Shelf life of prescriptions in a pharmacy order. Legislative base of the Russian Federation

01.01.2019

Plan

Introduction

1. Organization of a workplace for taking prescriptions and dispensing medicines

2. The main responsibilities of a pharmacist in taking prescriptions

2.1 How to accept prescriptions

2.2 Prescription Forms

3. Organization of work on vacation medicines

3.2 Features of dispensing medicines to cancer patients and chronic patients

4. Norms for a one-time dispensing of individual medicinal products

Conclusion

primary goal pharmacy organization- providing the population with medicines, which means that the production function of any pharmacy is:

Control over the correct prescription of medicines;

Taking prescriptions;

Manufacture of prescription drugs;

Intrapharmacy control of their quality;

Proper dispensing of medicines from pharmacies.

To perform the functions of receiving prescriptions, manufacturing medicines according to doctor's prescriptions and the requirements of healthcare facilities, controlling their quality, as well as dispensing manufactured drugs in pharmacies, a prescription and production department (RPO) can be created. For receiving prescriptions and dispensing finished medicinal products (FPP) in pharmacies, a department of finished forms (FMP) is being created. In some pharmacies, these two functions are combined.

Departments are managed by heads of departments and their deputies. The staff of the RPO provides for the positions of pharmacists and pharmacists. Pharmacists are allocated to receive prescriptions for individual medicines and OTC drugs, to control the quality of prepared medicines, dispense medicines, and to control medicines manufactured in a pharmacy. The positions of pharmacists may also be allocated to conduct information work, control over the work of pharmacists, etc. In addition to pharmaceutical staff, there should be positions in the RPO support staff: packers and nurses-washers. The presence of a production function in a pharmacy is an indicator of quality drug supply population, medical institutions, availability of drug care, the breadth of the spectrum of pharmaceutical services provided by pharmacies.

The workplace is organized in trading floor pharmacies. The areas of the department, the available equipment and equipment comply with the current building codes (SNiP), standards for technical and household equipment.

The equipment and equipment of workplaces in a pharmacy depends on the volume of pharmacy work. The prescription and dispensing workplace is usually isolated from visitors, although modern equipment does not always provide such isolation. At this workplace, standard equipment is installed, which includes a section table, cabinets for storing medicines, turntables for storing manufactured dosage forms.

Besides, workplace for receiving and dispensing prescriptions is equipped with a refrigerator for storing thermolabile drugs, a cabinet for storing poisonous and potent drugs, as well as a computer. Currently, many pharmacies are equipped with automated workstations - a prescription-workstation. It is well suited to speed up the sales process with barcoding.

Workplaces are equipped in accordance with the nature of the work performed. In this case, the following rules are observed:

The workplace should not contain items that are not required in the process of work;

Every item must have a permanent place; - all commonly used items in the work should be half a hand;

Pharmacist-technologist when using various items should not make any unnecessary movements.

The workplace for receiving and dispensing medicines should be equipped with the necessary reference literature, in particular, the latest edition of the State Pharmacopoeia, tables of higher single and daily doses, literature on the compatibility and interaction of medicines, orders of the Ministry of Health governing the acceptance and dispensing of prescriptions and medicines for them. .

There are also reference books of medicines, including those of Vidal and Mashkovsky, the State Register of Medicines, price tables, tariffs for the manufacture of medicines, accounting documents, in particular, a prescription journal or a receipt journal and a register of incorrectly written prescriptions. In addition, there should be labels and signatures at the workplace for receiving and dispensing medicines.

When taking and dispensing medicines, a pharmacy worker must be guided by a number of documents:

Laws of the Russian Federation "On Medicines", "On Narcotic Drugs and Psychotropic Substances", "On Protection of Consumer Rights", etc.;

List of narcotic drugs, psychotropic substances and their precursors subject to control in the Russian Federation;

Lists of the Standing Committee on Narcotics Control (SCDC);

List of medicines of lists A and B;

current orders, normative documents Ministry of Health of the Russian Federation and other departments;

The ethical code of the pharmacist.

In addition, this list includes the Decrees of the Government of regions and territories on pharmaceutical activities.

Recipe- this is a written appeal from the specialist who prescribed it to the pharmacist (pharmacist) about the manufacture and dispensing of medicines. A prescription is a medical, legal and financial document at the same time.

When taking prescriptions and dispensing medicines, pharmacy workers should be guided by the order of the Ministry of Health of the Russian Federation No. 328 dated 08.23.99. "On the rational prescription of medicines, the rules for writing prescriptions for them and the procedure for their release by pharmacies (organizations").

All medicines, with the exception of those named in the List of medicines dispensed without a doctor's prescription, approved by the Ministry of Health of Russia, must be dispensed only according to prescriptions of established forms. Medicines are prescribed in the presence of relevant indications to citizens who have sought medical help and, if necessary, treatment after discharge from the hospital. It is forbidden to write prescriptions for medicines:

not allowed to medical use Ministry of Health of Russia and not registered in the Russian Federation;

Used only in hospitals (anesthetic ether, chloroethyl, sombrevin, etc.);

In the absence of medical indications.

The following responsibilities are assigned to the pharmacist-technologist for receiving prescriptions and dispensing medicines:

Acceptance of prescriptions and requirements, checking the correctness of their execution, the compatibility of ingredients and the compliance of the prescribed doses with the age of the patient, determining the cost of the medicinal product and preparing the relevant documentation;

Accounting for incoming prescriptions and their transfer for the manufacture of prescribed medicines;

Monitoring the correctness of prescriptions prescribed by doctors and informing their immediate supervisor of all cases of violation by doctors of the rules for prescribing prescriptions;

Registration of medicines that are missing and refused to the population, daily information about this from the heads of the department or pharmacy;

Dispensing prescription drugs.

2.1 How to accept prescriptions

When taking prescriptions and dispensing medicines, it is advisable to follow the following algorithm of actions:

1. Checking the compliance of the prescription form of the medicinal prescription. Any prescription, regardless of the procedure for paying for the medicine and the nature of the action of the medicines included in it, must contain the following mandatory and additional details.

The required details include:

Stamp of the health facility, indicating the name of the health facility, its address and telephone number;

date of issue of the prescription;

FULL NAME. the patient and his age;

FULL NAME. doctor;

Name and number of drugs;

Detailed method of application of drugs;

Physician's signature and stamp.

Additional details of the prescription depend on the composition of the drug and the form of the prescription form. Prescriptions are written out on forms printed in a typographical way according to the forms established by the Ministry of Health of Russia.

2. Verification of the authority of the person who wrote the prescription. The prescription of medicines is made by the doctor directly involved in the management of the patient. When providing emergency and urgent medical care medicines are prescribed by the doctor of the mobile ambulance team or the doctor of the department emergency care outpatient clinic. In some cases, drugs can be prescribed by a specialist with an average medical education(dentist, paramedic, midwife).

3. Checking the correctness of the prescription and the method of using drugs. The composition of the medicinal product, the designation of the dosage form and the doctor's request to the pharmaceutical worker on the manufacture and issuance of the medicinal product are written out on Latin. Names of narcotic drugs, psychotropic and toxic substances, as well as drugs of list A are written at the beginning of the prescription. The method of application of the medicinal product is written in Russian, indicating the dose, frequency, time of their use in relation to food intake. If an emergency release of the medicinal product is required, the designations cito or statum are affixed at the top of the prescription form. Only adopted by the rules abbreviations.

4. Checking the compatibility of ingredients in the recipe. In a prescription that requires individual production, the compatibility of the ingredients that make up the medicinal product is checked. In cases where it is necessary to change the composition or quantity active substances, replacing one dosage form with another, etc. necessary this question check with the prescribing physician.

5. Checking the highest single and daily doses of drugs, taking into account the age of the patient. When evaluating a drug prescription, a pharmacy worker should check the highest single and daily doses (WFD and VVD) of drugs, taking into account the age of the patient. When dispensing narcotic, psychotropic and toxic substances, he must be guided by clause 3.9 of Order No. 785 of December 14, 2005 of the Ministry of Health and the “Requirement for the dispensing of narcotic drugs and psychotropic substances; medicines subject to subject-quantitative accounting; anabolic steroids."

6. Verification of the compliance of the quantity of prescribed drugs with the established orders of the Ministry of Health of the Russian Federation of February 12, 2007 No. 110. Upon receipt of an extemporaneous prescription at a pharmacy, a pharmacist is obliged to release the drug located on the PKU in half of the highest single dose, if the doctor did not comply with the established rules for issuing a prescription or exceeded the highest single dose. In some cases, there is an excess established norms, which is possible if there is a doctor's prescription on the prescription "According to special purpose”, certified by the signature and seal of the doctor, as well as the seal “For prescriptions”. For incurable oncological and hematological patients, the amount of narcotic drugs prescribed in one prescription can also be doubled against the established norms.

7. Checking the validity of the prescription. On the basis of order No. 110 of February 12, 2007 of the Ministry of Health and social development RF set next dates prescription actions.

Prescriptions written out on a special prescription form for a narcotic drug and a psychotropic substance are valid - 5 days from the date of issue, on prescription form No. 148-1 / y-88 - 10 days.

The prescription written out on the prescription form No. 148-1 / y-88 is valid - 10 days, 1 month. The expiration date is indicated by a strikethrough.

The prescription written out on the prescription form No. 107-1 / y is valid for 10 days, 2 months, 1 year. The expiration date is indicated by a strikethrough.

