785 On the procedure for vacation drugs list. I. General provisions

16.06.2019

Order of the Ministry of December 14, 2005 N 785
"On the order of vacation medicines"

With changes and additions from:

1.5. For uninterrupted population support, pharmacy institutions (organizations) are required to have a minimum range of medicines required to provide medical careapproved by the Order of the Ministry of Health and social Development Russian Federation from April 29, 2005 N 312

II. General requirements to vacation medicines

2.1. All medicinal products, with the exception of the medical record included in the list, should be released by pharmaceutical institutions (organizations) only by recipes decorated in the prescribed manner on prescription forms of relevant accounting forms.

Change information:

2.2. According to the recipes issued on the recipes, the forms of which are approved by the Order of the Ministry of Health and Social Development of the Russian Federation of February 12, 2007 N 110 pharmacies (organizations) are released:

Narcotic drugs and psychotropic substances listed in List II List narcotic drugs, psychotropic substances and their precursors to be controlled in the Russian Federation approved by the Decree of the Government of the Russian Federation of June 30, 1998 N 681 (Meeting of the legislation of the Russian Federation, 1998, N 27, Art. 3198; 2004, N 8, Art. 663; N 47, Art. 4666) (hereinafter - the list) issued on special recipe forms for a narcotic drug;

Psychotropic substances listed in the list of the III list, written on the formative form form N 148-1 / y-88;

Other drugs subject to objective and quantitative accounting in pharmacy institutions (organizations), in wholesale trade of drugs, medical and preventive institutions and private doctors, the list of which is provided for by Appendix N 1 to this Procedure (hereinafter referred to as other drugs to be subject to objective quantitative Accounting), written on the formative form of form N 148-1 / U-88;

Drugs included in the list of medicines released by the doctor's recipes (paramedic) when providing additional free medical care to certain categories of citizens eligible for state social assistance, approved by the Order of the Ministry of Health and Social Development of the Russian Federation of September 18, 2006 N 665 (registered with the Ministry of Justice of the Russian Federation on September 27, 2006 N 8322) (hereinafter - drugs included in the list of medicines released by the doctor's recipes ( Feldscher), as well as other drugs released free or discount, written on the formative form form N 148-1 / y-04 (L) and forms N 148-1 / y-06 (L));

Anabolic steroids issued on formative form form N 148-1 / U-88;

The remaining drugs not included in the list of medicines released without a doctor's prescription, discharged on formative form form N 107 / y.

Change information:

2.3. Recipes for narcotic drugs and psychotropic substances listed in List II list are valid for five days.

Recipes for psychotropic substances listed in the list of the III list, other drugs to be subject to subject-quantitative accounting, anabolic steroids are valid for ten days.

Recipes for drugs included in the list of medicines released by the doctor's recipes (paramedics), as well as other drugs released for free or at a discount, with the exception of prescriptions for narcotic drugs and psychotropic substances listed in the list II list, psychotropic substances The list of the III list, to other drugs to be subject to subject and quantitative accounting, are valid for anabolic steroids for one month.

Recipes for other drugs are valid for two months from the date of their discharge and up to one year in accordance with paragraph 1.17 of the Instructions on the procedure for writing medicines and registration of recipes and invoice requirements, approved by the Order of the Ministry of Health and Social Development of the Russian Federation of February 12, 2007 G. N 110 (hereinafter - instruction).

2.4. Pharmacy institutions (organizations) are prohibited from paying medicinal products on recipes with an expired period, with the exception of prescription drugs, whose validity period has expired during the recipes for delayed service.

Change information:

2.5. Drugs are released by pharmaceutical institutions (organizations) in the amount specified in the recipe, with the exception of drugs whose release rates are specified in paragraph 1.11 of Instructions and Annex No. 1 to the instruction.

Drugs containing narcotic drugs, psychotropic substances and their precursors, and included in the list of medicines released without a doctor's prescription, are subject to leave by pharmacy institutions in the amount of no more than 2 packs to the consumer.

2.6. When prescribing medicines for a prescription doctor worker pharmacy institution (Organizations) makes a note on the recipe on the vacation of the drug (the name or number of the pharmacy institution (organization), the name and dosage of the drug, the amount released, the signature of released and the date of vacation).

2.7. In the presence of drugs in the pharmacy (organization) of drugs with a dosage other than the dosage, written in the doctor's recipe, a worker of pharmacy institution (organization) can make a decision to leave the patient of available medicines in case the dosage of the drug is less than the dosage indicated in the recipe Doctor, taking into account the recalculation to the course dose.

In case the dosage of the drug existing in the pharmacy (organization) exceeds the dosage indicated in the doctor's recipe, the doctor who discharge the recipe is taken to receive a prescription.

The patient provides information about changing the one-time dose of drug intake.

2.8. In exceptional cases, if the pharmacy institution (organization) is impossible to fulfill the appointment of a doctor (paramedic), a violation of secondary factory packaging is allowed.

At the same time, the drug must be released in the pharmacy packaging with the obligatory indication of the name, the factory series, the shelf life of the drug, the series and dates on the laboratory and phasing magazine and the provision of the patient necessary information (Instructions, liner sheet, etc.).

Disruption of primary factory packaging of medicines is not allowed.

2.9. When prescribed medicines on the doctor's recipes in force within one year, the recipe is returned to the patient with an indication of the name of the names or numbers of the pharmacy institution (organization), the signatures of the employee of the pharmacy institution (organization), the number of released drug and the date of vacation.

In the next handling of the patient, the pharmacy institution (organization) takes into account the marks of the previous preparation of the drug. Upon expiration of the recipe, the recipe is quenched by the "Recipe defense" stamp and is left in the pharmacy institution (organization).

Change information:

2.10. In exceptional cases (departure of the patient outside the city, the inability to regularly visit the pharmacy institution (organization), etc.) pharmaceutical workers of pharmacy institution (organization) are allowed to produce one-time vacation A prescribed medicinal medicament for recipes in force within one year, in the amount necessary for treatment for two months, with the exception of drugs to be subject to subject-quantitative accounting, the list of which is provided for by Appendix N 1 to this Procedure.

Change information:

2.11. In the absence in the pharmacy institution (organization) discharged by a medicament doctor, with the exception of the drug included in the list of medicines released by the recipes of the doctor (paramedic), as well as a different drug released for free or at a discount, a worker of pharmacy institution (organizations ) It can carry out its synonymous substitution with the consent of the patient.

On vacation of the drug included in the list of medicines released by the doctor's recipes (paramedic), as well as a different drug released for free or at a discount, an employee of a pharmacy institution (organization) can carry out a synonymic substitution of the drug.

2.12. Recipes for drugs with the mark "Statim" (immediately) are served in a period not exceeding one working day since the patient's appeal to the pharmacy institution (organization).

Recipes for drugs with a note "Cito" (urgently) are served on time not exceeding two working days from the date of treatment of the patient in the pharmacy institution (organization).

Recipes for drugs included in the minimum range of medicines are serviced within a period not exceeding five working days from the moment of handling the patient in the pharmacy institution (organization).

2.13. Recipes for drugs included in the list of medicines released by the doctor's recipes (paramedic) and not included in the minimum range of medicines are serviced within a period not exceeding ten working days from the date of treatment of the patient in the pharmacy institution (organization).

Recipes for drugs appointed by the decision of the Medical Commission approved by the Chief Physician of the Medical and Preventive Institution are serviced within a period not exceeding fifteen working days from the date of treatment of the patient in the pharmacy institution (organization).

Change information:

2.14. Recipes for drugs subject to subjectual quantitative accounting, the list of which is provided for by Appendix N 1 to this Procedure; Drugs included in the list of medicines released by the doctor's recipes (paramedics), as well as other drugs released for free or at a discount, anabolic steroids remain in the pharmacy institution (organization) for subsequent separate storage and destruction after the storage period.

Change information:

2.15. In the pharmacy institution (organization), the conditions for the safety of drug recipes remained for storing prescriptions to be subject to objective and quantitative account, the list of which is provided for by Appendix No. 1 to this Procedure, drugs included in the list of medicines released by the doctor's recipes (paramedic ), as well as other medicines released free or discount, anabolic steroids.

