporting the development of medicine and improving the provision of citizens with medicines”.

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

Who is eligible for free drugs

It should be understood that not all citizens have the right to count on such a state program. Only beneficiaries can use the privilege to receive free medicines. And not every medical drug is included in the number of free ones.

Get guaranteed help may:

Also rely on government support. can citizens, which:

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

The strangest thing is that citizens with cancer receive insufficient funding, as well as insufficient medical care. It is most difficult for them to get the necessary medicines from the state for pain relief. But still, they need help.

Information about free medical preparations is provided by attending doctor. He must do it on his own. But if he does not do this on his own, then each patient has the right to clarify this information. It is easy to find information about free medicines on the Internet. It is also possible to find out about this from the insurance company.

What medicines can be provided free of charge

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

Group analgesics:

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

Antiepileptic:

Antiparkinsonian:

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

Psycholeptics:

1. Zuclopenthixol;
2. Haloperridol;
3. Quetiapine;
4. olanzapine;
5. Risperidone;
6. Periciazine;
7. Sulpiride;
8. Trifluoperazine;
9. Thioridazine;
10. Flupentixol;
11. fluphenazine;
12. Chlorpromazine;
13. Oxazepam;
14. diazepam.

Psychoanaleptics:

Anticholinesterase:

1. Pyridostigmine bromide;
2. Neostigmine methyl sulfate.

Treatment infections:

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

Antitumor:

Strengthening bones:

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

blood clotting:

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

Preparations for heart:

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

Preparations for the intestines:

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

Hormonal for the thyroid gland:

For diabetes:

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

Preparations for the treatment of kidney:

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

Ophthalmic medicines:

1. Timolol;
2. Pilocarpine.

Drugs against asthma:

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

Medications antihistamine type:

1. Loratadine;
2. cetirizine;
3. Chloropyramine.

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

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

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

New names that were not previously on the list:

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

How to receive

No one has the right to refuse preferential categories of citizens. Issue a prescription the attending physician is obliged to receive medicines if he needs these medicines. The list of employees who are entitled to issue a prescription for free medicines is negotiated in each medical institution separately.

For residents of rural settlements, medical assistance is also calculated. If there is a polyclinic in the place of residence of a person, included in the insurance system, then paramedics have the right to give prescriptions. Required to receive visit a sick doctor.

What documents need to be provided

To receive, you must provide next package of documents:

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

In addition, the district medical worker submits documents to the state pharmacy on the decision of a particular client to be registered in the register. If medical drugs not available, then within ten days they are brought. If the drugs did not arrive within the prescribed period, then you can leave a request on the website of Roszdravnadzor. After that, the case passes to state control. There is also a list of free medicines. Here you can also file a claim to the attending physician or pharmacy about the refusal to provide free medicines.

Procedure in case of refusal to dispense medicines free of charge

Law is law. But in fact, many citizens did not receive medicines free of charge.

Citizens have the right to refuse only if the prescription is not filled out correctly or sufficient documents are missing. If the hospital does not provide free medicines, then you need to apply in writing to the head doctor or the administrator of the medical institution. In case of refusal, a statement is written, which the head physician must sign. The document is required for submission to the prosecutor's office.

The option to get free medicines becomes filing a complaint with Roszdravnadzor. There is a prescribed form to be filled out. The claim must be made clear with supporting facts. There are no deadlines for a claim, just as there is no time limit for considering an application.

About the provision of medicines for children under three years old (up to 6 years old if the child is from a large family), see the following video:

The data set allows you to get detailed information about dispensing points for subsidized medicines, see their location on the map, as well as find out the exact address, opening hours and other contact information.

Drug supply is an integral part of the healthcare system and is aimed at guaranteed, timely and high-quality satisfaction of the needs of the population of Moscow in medicines for medical use, medical devices, as well as specialized medical nutrition products for disabled children.

Drug provision as one of the most important components of the medical process, and first of all, free drug provision for certain categories of citizens eligible for state social assistance, is subject to state regulation and control, as it has the most important economic and social significance. In modern conditions, the state must act as a guarantor of the safety, quality and effectiveness of pharmaceutical products and services to the consumer.