Prescriptions for all other medicines are valid for 2 months from the date of issue.

Prescriptions written for prescription forms Forms No. 148-1/y-04 (l) and No. 148-1/y-06 (l) are valid for 1 month from the date of discharge, with the exception of medicines that are on the subject-quantitative account.

Prescriptions for barbituric acid derivatives, ephedrine in pure form, pure pseudoephedrine, ephedrine and pseudoephedrine mixed with other substances, anabolic steroids, clozapine, tianeptine for the treatment of patients with prolonged and chronic diseases can be discharged for a course of treatment up to 1 month.

At the same time, the prescription must have an inscription - "For a special purpose", which is sealed by the doctor's signature and the seal of the healthcare facility "For prescriptions". Prescriptions that do not meet the above requirements remain in the pharmacy, are canceled with the stamp "Recipe invalid" and are registered in a special journal.

8. Prescription taxation. A prescription written correctly is then taxed. In pharmacies with equipped workstations, this process occurs with the help of various software. If the prescription is issued incorrectly, then it is registered in the “Journal of Incorrectly Issued Prescriptions”, previously canceled with the stamp “Recipe is invalid”.

9.Registering a prescription.

10. Issuance of a signature, if necessary.

11. Issuing a receipt.

12. Paying for a prescription.

All these stages go in a complex, since registration, payment and issuance of a receipt go as components of one process.

2.2 Prescription Forms

At present, by order of the Ministry of Health and Social Development No. 110 dated February 12, 2007 "On the procedure for prescribing and prescribing medicines, products medical purpose and specialized products medical nutrition» approved the following forms prescription forms:

1) Form "Special prescription form for a narcotic drug and a psychotropic substance";

2) Form No. 148 -1 / y-88 "Prescription form";

3) Form No. 107 -1 / y "Prescription form";

4) Form No. 148 -1 / y - 04 (k) "Recipe";

5) Form No. 148 -1 / y - 06 (l) "Recipe".

1. Form "Special prescription form for a narcotic drug and a psychotropic substance" according to the instructions for order No. 110 “is made on paper Pink colour with watermarks and has serial number. On the prescription form of this sample are written drugs and psychotropic substances, included in List II of the List of narcotic drugs, psychotropic substances and their precursors subject to control in the Russian Federation (according to Decree of the Government of the Russian Federation No. 681 of June 30, 1998).

The prescription fully indicates the surname, first name and patronymic of the patient. Be sure to indicate the "Case history No", or "Medical record number" of the patient, or the history of the development of the child, the medical history. In addition, the surname, name and patronymic of the doctor are fully indicated. The prescription is signed by the doctor who wrote out this prescription, after which it is certified by the personal seal of the doctor. Additionally certified by the round seal of the health facility and signed by the chief physician or his deputy.

It is allowed to write out only one name of the medicinal product on one prescription form, while corrections are not allowed. The prescription remains in the pharmacy organization for subject-quantitative accounting.

2. Form No. 148 -1 / y-88 "Prescription form" has a series and a number. In addition, it must contain the following details: the address or number of the patient's medical record, the seal of the medical institution "For prescriptions", full name. patient and doctor completely. For free and preferential leave The prescription is issued in duplicate. On this prescription form, psychotropic substances of List III of the List of narcotic drugs, psychotropic substances and their precursors subject to control in the Russian Federation (according to Decree of the Government of the Russian Federation No. steroids.

On one prescription form it is allowed to write out only one name of the medicinal product, and with reverse side prescription, a note is made about who prepared, tested and dispensed the drug. The prescription remains in the pharmacy organization for subject-quantitative accounting

3. Form No. 107 -1 / y "Prescription form". All medicines are prescribed on this prescription form, with the exception of those that are prescribed on the prescription form of form No. 148-1 / y - 88 and a special prescription form for a narcotic drug and a psychotropic substance. The prescription is signed by the doctor and certified by his personal seal.

On one prescription form, no more than 3 names of medicines are written out, while corrections are also not allowed. Ethyl alcohol is prescribed on a separate form and certified additionally with the seal of the medical institution “For prescriptions”.

4. Form No. 148 -1 / y -04 "Recipe" and 5. and Form No. 148 -1 / y-06 "Recipe" intended for prescribing drugs preferential terms(free of charge or at a discount), and form No. 148 -1 / -06 is issued using computer technology. On the prescription form of the listed forms, medicines, medical products and specialized therapeutic food products for children with disabilities are prescribed.

The prescription form is issued in 3 copies, having a single series and number, while the prescription is signed by a doctor (paramedic) and certified by his personal seal. When dispensing a medicinal product in a pharmacy, the prescription form shall contain information about the actually dispensed medicinal products and the date of dispensing. This prescription form has a tear line separating the form and the spine that is given to the patient. At the same time, a mark is made on the spine about the name of the drug, dosage, quantity, method of application.

3.1 Dispensing prescription drugs

When dispensing drugs on prescription, a pharmacy worker must follow certain rules:

When dispensing narcotic drugs, psychotropic, potent and poisonous substances, ethyl alcohol and other medicines that have special conditions for sale, compliance with the order of the Ministry of Health and Social Development of the Russian Federation of February 12, 07 No. 110 and the Rules for the Dispensing of Medicines in Pharmacy Organizations, Standard OST 91500.05.0007-2003 is required. At the same time, the release of narcotic drugs and psychotropic substances according to the prescriptions of doctors is carried out in accordance with List II and List III of the List of narcotic drugs, psychotropic substances and their precursors subject to control in the Russian Federation;

Based on the requirements of Order No. 785, clause 3.2 of this order, the right to work with narcotic drugs and psychotropic substances is given only to those pharmacy organizations and institutions that have a license for this type of activity;

Only those pharmacists who have been given the right to carry out such activities in accordance with the order of the Ministry of Health and Social Development of the Russian Federation of May 13, 2005 can dispense narcotic drugs and psychotropic substances. No. 330;

When dispensing narcotic drugs and psychotropic substances, as well as extemporaneous medicinal products containing medicinal substances located on the PKU, instead of a prescription, patients are given a signature with a yellow stripe and an inscription in black font "Signature";

If the patient has a prescription long-acting, then it is returned with an indication on the back of the amount of the dispensed drug and the date of issue;

The release of narcotic drugs and psychotropic substances is allowed only according to the prescriptions of health facilities located in the same locality;

The release of narcotic drugs and psychotropic substances prescribed by a doctor is carried out by a patient or a person representing him only upon presentation of a document proving his identity;

Narcotic drugs and psychotropic substances dispensed by doctor's prescriptions, as well as dispensed free of charge or at a discount, are dispensed upon presentation of a prescription written on a special prescription form No. 148-1 / y-04 (l). Also, psychotropic substances that are on PKU and anabolic steroids are dispensed by prescription of a doctor or paramedic, as well as on preferential terms upon presentation of 2 prescriptions - prescription form No. 148-1 / y-88 and form form No. 148-1 / y-04 (l);

It is prohibited to sell narcotic drugs and psychotropic substances, drugs that are on the PKU, as well as anabolic steroids according to prescriptions issued by veterinary medical organizations for the treatment of animals;

It is also prohibited to dispense drugs that are on PKU separately and dispense drugs that are part of a combined drug according to extemporaneous prescriptions;

The replacement of a medicinal product written in a prescription with its synonym is made only upon agreement with the buyer or with the doctor, while the trade name of the dispensed medicinal product, as well as the signature and date of issue of this drug, are indicated on the back of the prescription;

When dispensing a medicinal product, the pharmacist must explain to the buyer the rules for taking the medicinal product, the methods of taking it, single and daily doses, the mode of administration and the rules for storing this medicinal product.

For the treatment of incurable oncological and hematological patients, the rate of prescribing and dispensing drugs subject to subject-quantitative accounting, as well as Schedule II narcotic drugs and barbituric acid derivatives, is allowed to be increased by 2 times compared to the amount specified in Appendix No. 1 of the Instruction approved by order of the Ministry of Health and Social Development No. 110 dated 12.02.07

Chronically ill patients are allowed to establish a prescription validity period of up to 1 year for finished medicinal products and individual-made products, with the exception of:

Medicinal products subject to subject-quantitative accounting;

anabolic agents;

Medicines dispensed from a pharmacy organization on preferential terms (free of charge or at a discount);

In this case, the doctor makes a note on the prescription “Chronic Patient” and indicates the validity period of the prescription, the frequency of dispensing drugs from the pharmacy (monthly or weekly), certifies this indication with his signature and personal seal, as well as the seal of the medical institution “For prescriptions”.

3.3 The procedure for dispensing medicines provided free of charge or at a discount

One of the main tasks of the state policy in the field of health care is the provision of medicines to the category of citizens who enjoy benefits in the field of providing medicines.

Currently, 30 million people benefit from benefits. financing is carried out at the expense of the federal budget, the budgets of the constituent entities of the Russian Federation, local budgets and the funds of the compulsory medical insurance fund.

The following persons are entitled to receive free medicines:

Children under 3 years old;

Disabled persons, participants of the Great Patriotic War and persons equated to them;

Citizens exposed to radiation at nuclear facilities;

Heroes Soviet Union, Heroes of the Russian Federation, holders of the Order of Glory;

Heroes of Socialist Labor, full cavaliers of the Order of Labor Glory;

Cancer patients, patients mental illness, diabetes, leprosy, etc.