Change information:

2.16. The deadline for storing recipes in the pharmacy institution (organization) is:

On drugs included in the list of medicines released by the doctor's recipes (paramedic), as well as other drugs released for free or at a discount - five years;

On narcotic drugs and psychotropic substances listed in the list II list of the III list - ten years;

On other drugs to be subject to subject-quantitative accounting, with the exception of narcotic drugs and psychotropic substances listed in List II List III List; Anabolic steroids - three years.

After the storage period, the recipes are subject to destruction in the presence of the Commission, which are drawn up with acts that are provided for by the applications N 2 and N 3 to this Procedure.

The procedure for the destruction of recipes left in the pharmacy institution (organization) upon expiration installed deadlines storage, and the composition of the commission for their destruction can be determined by health authorities or pharmaceutical activities Subject of the Russian Federation.

2.17. Citizens acquired drugs proper quality not refund or exchange in accordance with the list non-food products Good quality, not refundable or exchange for similar goods of other sizes, forms, dimensions, shapes, coloring or configuration, approved by the Decree of the Government of the Russian Federation of January 19, 1998 N 55 (Meeting of the legislation of the Russian Federation, 1998, N 4, Art. 482; N 43, Art. 5357; 1999, N 41, Art. 4923; 2002, N 6, Art. 584; 2003, N 29, Art. 2998; 2005, N 7, Art. 560).

Repeated vacation (implementation) of medicines recognized by the product of inadequate quality and accent citizens for this reason is not allowed.

2.18. Recipes for tranquilizers not subject to subjectual quantitative accounting, antidepressant, neuroleptic drugs, alcohol-containing drugs industrial production It is repaid by a stamp of pharmacy institution (organization) "medicine released" and return the patient to the hands.

To re-leave the medicinal product, the patient needs to consult a doctor for a new recipe.

Change information:

2.19. Incorrectly written recipes are repaid by the "Recipes invalid" stamp and are recorded in the log, the form of which is provided for by Appendix N 4 to this order, and return the patient to the hands.

Information about all incorrectly written recipes is brought to the attention of the head of the relevant medical and prophylactic institution.

2.20. Pharmacy institutions (organizations) produce separate accounting of drugs included in the list of medicines released by the doctor's recipes (paramedic), allowed to citizens living in the territory of the relevant subject of the Russian Federation, and citizens temporarily located on the territory of this subject of the Russian Federation.

III. Requirements for vacation of narcotic drugs and psychotropic substances, drugs subject to subject-quantitative accounting, anabolic steroids

3.1. Drugs and psychotropic substances included in the list II list, and psychotropic substances listed in the list of the III list are subject to disposal of pharmaceutical institutions (organizations).

3.2. The right to work with narcotic drugs and psychotropic substances listed in the list II list and psychotropic substances listed on the list of the III list have only pharmacy institutions (organizations) that have received relevant licenses in the procedure established by the legislation of the Russian Federation.

3.3. Vacation of the patient of narcotic drugs and psychotropic substances listed in the list II list, and psychotropic substances listed in the list of the III list, is carried out by pharmaceutical workers of pharmacy institutions (organizations), which are entitled to this right in accordance with the order of the Ministry of Health and Social Development of the Russian Federation from 13 May 2005 N 330 (registered at the Ministry of Justice of the Russian Federation on June 10, 2005, registration N 6711).

3.4. In the pharmacy institution (organization) vacation of narcotic drugs and psychotropic substances listed in the list II list is carried out by patients attached to a specific outpatient polyclinical institution, which is enshrined behind the pharmacy institution (organization).

The consolidation of an outpatient polyclinic institution for pharmacy institution (organization) can be carried out by the health authority or the pharmaceutical activities of the constituent entity of the Russian Federation in coordination with territorial body on control over the turnover of narcotic drugs and psychotropic substances.

3.5. The drugs discharged by the doctor and psychotropic substances listed in the list II list are discharged by a patient or a person who represents it, upon presentation of a document certified in the prescribed manner.

Change information:

3.6. Narcotic drugs and psychotropic substances listed in List II List and included in the list of medicines released by the doctor's recipes (paramedic), as well as released free or discount, are released upon presentation of a recipe written on a special recipe for a narcotic drug, and recipe written on prescription Blanco Forms N 148-1 / U-04 (L).

Psychotropic substances listed in the list of the list of the List, other drugs to be subject to subject-quantitative accounting, anabolic steroids included in the list of medicines released by the recipes of a doctor (paramedic), as well as released for free or discount are released upon presentation of a recipe written on A prescription form of form N 148-1 / U-88, and a recipe written on the formative form form N 148-1 / U-04 (L).

Change information:

3.7. Pharmacy institutions (organizations) are prohibited from vacation of narcotic drugs and psychotropic substances listed in the list II list of the III list, other drugs to be subject to subject and quantitative accounting, anabolic steroids on the recipes of veterinary medical organizations for the treatment of animals.

3.8. There is no separate leave of drugs to be subject to subject and quantitative accounting, and other drugs that are part of a combined drug made by individual recipe (hereinafter referred to as an EXTEMPORAL DICTIONAL PREPARATION).

Change information:

3.9. A pharmaceutical worker of pharmacy institution (organization) When receiving a prescription for drugs, individual manufacturers are obliged to release the drug, subject to objective and quantitative accounting, in half of the highest one-time dose in the event of a medicine physician in a dose that exceeds the highest one-time reception.

3.10. In the manufacture of exemporal medicinal preparationscontaining medicines to be subject to subject and quantitative accounting, in accordance with the recipes discharged by the doctor, the pharmaceutical institution (organization) is written on a recipe on extradition, and the pharmacist of pharmacy institution (organization) - in obtaining the required amount of medicines.

Change information:

3.11. Vacation ethyl alcohol Produced:

According to recipes, disciplied by doctors with the inscription "to impose compresses" (indicating the necessary water dilution) or "for skin treating" - up to 50 grams in pure form;

According to the recipes, disciplied by physical doctors to the drugs, up to 50 grams in the mixture;

According to the recipes, disciplied by doctors for drugs for individual manufacture, with the inscription " special purpose", Separately certified by the doctor and the seal of the medical and prophylactic institution" for recipes ", for patients with the chronic course of the disease - up to 100 grams in the mixture and in its pure form.

3.12. On vacation of narcotic drugs and psychotropic substances listed in the list II of the list, psychotropic substances listed in the list of the III list, exemploral drugs containing drugs to be subject to subject-quantitative accounting, patients instead of a recipe, a signature with a yellow stripe is issued at the top and inscription The black font on it "signature", the form of which is provided by Appendix N 5 to this order.

IV. Control over vacation aptic institutions (organizations) of medicines

4.1. Internal control over the observance of pharmacy institutions (organization) of the order of drug leave (including subject to objective and quantitative accounting, drugs included in the list of medicines released by the doctor's recipes (paramedic), as well as other medicines released free or discount) is carried out by the head (deputy head) of pharmacy institution (organization) or authorized by him pharmaceutical worker Pharmacy institution (organization).

4.2. External control of compliance with pharmaceutical institutions (organizations) of the order of drug leave is carried out Federal Service According to oversight in the field of health and social development and the controls of drug trafficking and psychotropic substances within their competence.

* Pharmacies, pharmacies, pharmaceutical kiosks, pharmacy stores

Appendix N 3.
to order
approved by the order of the ministry
health and Social Development of the Russian Federation
dated December 14, 2005 N 785
(as amended on April 24, 2006,
August 6, 2007)

Act on the destruction of recipes for drugs subject to subject-quantitative accounting, medicines included in List of medicines released by doctor's recipes (paramedic), as well as other medicines released for free or with a discount, anabolic steroids after the expiration of their storage time
from "____" __________200 g. N_________
Commission composed: Chairman ___________________________________________________________ (position and Full name. Fully) Members of the Commission: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ (position and F. I.O. Fully) produced "____" _______________________ 200 g. Withdrawal and destruction at ________________________________________________________________________________________________________ (name of the organization) Recipes for the preparation of drugs subject to subject-quantitative accounting, drugs included in the list of medicines released by the doctor's recipes (paramedher ), as well as other medicines released free or discount, anabolic steroids after the expiration of their storage time: 1) Recipes for drug media TV to be subject to compete and quantitative accounting, for ____________________________________ (month, year) in the amount of ______________________________________ pieces; (figures and in words) 2) Recipes for drugs included in the list of medicines released by the doctor's recipes (paramedic), for ________________________________________________________ (month, year) (figures and in words) 3) Recipes for medicines released free or discount, for _________________ in the amount of ________________ pieces; (month, year) (figures and in words) 4) recipes for the receipt of anabolic steroids for _________________ (month, year) in the amount of _____________________________ pieces. (figures and in words) Total on the act are destroyed by burning or gap and subsequent soaking in the chlorine lime solution (necessary to emphasize) ______________________________________ recipes. (number - numbers and in words)
Chairman of the Commission: _____________________________ (signature) Members of the Commission: _____________________________ (signature) _____________________________ (signature) ____________________________ (signature)
______________________________

* The act is drawn up monthly.

