ORDER OF THE MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION

of January 14, 2019 No. 4n

About approval of procedure for prescription of medicines, forms of prescription forms on medicines, procedure for execution of the specified forms, their accounting and storage

According to Item 16 of part 2 of article 14 of the Federal Law of November 21, 2011 No. 323-FZ "About bases of protection of public health in the Russian Federation" (The Russian Federation Code, 2011, No. 48, Art. 6724; 2013, No. 48, Art. 6165; 2014, No. 30, Art. 4257; No. 49, Art. 6927; 2015, No. 10, Art. 1425; No. 29, Art. 4397; 2016, No. 1, Art. 9; No. 15, Art. 2055; No. 18, Art. 2488; No. 27, Art. 4219; 2017, No. 31, Art. 4791; No. 50, Art. 7544, 7563) and subitems 5.2. 177, 5.2.179 and 5.2.180 Regulations on the Ministry of Health of the Russian Federation, No. 608 approved by the order of the Government of the Russian Federation of June 19, 2012 (The Russian Federation Code, 2012, No. 26, Art. 3526; 2013, No. 16, Art. 1970; No. 20, Art. 2477; No. 22, Art. 2812; No. 33, Art. 4386; No. 45, Art. 5822; 2014, No. 12, Art. 1296; No. 26, Art. 3577; No. 30, Art. 4307; No. 37, Art. 4969; 2015, No. 2, Art. 491; No. 12, Art. 1763; No. 23, Art. 3333; 2016, No. 2, Art. 325; No. 9, Art. 1268; No. 27, Art. 4497; No. 28, Art. 4741; No. 34, Art. 5255; No. 49, Art. 6922; 2017, No. 7, Art. 1066; No. 33, Art. 5202; No. 37, Art. 5535; No. 40, Art. 5864; No. 52, Art. 8131; 2018, No. 13, Art. 1805; No. 18, Art. 2638; No. 36, Art. 5634; to No. 41, of the Art. 6273), I order:

1. Approve:

procedure for prescription of medicines according to appendix No. 1;

forms of prescription forms on medicines according to appendix No. 2;

procedure for execution of prescription forms on medicines, their accounting and storage according to appendix No. 3.

2. Recognize invalid:

the order of the Ministry of Health of the Russian Federation of December 20, 2012 No. 1175n "About approval of procedure for appointment and writing out of medicines, and also forms of prescription forms on medicines, procedure for execution of the specified forms, their accounting and storage" (registration No. 28883) is registered by the Ministry of Justice of the Russian Federation on June 25, 2013;

Item of 2 changes which are made to the Procedure for creation and activities of the medical commission of the medical organization approved by the order of the Ministry of Health and Social Development of the Russian Federation of May 5, 2012 No. 502n and in the Procedure for appointment and writing out of the medicines approved by the order of the Ministry of Health of the Russian Federation of December 20, 2012 No. 1175n, approved by the order of the Ministry of Health of the Russian Federation of December 2, 2013 No. 886n (registration No. 30714) is registered by the Ministry of Justice of the Russian Federation on December 23, 2013;

the order of the Ministry of Health of the Russian Federation of June 30, 2015 No. 386n "About modification of appendices to the order of the Ministry of Health of the Russian Federation of December 20, 2012 No. 1175n "About approval of procedure for appointment and writing out of medicines, and also forms of prescription forms on medicines, procedure for execution of the specified forms, their accounting and storage" (registration No. 38379) is registered by the Ministry of Justice of the Russian Federation on August 6, 2015;

Item of 1 changes which are made to the order of the Ministry of Health of the Russian Federation of December 20, 2012 No. 1175n "About approval of procedure for appointment and writing out of medicines, and also forms of prescription forms on medicines procedure for execution of the specified forms, their accounting and storage" and appendix No. 2 to the order of the Ministry of Health of the Russian Federation of August 1, 2012 No. 54n "About approval of blank form of the recipes containing purpose of drugs or psychotropic substances, procedure for their production, distribution, registration, accounting and storage, and also rules of registration", approved by the order of the Ministry of Health of the Russian Federation of April 21, 2016 No. 254n (registration No. 42887) is registered by the Ministry of Justice of the Russian Federation on July 18, 2016;

Item of 5 changes which are made to some orders of the Ministry of Health and Social Development of the Russian Federation and Ministry of Health of the Russian Federation concerning the address of the medicines containing drugs, psychotropic substances and their precursors and the medicines which are subject subject quantitatively to accounting, approved by the order of the Ministry of Health of the Russian Federation of October 31, 2017 No. 882n (registration No. 49561) is registered by the Ministry of Justice of the Russian Federation on January 9, 2018.

Appendix No. 1

to the Order of the Ministry of Health of the Russian Federation of January 14, 2019 No. 4n

Procedure for prescription of medicines

I. General provisions

1. This procedure establishes rules of prescription of medicines for medical application (further - medicines) and registrations of their appointment in case of delivery of health care in the medical organizations <1>.

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<1> Item 11 of article 2 of the Federal Law of November 21, 2011 No. 323-FZ "About bases of protection of public health in the Russian Federation" (The Russian Federation Code, 2011, No. 48, Art. 6724; 2016, No. 1, Art. 9, 28; 2017, No. 31, Art. 4791).

2. Prescription of medicines is performed by the attending physician, the paramedic, the midwife in case of assignment of powers of the attending physician on them according to the procedure, No. 252n established by the order of the Ministry of Health and Social Development of the Russian Federation of March 23, 2012 "About approval of the Procedure for assignment on the paramedic, the midwife by the head of the medical organization under the organization of rendering primary health care and emergency medical service of separate functions of the attending physician for direct delivery of health care to the patient during observation of it and its treatment, including to destination and to use of medicines, including narcotic medicines and psychotropic medicines" <2>, the individual entrepreneurs performing medical activities (further - health workers).

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<2> Registration No. 23971, with the changes made by the order of the Ministry of Health of the Russian Federation of October 31, 2017 No. 882n is registered by the Ministry of Justice of the Russian Federation on April 28, 2012 (registration No. 49561) is registered by the Ministry of Justice of the Russian Federation on January 9, 2018.

3. Data on the appointed medicine (the name of medicine, dosage, method of introduction and application, the dispensing mode, duration of treatment and reasons for purpose of medicine) are introduced by the health worker in medical documentation of the patient.

In the cases specified in Items 9 - 12 presents About, the health worker draws up prescription of medicines, including subject to production and leave by the pharmaceutical organizations (further - medicines of individual production), on the prescription form which is drawn up on paper behind the signature (further - the recipe on paper), and (or) with the consent of the patient or his legal representative <3> on the prescription form in electronic form with use of the strengthened qualified digital signature of the health worker (further - the recipe in electronic form).

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<3> concerning person specified regarding the 2nd article 20 of the Federal Law of November 21, 2011 to No. 323-FZ "About bases of protection of public health in the Russian Federation" (The Russian Federation Code, 2011, No. 48, Art. 6724; 2013, No. 48, Art. 6165; 2017, No. 31, Art. 4791).

The recipe in electronic form containing purpose of drugs or psychotropic substances is signed with use of the strengthened qualified digital signature of the attending physician or the paramedic, the midwife to whom functions of the attending physician, and the relevant medical organization <4> are assigned.

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