All these categories of patients receive free of charge all medicines and medical products, which are annually approved by the authorities of the constituent entities of the Russian Federation. The government has also defined categories of diseases for which certain medicines are provided free of charge. These diseases include tuberculosis, syphilis, bronchial asthma, Parkinson's disease, myocardial infarction and others.

Some population groups receive medicines with a 50% discount. These include:

Pensioners receiving the minimum pension;

Working disabled people of the 2nd group and unemployed people with disabilities of the 3rd group;

Persons who took part in the liquidation of the consequences of the accident at the Chernobyl nuclear power plant;

Citizens awarded medals for selfless work during the Second World War;

Honorary donors of the Russian Federation and others.

For preferential provision a system for the distribution of medicines and control over the prescription of medicines is being created. Dispensing medicines at preferential and free recipes carried out from pharmacy organizations that have an agreement with territorial authority health administration.

In order to streamline the provision of drugs to the population and exercise control, in some regions, other models for providing decreed groups are being introduced. The need for medicines is determined by the District Health Administration in conjunction with authorized pharmaceutical companies, between which tariff agreements are concluded.

The term for providing preferential prescriptions from pharmacies is:

Within 1 day for preferential prescriptions marked cito;

No more than 3 days for medicinal products included in the List;

Within 5 days for preferential prescriptions issued at the conclusion of the CEC.

Prescriptions for medicines to be obtained in pharmacies free of charge or with a 50% discount are issued only for outpatient treatment by the attending physician of the polyclinic. Preferential prescriptions for medicines are issued in accordance with the standards and within the framework of the territorial formulary, with the exception of cases of appointment:

When one patient is prescribed five or more drugs or more than ten drugs within one month;

Narcotic drugs, psychotropic, potent and poisonous substances, anabolic hormones;

Medicinal preparations according to analogue substitution formularies in cases of an atypical course of the disease, in the presence of complications of the underlying disease or concomitant diseases, when prescribed dangerous combinations medicines, as well as in case of intolerance or lack of medicines in the pharmacy included in the territorial formulary;

Special drugs: immunomodulators, antitumor, antituberculosis, antidiabetic and other drugs that affect the activity of the endocrine system.

The right to independently write prescriptions to be obtained at a pharmacy on preferential terms is given to doctors working part-time in a polyclinic, doctors of departmental polyclinics of federal subordination, dentists, private practitioners (working under an agreement with a territorial health authority) and in special occasions Preferential prescriptions can be written by a paramedic or midwife.

Issuing preferential prescriptions for psychotropic, potent and poisonous substances, anabolic hormones, immunomodulators, anti-diabetic, anti-tuberculosis, for narcotic drugs for patients who do not suffer from oncological / hematological diseases, is carried out by the attending physician only by decision of the medical commission of the polyclinic or on the recommendation of a specialist doctor.

It is not allowed to write out preferential prescriptions by doctors of hospitals, as well as by doctors of polyclinics during the period of stay of patients on inpatient treatment.

On one prescription form of form 148-1 / y-88, it is allowed to write out one name of medicines subject to subject-quantitative accounting, for obtaining on preferential terms. When filling out the form, it is necessary to emphasize the form of payment (free of charge or with a 50% discount from the cost). The prescription must indicate the telephone number by which the pharmacy worker can agree with the attending physician on the replacement of the drug, the cost of which is more than 30% higher than the cost of the prescribed drug. With a difference of more than 30%, the pharmacist has the right to independently replace the drug.

A patient who has received a medicinal product on preferential terms is marked in the preferential leave registration card.

Schedule II narcotic drugs and psychotropic substances must be prescribed preferential categories citizens on special prescription forms for a narcotic drug, having the stamp of a medical institution, serial number and degree of protection, as well as in addition to a special prescription form of the established sample, a prescription is issued on the form accounting form N 148-1 / y-04 (l) (Appendix 2).

The validity of a preferential prescription is up to 1 month, except for prescriptions for narcotic drugs and psychotropic substances of list II - 5 days, for those containing psychotropic substances of list III, potent, toxic substances, drugs: apomorphine hydrochloride, atropine sulfate, homatropine hydrobromide, dicaine , silver nitrate, pachycarpine hydroiodide, other drugs subject to quantitative accounting, anabolic hormones - 10 days.

To attach a patient to a pharmacy at the place of residence to provide him with narcotic drugs, a written order of the head of the medical institution, registered in the prescribed manner, is issued. Lists of cancer patients assigned to the pharmacy to provide narcotic drugs are updated monthly.

The maximum allowable number of medicines for prescribing per prescription is given in Appendix No. 1 to the Instruction on the procedure for prescribing medicines and issuing prescriptions and invoices, approved by order of the Ministry of Health and Social Development of the Russian Federation dated 12.02.07. No. 110:

According to the same appendix of order No. 110, “when prescribing narcotic drugs not provided for in this appendix, their maximum allowable amount for prescribing in one prescription may be five times the dose specified in the instructions for medical use of the prescribed drug.”

The rules for taxation of prescriptions and requirements of healthcare facilities are as follows:

After the pharmaceutical examination, the prescription is taxed, i.e. the retail price of the prescription and requirements are determined;

Retail price for extemporaneous dosage forms and intra-pharmaceutical preparation consists of the following components:

From the cost of the original ingredients;

From the cost of pharmacy utensils;

From the tariff for the manufacture of medicines.

Pharmacy like entity, independently develops tariffs for the manufacture and packaging of medicines, after which they are approved by order of the pharmacy.

The pricing is based on:

Standards for the time spent on individual operations for the manufacture, control, packaging and dispensing of extemporaneous forms and in-pharmaceutical preparations, which were previously developed by VNIIF;

The cost of 1 minute of working time, calculated taking into account the average wage.

Examples of taxation of extemporaneous recipes.

Rp. Sol. Sodium bromide

MDS. 1 table. spoon 3 times a day after meals.

To prepare the solution, 6g is required. sodium bromide and 200 ml of water. First, the cost of the ingredients is determined:

The cost of 1 g of sodium bromide 0.21x 6 \u003d 1.26

Purified water 0.00 x 0.2 l = 2.00

We add the cost of the bottle and the tariff to the cost of the ingredients.

Bottle 0.25 l 4-00

tariff 10-00

total 17-26

Rp. Acidi ascorbinici 0.1

Sachari albi 0.2

M., ut fiat pulvis

S. 1 time. 3 times a day for 30 min. before meals.

The cost of the ingredients is determined:

Ascorbic acid 2 g x 0.72 = 1.44

White sugar 4 g. x 0.05 \u003d 0.2

2. Tariff for 10 times. =14.50

3. Tariff for each subsequent 10 times.

0.5 x 10 = 5.00

Box cost 1.00

Total - 22.14

workplace pharmacist prescription medicine

In order for any pharmacy organization to fulfill its main task - providing medicines to the population, it is necessary:

Organize the workplace of a pharmacist for receiving prescriptions and dispensing medicines, for which it is necessary to equip and equip workplaces in the prescription and production department;

A pharmacist who accepts prescriptions and dispenses medicines according to them must be guided by the laws of the Russian Federation, current orders, regulatory documents, and the pharmacist's code of ethics;

When accepting prescriptions, a pharmacy employee must comply with the rules and procedures for receiving prescriptions, ensure that prescriptions comply with the forms established by the Ministry of Health of Russia;

The pharmacist - the technologist is obliged, when receiving prescriptions, to check the correctness of their execution, the presence, in addition to the name of the medicinal product, of mandatory and additional details;

The pharmacist must check the prescription for the compatibility of ingredients, the highest single and daily doses of the drug, check the compliance of the amount of the prescribed drug with the established orders of the Ministry of Health of the Russian Federation dated February 12, 2007 No. 110;

When dispensing medicines, the pharmacist is guided by the order of the Ministry of Health and Social Development of the Russian Federation dated February 12, 2007 No. 110, “Rules for dispensing medicines in pharmacy organizations”, Standards OST 91500.05.0007-2003.

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Article 32 federal law dated June 22, 1998 N 86-FZ "On Medicines" (Collected Legislation of the Russian Federation, 1998, N 26, item 3006; 2003, N 27, item 2700; 2004, N 35, item 3607) I order:

Approve the attached Procedure for dispensing medicines.
Lost strength. - Order of the Ministry of Health and Social Development of the Russian Federation of February 12, 2007 N 110.

The procedure for dispensing medicines

(as amended by the Orders of the Ministry of Health and Social Development of the Russian Federation dated April 24, 2006 N 302,
dated 13.10.2006 N 703, dated 12.02.2007 N 109, dated 06.08.2007 N 521)

I. General provisions

1.1. This Procedure defines the requirements for the dispensing of medicines by pharmacy institutions (organizations)*, regardless of the legal form, form of ownership and departmental affiliation.

1.2. Medicines, including narcotic drugs, psychotropic, potent and poisonous substances registered in the Russian Federation in accordance with the established procedure, are subject to dispensing by pharmacies (organizations).

1.3. Pharmaceutical establishments (organizations) that have a license for pharmaceutical activity are dispensing medicines by prescription and without a doctor's prescription.

1.4. Medicines prescribed by a doctor are subject to dispensing by pharmacies and pharmacy points. Medicines in accordance with the List of medicines dispensed without a doctor's prescription, approved by Order of the Ministry of Health and Social Development of the Russian Federation of September 13, 2005 N 578 (registered with the Ministry of Justice of the Russian Federation September 29, 2005 N 7053) (hereinafter - the List of medicines sold without a doctor's prescription) are subject to sale by all pharmacies (organizations) *.
* Pharmacies, drugstores, drugstores, drugstores.