Appendix N 4.
to the order of vacation drugs,
approved by the order of the ministry
health and Social Development of the Russian Federation
dated December 14, 2005 N 785

Ministry of Health and Social Development of the Russian Federation _____________________________________ (institution name (organization)

Magazine registration of incorrectly written recipes

Note.

Information on violations in the discharge of recipes is brought to the attention of the head of the relevant medical and preventive institution at least 1 time per month.

Appendix N 5.
to the order of vacation drugs,
approved by the order of the ministry
health and Social Development of the Russian Federation
dated December 14, 2005 N 785

Signature
Name of health management organ or pharmaceutical activities of the subject of the Russian Federation
Name or number of pharmacy institution (organization) ............................................ .................. recipe N .................... F.I.O. and the age of the patient ................................................. . ................................................... ........................ address or number of a medical outpatient card .................... ....... FULL NAME. Doctor, Phone Medical and Preventive Institution ............... .............................. ............................................. Content of the recipe on latin.................................... .............. .................................................. ......... ..................................................... .................................................. .................................................. ..... ............................................... .................................................. .................................................. . ................................................... .................................................. ............................................... ... .................................................. .................... prepared ............................... .................................. checked ............... .................................................. Released ................................................. ................ Date .......................... Price ...... ....................

______________________________

* To repeat the vacation of the medicinal product required new recipe Doctor.

Note.

Signature must have a size of 80 mm x 148 mm and a strip yellow color Width of at least 10 mm.

In accordance with the requirements of the legislation on the licensing of pharmaceutical activities, employees of pharmacy organizations carrying out retail drug trading and their vacation are responsible for compliance with the rules of drug circulation. Pharmacists need to know the modern procedure for prescribing drugs and the rules for registration of prescription forms, to know the algorithms for conducting a pharmaceutical examination of the recipe in order to prevent errors upon vacation of drugs.

On the requirements of the legislation for registration of prescription forms for drugs tells Natalia. Zolotarev, K. Farm.n., Associate Professor Department of Department and Economics of Pharmacy of the St. Petersburg State Chemical Pharmaceutical Academy.

Decree of the Government of the Russian Federation of 12/22/11 No. 1081 "Regulations on the licensing of pharmaceutical activities" - key documentdefining a list of licensing requirements and conditions that currently presents the state to licenses engaged in retail trade in drugs for medical application, namely, for pharmacy organizations, individual entrepreneurs who have a license for pharmaceutical performance.

These licensees B. obligatory Must comply with the rules for vacation drugs for medical use. The same document defines the concept of "gross violation of licensing requirements and conditions", which include issues related to drug leave. If the installed vacation rules are violated, the controls are entitled to regard the identified disorders as coarse with all the ensuing consequences, ranging from fairly serious penalties and including the suspension of the licensee's activities.

What is the rules of vacation today?

Let's start with regulatory regulation to figure out how to properly accept recipes, namely with Federal Law 12.04.10 №61-FZ "On the treatment of medicines" (ch. 10 "Pharmaceutical activities", Art. 55), which reads: "Rules of vacation of drugs (LP) for medical use by pharmaceutical organizations and individual entrepreneurs are approved by an authorized federal authority executive power". What legislative acts are approved, which are regulating the order of LP leave?

Federal Law No. 323-FZ "On the basics of the health of citizens in the Russian Federation";
Federal Law of 07.02.92 No. 2300-I "On Protection of Consumer Rights";
decree of the Government of the Russian Federation dated 19.01.98 No. 55 "On approval of the rules for the sale of certain types of goods ...";
order of the Ministry of Health of the Russian Federation of 08/31/16 No. 647N "On approval of the rules for proper pharmacy practices of drugs for medical use" (entered into force on March 1, 2017);

and departmental regulations - orders of the Ministry of Health of Russia:

№1175n from 2012.12 (entered into force on July 1, 2013), which determines the procedure for appointing and writing out LP, as well as forms of prescription forms;
No. 54n of 01.08.12 (entered into force on July 1, 2013), is devoted to a special recipe forms for a narcotic agent and a psychotropic substance;
№785 dated December 14, 2005 "On the procedure for vacation of medicines";
№157N dated 03/16/10 "On approval of the maximum permissible amount of narcotic drugs, a psychotropic substance and their precursor contained in drugs."

The process of vacation PLP according to the prescription involves close interaction of a medical and pharmaceutical worker. The responsibility of the first includes the appointment of LP subject to the necessary requirements, and the second must, before letting the drug prescription, hold it a pharmaceutical examination, if necessary, transfer to manufacture, then release the drug. An important requirement for feedback between pharmaceutical and medical organizations remains important. A literally regulatory requirement implies regular sending of information about all incorrectly written recipes to a medical organization. Such feedback, regular and properly established, relieves a number of questions on identified violations from the point of view prescription leave medicines.

Five blanks recipes

Two key regulatory documents are directly related to the procedure for the appointment of LPs, the forms of formation formations are Order No. 1175n and order No. 54n (both entered into force on July 1, 2013).

Traditionally valid regulations Determined form forms of recipes. To date, there are 5 forms of recipes forms: №107-1 / y, 148-1 / y-88, 148-1 / y-04 (L), №148-1 / y-06 (l), special recipe form . From January 1, 2016, separate changes were made by order No. 385n in the form of recipe forms 148-1 / U-88, 107-1 / y. But in order for the reserves of previously purchased prescription forms to use for their intended purpose, the use of the old sample blanks before the arrival of the Ministry of Health of Russia from 30.06.15 No. 385n "On Amendments to the Order of the Ministry of Health of the Russian Federation of August 1, 2012 No. 54n" On approval of the form of formation of recipes containing the appointment of narcotic drugs or psychotropic substances, the procedure for their manufacture, distribution, registration, accounting and storage, as well as rules for registration, "that is, before July 1, 2016, after this, pharmacy workers should demand those forms Recipe forms, the structure of which is changed in accordance with the current regulatory documents.

Order No. 1175n brought a lot of new things in order to appoint and write off LP. The first place for the importance of innovation can be given the paradigm of the prescription of drugs. If earlier the health worker could use any name of LP: MNN, grouping or commercial, as it was convenient, then in connection with the entry into force of this regulatory document, the priority is clearly established by the discharge of drugs in the PNN. If it is missing, the grouping name must be used, and in the absence of both items - on the trade name.

In the list of eligible to assign and write a recipes appeared specialists with the average medical education: Feldshera, midwives. Only if such powers are assigned to the appropriate order of the head medical organization. Individual entrepreneurs Traditionally, also have the right to prescribe drugs, write recipes, but there are certain limitations, for example, related to the fact that medical schools carrying out private medical activities have no right to prescribe narcotic and psychotropic drugs from lists 2 and 3.

If the recipe goes under the trade name, how to be with him? Is it possible to rejoice, or is it discharged correctly? The answer to this question is in the order of the Ministry of Health No. 1175n - the health worker has the right to use the trade name when prescribed in the case of individual intolerance and / or on life testimony, but this solution Must be enshrined by the medical commission, as evidenced by the corresponding stamp on the back of the recipe.

Differences of the form of recipes

What is the difference between the specified forms of the recipes forms and how to make them properly to make health workers, in order to prevent the wrong pharmaceutical examination in the pharmacy?

√ Special recipe form (the most complex one - according to the composition of the details, structure, although in terms of its use there is only one case when the health worker can use this form). This strict accounting form has several degrees of protection and is intended to be written out narcotic and psychotropic LPs from the list 2 of the list approved by the Decree of the Government of the Russian Federation of 21.03.11 No. 181 "On the procedure for entering into the Russian Federation and export from the Russian Federation of narcotic drugs, psychotropic substances and their precursors "(for example, morphine, commotol, varied, etc.). List 2 is updated regularly. Working with narcotic drugs from lists 2 and 3 requires a separate license, in contrast to work with potent poisonous drugs.