Federal Law No. 178-FZ of July 17, 1999 “On State Social Assistance” (as amended) establishes the right to receive state social assistance in the form of a set of social services, which includes the provision, in accordance with the standards of medical care, with the necessary medicines for medical use according to prescriptions for medicines, medical products according to prescriptions for medical products, as well as specialized medical nutrition products for disabled children, for certain categories of citizens specified in Articles 6.1. and 6.7. named federal law. Also, the Decree of the Government of Moscow dated 10.08.2005 No. 1506-RP “On the implementation of social support measures for certain categories of residents of the city of Moscow to provide medicines and medical products dispensed on prescription free of charge or with a 50% discount” (as amended) to certain categories the residents of the city of Moscow are provided with measures of social support.

The provision of medicines for medical use, medical devices, as well as specialized medical nutrition products for disabled children of certain categories of citizens eligible for state social assistance is carried out at pharmacies located in medical organizations, which makes it possible to make drug assistance targeted and accessible. At the same time, preferential prescriptions are dispensed in the pharmacy divisions of the CLO DZM (narcotic drugs and psychotropic substances, as well as medicines made according to an individual prescription). Many pharmacy organizations are located in close proximity to medical organizations (city hospitals, polyclinics, oncology dispensaries), providing the population with walking distance to the necessary drug care.

If there are medical indications, citizens who applied for medical help to a medical organization, as well as if it is necessary to continue treatment after the patient is discharged from the hospital, are prescribed medications and write out prescriptions for them in the prescribed manner. Based on the nature and severity of diseases in privileged categories of citizens, drugs in the treatment of diseases on an outpatient basis are prescribed in the required amount directly by the attending physician in accordance with the approved list of drugs and are one of the types of state social assistance.

In accordance with 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 drugs, as well as forms of prescription forms for drugs, the procedure for issuing these forms, their accounting and storage”, prescription and prescribing of drugs is carried out by a medical an employee according to the international non-proprietary name, and in its absence - the grouping name. In the absence of an international non-proprietary name and a grouping name of the medicinal product, the medicinal product is prescribed and prescribed by a medical professional under the trade name.

In the presence of medical indications (individual intolerance, according to vital indications), by decision of the medical commission of a medical organization, medicines are prescribed and prescribed: those that are not included in the standards of medical care by trade names. The decision of the medical commission of a medical organization is recorded in the patient's medical documents and the journal of the medical commission.

Temporary absence of a medicinal product at the pharmacy on the day of treatment is not a basis for refusal to issue a prescription. In the event of a temporary lack of medicines, medical devices in the pharmacy dispensing medicines, medical devices to certain categories of citizens, the pharmacy worker is obliged to supply prescriptions for deferred supply with entry in the "Journal of Unsatisfied Demand". In accordance with the established procedure, measures must be taken to ensure them within the time limits approved by the Ministry of Health of Russia: for drugs included in the "federal" List (Decree of the Government of the Russian Federation dated December 26, 2015 No. 2724-r) - 10 working days from the moment the patient contacts the pharmacy organization and 15 for drugs prescribed by decision of the medical commission of a medical organization.

In accordance with 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 medicines, as well as forms of prescription forms for medicines, the procedure for issuing these forms, their accounting and storage”:

1. The stamp of a medical organization indicating its name, address and telephone number is affixed to the prescription forms in the upper left corner. Additionally, the code of the medical organization is affixed to the prescription forms.

2. On prescription forms issued by individual entrepreneurs who have a license for medical activities, in the upper left corner, in a typographical way or by putting a stamp, the address of the doctor, the number and date of the license, the name of the state authority that issued the license must be indicated.

3. Prescription form forms are filled in by the doctor legibly, clearly, in ink or a ballpoint pen.

4. Clearance allowedall requisites (except for the requisite "Signature of the attending physician") of the prescription forms of the form using printing devices.

6. In the prescription forms, the column "Age" indicates the number of full years of the patient.

7. In the prescription forms, in the column "Address or number of the medical record of the patient receiving medical care on an outpatient basis", the full postal address of the place of residence (place of stay or place of actual residence) of the patient and the number of the medical record of the patient receiving medical care on an outpatient basis shall be indicated.

8. In the column "Full name of the attending physician" of the prescription forms, the full surname, first name, patronymic (if any) of the medical worker who has the right to prescribe and prescribe medicines are indicated.

9. In the column "Rp" prescription forms indicate:

1) in Latin, the name of the medicinal product (international non-proprietary or grouping, or trade), its dosage;

2) in Russian or Russian and national languages, the method of using the medicinal product.