1.5. For the uninterrupted provision of the population with medicines, pharmacy institutions (organizations) are required to have in stock the minimum range of medicines necessary for providing medical care, approved by Order of the Ministry of Health and Social Development of the Russian Federation dated April 29, 2005 N 312.

II. General requirements for dispensing medicines

2.1. All medicines, with the exception of those included in the List of medicines dispensed without a doctor's prescription, must be dispensed by pharmacies (organizations) only on prescriptions drawn up in the prescribed manner on the prescription forms of the relevant accounting forms.

2.2. According to prescriptions issued on prescription forms, 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, pharmacy institutions (organizations) dispense:

narcotic drugs and psychotropic substances included in Schedule II of the List of narcotic drugs, psychotropic substances and their precursors subject to control in the Russian Federation, approved by Decree of the Government of the Russian Federation of June 30, 1998 N 681 (Collected Legislation of the Russian Federation, 1998, N 27, 3198; 2004, N 8, item 663; N 47, item 4666) (hereinafter referred to as the List), issued on special prescription forms for a narcotic drug;
psychotropic substances included in List III The list written out on prescription forms of form N 148-1 / y-88;
other medicines subject to subject-quantitative accounting in pharmacies (organizations), wholesale trade in medicines, medical institutions and private practitioners, the List of which is provided for in Appendix No. 1 to this Procedure (hereinafter referred to as other medicines subject to subject-quantitative accounting), written out on prescription forms of form N 148-1 / y-88;
medicines included in the List of medicines dispensed by prescription of a doctor (paramedic) when providing additional free medical care to certain categories of citizens who are entitled to receive 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) paramedic), as well as other medicines dispensed free of charge or at a discount, written out on prescription forms of form N 148-1 / y-04 (l)) and form N 148-1 / y-06 (l);
(As amended by the Orders of the Ministry of Health and Social Development of the Russian Federation of February 12, 2007 N 109, of August 6, 2007 N 521)
anabolic steroids written out on prescription forms of form N 148-1 / y-88;
other medicines not included in the List of medicines dispensed without a doctor's prescription, written out on prescription forms of form N 107 / y.

2.3. Prescriptions for narcotic drugs and psychotropic substances included in Schedule II of the List are valid for five days. Prescriptions for psychotropic substances included in Schedule III of the List; other medicines subject to subject-quantitative accounting; anabolic steroids are valid for ten days.

Prescriptions for medicines included in the List of medicines dispensed by prescription of a doctor (paramedic), as well as other medicines dispensed free of charge or at a discount, with the exception of prescriptions for narcotic drugs and psychotropic substances included in List II of the List, for psychotropic substances , included in List III of the List, for other drugs subject to subject-quantitative accounting, for anabolic steroids are valid for one month.

Prescriptions for other medicines are valid for two months from the date of their issue and up to one year in accordance with paragraph 1.17. Instructions on the procedure for prescribing medicines and issuing prescriptions and invoice requirements, approved by Order of the Ministry of Health and Social Development of the Russian Federation of February 12, 2007 N 110 (hereinafter referred to as the Instruction).

2.4. Pharmacy institutions (organizations) are prohibited from dispensing expired prescription drugs, with the exception of prescription drugs that expired while the prescriptions were on deferred service.

2.5. Medicines are dispensed by pharmacies (organizations) in the amount specified in the prescription, with the exception of medicines, the dispensing rates of which are indicated in clause 1.11. Instructions and Appendix N 1 to the Instructions.

Medicines containing narcotic drugs, psychotropic substances and their precursors and included in the List of medicines dispensed without a doctor's prescription are subject to dispensing by pharmacies in the amount of no more than 2 packs to the consumer.

2.6. When medicines are dispensed on a doctor's prescription, an employee of a pharmacy institution (organization) makes a note on the prescription for the dispensing of the drug (name or number of the pharmacy institution (organization), name and dosage of the medicinal product, quantity dispensed, signature of the dispenser and date of dispensing).

2.7. If the pharmacy institution (organization) has medicines with a dosage different from the dosage prescribed in the doctor's prescription, an employee of the pharmacy institution (organization) may decide to dispense the available medicines to the patient if the dosage of the medicine is less than the dosage indicated in the prescription doctor, taking into account the recalculation for the course dose. If the dosage of the medicinal product available in the pharmacy institution (organization) exceeds the dosage indicated in the doctor's prescription, the decision to dispense the medicinal product to the patient is made by the doctor who issued the prescription. The patient is provided with information about changing the single dose of the drug.

2.8. In exceptional cases, if it is impossible for a pharmacy institution (organization) to fulfill the appointment of a doctor (paramedic), a violation of the secondary factory packaging is allowed. In this case, the medicinal product should be dispensed in a pharmacy package with the obligatory indication of the name, manufacturer's series, expiration date of the medicinal product, series and date according to the laboratory packing journal and providing the patient with another necessary information(instruction, leaflet, etc.). Violation of the primary factory packaging of medicines is not allowed.

2.9. When medicines are dispensed on prescriptions of a doctor valid for one year, the prescription is returned to the patient with the name or number of the pharmacy institution (organization), the signature of the employee of the pharmacy institution (organization), the amount of the dispensed drug and the date of issue on the back. At the next visit of the patient to the pharmacy institution (organization), marks on the previous receipt of the drug are taken into account. Upon expiration of the prescription, the prescription is canceled with the stamp "Recipe is invalid" and left at the pharmacy institution (organization).

2.10. In exceptional cases (departure of the patient out of town, the inability to regularly visit a pharmacy institution (organization), etc.) pharmaceutical workers pharmacy institution (organization) is allowed to produce one-time leave a medicine prescribed by a doctor according to prescriptions valid for one year, in the amount necessary for treatment within two months, with the exception of medicines subject to subject-quantitative accounting, the List of which is provided for in Appendix No. 1 to this Procedure.

2.11. In the absence of a drug prescribed by a doctor in a pharmacy institution (organization), with the exception of a drug included in the List of drugs dispensed by prescription of a doctor (paramedic), as well as another drug dispensed free of charge or at a discount, an employee of a pharmacy institution (organization ) can carry out its synonymous replacement with the consent of the patient. When dispensing a medicinal product included in the List of Medicinal Products dispensed by prescription of a doctor (paramedic), as well as another medicinal product dispensed free of charge or at a discount, an employee of a pharmacy institution (organization) may carry out a synonymous replacement of the medicinal product.

2.12. Prescriptions for medicines marked "statim" (immediately) are served within a period not exceeding one working day from the moment the patient contacts the pharmacy institution (organization). Prescriptions for medicines marked "cito" (urgently) are served within a period not exceeding two working days from the moment the patient contacts the pharmacy institution (organization). Prescriptions for medicines included in the minimum assortment of medicines are served within a period not exceeding five working days from the moment the patient contacts the pharmacy institution (organization).

2.13. Prescriptions for medicines included in the List of medicines dispensed by prescription of a doctor (paramedic) and not included in the minimum assortment of medicines are served within a period not exceeding ten working days from the moment the patient contacts the pharmacy institution (organization). Prescriptions for medicines prescribed by decision of the medical commission approved by the head doctor of the medical institution are served within a period not exceeding fifteen working days from the date the patient contacts the pharmacy institution (organization).

2.14. Prescriptions for medicines subject to subject-quantitative accounting, the List of which is provided for in Appendix No. 1 to this Procedure; medicines included in the List of medicines dispensed by prescription of a doctor (paramedic), as well as other medicines dispensed free of charge or at a discount; anabolic steroids remain in the pharmacy institution (organization) for subsequent separate storage and destruction after the expiration of the storage period.

2.15. The pharmacy institution (organization) must ensure the conditions for the preservation of prescriptions for medicines left for storage, subject to subject-quantitative accounting, the List of which is provided for in Appendix No. 1 to this Procedure; medicines included in the List of medicines dispensed by prescription of a doctor (paramedic), as well as other medicines dispensed free of charge or at a discount; anabolic steroid.

2.16. The shelf life of prescriptions in a pharmacy institution (organization) is:

for medicines included in the List of medicines dispensed by prescription of a doctor (paramedic), as well as other medicines dispensed free of charge or at a discount - five years;
for narcotic drugs and psychotropic substances included in List II of the List, and psychotropic substances included in List III of the List - ten years;
for other medicines subject to subject-quantitative accounting, with the exception of narcotic drugs and psychotropic substances included in List II of the List, and psychotropic substances included in List III of the List; anabolic steroids - three years.

After the expiration of the storage period, the prescriptions are subject to destruction in the presence of the commission, about which acts are drawn up, the form of which is provided for in Annexes No. 2 and No. 3 to this Procedure. The procedure for the destruction of prescriptions left in a pharmacy institution (organization) after deadlines storage, and the composition of the commission for their destruction may be determined by the health authorities or pharmaceutical activities subject of the Russian Federation.

2.17. Acquired by citizens medications good quality not subject to return or exchange in accordance with the List non-food items of good quality, not subject to return or exchange for a similar product of a different size, shape, size, style, color or configuration, approved by Decree of the Government of the Russian Federation of January 19, 1998 N 55 (Collected Legislation of the Russian Federation, 1998, N 4, art. 482; N 43, item 5357; 1999, N 41, item 4923; 2002, N 6, item 584; 2003, N 29, item 2998; 2005, N 7, item 560). It is not allowed to re-dispense (sale) of medicines recognized as goods inadequate quality and returned by citizens for this reason.