All recipes forms differ in use, structure, the composition of details, by the term and storage period.

The current regulatory documents are required if the narcotic agent or psychotropic substance is written for preferential categories Citizens, in addition to a special prescription form, it is necessary to provide forms 148-1 / y-04 (L), No. 148-1 / y-06 (L). A special recipe form has undergone change - it became more, and from June 30, 2015, the validity of this prescription form is significantly increased - from 5 to 15 days from the date of writing. The medical organization stamp must clearly read (its name, address and telephone). The form of a form has a series, number, the date of the recipe statement, the instruction "Children's" or "adult" (emphasized); The patient's name is fully indicated, age (number full years (Children under the year - number of months), series and number polis Oms, Medical card number outpatient patient. In Latin, the Dosage, packaging and quantities indicates the dosage, packaging and quantities. Only in this form of the recipe form, the number of discharged psychotropic and drug LPs from the list 2 should be indicated not only in the digit, but also in words.

All this is the personal signature of the doctor, as well as the personal seal of the health worker. The form of an authorized person must be indicated on this form, as a head or deputy head of the medical unit, a structural unit or a designated authorized personwhich assures these forms (full name, signature). It is wedd to additionally printing a mercanization or seal for recipes. Next in the recipe forms should be marked pharmacy organization about the vacation of LP. If the pharmacy worker suits everything in the design of the prescription form, it indicates that it is released, dosage, packing. FULL NAME (FULL), vacation date and printing of the pharmacy organization.

√ Recipe form 148-1 / y-88 - The shape of which is easier according to the composition of details, but if we talk about the objectives of the form, 5 applications are obtained.

Narcotic and psychotropic drugs from the list 2, but in the form of transdermal therapeutic systems, i.e. Any other dosage form A narcotic drug or psychotropic substance related to the list 2 must be discharged on a special recipe form. Traditionally, this form is used to assign and write out psychotropic LPs from the list 3.
Other drugs to be subject to subject-quantitative accounting, but there is an addition - with the exception of the LP, who is prescribed without a doctor's prescription.
To prescribe preparations with anabolic activity (anabolic steroids).
Also, since 2012, the order of vacation of combined drugs containing small amounts of narcotic and psychotropic substances and their precursors, other pharmacologically active substances. We are talking about combinations that are marked in paragraph 5 of the order of the Ministry of Health of Russia dated 05/17/12 No. 562 "On approval of the order of vacation individuals Medicinal medications containing non-small amounts of narcotic drugs, psychotropic substances and their precursors other pharmacological active substances. "
When prescribing individual manufacture drugs, which contain narcotic drugs and psychotropic substances from the list 2 of the list of decree No. 681, provided that the content of the narcotic and psychotropic drugs in these combined drugs does not exceed the highest one-time dose, and the drug itself is not included in the list 2.

This form of the form is valid for 15 days. From August 2016, it is indicated on the recipe form or the full address of the patient with the index, or the patient's medical record number.

√ Recipe form 107-1 / - The simplest form of the recipe form. At the same time, the regulatory documents indicate the following: This form must be used to appoint and discharge the LP combined containing small doses of narcotic, psychotropic substances, their precursors and other pharmacologically active substances, but those combinations that are indicated in paragraph 4 of the order of the Ministry of Health of Russia No. 562 .

The form should be a medorganization stamp, the name (full), address, telephone, date, indication of the "adult" or "children's", patient's name (fully), his age, the name of the doctor (fully), the name of the drug in Latin on the MNN with By specifying dosage, packing and dosage.

Up to three names of LPs can be discharged on this recipe form (unlike other blanks, where only one name is indicated). Personal signature and doctor print on the form. Valid up to 60 days. For chronic patients, it is renewed to 1 year.

Main disorders when making recipes

The St. Petersburg State Chemical Pharmaceutical Academy conducted a study during which the recipes were analyzed in the log of incorrectly written recipes. Sometimes health workers do not indicate the duration of the recipe, incorrectly declared the "full address" props, the name of the doctor and the patient are not fully indicated, the stamps are unclearly read, incorrectly declared the props on the age of the patient, there is no note of the medical commission when the recipe is discharged by the trade name, there is extra Prints and inscriptions exceed the rate of vacation LP.

The latter is often the emerging error. The current regulatory regulations establishes maximum permissible issues of vacation and the recommended amount per recipe. But any rule allows for an exception, it is noted by order No. 1175n (paragraph 15, paragraph 22, paragraph 23), which makes it possible on legal grounds to exceed installed norms Leave LP.

According to the workplace of the online seminar organized by the St. Petersburg Union of Doctors

Registered in the Ministry of Justice of the Russian Federation on January 16, 2006
Registration N 7353.

In accordance with Article 32 of the Federal Law of June 22, 1998, N 86-FZ "On Medicines" (Meeting of the Legislation of the Russian Federation, 1998, N 26, Art. 3006; 2003, N 27, Art. 2700; 2004, N 35 , Art. 3607) order:

1. To approve the attached procedure for vacation drugs.

2. Recognize invalid the application of the 3 "List of drugs to be subject to subject and quantitative accounting in pharmacy institutions / organizations, enterprises wholesale of drugs, medical institutions and prophylactic institutions and private doctors **" and Appendix 4 "The order of drug leave in pharmacy institutions Organizations ", approved by order of the Ministry of Health of the Russian Federation of August 23, 1999 N 328" On the rational appointment of medicines, the rules for writing the recipes on them and the procedure for their leave by pharmacy institutions (organizations) "(registered at the Ministry of Justice of the Russian Federation on October 21, 1999 G. N 1944), with changes and additions made by the Order of the Ministry of Health of the Russian Federation of May 16, 2003 N 206 (registered with the Ministry of Justice of the Russian Federation on June 5, 2003 N 4641) and the Order of the Ministry of Health and Social Development of the Russian Federation AI dated March 16, 2005 N 216 (registered at the Ministry of Justice of the Russian Federation on April 8, 2005 N 6490).

Minister M. Zurabov

The order of drug leave

I. General provisions

1.1. This procedure determines the requirements for drug leave by pharmaceutical institutions (organizations) * independently about organizational and legal form, ownership and departmental affiliation.

1.2. Drugs, including narcotic drugs, psychotropic, potent and poisonous substances, registered in the Russian Federation in the prescribed manner, are subject to disposal of pharmaceutical institutions (organizations).

1.3. Vacation of medicines for a doctor's prescription and without a recipe doctor is carried out by pharmaceutical institutions (organizations) that have a license for pharmaceutical activities.

1.4. Medicinal proceedings discharged by prescription are subject to vacation pharmacies and pharmaceutical points.

Drugs in accordance with the list of medicines released without a doctor's prescription approved by the Order of the Ministry of Health and Social Development of the Russian Federation of September 13, 2005 N 578 (registered at the Ministry of Justice of the Russian Federation on September 29, 2005 N 7053) (hereinafter - the list Drugs released without a doctor's prescription) are subject to implementation by all pharmacy institutions (organizations) *.

1.5. For uninterrupted population support, pharmacy institutions (organizations) are required to have a minimum range of medicines necessary to provide medical care, approved by the Order of the Ministry of Health and Social Development of the Russian Federation of April 29, 2005 N 312.