10. It is forbidden to be limited to general indications, for example, "Internal", "Known".

Only abbreviations accepted by the rules are allowed; solid and bulk pharmaceutical substances are prescribed in grams (0.001; 0.5; 1.0), liquid - in milliliters, grams and drops.

11. The prescription is signed by a medical worker and certified by his personal seal. Additionally, the prescription is certified by the seal of the medical organization "For Prescriptions".

12. It is allowed to write out only one name of the medicinal product on one prescription form.

13. Corrections in a prescription written on a prescription form are not allowed.

14. The expiration date of the prescription written on the prescription form (15 days, 30 days, 90 days) is indicated by strikethrough or underlining.

It is forbidden to write prescriptions for medicines:

In the absence of medical indications;

For medicinal products not registered in the Russian Federation;

For medicinal products that, in accordance with the instructions for medical use, are used only in medical organizations.

In accordance with paragraph 2 of Article 6.3 of the Federal Law of July 17, 1999 No. 178-FZ “On State Social Assistance” (as amended), the period for providing citizens with a set of social services is a calendar year.

A citizen may, before October 1 of the current year, file an application for refusing to receive a set of social services (social services) for the period from January 1 of the year following the year of submission of the said application, and until December 31 of the year in which the citizen applies for the renewal of the provision of a set of social services (social services). An application for the resumption of the provision of a set of social services (social services) is submitted before October 1 of the current year for the period from January 1 of the year following the year in which the application was submitted (clause 4 of Article 6.3 of the Federal Law of July 17, 1999 No. 178-FZ "On State Social Assistance" ).

The current situation in Russia.

The strategy of drug provision of the population of the Russian Federation for the period up to 2025, approved by the Russian Ministry of Health in 2013, provides for the pilot implementation of various models of drug provision.

Co-financing from patients (with the exception of certain categories of citizens for whom free drug provision is provided) should depend on the nature of the course of the patient's disease and the cost of treatment costs, for example:

The costs are fully reimbursed by the state - for life-threatening, socially significant diseases that make the largest contribution to mortality in Russia,

A high proportion of reimbursement is provided for medicines for the treatment of non-life-threatening diseases, but requiring long-term expensive treatment,

Low reimbursement rate - for diseases requiring treatment with drugs with low cost.

It is necessary to analyze the results of various models of pilot drug supply projects with various categories of citizens participating in pilot projects, various diseases (according to the course and cost of treatment) in order to form calculations for financial costs.

The introduction of drug insurance in the city of Moscow is possible when the Ministry of Health of Russia sums up the results of pilot projects in the constituent entities of the Russian Federation as part of the Drug Supply Strategy, which are carried out not for individual nosologies, but in full.

Do you know what?

Already in ancient times, people tried to save their lives using various natural medicinal substances. Most often, these were plant extracts, but preparations were also used that were obtained from raw meat, yeast, and animal waste. Some medicinal substances are available in an easily accessible form in plant or animal raw materials, and therefore, medicine has successfully used a large number of medicines of plant and animal origin since ancient times. Only with the development of chemistry did people become convinced that the therapeutic effect of such substances lies in the selective effect of certain chemical compounds on the body. Later, such compounds began to be obtained in laboratories by synthesis.

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Who is eligible for free medicines - List of free medicines in 2019

In our difficult time, almost all people are interested in saving money and looking for inexpensive solutions to problems. And getting free medicines is a rather relevant bonus for citizens, which, unfortunately, not everyone knows about.

Who can get free medicines in Russia?

Who is entitled to free medicines in Russia? Legislative acts contain a regulated list of groups of residents of our country who are entitled to receive free medicines if they need them, and there is supporting documentation.

So who is eligible for free medicines?

The documents required for this procedure are:

1) the Great Patriotic War and citizens who took part in military conflicts in any hot spot;

2) persons who eliminated the consequences at the Chernobyl nuclear power plant;

3) citizens who were subjected to political repression in the middleXXcenturies. We are talking about political prisoners; citizens who had to work forcibly in colonies; about those who were sent or exiled to psychiatric clinics;

4) those residents of our country who were officially recognized as victims of repressive actions. This category includes family members of victims of political repression who served time in places of detention;

5) if a child is from a large family, then until the moment when he reaches the age of 16, he has the right to receive free medicines. In ordinary families, children can receive free medicines until the age of three;

6) who have ten or more children that these moms provide;

7) children with disabilities under the age of sixteen;

8) those who were recognized as heroes of Russia and the USSR.

