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Order of the Ministry of Health 386 of June 30. For medical use, approved by order

ABOUT MAKING CHANGES

IN THE ORDER OF DETERMINING THE INITIAL (MAXIMUM) PRICE

CONTRACT, PRICE OF THE CONTRACT CONCLUDED WITH THE ONLY

BY THE SUPPLIER (CONTRACTOR, PERFORMER), WHEN IMPLEMENTING

PROCUREMENT OF MEDICINES FOR MEDICAL

APPLICATIONS APPROVED BY ORDER OF THE MINISTRY

HEALTH CARE OF THE RUSSIAN FEDERATION

I order:

Approve the attached changes that are made to the Procedure for determining the initial (maximum) price of a contract, the price of a contract concluded with a single supplier (contractor, performer) when purchasing medicines for medical use, approved by order of the Ministry of Health of the Russian Federation dated October 26, 2017. N 871н (registered by the Ministry of Justice of the Russian Federation on November 27, 2017, registration N 49016).

V.I.SKVORTSOVA

Approved

by order of the Ministry of Health

Russian Federation

CHANGES,

WHICH ARE INTRODUCED IN THE ORDER OF DETERMINING THE INITIAL

(MAXIMUM) PRICE OF THE CONTRACT, PRICE OF THE CONTRACT CONCLUDED

WITH A SINGLE SUPPLIER (CONTRACTOR, PERFORMER),

WHEN PURCHASING MEDICINES

FOR MEDICAL USE, APPROVED BY ORDER

MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION

1. In paragraph 2 footnote<1>invalidate.

2. Add clause 2.1 with the following content:

"2.1. When calculating the NMCC, wholesale markups, the amount of which should not exceed the maximum amounts of wholesale markups established by the executive authorities of the constituent entities of the Russian Federation (Article 63 of the Federal Law of April 12, 2010 N 61-FZ “On the Circulation of Medicines” (Collection of Legislation of the Russian Federation, 2010, No. 16, Art. 1815; 2015, No. 29, Art. 4367), are used when purchasing medicines that are included in the list of vital and essential medicines (except for cases of purchase from the manufacturer of medicines):

a) to meet federal needs, if the NMCC does not exceed ten million rubles, and also if the NMCC exceeds ten million rubles, provided that the price of a unit of a medicinal product planned for purchase does not exceed the price of such a medicinal product contained in the state register of maximum selling prices of manufacturers for medicinal products drugs included in the list of vital and essential drugs;

b) to meet the needs of a constituent entity of the Russian Federation, municipal needs, if the NMCC does not exceed the amount established by the highest executive body of state power of the constituent entity of the Russian Federation and is no more than ten million rubles, and also if the NMCC exceeds that established by the supreme executive body of state power of the constituent entity of the Russian Federation size or more than ten million rubles, provided that the price of a unit of a medicinal product planned for purchase does not exceed the price of such a medicinal product contained in the state register of maximum selling prices of manufacturers for medicinal products included in the list of vital and essential medicinal products.”

3. In paragraph 3:

a) in subparagraph “b”, replace the word “prisoners” with the word “executed”;

b) in subparagraph “c” in the footnote<3>the words “July 1, 2018” are replaced with the words “January 1, 2019”.

4. In paragraph four of paragraph 4:

a) replace the word “calculation” with the word “calculation 4.1”;

b) add a footnote<4.1>the following content:

«<4.1>Until July 1, 2019, data from concluded contracts excluding VAT are taken into account when calculating the price per unit of a medicinal product; after this date, data from executed contracts excluding VAT and wholesale markup are taken into account.”

5. Clause 5 should be stated as follows:

"5. For the price of a unit of a medicinal product planned for purchase, the customer accepts the minimum price value from the prices calculated by him while simultaneously using the methods provided for in paragraph 3 of this Procedure.”

6. In paragraph 9, the words “the maximum price provided” should be replaced with the words “the price is not higher than the maximum price provided.”

The Ministry of Health has changed the rules for calculating the NMCC for the purchase of medicines. The innovations came into force with the Order of the Ministry of Health of the Russian Federation dated June 26, 2018 No. 386n. The document introduces important changes to the Order of the Ministry of Health of the Russian Federation dated October 26, 2017 No. 871n.

What has changed in the calculations

First of all, the new Order of the Ministry of Health cancels footnote 1 in paragraph 2 of Order No. 871n. This means that customers will no longer reject or refuse to conclude a contract with a participant who offered a price higher than that indicated in the register of maximum selling prices for medicines and refuses to lower it (Clause 2, Part 10, Article 31 44-FZ). Let us remind you that this rule applies only to drug manufacturers and is used in the procurement of drugs from the VED register, the NMCC of which at the federal level exceeds 10 million rubles, and at the regional level this threshold is set by the executive authority (the limit should not exceed 10 million rubles. ).

Another important change is that now, when calculating the maximum cost, it will be necessary to take into account not concluded, but state or municipal contracts executed by the government customer. And the application of reference prices was postponed until 01/01/2019.

Now, in the calculations of the NMCC, as the cost of one medication, use the unit price excluding VAT, taken from the concluded contracts. And from July 1, 2019, this data must be determined based on executed contracts and deduct not only VAT, but also the wholesale markup.

The changes also affected the wholesale markups themselves. Their size should not exceed the maximum values ​​established by the executive authorities of the constituent entities of the Russian Federation. And wholesale markups will be applied if.