II. General requirements for vacation drugs

2.2. According to the recipes issued on the recipes, the forms of which were approved by the Order of the Ministry of Health of the Russian Federation of August 23, 1999 N 328 (registered with the Ministry of Justice of the Russian Federation on October 21, 1999 N 1944) of pharmaceutical institutions (organizations) are released:

Narcotic drugs and psychotropic substances listed in List II List of narcotic drugs, psychotropic substances and their precursors to be controlled in the Russian Federation approved by Decree of the Government of the Russian Federation of June 30, 1998 N 681 (Meeting of the Legislation of the Russian Federation, 1998, N 27, Art. 3198; 2004, N 8, Art. 663; N 47, Art. 4666) (hereinafter - the list), discharged on special recipe forms for a narcotic drug;

Psychotropic substances made in List of III List written on formative form form N 148-1 / y-88;

Drugs subject to objective and quantitative accounting in pharmacy institutions (organizations), in wholesale trade organizations drugs, medical and preventive institutions and private doctors, the list of which is provided for by Appendix N 1 to this Procedure (hereinafter referred to as drugs to be subject to subject-quantitative accounting) discharged on formative form form N 148-1 / y-88;

Drugs included in the list of medicines released by the doctor's recipes (Feldsher) when providing additional free medical care to certain categories of citizens with the right to receive state social assistance, approved by the Order of the Ministry of Health and Social Development of the Russian Federation of September 28, 2005 N 601 (registered in the Ministry of Justice of the Russian Federation on September 29, 2005 N 7052) (hereinafter - drugs included in the list of medicines released by the doctor's recipes (paramedic), as well as other drugs released free or discount issued on formative form blanks N 148-1 / U-04 (L);

Anabolic steroids issued on formative form form N 148-1 / U-88;

The remaining drugs not included in the list of medicines released without a doctor's prescription, discharged on formative form form N 107 / y.

2.3. Recipes for narcotic drugs and psychotropic substances listed in List II list are valid for five days.

Recipes for psychotropic substances listed in the list of the III list; drugs subject to subject and quantitative accounting; Anabolic steroids are valid for ten days.

Recipes for drugs included in the list of medicines released by the doctor's recipes (paramedics), as well as other drugs released for free or at a discount, with the exception of prescriptions for narcotic drugs and psychotropic substances listed in the list II list, psychotropic substances The list of the III list, for drugs to be subject to subject and quantitative accounting, is valid for anabolic steroids for one month.

Recipes for other drugs are valid for two months from the date of the recipe statement and up to one year in accordance with paragraph 2.19 of the instructions on the procedure for the appointment of drugs and write down the recipes on them, approved by the Order of the Ministry of Health of the Russian Federation of August 23, 1999 N 328 ( Next - Instructions).

2.5. Drugs are released by pharmaceutical institutions (organizations) in the amount specified in the recipe, with the exception of drugs, whose release rates are specified in applications 1 and 3 to the instructions.

2.6. When prescribing medicines for the doctor's prescription, a worker of pharmacy institution (organization) makes a note on the recipe on the vacation of the drug (the name or number of the pharmacy institution (organization), the name and dosage of the drug, the amount released, the signature of released and the date of vacation).

In the event that the dosage of the drug existing in the pharmacy (organization) exceeds the dosage indicated in the doctor's recipe, the doctor who discharge the recipe takes the dosage indicated in the doctor's recipe.

The patient provides information about changing the one-time dose of drug intake.

2.8. In exceptional cases, with the impossibility of a pharmacy institution (organization) to complete the appointment of a doctor (paramedic), a violation of secondary factory packaging is allowed.

At the same time, the drug should be released in pharmacy packaging with a mandatory indication of the name, factory series, the shelf life of the drug, series and dates on the laboratory and filling magazine and providing a patient with other necessary information (instructions, liner-leaf, etc.).

Disruption of primary factory packaging of medicines is not allowed.

2.10. In exceptional cases (departure of the patient for the city, the inability to regularly visit the pharmacy institution (organization), etc.) Pharmaceutical workers of the pharmacy institution (organization) is allowed to produce a one-time vacation of the prescribed medicament for recipes in force within one year, in quantity, Required for treatment for two months, with the exception of medicines to be subject to subject-quantitative accounting.

On the vacation of the drug included in the list of medicines released by the doctor's recipes (paramedics), as well as a different medicinal product released for free or at a discount, an employee of a pharmacy institution (organization) can carry out a synonymic replacement for the drug in coordination with a doctor who discharged a recipe .

2.12. Recipes for drugs with the mark "Statim" (immediately) are served in a period not exceeding one working day since the patient's appeal to the pharmacy institution (organization).

Recipes for drugs with a note "Cito" (urgently) are served on time not exceeding two working days from the date of treatment of the patient in the pharmacy institution (organization).

2.14. Recipes for drugs to be subject to subject and quantitative accounting; drugs included in the list of medicines released by the doctor's recipes (paramedic), as well as other drugs released free or discount; Anabolic steroids remain in the pharmacy institution (organization) for subsequent separate storage and destruction after the storage period.

2.15. In the pharmacy institution (organizations) conditions must be ensured by the conditions for the preservation of prescriptions for drugs that are subject to objective and quantitative accounting; drugs included in the list of medicines released by the doctor's recipes (paramedic), as well as other drugs released free or discount; anabolic steroid.

2.16. The deadline for storing recipes in the pharmacy institution (organization) is:

On drugs included in the list of medicines released by the doctor's recipes (paramedic), as well as other drugs released for free or at a discount - five years;

On narcotic drugs and psychotropic substances listed in the list II list and psychotropic substances listed in the list of the III list - ten years;

On drugs to be subject to subjectual accounting, with the exception of narcotic drugs and psychotropic substances listed in the list II of the List, and psychotropic substances listed in the list of the III list; Anabolic steroids - three years.

The procedure for the destruction of the recipes left in the pharmacy institution (organization) upon the expiration of the established storage time, and the composition of the commission for their destruction can be determined by the health authorities or the pharmaceutical activities of the constituent entity of the Russian Federation.

2.17. Drug quality drug acquired drugs are not refundable or exchanged in accordance with the list of non-food goods of good quality, not refundable or exchange for similar goods, forms, dimensions, shapes, colors or configuration, approved by the Decree of the Government of the Russian Federation of January 19, 1998 G. N 55 (Meeting of the legislation of the Russian Federation, 1998, N 4, Art. 482; N 43, Art. 5357; 1999, N 41, Art. 4923; 2002, N 6, Art. 584; 2003, N 29, . 2998; 2005, N 7, Art. 560).

Repeated vacation (implementation) of medicines recognized by the product of inadequate quality and accent citizens for this reason is not allowed.

2.18. Recipes for tranquilizers not subject to subject and quantitative accounting; antidepressive, neuroleptic agents; The alcohol-containing drugs of industrial production are redeemed by the stamp of pharmacy institution (organization) "medicine released" and return the patient to the hands.

To re-leave the medicinal product, the patient needs to consult a doctor for a new recipe.

2.19. Incorrectly written recipes remain in the pharmacy institution (organization), they are repayed by the "Recipes invalid" stamp and are recorded in the journal, the form of which is provided for by Appendix N 4 to this order, and return the patient to the hands.

Information about all incorrectly written recipes is brought to the attention of the head of the relevant medical and prophylactic institution.

III. Requirements for vacation of narcotic drugs and psychotropic substances; drugs subject to subjectual quantitative accounting; Anabolic steroids

3.3. Vacation of patients with narcotic drugs and psychotropic substances. List II list, and psychotropic substances listed in the list of the III list are carried out by pharmaceutical workers of pharmacy institutions (organizations), which are entitled to this right in accordance with the order of the Ministry of Health and Social Development of the Russian Federation of May 13, 2005 N 330 (registered In the Ministry of Justice of the Russian Federation on June 10, 2005 N 6711).

The consolidation of an outpatient polyclinic institution for the pharmacy institution (organization) can be carried out by the health authority or the pharmaceutical activities of the constituent entity of the Russian Federation in coordination with the territorial body for monitoring the trafficking of narcotic drugs and psychotropic substances.

3.6. Narcotic drugs and psychotropic substances listed in List II List and included in the list of medicines released by the doctor's recipes (paramedic), as well as released free or discount, are released upon presentation of a recipe written on a special recipe for a narcotic drug, and Recipe written on a prescription form form N 148-1 / U-04 (L).

Psychotropic substances listed in the list of the III list, drugs subject to objective and quantitative accounting, anabolic steroids included in the list of medicines released by the recipes of a doctor (paramedic), as well as released for free or discount are released upon presentation of a recipe written on the prescription Blanco N 148-1 / U-88, and a recipe written on the formative form form N 148-1 / U-04 (L).

3.7. Pharmacy institutions (organizations) are prohibited from vacation of narcotic drugs and psychotropic substances listed in List II; psychotropic substances listed in the list of the III list; drugs subject to subjectual quantitative accounting; Anabolic steroids on the recipes of veterinary medicinal organizations for the treatment of animals.