2.18. Prescriptions for tranquilizers that are not subject to subject-quantitative accounting; antidepressants, neuroleptics; alcohol-containing medicines industrial production are repaid with the stamp of the pharmacy institution (organization) "The medicine is dispensed" and returned to the patient's hands. To re-dispense the drug, the patient must consult a doctor for a new prescription.

2.19. Incorrectly written prescriptions are canceled with the stamp "The prescription is invalid" and are registered in the journal, the form of which is provided for in Appendix No. 4 to this Procedure, and returned to the patient's hands. Information about all incorrectly issued prescriptions is brought to the attention of the head of the relevant medical institution.

2.20. Pharmacy institutions(organizations) keep separate records of medicines included in the List of medicines dispensed by prescription of a doctor (paramedic), dispensed to citizens residing in the territory of the corresponding subject of the Russian Federation, and citizens temporarily staying in the territory of this subject of the Russian Federation.

III. Requirements for the release of narcotic drugs and psychotropic substances; medicines subject to subject-quantitative accounting; anabolic steroids

3.1. Drugs and psychotropic substances included in List II of the List, and psychotropic substances included in List III of the List are subject to dispensing by pharmacies (organizations).

3.2. The right to work with narcotic drugs and psychotropic substances included in List II of the List, and psychotropic substances included in List III of the List, are only pharmacies (organizations) that have received the appropriate licenses in accordance with the procedure established by the legislation of the Russian Federation.

3.3. The release to patients of narcotic drugs and psychotropic substances included in List II of the List, and psychotropic substances included in List III of the List, is carried out by pharmaceutical workers of pharmacy institutions (organizations) that have the right to do so in accordance with the Order of the Ministry of Health and Social Development of the Russian Federation dated 13 May 2005 N 330 (registered with the Ministry of Justice of the Russian Federation on June 10, 2005 N 6711).

3.4. In a pharmacy institution (organization), the dispensing of narcotic drugs and psychotropic substances included in List II of the List is carried out by patients assigned to a specific outpatient institution, which is assigned to a pharmacy institution (organization). Assignment of an outpatient clinic to a pharmacy institution (organization) may be carried out by the health management or pharmaceutical activities of a constituent entity of the Russian Federation in agreement with the territorial authority for control over the circulation of narcotic drugs and psychotropic substances.

3.5. The narcotic drugs and psychotropic substances prescribed by a doctor, included in List II of the List, are released to the patient or the person representing him, upon presentation of an identity document issued in the prescribed manner.

3.6. Narcotic drugs and psychotropic substances included in List II of the List and included in the List of drugs dispensed by prescription of a doctor (paramedic), as well as dispensed free of charge or at a discount, are dispensed upon presentation of a prescription written out on a special prescription form for a narcotic drug, and a prescription written out on the prescription form of form N 148-1 / y-04 (l).
Psychotropic substances included in List III of the List, other drugs subject to quantitative accounting, anabolic steroids included in the List of drugs dispensed by prescription of a doctor (paramedic), as well as dispensed free of charge or at a discount, are dispensed upon presentation of a prescription issued on the prescription form N 148-1 / y-88, and the prescription written out on the prescription form of the form N 148-1 / y-04 (l).

3.7. Pharmacy institutions (organizations) are prohibited from dispensing narcotic drugs and psychotropic substances included in List II of the List; psychotropic substances included in List III of the List; other medicinal products subject to subject-quantitative accounting; anabolic steroids prescribed by veterinary medical organizations for the treatment of animals.

3.8. Separate dispensing of medicinal products subject to subject-quantitative accounting and other medicinal products that are part of a combined medicinal product manufactured according to an individual prescription (hereinafter referred to as an extemporaneous medicinal product) is not allowed.

3.9. A pharmacist of a pharmacy institution (organization), upon receipt of a prescription for a medicinal prescription of individual manufacture, is obliged to dispense a medicinal product subject to subject-quantitative accounting in half of the highest single dose if the doctor prescribes medicines in a dose exceeding the highest single dose.

3.10. In the manufacture of extemporaneous medicinal products containing medicinal products subject to subject-quantitative accounting, in accordance with prescriptions issued by a doctor, the pharmacist of the pharmacy institution (organization) signs the prescription for issuance, and the pharmacist of the pharmacy institution (organization) - in obtaining the required amount of medicines .

3.11. Ethyl alcohol is released:

according to prescriptions issued by doctors with the inscription "For applying compresses" (indicating the necessary dilution with water) or "For skin treatment" - up to 50 grams in pure form;
according to prescriptions issued by doctors for a medicinal prescription of individual production - up to 50 grams in a mixture;
according to prescriptions issued by doctors for a medicinal prescription of individual production, with the inscription "For a special purpose", a separately certified signature of the doctor and the seal of the medical institution "For prescriptions", for patients with a chronic course of the disease - up to 100 grams in a mixture and in pure form .
(As amended by the Order of the Ministry of Health and Social Development of the Russian Federation dated April 24, 2006 N 302)

3.12. When dispensing narcotic drugs and psychotropic substances included in List II of the List; psychotropic substances included in List III of the List; extemporaneous medicinal products containing medicinal products subject to subject-quantitative accounting, instead of a prescription, patients are issued a signature with a yellow stripe in the upper part and the inscription "Signature" in black font on it, the form of which is provided for in Appendix No. 5 to this Procedure.

IV. Control over the dispensing of medicines by pharmacies (organizations)

4.1. Internal control over compliance by employees of a pharmacy institution (organization) with the procedure for dispensing medicines (including those subject to subject-quantitative accounting; medicines included in the List of medicines dispensed by prescription of a doctor (paramedic), as well as other medicines dispensed free of charge or at a discount) is carried out by the head (deputy head) of a pharmacy institution (organization) or a pharmaceutical worker of a pharmacy institution (organization) authorized by him.

4.2. External control over compliance by pharmacies (organizations) with the procedure for dispensing medicines is carried out Federal Service on supervision in the field of health care and social development and bodies for the control of the circulation of narcotic drugs and psychotropic substances within their competence.

Appendix No. 1
to Order

approved by Order
Ministry of Health
and social development
Russian Federation
dated December 14, 2005 N 785

List of medicines subject to subject-quantitative accounting in pharmacies (organizations), drug wholesalers, medical and preventive institutions and private practitioners

1. Narcotic drugs and psychotropic substances in Schedule II<*>, psychotropic substances in Schedule III<**>, and precursors of narcotic drugs and psychotropic substances included in List IV of the List of narcotic drugs, psychotropic substances and their precursors subject to control in the Russian Federation, approved by Decree of the Government of the Russian Federation of June 30, 1998 N 681 (Collected Legislation of the Russian Federation, 1998, N 27, item 3198; 2004, N 8, item 663; N 47, item 4666; 2006, N 29, item 3253).
* Prohibited for use by private practitioners.
** Prohibited for use by private practitioners.

2. Substances of apomorphine hydrochloride, atropine sulfate, dicaine, homatropine hydrochloride, silver nitrate, pachycarpine hydroiodide.

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

Alprazolam (Xanax, Cassadan, Neurol)
Androstanolone (Androstenediol and its esters)
Androstenedione
Aceclidine
Barbital (Veronal)
Sodium barbital (Medinal)
Benactizine (Amizil)
Benzobarbital (Benzonal)
Bromazepam (Lexilium, Lexotan)
Bromisoval (Bromoural)
Brotizolam (Lendormin)
Hexobarbital and its salts (Geksenal)
Hyoscyamine base (camfonate, sulfate)
Diazepam (Apaurin, Relanium, Valium)
snake poison
Zolpidem (Ivadal)
Zopiclone (Imovan)
Carbachol (Carbachol)
Clonazepam (Antelepsin, Rivotril)
Clostebol and its esters
Clonidine (Clonidine, Gemiton)
Levomepromazine (Tizercin)
Lorazepam (Lorafen, Merlit)
Medazepam (Mezapam, Rudotel)
Mesocarb (Sydnocarb)
Arsenic anhydride and its derivatives
Meprobamate (Meprotan)
Mesterolone (Proviron)
Methandienone (Methandrostenolone, Nerobol)
Methenolone and its esters
Midazolam (Dormicum)
Nandrolone and its esters
Sodium arsenate (arsenite)
Nitrazepam (Eunoctin, Radedorm)
Novarsenol
Oxazepam (Nozepam, Tazepam)
Oxandrolone
Piperidine
Promeran
Propylhexedryl
Purified bee venom
ergot horns
Mercury diiodide (dichloride, oxycyanide, salicylate, cyanide)
Scopolamine hydrobromide (camphorate)
Strychnine nitrate
The amount of belladonna alkaloids
Stanozolol
Temazepam (Signopam)
Tetrazepam (Myolastan)
Sodium thiopental (Pentothal)
ephedra herb
Tramadol (Tramal)
Trihexyphenidyl (Cyclodol, Parkopan, Romparkin, Tryfen)
Trichloromethane (Chloroform, Chloroform for Anesthesia)
Phenobarbital (Luminal)
Feprozidine (Sidnofen)
Flunitrazepam (Rohypnol)
Fluoxymesterone
Flurazepam
Chlordiazepoxide (Elenium)
Chloroethyl
Chilibuha extract
Ergotal (a mixture of ergot alkaloids)
Estazolam
Diethyl ether (Ether for anesthesia, Ether for anesthesia stabilized, Medical ether)