The groups of people who are entitled to receive free medical support can be determined not only by social characteristics, but also by the type of disease they suffer from. Moreover, the list of diseases, as well as free medicines needed for treatment, are present in legislative acts.

BUT What diseases are free medicines for?

In addition to the above-mentioned groups, people who are ill can receive medicines free of charge:

• hemophilia;
• myeloid leukemia;
• cystic fibrosis;
• Gaucher disease;
• multiple sclerosis.

In addition, free medicines can also be used by those people who have recently had a transplant of tissue parts of the body or any organ. At the moment, there is an acute question of how to organize free medicines for patients with. The determining role here belongs to the degree of disability that the patient has. But regardless of this, a syringe and a portion of insulin are free for every patient.

Under what conditions can you get free medicines?

Regardless of the category to which a citizen can be attributed, he can receive free medications only by prescription. If a person has a corresponding disease that involves free medicines, or he belongs to any socially protected group, then he shows the doctor's prescription to the pharmacist. Otherwise, the seller has the right to refuse. Moreover, he must do so. Now you know where to get free prescription drugs.

How to get free medicines? In order for the doctor to give the patient the right prescription, thanks to which it will be possible not to pay for some medicines, he is also provided with certain documentation. Only residents whose data is in the state register can present only passports. For other categories of citizens, there is an approved list of papers that you must take with you when visiting a doctor in order to get a prescription.

The list contains the following documentation:

1) identity documents;

2) documents issued by a pension fund or other responsible authority that a citizen has the right to state preferential payment and other social services;

3) papers confirming the fact that a resident belongs to a certain group that has the right to receive medicines for free.

If all the listed papers are available, then the doctor does not have the right to refuse the patient a prescription. As for the forms on which prescriptions are drawn up, there are some nuances. Beneficiaries are issued separate forms, which give them the right not only to receive medicines free of charge, but also allow them to receive material compensation for the costs that arose due to the purchase of a certain medicine at full cost. To get a refund, show the seller your receipts for the purchase of drugs.

With a doctor's prescription, beneficiaries can go to the pharmacy. Here, in addition to the prescription itself, a document that confirms the identity, an extract from the hospital or reference documentation, indicating that the person really suffers from a certain disease, will come in handy.

It happens that the patient fails to find the right medicines in the pharmacy. Then the legislation established that beneficiaries have the right to demand the issuance of a medical product within 24 hours. If the medicines cannot be delivered to the pharmacy in such a short time, the wait is extended up to ten calendar days. They are considered to be working from the time you ordered the medicine.

Where to complain if they do not give out or there are no free medicines in the pharmacy? And also, where to complain if they do not prescribe free medicines? If a pharmacist refuses to provide such assistance to a person (without legal grounds), then the client can apply to the authorities of the Health Board by filing a complaint against this pharmacy. Those people who want to go further can apply to the court system.

At the same time, keep in mind that not all pharmacy kiosks can get free medicines, even if you have all the necessary documentation and doctor's prescriptions.Medicines are free of charge only at the pharmacy that supports this federal program. Naturally, medicines cannot be completely free: if they are not paid for by the beneficiary, then this becomes the responsibility of the state apparatus. Pharmacies that dispense free medicines have entered into a special agreement with the pension fund. The latter guarantees that cost compensation will be carried out. If the pharmacy did not sign this agreement, then it is not entitled to issue drugs to beneficiaries free of charge.

In addition, you can receive free medicines within a certain time frame. These boundaries are set by a doctor's prescription, which is valid for a maximum of a month. There are other situations that are exceptions.

Narcotic drugs are issued within five days. The patient can pick them up at the pharmacy only during these five days, otherwise he will not be able to get the drugs for free. Beneficiaries must apply for medicines no later than two weeks, if we are talking about psychotropic and poisonous groups of medicines. If the patient has lost the written prescription, or has expired, then the person turns to his doctor with a request to issue the prescription again.

List of diseases in decree 890

Decree 890 of the Federal Law on the provision of free medicines contains the following list of diseases.

Free drugs this year

What is the list of free medicines for 2019?

Naturally, the list of free medicines is regulated by the government. Often the list changes: some drugs are included in it, and some are excluded from the list.