3.9. Pharmaceutical worker of pharmacy institution (organization) When receiving a prescription for drugs, individual manufacturers are obliged to release the drug to be subject to subject-quantitative accounting, in half of the highest one-time dose in the event of non-compliance with the doctor of the prescription regulations of the prescription or in the case of prescribed medicines in a dose in the dose in excess High single reception.

3.10. In the manufacture of exemporary drugs containing drugs to be subject to subject and quantitative accounting, in accordance with the recipes, disciplied by the doctor, the pharmaceutical institution (organization) is written on the recipe on extradition, and the pharmacist of pharmacy institution (organization) - in obtaining the required amount of drugs .

3.11. Ethyl alcohol vacation is produced:

According to recipes, discharged with the inscription "for compressing" (indicating the necessary dilution with water) or "for skin treating" - up to 50 grams in pure form;

According to the recipes, disciplied by physical doctors to the drugs, up to 50 grams in the mixture;

According to the recipes, disciplied by physician doctors in individual manufacture, with the inscription "in a special purpose", a separately certified doctor's signature and the seal of the medical and prophylactic institution "for recipes", for patients with the chronic course of the disease - up to 100 grams in the mixture.

3.12. Upon vacation of narcotic drugs and psychotropic substances listed in the list II of the List; psychotropic substances listed in the list of the III list; Extmorporal drugs containing drugs to be subject to subject-quantitative accounting, patients instead of a prescription, a signature with a yellow strip at the top and the insertion of the black font on it "signature", the form of which is provided by Appendix N 5 to this order.

IV. Control over vacation aptic institutions (organizations) of medicines

4.1. Internal control over the observance of pharmacy institutions (organization) of the order of drug leave (including subject to objective and quantitative accounting; medicines included in the list of medicines released by the doctor's recipes (paramedic), as well as other medicines released free or A discount) is carried out by the head (deputy head) of pharmacy institution (organization) or the pharmaceutical worker authorized by him (organization).

4.2. External control of compliance with pharmaceutical institutions (organizations) The procedure for drug leave is carried out by the Federal Health and Social Development Supervision Service and the Office of Drug Control and Psychotropic Control Bodies within their competence.

________________

* Pharmacies, pharmacy points, pharmaceutical kiosks, pharmacy stores.

Order of the Ministry of Health and Social Development of the Russian Federation of December 14, 2005 N 785
"On the order of vacation of medicines"
(as amended on April 24, October 13, 2006, February 12, August 6, 2007)

1. To approve the attached procedure of drugs.

2. It has lost strength.

M.Yu. Zurabov

Registration N 7353.

application

The order of drug leave
(approved by the order of the Ministry of Health and Social Development of the Russian Federation
dated December 14, 2005 N 785)
(as amended on April 24, October 13, 2006, February 12, August 6, 2007)

I. General provisions

1.1. This procedure determines the requirements for drug leave by pharmaceutical institutions (organizations) * independently of the organizational and legal form, the form of ownership and departmental affiliation.

1.3. Vacation of medicines for a doctor's prescription and without a recipe doctor is carried out by pharmaceutical institutions (organizations) that have a license for pharmaceutical activities.

1.4. Medicinal proceedings discharged by prescription are subject to vacation pharmacies and pharmaceutical points.

Drugs in accordance with the list of medicines released without a doctor's prescription approved by the Order of the Ministry of Health and Social Development of the Russian Federation of September 13, 2005 N 578 (registered at the Ministry of Justice of the Russian Federation on September 29, 2005 Registration N 7053) (hereinafter - The list of medicines released without a doctor's prescription) is subject to implementation by all pharmacy institutions (organizations) *.

1.5. For uninterrupted population support, pharmacy facilities (organizations) are required to have a minimum range of medicines necessary to provide medical care, approved by the Order of the Ministry of Health and Social Development of the Russian Federation of April 29, 2005 N 312

II. General requirements for vacation drugs

2.2. According to the recipes issued on the recipes, the forms of which were approved by the Order of the Ministry of Health and Social Development of the Russian Federation of February 12, 2007 N 11 # Pharmacy institutions (organizations) are released:

Psychotropic substances listed in the list of the III list, written on the formative form form N 148-1 / y-88;

Other drugs subject to objective and quantitative accounting in pharmacy institutions (organizations), in wholesale trade of drugs, medical and preventive institutions and private doctors, the list of which is provided for by Appendix N 1K of this Procedure (hereinafter referred to as other drugs to be subject to subject-quantitative accounting ), written on the formative form form N 148-1 / y-88;

Drugs included in the list of medicines released by the recipes of the doctor (Feldscher) when providing additional free medical care to certain categories of citizens eligible for state social assistance, approved by the Order of the Ministry of Health and Social Development of the Russian Federation of September 18, 2006 N 665 (registered with the Ministry of Justice of the Russian Federation on September 27, 2006 N 8322) (hereinafter - drugs included in the list of medicines released by the doctor's recipes (paramedic), as well as other drugs released free or discount issued on formative form blanks N 148-1 / y-04 (L) and forms N 148-1 / y-06 (l);

Anabolic steroids issued on formative form form N 148-1 / U-88;

The remaining drugs not included in the list of medicines released without a doctor's prescription, discharged on formative form form N 107 / y.

2.3. Recipes for narcotic drugs and psychotropic substances listed in List II list are valid for five days.

Recipes for psychotropic substances listed in the list of the III list, other drugs to be subject to subject-quantitative accounting, anabolic steroids are valid for ten days.

Recipes for other drugs are valid for two months from the date of their discharge and up to one year in accordance with paragraph 1.17. Instructions on the procedure for writing medicines and registration of recipes and invoice requirements, approved by the Order of the Ministry of Health and Social Development of the Russian Federation of February 12, 2007 N 110 (hereinafter referred to as instruction).

2.5. Drugs are discarded by pharmaceutical institutions (organizations) in the amount specified in the recipe, with the exception of medicines whose release rates are listed in paragraph 1.11. Instructions and Appendix N 1 to the instructions.

In case the dosage of the drug existing in the pharmacy (organization) exceeds the dosage indicated in the doctor's recipe, the doctor who discharge the recipe is taken to receive a prescription.

The patient provides information about changing the one-time dose of drug intake.

2.8. In exceptional cases, if the pharmacy institution (organization) is impossible to fulfill the appointment of a doctor (paramedic), a violation of secondary factory packaging is allowed.

Disruption of primary factory packaging of medicines is not allowed.

2.10. In exceptional cases (departure of the patient for the city, the inability to regularly visit the pharmacy institution (organization), etc.) Pharmaceutical workers of the pharmacy institution (organization) is allowed to produce a one-time vacation of the prescribed medicament for recipes in force within one year, in quantity, Required for treatment for two months, with the exception of drugs to be subject to subject-quantitative accounting, the list of which is provided for by Appendix N 1k in accordance with this order.

2.12. Recipes for drugs with the mark "Statim" (immediately) are served in a period not exceeding one working day since the patient's appeal to the pharmacy institution (organization).

Recipes for drugs with a note "Cito" (urgently) are served on time not exceeding two working days from the date of treatment of the patient in the pharmacy institution (organization).

2.14. Recipes for drugs to be subject to subject and quantitative accounting, the list of which is provided for by Appendix N 1K of this Procedure; Drugs included in the list of medicines released by the doctor's recipes (paramedics), as well as other drugs released for free or at a discount, anabolic steroids remain in the pharmacy institution (organization) for subsequent separate storage and destruction after the storage period.

2.15. In the pharmacy institution (organization) conditions should be provided with the conditions for the preservation of prescriptions for drugs to be stored for drugs, to be subject to subject-quantitative accounting, the list of which is provided for by Appendix N 1K of this Procedure, drugs included in the list of medicines released by the doctor's recipes (paraschera) As well as other medicines released free or discount, anabolic steroids.

2.16. The deadline for storing recipes in the pharmacy institution (organization) is:

On drugs included in the list of medicines released by the doctor's recipes (paramedic), as well as other drugs released for free or at a discount - five years;

On narcotic drugs and psychotropic substances listed in the list II list and psychotropic substances listed in the list of the III list - ten years;

To other drugs subject to subjectual quantitative accounting, with the exception of narcotic drugs and psychotropic substances listed in the list II of the List, and psychotropic substances listed in the list of the III list; Anabolic steroids - three years.