4. Combined medicines:

Diazepam 10 mg + cyclobarbital 100 mg (Reladorm)
Pseudoephedrine hydrochloride 30 mg (or more) + paracetamol 250 mg + chlorpheniramine (chlorphenamine) maleate 2 mg (or more) + dextramethorphan hydrobromide more than 10 mg (capsules, tablets)
Pseudoephedrine hydrochloride 30 mg + paracetamol 250 mg + doxylamine succinate 6.25 mg + dextramethorphan hydrobromide over 10 mg (capsules)
Pseudoephedrine hydrochloride 60 mg + paracetamol 650 mg + chlorpheniramine (chlorphenamine) maleate 4 mg (powders)
Pseudoephedrine hydrochloride 20.2 mg + paracetamol 33.8 mg + dextramethorphan hydrobromide 1 mg in 5 ml (syrup)
Pseudoephedrine hydrochloride 60 mg + paracetamol 1000 mg + dextramethorphan hydrobromide 30 mg (powder)
Pseudoephedrine hydrochloride 30 mg + paracetamol + dextramethorphan hydrobromide 15 mg (or more) (tablets)
Pseudoephedrine hydrochloride 30 mg + guaifenesin hydrochloride 100 mg - 5 ml (syrup)
Pseudoephedrine hydrochloride 30 mg + guaifenesin 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 + bromhexine 8 mg (tablets)
Pseudoephedrine hydrochloride 30 mg (or more) + bromhexine 4 mg - 5 ml (oral solution)
Pseudoephedrine hydrochloride 120 mg + cetirizine dihydrochloride 5 mg (tablets)
Pseudoephedrine hydrochloride 120 mg + loratadine 5 mg (tablets)
Pseudoephedrine hydrochloride 60mg + chlorpheniramine (chlorphenamine) maleate 4mg (capsule)
Pseudoephedrine hydrochloride 20 mg (or more) + paracetamol 250 mg (or more) (all dosage forms)
Pseudoephedrine hydrochloride 30 mg + paracetamol 325 mg + guaifenazine 100 mg + dextramethorphan hydrobromide over 10 mg (tablets, syrup)
Pseudoephedrine hydrochloride 20 mg + paracetamol 500 mg + caffeine 10 mg (tablets)
Pseudoephedrine hydrochloride 15 mg + paracetamol 162.5 mg + terfenadine 15 mg (tablets)
Solutan (containing ephedrine hydrochloride 17.5 mg per 1 ml)
Chlordiazepoxide + amitriptyline (tablets)
Phenylpropanolamine 75 mg + benzocaine 9 mg (caps)
Phenylpropanolamine 75 mg + benzocaine 9 mg + 13 vitamins + 18 trace elements (capsules)
Phenylpropanolamine 16.7 mg + carbinoxamine maleate 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) + chlorpheniramine (chlorphenamine) maleate 4 mg (or more) (capsules, tablets)
Phenylpropanolamine 10 mg (or more) + chlorpheniramine (chlorphenamine) maleate 1 mg - 5 ml (syrup)
Phenylpropanolamine more than 10 mg + chlorpheniramine (chlorphenamine) maleate 1 mg (or more) + paracetamol - 5 ml (syrup)
Phenylpropanolamine 25 mg + chlorpheniramine (chlorphenamine) maleate 2 mg + paracetamol 500 mg (tablets)
Phenylpropanolamine 15 mg + chlorpheniramine (chlorphenamine) maleate 2 mg + acetylsalicylic acid 325 mg (effervescent tablets)
Phenylpropanolamine 25 mg + pheniramine maleate 25 mg (tablets, syrup)
Phenylpropanolamine 25 mg + chlorpheniramine (chlorphenamine) maleate 2 mg + paracetamol 500 mg + caffeine 30 mg (tablets)
Phenylpropanolamine 30mg + chlorpheniramine (chlorphenamine) maleate 25mg + paracetamol 500mg + caffeine 4mg (caps)
Ephedrine hydrochloride 20mg + phenobarbital 20mg + theophylline 50mg + theobromine 50mg + caffeine 50mg + amidopyrine 200mg + phenacetin 200mg + belladonna extract 4mg + cytisine 1mg (Teofedrine)
Ephedrine hydrochloride 20 mg + phenobarbital 20 mg + theophylline 100 mg + caffeine 50 mg + paracetamol 200 mg + belladonna extract 3 mg + cytisine 0.1 mg (Teofedrin-Ne, Teofedrin-N)
Ephedrine hydrochloride 20mg + phenobarbital 20mg + theophylline 100mg + caffeine monohydrate 50mg + paracetamol 300mg + belladonna extract 3mg (Neo-Theofedrine, Neo-phedrine)
Ephedrine hydrochloride 12 mg + phenobarbital 10 mg + theophylline 100 mg (T-Fedrin)
Ephedrine hydrochloride 5 mg + codeine dihydrogen phosphate 15 mg (codeine phosphate hemihydrate 14.36 mg) + atropine methobromide 0.5 mg + propyphenazone 150 mg + phenobarbital 20 mg + papaverine hydrochloride 30 mg (Spazmoveralgin, Spazmoveralgin-Neo)
Ephedrine hydrochloride 10mg + Diphenhydramine (Diphenhydramine) 10mg (tablets)

5. Other medicines:

Butorphanol tartrate (Butorphanol, Stadol, Moradol)
Clozapine (Leponex, Azaleptin)
Tianeptine (Coaxil)
Tramadol hydrochloride 37.5 mg + paracetamol 325 mg (Zaldiar)
Ethanol (Ethyl alcohol, Medical antiseptic solution)

Note. Medicines included in paragraphs 3 and 4 of the List of medicines subject to subject-quantitative accounting in pharmacies (organizations), wholesalers of medicines, medical institutions and private practitioners are included in List No. 1 " Potent substances" and list N 2 "Poisonous substances" of the Standing Committee for Drug Control, and are subject to special storage conditions in accordance with appendices 1 and 5 of the Order of the Ministry of Health of the Russian Federation of November 12, 1997 N 330 "On measures to improve accounting, storage, prescribing and Use of Narcotic Drugs and Psychotropic Substances" (by letter of the Ministry of Justice of the Russian Federation dated December 24, 1997 N 07-08 / 2293-97 recognized as not requiring state registration).

Appendix No. 2
to Order
dispensing medicines,
approved by Order
Ministry of Health
and social development
Russian Federation
dated December 14, 2005 N 785

ACT
on the destruction of prescriptions for obtaining narcotic drugs and psychotropic substances after the expiration of their storage *

Commission consisting of:

Chairman ______________

Commission members: _______________________________________
(position and full name)
_______________________________________
(position and full name)
_______________________________________
(position and full name)

made "__" ___ 200_ seized and destroyed in _______________
(name of company)
prescriptions for narcotic drugs and psychotropic
substances for _____________________:
(month year)

underline) ________________________________ prescription forms.
(number in numbers and words)

Commission Chairman: ____________________________
(signature)

Commission members: ____________________________
(signature)
____________________________
(signature)
____________________________
(signature)

* The act is issued monthly.

Appendix No. 3
to Order
dispensing medicines,
approved by Order
Ministry of Health
and social development
Russian Federation
dated December 14, 2005 N 785

ACT
on the destruction of prescriptions for obtaining medicines subject to subject-quantitative accounting, medicines included in the List of medicines dispensed by prescription of a doctor (paramedic), as well as other medicines dispensed free of charge or at a discount, anabolic steroids after the expiration of their storage periods *

dated "__" ___________ 200_ N _______

Commission consisting of:
Chairman ___________________________________________________________
(position and full name)
members of the commission: __________________________________________________
(position and full name)

(position and full name)
__________________________________________________________________
(position and full name)
made "__" ___________________ 200_, seizure and destruction in
__________________________________________________________________
(name of company)
prescriptions for medicines subject to
subject-quantitative accounting, medicines included
to the list of prescription drugs
(paramedic), as well as other medicines sold
free or discounted anabolic steroids after
their storage time:
1) prescriptions for medicines subject to
subject-quantitative accounting, for _________________ in the amount
(month year)
________________________ things;
(in numbers and words)
2) prescriptions for medicines included in
List of prescription drugs
(paramedic), for ______________ in the amount of ______________________

things;
3) prescriptions for medicines dispensed
free or at a discount, for _______________________ in the amount
(month year)
______________________ things;
(in numbers and words)
4) prescriptions for anabolic steroids for
______________ in the amount of ______________________ pieces.
(month, year) (in numbers and words)

Total according to the act destroyed by burning or tearing and
subsequent soaking in a solution of bleach (desired
underline) _______________________ recipes.
(number - in numbers and words)

Chairman of the commission: _________________________
(signature)

Commission members: _________________________
(signature)
_________________________
(signature)
_________________________
(signature)

*The act is issued monthly.

Appendix No. 4
to Order
dispensing medicines,
approved by Order
Ministry of Health
and social development
Russian Federation
dated December 14, 2005 N 785

Ministry of Health and Social Development of the Russian Federation
______________________________
(name of institution
(organizations))

LOG for incorrectly written prescriptions

Note. Information about violations in the issuance of prescriptions is brought to the attention of the head of the relevant medical institution at least once a month.