But the list of free medicines for 2019 consists of:

• hormones and other drugs;
• medicines that treat the digestive, respiratory, cardiovascular systems;
• antifungal and antiviral drugs;
• sleeping pills, antibiotics and antidepressants;
• antipsychotic, anticonvulsant and anxiolytic substances;
• remedies for gout, parkinsonism and allergies;
• non-steroidal anti-inflammatory drugs;
• opioid and non-narcotic analgesics.

Benefits for medicines

These are free medicines for beneficiaries for 2019. And this is a list of medications under the federal benefit.

What then is the regional benefit for medicines? The list of medical preparations at the regional level is confirmed by the Department of Education of a particular region of the Russian Federation.

If you are an applicant for a subsidy, then remember that the authorities have the right to expand the list of medicines and citizens applying for them. However, they do not have the right to cut the amount of subsidies intended to compensate for medicines.

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Free in Russia

Some categories of citizens productively use a vital social measure of support. Free subsidized medicines are prescribed by district physicians (pediatricians) and issued in individual pharmacies according to prescriptions. Hundreds of millions of rubles are allocated annually from the federal budget for the implementation of this project. Unfortunately, not all people know their rights, so they do not use the privileges intended for them.

The state regularly develops and introduces preferences. Each innovation is supported by a legal act. The process of supplying beneficiaries with medicines is controlled by the federal
decision "On state support for the development of medicine and improving the provision of citizens with medicines" dated June 30, 1994

In addition, there is a document that provides a list of approved prescription drugs for the provision of medical care to individual social groups that enjoy privileges.

List of beneficiaries for receiving free drugs

So, not everyone is entitled to state preferences. The list of candidates includes the following:

1. Toddlers up to 3 years old.
2. WWII invalids.
3. Awarded soldiers.
4. Veterans of the Great Patriotic War, Afghanistan, the Chechen war.
5. Home front workers.
6. Participants in the fighting.
7. Liquidators of the consequences of the accident at a nuclear power plant in Chernobyl.
8. Disabled people of all groups.
9. Large families raising children under 6 years old.
10. Low-income people.
11. Family members of a veteran and invalid of the Great Patriotic War.

The list is supplemented by patients who underwent an organ transplant operation, as well as with rare and complex chronic diseases:

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

Unfortunately, it is worth noting that cancer patients, who are primarily entitled to preferences, receive insufficient state support measures. I would like more funding for them and a different quality of medical care. Nevertheless, drugs that reduce the pain threshold as much as possible are prescribed by law.

Each health care institution has an information board that displays information about beneficiaries and a list of medicines, which the attending physician must also have. However, due to some circumstances, the pediatrician or therapist does not want to make the data public and prescribes medicines in the old fashioned way on an advertising notebook. Everything is in the hands of the patient himself. He must demand and defend his rights.

Who writes subsidized prescriptions?

It is worth dwelling in more detail on officials whose powers the federal law included the procedure for issuing free forms for receiving medicines.

The drug is taken from the approved list and prescribed by the attending physician in accordance with the disease and medical history. The prescription form is certified by the head of the therapeutic or specialized department.

Features of registration of a preferential document

The procedure for filling out a prescription is the same, so doctors and pharmacists should regularly check and study innovations in this industry. Only for some reason, patients regularly suffer from these innovations: either the name is written incorrectly, or there is no dot, or instead of the address, they indicated the card number. And each time the patient must go to remake the paper.

The main fields that the beneficiary can check for authenticity are:

• the presence of a prescription number and series;
• age;
• Name of the patient;
• home address at the place of registration (only the number of the outpatient card is allowed);
• Name of the doctor;
• stamps: seal of the clinic, doctor, triangle "for prescriptions";
• doctor's signature;
• prescription expiration date.

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

A prescription for a drug benefit can be given to anyone. This is very important when it comes to citizens with limited mobility, who find it difficult to independently pick up the form at the clinic and be served on it at the pharmacy.

Free children's medicines

The most unprotected category is small patients. There is a choice of drugs in the pharmacy industry, but not always there are funds for their purchase, since the prices for them are from the world of fantasy. All children up to three years old, as well as up to six years old from large families, are entitled to preferential provision of medicines. In addition to these patients, free drugs are provided for children with rare
diseases.

After the birth of a baby, parents should:

• register it at the place of residence;
• issue a birth certificate;
• receive SNILS from the Pension Fund;
• order a CHI policy from Alfastrakhovanie;
• attach it to the clinic.

Based on the latter, the child is entitled to free drugs.