Repeated vacation (implementation) of medicines recognized by the product of inadequate quality and accent citizens for this reason is not allowed.

2.18. Recipes for tranquilizers not subject to subjectual quantitative accounting, antidepressive, neuroleptic drugs, alcohol-containing drugs of industrial production are repaid by the pharmacy of the pharmacy institution (organization) "medicine released" and return the patient to the hands.

To re-leave the medicinal product, the patient needs to consult a doctor for a new recipe.

2.19. Incorrectly written recipes are repaid by a "recipe is invalid" stamp and are recorded in a log, the form of which is provided for by Appendix N 4K of this order, and returned to the patient.

Information about all incorrectly written recipes is brought to the attention of the head of the relevant medical and prophylactic institution.

III. Requirements for vacation of narcotic drugs and psychotropic substances, drugs subject to subject-quantitative accounting, anabolic steroids

3.6. Narcotic drugs and psychotropic substances listed in List II List and included in the list of medicines released by the doctor's recipes (paramedic), as well as released free or discount, are released upon presentation of a recipe written on a special recipe for a narcotic drug, and Recipe written on a prescription form form N 148-1 / U-04 (L).

Psychotropic substances listed in the list of the list of the List, other drugs to be subject to subject-quantitative accounting, anabolic steroids included in the list of medicines released by the recipes of a doctor (paramedic), as well as released for free or discount are released upon presentation of a recipe written on A prescription forms form, N 148-1 / U-88, and a recipe written on the formative form form N 148-1 / U-04 (L).

3.7. Pharmaceutical institutions (organizations) are prohibited from vacation of narcotic drugs and psychotropic substances listed in the list II list, psychotropic substances listed in the list of the III list, other drugs subject to objective and quantitative accounting, anabolic steroids on the recipes of veterinary medical organizations for the treatment of animals.

3.11. Ethyl alcohol vacation is produced:

According to recipes, disciplied by doctors with the inscription "to impose compresses" (indicating the necessary water dilution) or "for skin treating" - up to 50 grams in pure form;

According to the recipes, disciplied by physical doctors to the drugs, up to 50 grams in the mixture;

According to the recipes, disciplied doctors to the drugs for individual manufacture, with the inscription "in a special purpose", a separately certified by the doctor and the seal of the medical and prophylactic institution "for recipes", for patients with the chronic course of the disease - up to 100 grams in the mixture and in its pure form .

IV. Control over vacation aptic institutions (organizations) of medicines

4.1. Internal control over the observance of pharmacy institutions (organization) of the order of drug leave (including subject to objective and quantitative accounting, drugs included in the list of medicines released by the doctor's recipes (paramedic), as well as other medicines released free or A discount) is carried out by the head (deputy head) of pharmacy institution (organization) or the pharmaceutical worker authorized by him (organization).

* Pharmacies, pharmacies, pharmaceutical kiosks, pharmacy stores

Appendix N 1.

Scroll
drugs subject to subjectual quantitative accounting in pharmacy institutions (organizations), organizations of wholesale trade in medicines, medical and preventive institutions and private physicians
(as amended on October 13, 2006, February 12, 2007, August 6, 2007)

1. Narcotic agents and psychotropic substances listed in List II *, psychotropic substances listed in the list of III *, and precursors of narcotic drugs and psychotropic substances listed in the list of the IV list of narcotic drugs, psychotropic substances and their precursors to be controlled in the Russian Federation , approved by the Decree of the Government of the Russian Federation of June 30, 1998 N 681 (Meeting of the legislation of the Russian Federation, 1998, N 27, Art. 3198; 2004, N 8, Art. 663; N 47, Art. 4666; 2006, N 29, Art. 3253).

2. Substances of apomorphine hydrochloride, atropine sulfate, dicaine, homatropine hydrochloride, silver nitrate, patchicardine hydrogenidide.

3. Drugs containing substances (their salts) in combination with pharmacologically inactive components, regardless of the dosage form:

Alprazolam (Ksanaks, Cassadan, Nordhurol)

Androsanolone (Androstediol and its esters)

Androstenedion

Aceclidine

BBBITA (Veronal)

BBBITA Sodium (Medina)

Benactizin (Amizil)

Benzobarbital (Benzonal)

Bromazepam (Lexilium, Lexotan)

Bromisoval (Bromoral)

Botzolam (Lendomanmin)

Hexobarbital and his salts (hexenal)

Hyoscyamine base (camphonate, sulfate)

Diazepam (Apauryurin, Relanium, Valium)

snake poison

Skipidem (Ivadal)

Zopiclon (injured)

Carbachol (Carbacholin)

Clonazepam (Anteltexin, Rivotril)

Trotball and its esters

Clonidine (Cloofelin, Gemiton)

Levumpromazine (Tizercin)

Lorazepam (Lorafen, Merlit)

Medazepam (Mescapes, Rudotel)

Mesocarb (Synokarb)

Arsenic anhydride and its derivatives

Meproamat (Meprodan)

Mesterolone (Proviron)

Methandienone (metandrostenolone, nero)

Metenolon and its esters

Midazolam (Dormikum)

Nandrolon and its esters

Sodium Arsenate (Arsenit)

Nitrazempam (Enowlining, Radedorm)

NOVARSENOL.

Oxazepam (Noshepam, Tazepam)

Oxandrolon

PiPeridine

Promeran

Propillagexedryl

Bee poison purified

Horn ardines

Mercury dietid (dichloride, oxycyanide, salicylate, cyanide)

Skopolamine Hydrobromide (camphorats)

Strichnina Nitrate

The sum of the alkaloids of beautification

Stanozolol.

Wegezapam (SIGNOPAM)

Tetrazepam (Miiolastan)

Tiopental sodium (penal)

Grass Ephedra

Tramadol (tram)

Trighexiphenidil (Cyclodol, Parkopan, RomParcin, Tripen)

Trichloromethane (chloroform, chloroform for anesthesia)

Phenobarbital (luminal)

Feprosidin (Synophen)

Flunitrzempam (Rogpnol)

Flooxymesteron

Flurazhepam

Chlordiazepoxide (Elenium)

Chloroethyl

Extract Chilibuhi

Ergotal (Mix of Alkaloids Armenia)

Estazolam

Ether diethyl (ether for anesthesia, ether for anesthesia stabilized, medical ether)

4. Combined drugs:

Diazepam 10 mg + cyclobarbital 100 mg (relators)

Pseudoephedrine hydrochloride 30 mg (or more) + paracetamol 250 mg + chlorophenyramine (chloropenamine) Maleat 2 mg (or more) + dextmane -orphan hydrobromide more than 10 mg (capsules, tablets)

Pseudoephedrine Hydrochloride 30 mg + paracetamol 250 mg + doxylmine Succinate 6.25 mg + dextmane -orphan hydrobromide more than 10 mg (capsules)

Pseudoephedrine hydrochloride 60 mg + paracetamol 650 mg + chlorophenyramine (chloropenamine) Maleat 4 mg (powders)

Pseudoephedrine Hydrochloride 20.2 mg + paracetamol 33.8 mg + dextmahorfana Hydrobromide 1 mg in 5 ml

Pseudoephedrine Hydrochloride 60 mg + paracetamol 1000 mg + dextmahorophane Hydrobromide 30 mg (powder)

Pseudoephedrine hydrochloride 30 mg + paracetamol + dextmaphine hydrobromide 15 mg (or more) (tablets)

Pseudoephedrine Hydrochloride 30 mg + Givephenesin Hydrochloride 100 mg - 5 ml (syrup)

Pseudoephedrine Hydrochloride 30 mg + Givephenesin Hydrochloride 200 mg (Tablets)

Pseudoephedrine hydrochloride 60 mg + triprolidine hydrochloride 2.5 mg (tablets)

Pseudoephedrine hydrochloride 30 mg + triprolidine hydrochloride 1.25 mg - 5 ml (syrup)

Pseudoephedrine Hydrochloride 30 mg + Ibuprofen 200 mg (Tablets)

Pseudoephedrine hydrochloride 60 mg + bromgexin 8 mg (tablets)

Pseudoephedrine hydrochloride 30 mg (or more) + bromgexine 4 mg - 5 ml (solution for internal use)

Pseudoephedrine hydrochloride 120 mg + cetirizine Dihydrochloride 5 mg (tablets)

Pseudoephedrine hydrochloride 120 mg + Loratadine 5 mg (tablets)