Appendix No. 5
to Order
dispensing medicines,
approved by Order
Ministry of Health
and social development
Russian Federation
dated December 14, 2005 N 785

Signature*

Name of governing body
health care or
pharmaceutical activities
subject of the Russian Federation

Name or N of the pharmacy institution (organization) ..............
............................... Recipe N ......... ........
FULL NAME. and age of the patient

Address or outpatient medical card number ..................................
FULL NAME. doctor, telephone number of the medical institution .......
..................................................................
Contents of the recipe in Latin ..............................................
..................................................................
..................................................................
..................................................................
..................................................................
..................................................................
..................................................................
..................................................................
Prepared ................................................ ......
Checked ................................................. ........
Released .............................................. ........
The date..............
Price..............

* To repeat the dispensing of the medicinal product, it is required new recipe doctor.

Note. The signature must be 80 mm x 148 mm and yellow color at least 10 mm wide.

It does not work Edition from 14.12.2005

Document name	ORDER of the Ministry of Health and Social Development of the Russian Federation dated December 14, 2005 N 785 "ON THE PROCEDURE FOR THE DISPENSING OF DRUGS"
Type of document	order, list, order
Host body	Ministry of Health and Social Development of the Russian Federation
Document Number	785
Acceptance date	01.01.1970
Revision date	14.12.2005
Registration number in the Ministry of Justice	7353
Date of registration in the Ministry of Justice	01.01.1970
Status	It does not work
Publication	"Rossiyskaya Gazeta", N 10, 01/20/2006 "Bulletin of normative acts of federal executive bodies", N 5, 30.01.2006
Navigator	Notes

ORDER of the Ministry of Health and Social Development of the Russian Federation dated December 14, 2005 N 785 "ON THE PROCEDURE FOR THE DISPENSING OF DRUGS"

Medicines subject to subject-quantitative accounting in pharmacies (organizations), wholesale trade in medicines, medical institutions and private practitioners, the List of which is provided in Appendix No. 1 to this Procedure (hereinafter referred to as medicines subject to subject-quantitative accounting) written out on prescription forms of form N 148-1 / y-88;

Medicines included in the List of medicines dispensed by prescription of a doctor (paramedic) when providing additional free medical care to certain categories of citizens eligible for state social assistance, approved by Order of the Ministry of Health and Social Development of the Russian Federation dated September 28, 2005 N 601 (registered with the Ministry of Justice of the Russian Federation on September 29, 2005 N 7052) prescription forms of form N 148-1 / y-04 (l));

Anabolic steroids prescribed on prescription forms N 148-1 / y-88;

The rest of the drugs that are not included in the List of drugs sold without a doctor's prescription, written out on prescription forms of form N 107 / y.

2.3. Prescriptions for narcotic drugs and psychotropic substances included in Schedule II of the List are valid for five days.

Prescriptions for psychotropic substances included in Schedule III of the List; medicines subject to subject-quantitative accounting; anabolic steroids are valid for ten days.

Prescriptions for medicines included in the List of medicines dispensed by prescription of a doctor (paramedic), as well as other medicines dispensed free of charge or at a discount, with the exception of prescriptions for narcotic drugs and psychotropic substances included in List II of the List, for psychotropic substances , included in List III of the List, for drugs subject to subject-quantitative accounting, for anabolic steroids are valid for one month.

Prescriptions for other medicines are valid for two months from the date of issue of the prescription and up to one year in accordance with paragraph 2.19 of the Instructions on the procedure for prescribing medicines and writing prescriptions for them, approved by Order of the Ministry of Health of the Russian Federation dated August 23, 1999 N 328 ( hereinafter - Instruction).

If the dosage of the medicinal product available in the pharmacy institution (organization) exceeds the dosage indicated in the doctor's prescription, the decision to dispense the medicinal product to the patient is made by the doctor who issued the prescription.

The patient is provided with information about changing the single dose of the drug.

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

At the same time, the drug should be dispensed in a pharmacy package with the obligatory indication of the name, manufacturer's series, expiration date of the drug, series and date according to the laboratory packing journal and providing the patient with other necessary information (instruction, leaflet, etc.).

Violation of the primary factory packaging of medicines is not allowed.

At the next visit of the patient to the pharmacy institution (organization), marks on the previous receipt of the drug are taken into account. Upon expiration of the prescription, the prescription is canceled with the stamp "Recipe is invalid" and left at the pharmacy institution (organization).

2.10. In exceptional cases (leaving the patient out of town, the inability to regularly visit a pharmacy institution (organization), etc.), pharmaceutical workers of a pharmacy institution (organization) are allowed to make a one-time dispensing of a medicinal product prescribed by a doctor according to prescriptions valid for one year, in the amount necessary for treatment within two months, with the exception of drugs subject to subject-quantitative accounting.

When dispensing a medicinal product included in the List of medicinal products dispensed by prescription of a doctor (paramedic), as well as another medicinal product dispensed free of charge or at a discount, an employee of a pharmacy institution (organization) may carry out a synonymous replacement of the medicinal product in agreement with the doctor who issued the prescription .

2.12. Prescriptions for medicines marked "statim" (immediately) are served within a period not exceeding one working day from the moment the patient contacts the pharmacy institution (organization).

Prescriptions for medicines marked "cito" (urgently) are served within a period not exceeding two working days from the moment the patient contacts the pharmacy institution (organization).

Prescriptions for medicines included in the minimum assortment of medicines are served within a period not exceeding five working days from the moment the patient contacts the pharmacy institution (organization).

Prescriptions for medicines prescribed by decision of the medical commission approved by the head doctor of the medical institution are served within a period not exceeding fifteen working days from the date the patient contacts the pharmacy institution (organization).

2.14. Prescriptions for medicines subject to subject-quantitative accounting; medicines included in the List of medicines dispensed by prescription of a doctor (paramedic), as well as other medicines dispensed free of charge or at a discount; anabolic steroids remain in the pharmacy institution (organization) for subsequent separate storage and destruction after the expiration of the storage period.

2.15. In a pharmacy institution (organization), the conditions for the preservation of prescriptions for medicines that are subject to subject-quantitative accounting must be ensured; medicines included in the List of medicines dispensed by prescription of a doctor (paramedic), as well as other medicines dispensed free of charge or at a discount; anabolic steroid.

2.16. The shelf life of prescriptions in a pharmacy institution (organization) is:

For medicines included in the List of medicines dispensed by prescription of a doctor (paramedic), as well as other medicines dispensed free of charge or at a discount - five years;

For narcotic drugs and psychotropic substances included in List II of List III of the List - ten years;

For medicinal products subject to subject-quantitative accounting, with the exception of narcotic drugs and psychotropic substances included in List II of List III of the List; anabolic steroids - three years.

The procedure for the destruction of prescriptions left in a pharmacy institution (organization) after the expiration of the established storage periods, and the composition of the commission for their destruction may be determined by the health authorities or pharmaceutical activities of the constituent entity of the Russian Federation.

2.17. Good quality medicines purchased by citizens are not subject to return or exchange in accordance with the List of non-food products of good quality that are not subject to return or exchange for a similar product of other size, shape, size, style, color or configuration, approved by the Decree of the Government of the Russian Federation of January 19, 1998 No. 55 (Collected Legislation of the Russian Federation, 1998, No. 4, Art. 482; No. 43, Art. 5357; 1999, No. 41, Art. 4923; 2002, No. 6, Art. 584; 2003, No. 29, Art. 2998, 2005, N 7, item 560).

It is not allowed to re-dispense (sale) medicines recognized as goods of inadequate quality and returned by citizens for this reason.

2.18. Prescriptions for tranquilizers that are not subject to subject-quantitative accounting; antidepressants, neuroleptics; Alcohol-containing medicinal products of industrial production are redeemed with the stamp of the pharmacy institution (organization) "The medicine is dispensed" and returned to the patient's hands.

To re-dispense the drug, the patient must consult a doctor for a new prescription.

2.19. Incorrectly written prescriptions remain in the pharmacy institution (organization), are canceled with the stamp "Recipe is invalid" and registered in the journal, the form of which is provided for in Appendix No. 4 to this Procedure, and returned to the patient's hands.

Information about all incorrectly issued prescriptions is brought to the attention of the head of the relevant medical institution.

2.20. Pharmacy institutions (organizations) keep separate records of medicines included in the List of medicines dispensed by prescription of a doctor (paramedic), dispensed to citizens residing in the territory of the corresponding subject of the Russian Federation, and citizens temporarily staying in the territory of this subject of the Russian Federation.

III. Requirements for the release of narcotic drugs and psychotropic substances; medicines subject to subject-quantitative accounting; anabolic steroids

3.1. Drugs and psychotropic substances included in List II of the List, and psychotropic substances included in List III of the List are subject to dispensing by pharmacies (organizations).

Assignment of an outpatient clinic to a pharmacy institution (organization) may be carried out by the health management or pharmaceutical activities of a constituent entity of the Russian Federation in agreement with the territorial authority for control over the circulation of narcotic drugs and psychotropic substances.

Psychotropic substances included in List III of the List, drugs subject to subject-quantitative accounting, anabolic steroids included in the List of drugs dispensed by prescription of a doctor (paramedic), as well as dispensed free of charge or at a discount, are dispensed upon presentation of a prescription issued for prescription form N 148-1 / y-88, and a prescription written out on a prescription form of form N 148-1 / y-04 (l).