What to do if the pharmacy does not dispense medicines at a reduced price?

First, the patient must request a prescription from the doctor. Then a useless trip to the benefits department awaits him. As a rule, these reasons are the basis for the refusal of average patients from receiving state support. It is not always necessary to blame the pharmacy management - they are just intermediaries between
patients with a preferential prescription and a state machine supplying medicines for the first party.

So, how to get the coveted pill if the drugs are over in the benefit department?

1. In the absence of a medication, it should be replaced with an analogue.
2. If the drug is not available temporarily and it cannot be replaced with a similar one, then the rules of action are as follows:

• the management of the pharmacy must register the prescription form;
• take all possible measures to reduce the delivery time of the funds;
• notify the patient upon receipt from the warehouse of the medicine of interest.

If the patient is denied the provision of medicines, his main task is to report the violation to higher authorities or the departmental head physician.

Feedback has been established in the regions. The beneficiaries will be helped to clarify the availability of a medicine by a free multi-channel number 8-800-100-0122. Also, each pharmacy has an internal contact phone for inquiries.

Names of free drugs

In 2019, the parliamentary sector made adjustments to the list of vital therapeutic agents. It increased by 42 items and amounted to 646 items. It should be noted that 6 pharmaceutical manufacturers operate in Russia, and the list of expensive drugs has increased by one component.

The issuance of preferential medicines is carried out in accordance with the legislative procedure. The price turnover is controlled and approved by the government of the Russian Federation, which aims to reduce the cost of medicines supplied to medical organizations.

Receiving sequence

The beneficiary needs to know the process for submitting a prescription form.

1. None of the medical staff has the right to refuse to issue a coveted leaflet.
2. The prescription is issued by the attending physician or other official specified in the charter of the medical institution.
3. In rural areas, this function is performed by a paramedic.

If a person belongs to one of the social categories, then in order to receive a preferential medicine, he should contact a local therapist and present a document confirming the status.

List of documents

The applicant for receiving benefits will have to prepare a package of official papers:

• the passport;
• SNILS;
• outpatient medical card;
• a certificate from social security about the presence of a preferential category;
• other documents confirming the disease and special status.

You can refuse the preference by writing an application to the territorial department of social support for the population, and receive monthly monetary compensation. In some cases, this step is justified, since the suppliers of subsidized medicines do not meet the delivery deadlines and patients are forced to buy expensive drugs with their hard-earned money.

The purchase of medicines can seriously hit the pockets of even fairly wealthy citizens, not to mention the unprotected segments of the population. Therefore, at the state level, programs are being adopted to support low-income citizens and those in need of expensive treatment by issuing free medicines. Read on to find out who is eligible and in what order free medicines are provided, as well as the latest changes to the list.

Legislative regulation

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

In more detail, the categories of beneficiaries and the forms for providing them with medicines are presented in Decree of the Government of the Russian Federation No. 890 dated July 30, 1994. Lists of free medicines are annually reviewed and approved by the Ministry of Health of the Russian Federation with the obligatory publication of the results on the official website of the department.

The authorities of the constituent entities of the Russian Federation have the right to make additions to the procedure established at the federal level. Their powers include:

• introduction of additional categories of beneficiaries;
• expansion of the list of subsidized medicines;
• financial support for pharmacy chains dispensing free medicines;
• increase in allocations for budgetary institutions (polyclinics, children's boarding schools, nursing homes, etc.) for the purchase of medicines;
• appointment of preferential tariffs for utilities for medical industry enterprises in order to reduce the cost of their products.

All regional programs can be found on the website of the administration of your region.

Who is entitled to free medicines?

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

1. Participants of the Second World War, including the disabled. This category includes military personnel, civilian personnel, employees of military enterprises, partisans and other participants in the war. In addition to medicines, they are entitled to free dressings, various medical products (urinal and colostomy bags, applicators, medical belts, etc.), and dentures. Persons who received injuries in the area of ​​the eye orbit during the war are additionally given free glasses for vision correction.
2. War veterans (Afghanistan, Chechnya, etc.). They are provided with medicines and dentures free of charge.
3. Family members of the fallen combatants. Benefits are provided to parents and spouses of fallen servicemen.
4. Residents of besieged Leningrad. They can count on both medicines and free dentures.
5. Heroes of Russia and the USSR, holders of the Order of Glory.
6. Prisoners of concentration camps.
7. Disabled people of groups 1 and 2, as well as minor children with disabilities. In addition to medicines, they are entitled to assistance in the form of free medical products and dressings. Disabled people of the 2nd group are given medicines only in the absence of employment.
8. Persons exposed to radiation exposure. Citizens, both living in territories contaminated with radiation, and those who eliminated the consequences of radiation disasters, are entitled to free medicines and dentures.
9. Children under the age of 3 years. For children from large families, this period is extended to 6 years.
10. Representatives of small nationalities of the Far North.

