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Ministry of Justice of Ukraine

October 12, 2016

No. 1355/29485

ORDER OF THE MINISTRY OF HEALTH OF UKRAINE

of September 29, 2016 No. 1011

About approval of the Method of calculation of need for medicines of the replacement supporting therapy for treatment of persons sick with mental and behavioural disturbances owing to the use of opioids

According to the subitem 4 of Item 11 of appendix 2 to the Nation-wide target social program of counteraction to HIV infection/AIDS for 2014-2018 approved by the Law of Ukraine of October 20, 2014 No. 1708-VII, Item 2 of the Procedure for performing the replacement supporting therapy of patients with opioid dependence, the Ministry of Health of Ukraine approved by the order of March 27, 2012 No. 200, registered in the Ministry of Justice of Ukraine on June 5, 2012 on No. 889/21201 (in edition of the order of the Ministry of Health of Ukraine of December 17, 2015 to No. 863), and for the purpose of rational requirement planning in medicines of replacement therapy I order:

1. Approve the Method of calculation of need for medicines of the replacement supporting therapy for treatment of persons sick with mental and behavioural disturbances owing to the use of opioids (further - the Technique) which is applied.

2. To provide to the Minister of Health of the Autonomous Republic of Crimea, heads of structural divisions concerning health care of the regional, Kiev and Sevastopol city public administrations implementation and observance of the Technique when calculating need for medicines of the replacement supporting therapy for treatment of persons sick with mental and behavioural disturbances owing to the use of opioids, in subordinate organizations.

3. To provide to management of public health of the Ministry of Health of Ukraine (N.V.'s Piven) submission of this order in accordance with the established procedure on state registration in the Ministry of Justice of Ukraine.

4. To impose control of execution of this order on the deputy minister concerning the European integration Sivak A. V.

5. This order becomes effective from the date of its official publication.

Acting minister

V. Suprun

Approved by the Order of the Ministry of Health of Ukraine of September 29, 2016 No. 1011

Method of calculation of need for medicines of the replacement supporting therapy for treatment of persons sick with mental and behavioural disturbances owing to the use of opioids

I. General provisions

1. This Technique establishes the mechanism of calculation of need for medicines of the replacement supporting therapy (further - ZPT) according to tasks and actions for accomplishment of the Nation-wide target social program of counteraction to HIV infection / AIDS for 2014 - 2018 approved by the Law of Ukraine of October 20, 2014 No. 1708-VII (further - the national program), the Law of Ukraine "About counteraction to spread of the diseases caused by the human immunodeficiency virus (HIV), both legal and social protection of the people living with HIV".

This Technique is used for calculation of annual requests of the Minister of Health of the Autonomous Republic of Crimea, heads of structural divisions concerning health care of the regional, Kiev and Sevastopol city public administrations according to Item 2 of the Procedure for performing the replacement supporting therapy of patients with opioid dependence, the Ministry of Health of Ukraine approved by the order of March 27, 2012 with No. 200, registered in the Ministry of Justice of Ukraine on June 5, 2012 on No. 889/21201 (in edition of the order of the Ministry of Health of Ukraine of December 17, 2015 No. 863).

2. This Technique provides:

introduction of the standardized approaches to determination of the need of administrative and territorial units for medicines ZPT for providing continuity of ZPT for the predicted period;

forming of need for medicines ZPT for the predicted period in quantitative and cost measurements;

determination and accounting of remaining balance of medicines ZPT as of the first in which calculations are perfromed;

accounting of the guaranteed receipts of medicines ZPT according to the schedules of distribution of medicines ZPT approved by orders of the Ministry of Health of Ukraine;

accounting of ratios between dosages of the medicines ZPT necessary for forming average recommended and individual doses to persons receiving medical treatment;

cost determination of unit of medicines ZPT;

calculation of need for medicines ZPT for the predicted period;

implementation of centralized purchases of medicines ZPT for funds of the government budget for the predicted period taking into account requirements of administrative and territorial units and Natsprogramma within financial quota.

3. When calculating actual demand in medicines ZPT the number of faces sore with mental and behavioural disturbances owing to the use of opioids which continuously receive medical treatment by medicines ZPT as of the first in which calculations are perfromed is specified.

When calculating total requirement in medicines ZPT it is necessary to be guided by tasks and actions of Natsprogramma according to whom by services ZPT for 2017 at least 27,5 of % and - at least 35% of consumers of the injecting drugs which are under dispensary observation owing to the use of opioids shall be covered 2018.

Increase in scope of persons sick with opioid dependence, services ZPT is recommended for all administrative and territorial units within certain amount of financing (further - financial quota). Additional financing for requirements satisfaction of administrative and territorial units in medicines ZPT in the amounts exceeding financial quota shall be performed at the expense of means of local budgets, charitable organizations, philanthropists, patients and from other sources.

4. For calculation of needs for products of ZPT the electronic form of calculation in format of the table Microsoft Excel according to appendix to this Technique separately is used for:

methadone medicine hydrochloride of the tableted form;

buprenorphine medicine hydrochloride, tablets sublingual;

methadone medicine hydrochloride, solution oral.

II. Algorithm of determination of basic data for calculation of need for medicines of the replacement supporting therapy

1. Data for electronic form are entered by the responsible person designated by the order of the Minister of Health of the Autonomous Republic of Crimea, heads of structural divisions concerning health care of the regional, Kiev and Sevastopol city public administrations (further - the responsible person), only in cells which are painted over in green color.

2. Before filling of the table the administrative and territorial unit for which calculations, date of creation of the order and contact information of the responsible person are made is noted.

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