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ORDER OF THE GOVERNMENT OF THE REPUBLIC OF MOLDOVA

of February 23, 2022 No. 106

About appointment and leave of the compensated drugs and/or medical products for treatment in out-patient conditions of persons registered at the family doctor

Based on part provisions (5) Article 5 and part (2) article 7-1 of the Law No. 1585/1998 on compulsory medical insurance (The official monitor of the Republic of Moldova, 1998, Art. No. 38-39, 280), with subsequent changes, DECIDES: the Government

1. Approve:

1) Regulations on appointment and leave of the compensated drugs and medical products for treatment in out-patient conditions of persons registered at the family doctor according to appendix No. 1;

2) Criteria of the conclusion of contracts with suppliers of pharmaceutical services in system of compulsory medical insurance, according to appendix No. 2;

3) the Standard agreement about leave of the drugs and/or medical products compensated from funds of compulsory medical insurance according to appendix No. 3.

2. Provide to national medical insurance company the conclusion of contracts with suppliers of pharmaceutical services according to provisions of this resolution.

3. Declare invalid the Order of the Government No. 1372/2005 about procedure for compensation of medicines according to conditions of compulsory medical insurance (The official monitor of the Republic of Moldova, 2005, Art. No. 176-181, 1477), with subsequent changes.

4. This resolution becomes effective from the date of publication in the Official monitor of the Republic of Moldova.

Prime Minister

Natalya Gavrilitsa

Countersign:

Minister of Health

 

Nemerenko is scarlet

Minister of Finance

Dmitry Budiyanski

 

Appendix No. 1

to the Order of the Government of the Republic of Moldova of February 23, 2022 No. 106

Regulations on appointment and leave of the compensated drugs and medical products for treatment in out-patient conditions of persons registered at the family doctor

I. General provisions

1. Regulations on appointment and leave of the compensated drugs and medical products in out-patient conditions of persons registered at the family doctor (further - the Provision) are developed for treatment for the purpose of establishment of procedure for appointment and leave of the compensated drugs and medical products to persons registered at the family doctor according to the Single program of compulsory medical insurance.

2. The list of the drugs and medical products compensated from funds of compulsory medical insurance (further - the List), including fixed amounts of their compensation, affirms the order of the Minister of Health and CEO of National medical insurance company and is published in the Official monitor of the Republic of Moldova.

3. Compensation of drugs and medical products from the List is performed within the financial resources provided in the law on funds of compulsory medical insurance for accounting year.

II. Purpose of the compensated drugs and medical products

4. Family doctors, doctors-neuropathologists, psychiatrists, doctors-endocrinologists and pediatricians (further - doctors with the appointment right) suppliers of the medical services which signed contracts with National medical insurance company have the right to appoint the compensated drugs.

5. The family doctors (further - doctors with the appointment right) working for suppliers of the medical services which signed contracts with National medical insurance company have the right to appoint the compensated products.

6. Suppliers of medical services represent National medical insurance company for inclusion in the database of National medical insurance company the list of doctors with the right of purpose of the compensated drugs and/or medical products which shall contain the following information: vendor code of medical services, surname, name, IDNP and profession of the doctor, employment date.

7. Suppliers of medical services inform National medical insurance company on change of the doctors this in the list with the right of appointment of the supplier (change of personal data, employment, the translation, dismissal, etc.) within 3 working days from the date of their approach.

8. Doctors with the right of appointment appoint the compensated drugs and/or medical products only from among included in the List, in case of presentation of the identity document of the patient, with verification, if necessary, of the status of person in system of compulsory medical insurance by sending an inquiry to the Automated information system "Compulsory medical insurance" of National medical insurance company.

9. To persons registered at the family doctor, the compensated drugs included in the List are appointed by the family doctor and/or the specialist doctor:

1) the pediatrician (in case of appointments to children);

2) the psychiatrist (in case of psychotropic and anticonvulsive drugs);

3) the neuropathologist (in case of anticonvulsive drugs);

4) the endocrinologist (in case of diabetes medicine).

10. Purpose of the compensated drugs is performed according to medical indications and recommendations about treatment in out-patient conditions of the patients staying on the registry at the family doctor, the pediatrician, the psychiatrist, the doctor-neuropathologist or the doctor-endocrinologist according to the regulations approved by the Minister of Health and the CEO of National medical insurance company.

11. After establishment of the diagnosis and the scheme of treatment the doctor with the right of appointment checks whether drugs enter the List, and performs their appointment on the form of the recipe for the compensated drugs.

12. The medical products included in the List are appointed by exclusively family doctor to persons registered at the family doctor according to indications and recommendations of specialists doctors, proceeding from each case.

13. The compensated drugs and medical products are written out on standard forms of the recipe approved by the order of the Minister of Health and CEO of National medical insurance company, the medical services received by the supplier on the basis of the statement from territorial agency of National medical insurance company.

14. The compensated drugs are appointed only according to the general international name, and medical products - according to the name, without specifying of the producer, model or other specifications.

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