Pseudoephedrine hydrochloride 60 mg + chloropheniramine (chloropenamine) Maleat 4 mg (capsules)

Pseudoephedrine hydrochloride 20 mg (or more) + paracetamol 250 mg (or more) (all dosage forms)

Pseudoephedrine Hydrochloride 30 mg + paracetamol 325 mg + Givephenazine 100 mg + dextmahorophane hydrobromide more than 10 mg (tablets, syrup)

Pseudoephedrine hydrochloride 20 mg + paracetamol 500 mg + caffeine 10 mg (tablets)

Pseudoephedrine hydrochloride 15 mg + paracetamol 162.5 mg + thermionenadine 15 mg (tablets)

Saltan (with an ephedrine of 17.5 mg hydrochloride in 1 ml)

Chlordiazepoxide + amitriptyline (tablets)

PHENTILPROPANOLAMIN 75 mg + Benzocaine 9 mg (capsules)

Phenylpropanolamine 75 mg + benzocaine 9 mg + 13 vitamins + 18 microelements (capsules)

Phenylpropanolamine 16.7 mg + carbinoxamine Maleat 1.3 mg - 5 ml (syrup)

Phenylpropanolamine 12.5 mg (or more) + paracetamol 325 mg (or more) (tablets)

Phenylpropanolamine 12.5 mg + paracetamol 250 mg in 5 ml (syrup)

Phenylpropanolamine 50 mg (or more) + chlorophenyramine (chloropenamine) Maleat 4 mg (or more) (capsules, pills)

Phenylpropanolamine 10 mg (or more) + chlorophenyramine (chloropenamine) Maleat 1 mg - 5 ml (syrup)

Phenylpropanolamine more than 10 mg + chloropheniramine (chloropenamine) Maleat 1 mg (or more) + paracetamol - 5 ml (syrup)

Phenylpropanolamine 25 mg + chloropheniramine (chloropenamine) Maleat 2 mg + paracetamol 500 mg (tablets)

Phenylpropanolamine 15 mg + chloropheniramine (chloropenamine) Maleat 2 mg + acetylsalicylic acid 325 mg (pills Swiming)

Phenylpropanolamine 25 mg + pheniramine Maleat 25 mg (tablets, syrup)

Phenylpropanolamine 25 mg + chloropheniramine (chloropenamine) Maleat 2 mg + paracetamol 500 mg + caffeine 30 mg (tablets)

Phenylpropanolamine 30 mg + chlorophenyramine (chloropenamine) Maleate 25 mg + paracetamol 500 mg + caffeine 4 mg (capsules)

Ephedrine Hydrochloride 20 mg + Phenobarbital 20 mg + Teophylline 50 mg + Theobromin 50 mg + Caffeine 50 mg + amidopyrin 200 mg + Penacetin 200 mg + Migration Extract 4 mg + Citizen 1 mg (Teofedrine)

Ephedrine Hydrochloride 20 mg + phenobarbital 20 mg + Teophylline 100 mg + caffeine 50 mg + paracetamol 200 mg + Handicraft extract 3 mg + cytizine 0.1 mg (Teofedrine-No, Teofedrine-H)

Ephedrine Hydrochloride 20 mg + phenobarbital 20 mg + Teophylline 100 mg + Caffeine Monohydrate 50 mg + paracetamol 300 mg + 3 mg s handcoating extract (neo-theofedrine neo-Fedrin)

Ephedrine hydrochloride 12 mg + phenobarbital 10 mg + Theophylline 100 mg (T-Fedrin)

Ephedrine Hydrochloride 5 mg + Codein Dihydrophosphate 15 mg (Codeine Phosphate Half Hyddrath 14.36 mg) + Atropine Metobromid 0.5 mg + Propifenazone 150 mg + Phenobarbital 20 mg + Papaverin Hydrochloride Hydrochloride (Sportsmoveralgin, Sportsmoveralgin-Neo)

Ephedrine Hydrochloride 10 mg + diphenhydramine (DIMEDROL) 10 mg (Tablets)

5. Other drugs:

Buturofanola Tartrate (Bujofanol, Stadol, Moradol)

Clozapine (Leponex, Azleptin)

Tianeptin (Coaxil)

Tramadol hydrochloride 37.5 mg + paracetamol 325 mg (Bedaliir)

Ethanol (ethyl alcohol, medical antiseptic solution)

Note.

Drugs entered in paragraphs 3 and 4 of the list of drugs subject to subjectual quantitative accounting in pharmacy institutions (organizations), in wholesale trade of drugs, medical institutions and specialized physicians, included in the list N 1 "potent substances" and list N 2 "Poisonous substances" of the Permanent Committee for Drug Control, and are subject to special storage conditions in accordance with Annexes 1 and 5 of the Order of the Ministry of Health of the Russian Federation dated November 12, 1997 N 330 "On measures to improve accounting, storing, writing and using narcotic drugs funds and psychotropic substances "(Letter of the Ministry of Justice of the Russian Federation of December 24, 1997 N 07-08 / 2293-97 recognized as not in need state registration).".

______________________________

* Prohibited for use by private actors.

Appendix N 2.

to the order of vacation drugs,

approved by the order of the ministry

health and Social Development of the Russian Federation

On the destruction of recipes for obtaining

narcotic drugs and psychotropic substances

after the expiration of their storage time *

______________________________

* The act is drawn up monthly.

Appendix N 3.

to the order of vacation drugs,

approved by the order of the ministry

health and Social Development of the Russian Federation

On the destruction of recipes for drugs subject to

subject-quantitative accounting, medicines included in

List of medicines released by doctor's recipes

(paramedic), as well as other medicines released for free

or with a discount, anabolic steroids after the expiration of their storage time *

Appendix N 4.

to the order of vacation drugs,

approved by the order of the ministry

health and Social Development of the Russian Federation

Ministry of Health care

and social development

Russian Federation

_____________________________________

(Name of the institution (organization)

Magazine

registration of incorrectly written recipes

│ N │ Date │ Name │ Full name │ content │ violation │ Taken measures │ Full name │

│P / P │ │-deed-proflic- │ doctor │ recipe │ │ │ specialist │

│ │ │ ticial │ │ │ │ │ pharmacy │

│ │ │ institution │ │ │ │ │ institution │

│ │ │ │ │ │ │ (organization) │

│ 1 │ 2 │ 3 │ 4 │ 5 │ 6 │ 7 │ 8 │

Note.

Information on violations in the discharge of recipes is brought to the attention of the head of the relevant medical and preventive institution at least 1 time per month.

Appendix N 5.

to the order of vacation drugs,

approved by the order of the ministry

health and Social Development of the Russian Federation

Signature *

Date..........................

Price..........................

______________________________

* To repeat the vacation of the drug requires a new recipe for a doctor.

Note.

The signature must have a size of 80 mm x 148 mm and a yellow strip of a width of at least 10 mm.

Order

<*> Pharmacies, pharmacy points, pharmaceutical kiosks, pharmacy stores.

II. General requirements for vacation drugs

2.2. According to the recipes issued on the recipes, the forms of which were approved by the Order of the Ministry of Health of the Russian Federation of August 23, 1999 N 328 (registered at the Ministry of Justice of the Russian Federation on October 21, 1999 N 1944), pharmaceutical institutions (organizations) are released:

Psychotropic substances listed in the list of the III list, written on the formative form form N 148-1 / y-88;

Anabolic steroids issued on formative form form N 148-1 / U-88;

The remaining drugs not included in the list of medicines released without a doctor's prescription, discharged on formative form form N 107 / y.

2.3. Recipes for narcotic drugs and psychotropic substances listed in List II list are valid for five days.

Recipes for psychotropic substances listed in the list of the III list; drugs subject to subject and quantitative accounting; Anabolic steroids are valid for ten days.

Recipes for drugs included in the list of medicines released by the doctor's recipes (paramedics), as well as other drugs released for free or at a discount, with the exception of prescriptions for narcotic drugs and psychotropic substances listed in the list II list, psychotropic substances The list of the III list, for drugs to be subject to subject and quantitative accounting, is valid for anabolic steroids for one month.

2.5. Drugs are discarded by pharmaceutical institutions (organizations) in the amount specified in the recipe, with the exception of drugs whose release rates are listed in applications and instructions.