Persons not included in any of the above categories can also receive preferential drugs if they have a serious illness that requires expensive treatment. Such diseases include:

• HIV infection;
• oncology;
• tuberculosis;
• bronchial asthma;
• diabetes;
• multiple sclerosis;
• recovery period after transplantation of internal organs;
• myocardial infarction (only during the first 6 months);
• mental illness, etc.

Certain groups of citizens can also count on a 50% discount on the purchase of medicines. Their list is presented in and includes:

1. pensioners with a minimum pension;
2. employed disabled people of the 2nd group;
3. unemployed disabled people of the 3rd group;
4. victims of political repression;
5. home front workers with an experience of 6 months during the Second World War (with the exception of work in the occupied territories).

Benefits for obtaining medicines or purchasing them at a discount may additionally be provided by the authorities of the constituent entities of the Russian Federation to large families, labor veterans, pregnant women, poor and unemployed citizens.

What drugs can be obtained?

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

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

• antitumor agents Panitumumab, Brentuximab vedotin, Afatinib, Aflibercept, etc.;
• immunosuppressants "Apremilast", "Pirfenidon", "Tofacitinib" and others;
• medicines for the treatment of the gastrointestinal tract "Mesalazine", "Eliglustat", hemostatics, etc.;
• hormonal drug "Lanreotide";
• antiviral agents Narlaprevir, Dolutegravir, Dasabuvir, etc.;
• diabetes medications empagliflozin and lixisenatide;
• drugs for rheumatism "Dexketoprofen", "Perampanel", "Tetrabenazine", etc.;
• ophthalmic preparations "Aflibercept" and "Tafluprost";
• other medicines.

Before proceeding with the registration of benefits, be sure to consult with your doctor about whether the medicines you need or their analogues are on the list of benefits.

How do I get free drug benefits?

Registration of benefits for free medicines is carried out in the territorial offices of the Pension Fund of the Russian Federation. There you need to write an application and submit the following package of documents:

• passport or birth certificate;
• SNILS;
• documents confirming the right to receive benefits.

Supporting documents can be a certificate of disability, a certificate of a combat veteran, medical documents proving the presence of a serious illness (for cancer patients, diabetics, etc.), as well as other documents according to which you can be attributed to one of the preferential categories.

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

The procedure for obtaining subsidized medicines in a pharmacy

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

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

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

For medicines, you need to go only to those pharmacies that are participants in the state program. Information about such organizations can be obtained from the clinic. In addition to the prescription, the pharmacist must present a passport and a medical extract confirming your diagnosis. If, for health reasons, the patient cannot visit the pharmacy on his own, any other person who has provided all the necessary documents can receive preferential medicines for him.

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

There are no restrictions on the number or cost of medicines provided free of charge. Their number and doses are set by the doctor based on the patient's diagnosis.

Features of granting a regional benefit for medicines

Most regions of Russia have their own programs to provide the population with free medicines. The authorities of the constituent entities of the Russian Federation have the right to expand the federal categories of beneficiaries, adding low-income citizens and other unprotected segments of the population. In addition, regions can completely change the approach to granting benefits. For example, in St. Petersburg, not categories of beneficiaries were approved, but specific diseases, in the presence of which any citizen can receive free medicines, regardless of his merits or income level.

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

The same person cannot simultaneously be a beneficiary of both the federal and the regional programs. Therefore, before you qualify for a benefit, you should find out at what level the drugs you need are provided.

Medical workers must inform the patient about the possibility of receiving medicines free of charge. But this does not always happen, therefore, for information, you can contact the insurance company in which you received the CHI policy, as well as the local divisions of the PFR and the social protection fund.

The right to a regional benefit is issued in the same manner as for a federal one. To do this, with a similar package of documents, they apply to the Pension Fund branch. The issuance of free drugs is also carried out only by prescription in pharmacy organizations participating in the regional program.

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