ORDER OF THE GOVERNMENT OF THE REPUBLIC OF MOLDOVA

of December 23, 2005 No. 1372

About procedure for compensation of medicines according to conditions of compulsory medical insurance

Based on part (2) article 18 of the Law on pharmaceutical activities No. 1456-XII of May 25, 1993. (The official monitor of the Republic of Moldova, 1993, No. 7, the Art. 210) DECIDES: the Government

1. Approve:

Regulations on procedure for purpose of the compensated medicines for out-patient treatment of persons registered at the family doctor according to appendix No. 1;

The standard agreement about leave of persons registered at the family doctor of the compensated medicines from funds of compulsory medical insurance according to appendix No. 2.

2. To the Ministry of Health, work and social protection, the National company of medical insurance and to the Agency on drugs and medical products to develop and approve the corresponding regulations and to take other necessary measures for accomplishment of this resolution.

3. The national company of medical insurance quarterly to submit to the Ministry of Finance the report on use of financial resources for covering of cost of the compensated medicines released to persons, registered at the family doctor.

Appendix No. 1

to the Order of the Government of the Republic of Moldova of December 23, 2005 No. 1372

Regulations on procedure for purpose of the compensated medicines for out-patient treatment of persons registered at the family doctor

I. General provisions

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

2. The list of the medicines compensated from funds of compulsory medical insurance (further - the list) which includes the fixed compensated amounts, affirms the Ministry of Health, work and social protection together with National medical insurance company (further - the Company).

3. The expenses connected with compensation of the medicines included in the list become covered at the expense of means of funds of compulsory medical insurance.

4. It is allowed to include in the list only general international names of medicines included in the State register of drugs, the National price catalog of the producer on drugs and made according to rules of the Proper production practice (Good Manufacturing Practices – GMP).

4-1. In departure from item 4 not approved medicines but permitted for placement in the pharmaceutical market based on part can be compensated (7) article 11 of the Law No. 1456-XII of May 25, 1993 on pharmaceutical activities, with establishment of term to 90 days for the applicant who shall approve medicine according to the existing regulations. In case of lack of distribution of the registration certificate of medicine before the termination of the established deadline, medicine is excluded from the List of the medicines compensated from funds of compulsory medical insurance.

5. The fixed compensated amounts for the medicines included in the list are estimated in the Company based on data on the retail prices on medicines provided by the National agency of public health with observance of the Methodology of calculation of fixed amounts approved by the joint order of the Ministry of Health, work and social protection and the Company.

II. Purpose of the compensated medicines

6. Have the right to appoint the compensated medicines family doctors, doctors-neuropathologists, psychiatrists, doctors-endocrinologists and pediatricians of the suppliers of medical care (further - suppliers) who signed the contract with the Company.

6-1. The company will claim and adapts the standard agreement for purpose of the compensated medicines suppliers of medical services who did not sign contracts on provision of medical care within compulsory medical insurance, according to provisions of the regulations approved after the conclusion of this agreement.

7. Suppliers approve with the Company the list of family doctors and doctors-neuropathologists, psychiatrists and doctors - the endocrinologists having the right to appoint the compensated medicines which will contain also their personal codes for inclusion in the automated information system.

8. Family doctors, doctors-neuropathologists, psychiatrists, doctors-endocrinologists and pediatricians appoint the compensated medicines only from among included in the list.

9. The compensated medicines included in the list (except for psychotropic, anticonvulsive and anti-diabetic drugs), are appointed to persons registered in the list of the family doctor, in accordance with the established procedure, only by the family doctor and the pediatrician on presentation of the identity certificate, with verification, as necessary, of the status of person in system of compulsory medical insurance by departure siding of electronic request in information system of the Company. Purpose of the psychotropic medicines included in the list is made by the family doctor and/or the psychiatrist, as necessary. Purpose of the anticonvulsive medicines included in the list is made by the family doctor, the doctor-neuropathologist and/or the psychiatrist, as necessary. Purpose of the oral and injection anti-diabetic medicines included in the list is performed by the family doctor and/or the doctor-endocrinologist, as necessary. 

10. The compensated medicines are written out according to the international name only on the standard forms of the recipe approved by the Ministry of Health, work and the social protection and the Company received from territorial agency of the Company based on the submitted application.

Disclaimer! This text was translated by AI translator and is not a valid juridical document. No warranty. No claim. More info