3.7. Pharmacy institutions (organizations) are prohibited from dispensing narcotic drugs and psychotropic substances included in List II of List III of the List; medicines subject to subject-quantitative accounting; anabolic steroids prescribed by veterinary medical organizations for the treatment of animals.

3.9. A pharmacist of a pharmacy institution (organization), upon receipt of a prescription for a medicinal prescription of individual manufacture, is obliged to dispense a medicinal product subject to subject-quantitative accounting in half of the highest single dose in case the doctor fails to comply with the established rules for issuing a prescription or in case the doctor prescribes medicines in a dose exceeding the highest single dose.

3.11. Ethyl alcohol is released:

According to prescriptions issued by doctors with the inscription "For applying compresses" (indicating the necessary dilution with water) or "For skin treatment" - up to 50 grams in its pure form;

According to prescriptions issued by doctors for a medicinal prescription of individual production - up to 50 grams in a mixture;

According to prescriptions issued by doctors for a medicinal prescription of individual production, with the inscription "For a special purpose", a separately certified signature of the doctor and the seal of the medical institution "For prescriptions", for patients with a chronic course of the disease - up to 100 grams in a mixture.

IV. Control over the dispensing of medicines by pharmacies (organizations)

4.2. External control over compliance by pharmacies (organizations) with the procedure for dispensing medicines is carried out by the Federal Service for Supervision in the Sphere of Health and Social Development and bodies for controlling the circulation of narcotic drugs and psychotropic substances within their competence.

Applications

Appendix No. 1
to Order

approved by Order
Ministry of Health
and social development
Russian Federation
dated December 14, 2005 N 785

Appendix No. 1. LIST OF MEDICINES SUBJECT TO QUANTITATIVE RECORDING IN PHARMACY INSTITUTIONS (ORGANIZATIONS), ORGANIZATIONS WHOLESALE TRADE OF MEDICINES, MEDICAL INSTITUTIONS AND PRIVATE PRACTITIONERS

1. Narcotic drugs and psychotropic substances included in Schedule II, and psychotropic substances included in Schedule III of the List of narcotic drugs, psychotropic substances and their precursors subject to control in the Russian Federation, approved by Decree of the Government of the Russian Federation of June 30, 1998 N 681<*>(Collected Legislation of the Russian Federation, 1998, N 27, Art. 3198; 2004, N 8, Art. 663; N 47, Art. 4666).

2. Substances included in the List of precursors, the import (export) of which is carried out by state unitary enterprises in the presence of a license for the specified type of activity, approved by Decree of the Government of the Russian Federation of August 6, 1998 N 890<*>(Sobraniye zakonodatelstva Rossiyskoy Federatsii, 1998, N 33, item 4008).

<*>Prohibited for use by private practitioners.

3. Drugs included in the list N 1 "Strong substances" of the Standing Committee on Narcotics Control.

4. Drugs included in the list N 2 "Poisonous substances" of the Standing Committee on Narcotics Control.

5. Substances of apomorphine hydrochloride, atropine sulfate, dicaine, homatropine hydrochloride, silver nitrate, pachycarpine hydroiodide.

6. Ethyl alcohol.

7. Medical antiseptic solution.

8. Clozapine (Leponex, Azaleptin).

9. Butorphanol (Stadol, Moradol).

Appendix No. 2
to Order
dispensing medicines,
approved by Order
Ministry of Health
and social development
Russian Federation
dated December 14, 2005 N 785

Annex N 2

ACT \r\n on the destruction of prescriptions for obtaining \r\n narcotic drugs and psychotropic substances \r\n after the expiration of their storage<*>\r\n \r\ndated "__" ___________ 200_ N _______ \r\n \r\nCommission consisting of: \r\n \r\n Chairman _____________________________________________________ \r\n (position and full name . in full) \r\n \r\nMembers of the Commission: _______________________________________ \r\n (position and full name) \r\n _______________________________________ \r\n (position and full name) \ r\n _______________________________________ \r\n (position and full name) \r\n \r\nproduced "__" ___ 200_ seizure and destruction in _______________ \r\n (name \r\n organization ) \r\nprescriptions for obtaining narcotic drugs and psychotropic \r\nsubstances for _____________________: \r\n (month, year) \r\n

\r\n Total according to the act, destroyed by burning or tearing and \r\nsubsequent soaking in a solution of bleach (underline as necessary) ________________________________ prescription forms. \r\n (number in figures and words) \r\n \r\nChairman of the commission: ____________________________ \r\n (signature) \r\n \r\nMembers of the commission: ____________________________ \r\n (signature) \r\n ____________________________ \r\n (signature) \r\n ____________________________ \r\n (signature) \r\n \r\n \r\n<*>

Appendix No. 3
to Order
dispensing medicines,
approved by Order
Ministry of Health
and social development
Russian Federation
dated December 14, 2005 N 785

Appendix N 3. Act on the destruction of prescriptions for receiving drugs to be subject to subject-quality accounting, drugs included in the list of drugs released according to the prescription of the doctor (paramedic), as well as other drugs released for free or with a discount, after expiration, after expiration THEIR SHELF LIFE List of medicines dispensed \r\nby prescription of a doctor (paramedic), as well as other medicines \r\ndispensed free of charge or at a discount: \r\n 1. Prescriptions for obtaining potent and poisonous substances \r\nlists Standing Committee on Narcotics Control for ___________ \r\n (month, \r\n year) \r\n in the amount of _________ pieces. \r\n (in numbers and words) \r\n 2. Prescriptions for medicines included in the \r\nList of medicines dispensed by prescription \r\n (medical assistant), for ______________ in the amount of _________ \r\ n (month, year) (in numbers and words) \r\npieces. \r\n 3. Prescriptions for medicines dispensed \r\n free of charge or at a discount, for ______________ in the amount of _________ \r\n (month, year) \r\n_________ pieces. \r\n (in numbers and words) \r\n 4. Prescriptions for apomorphine hydrochloride, atropine \r\nsulfate, dicaine, homatropine hydrochloride, silver nitrate, \r\npachycarpine hydroiodide (in pure form and in mixture) for _____________ \r\n (month, year) \r\nin the amount of _________ pieces. \r\n (in numbers and words) \r\n 5. Prescriptions for ethyl alcohol and medical antiseptic solution \r\n for ______________ in the amount of _____ \r\n (month, year) \r\n________________________ pieces. \r\n (in numbers and words) \r\n 6. Prescriptions for clozapine and butorphanol for ___________ \r\n (month, \r\n year) \r\n in the amount of _________ pieces. \r\n (in numbers and words) \r\n 7. Prescriptions for anabolic steroids (indicating \r\n names) for ______________ in the amount of _____________________ \r\n (month, year) (in numbers and words) \r \npieces. \r\n \r\n Total, according to the act, destroyed by burning or tearing and \r\nsubsequently soaking in a solution of bleach (underline as necessary) _______________________________________________ prescription \r\n (number in numbers and words) \r\nforms. \r\n \r\nChairman of the commission: ____________________________ \r\n (signature) \r\n \r\n Members of the commission: ____________________________ \r\n (signature) \r\n ____________________________ \r\n (signature) \ r\n ____________________________ \r\n (signature) \r\n \r\n \r\n<*>The act is issued monthly. \r\n \r\n \r\n

7 8

Note.

Information about violations in the issuance of prescriptions is brought to the attention of the head of the relevant medical institution at least once a month.

Appendix No. 5
to Order
dispensing medicines,
approved by Order
Ministry of Health
and social development
Russian Federation
dated December 14, 2005 N 785

Annex N 5. SIGNATURE

Signature<*>\r\n \r\nName of the governing body \r\nhealth care or \r\npharmaceutical activities \r\nsubject of the Russian Federation \r\n \r\nName or N of the pharmacy institution (organization) ......... ... \r\n............................ Recipe N .. ............... \r\nFull name and age of the patient ........................................ \r\n... ................................................. ............. \r\n Address or number of the medical outpatient card .............. \r\nFull name . doctor, phone number of the medical institution...... \r\n................................ ................................. \r\nContents of the recipe in Latin ........ ....................\r\n.......................... .........................................\r\n...... ................................................. ..........\r\n.................................. ............................. \r\n ................ ................................................. \r\n ............................................... ....................\r\n.......................... .........................................\r\n...... ................................................. .......... \r\nCooked..................................... ...................\r\nChecked...................... .............................\r\nLet go................ ......................................... \r\nDate..... ......... \r\nPrice...... \r\n \r\n \r\n<*>A new \r\n doctor's prescription is required to repeat the dispensing of a medicinal product. \r\n \r\n \r\n The signature must be 80mm x 148mm and have a yellow stripe \r\nat least 10mm wide. \r\n

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ORDER of the Ministry of Health and Social Development of the Russian Federation dated 14-12-2005 785 ON THE ORDER OF DRUG DISPENSING (2017) Relevant in 2018

II. General requirements for dispensing medicines

2.2. According to prescriptions issued on prescription forms, the forms of which are approved by 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), pharmacy institutions (organizations) dispense:

Narcotic drugs and psychotropic substances included in Schedule II of the List of narcotic drugs, psychotropic substances and their precursors subject to control in the Russian Federation, approved by Decree of the Government of the Russian Federation of June 30, 1998 N 681 (Collected Legislation of the Russian Federation, 1998, N 27, 3198; 2004, N 8, item 663; N 47, item 4666) (hereinafter referred to as the List), issued on special prescription forms for a narcotic drug;

Psychotropic substances included in List III of the List, written out on prescription forms of form N 148-1 / y-88;