"On amendments to the annexes to the order of the Ministry of Health of the Russian Federation dated December 20, 2012 N 1175N "On approval of the procedure for prescribing and prescribing medications, as well as forms of prescription forms for medications, the procedure for processing these forms, their recording and storage"

MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION

ORDER
dated June 30, 2015 N 386n

ON AMENDMENTS TO THE ORDER OF THE MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION OF DECEMBER 20, 2012 N 1175N “ON APPROVAL OF THE PROCEDURE FOR PRESCRIBING AND PRESCRIPTION OF MEDICINAL DRUGS, AS WELL AS RECEPTION BLA FORMS NKV FOR MEDICINES, THE PROCEDURE FOR REGISTRATION OF THE SPECIFIED FORMS, THEIR ACCOUNTING AND STORAGE

1. Amend the appendices to the order of the Ministry of Health of the Russian Federation dated December 20, 2012 N 1175n “On approval of the procedure for prescribing and prescribing medications, as well as forms of prescription forms for medications, the procedure for processing these forms, their recording and storage” ( registered by the Ministry of Justice of the Russian Federation on June 25, 2013, registration N 28883) as amended by order of the Ministry of Health of the Russian Federation dated December 2, 2013 N 886n (registered by the Ministry of Justice of the Russian Federation on December 23, 2013, registration N 30714), according to application.

2. Subparagraphs 9 - 12 of paragraph 1, paragraph 2 and subparagraphs 3 and 5 of paragraph 3 of the appendix to this order come into force on January 1, 2016.

Minister
V.I. SKVORTSOVA

"<2>In relation to the person specified in part 2 of Article 20 of the Federal Law of November 21, 2011 N 323-FZ “On the fundamentals of protecting the health of citizens in the Russian Federation” (Collected Legislation of the Russian Federation, 2011, N 48, Art. 6724; 2012, N 26, Art. 3446, N. 27, Art. 3477; Art. 4883; Art. 23, art. 2930, art. 4206, 4247, 4257; art. 5798; 2015, art. 1403, 1425; Art. 27, Art. 3951; Art. 4339, 4356, 4359)

in paragraph one, replace the words “in paragraph 15” with the words “in paragraphs 15 and 23”;

in paragraph two, replace the words “in paragraphs 15 and 23” with the words “in paragraphs 15, 22 and 23”;

the words “when providing palliative care to patients” should be replaced by the words “when providing primary health care and palliative care to patients in need of long-term treatment”;

add paragraph two with the following content:

“In the cases provided for in the first paragraph of this paragraph, the inscription “For special purposes” is written on the prescriptions, separately signed by the medical worker and the seal of the medical organization “For prescriptions”.”;

"20. Prescriptions written out on prescription form Form N 148-1/у-88 are valid for 15 days from the date of prescription.";

in paragraph one, replace the words “one month” with the words “30 days”;

in paragraph two, replace the words “three months” with the words “90 days”;

in paragraph three, replace the words “up to three months” with the words “up to 90 days”;

12) paragraph one of paragraph 23 should be stated as follows:

"23. Prescriptions for barbituric acid derivatives, combination drugs containing codeine (its salts), other combination drugs subject to subject-quantitative accounting, drugs with anabolic activity in accordance with the main pharmacological action, for the treatment of patients with chronic diseases may be discharged for a course of treatment of up to 60 days.";

13) in paragraph one of clause 25, replace the words “and also with a clinical pharmacologist” with the words “and also, if available, with a clinical pharmacologist”;

add footnote 6 with the following content:

"<6>Order of the Government of the Russian Federation dated December 30, 2014 N 2782-r “On approval of the list of vital and essential drugs for 2015, as well as lists of drugs for medical use and the minimum range of drugs necessary to provide medical care” (Meeting Legislation of the Russian Federation 2015, No. 3, Art. 597).";

add subparagraph 4 with the following content:

"4) citizens suffering from life-threatening and chronic progressive rare (orphan) diseases leading to a reduction in the life expectancy of citizens and their disability<8>.";

add footnote 8 with the following content:

" <8>Decree of the Government of the Russian Federation of April 26, 2012 N 403 “On the procedure for maintaining the Federal Register of persons suffering from life-threatening and chronic progressive rare (orphan) diseases leading to a reduction in the life expectancy of citizens and their disability, and its regional segment” (Collection of Legislation of the Russian Federation Federation, 2012, No. 19, Art. 2428, Art. 5002).";

add position 18 with the following content:

22) in Appendix No. 2 “Recommended quantity of individual medications for prescribing per prescription” to the Procedure for prescribing and prescribing medications, approved by order of the Ministry of Health of the Russian Federation dated December 20, 2012 N 1175n

Order of the Ministry of Health of the Russian Federation dated June 30, 2015 No. 386n “On amendments to the annexes to the order of the Ministry of Health of the Russian Federation dated December 20, 2012 No. 1175n “On approval of the procedure for prescribing and prescribing medications, as well as forms of prescription forms for medications , the procedure for completing the specified forms, their recording and storage” (has not entered into force)

I order:

1. Amend the annexes to the order of the Ministry of Health of the Russian Federation dated December 20, 2012 No. 1175n “On approval of the procedure for prescribing and prescribing medications, as well as forms of prescription forms for medications, the procedure for processing these forms, their recording and storage” ( registered by the Ministry of Justice of the Russian Federation on June 25, 2013, registration No. 28883) as amended by order of the Ministry of Health of the Russian Federation dated December 2, 2013 No. 886n (registered by the Ministry of Justice of the Russian Federation on December 23, 2013, registration No. 30714), according to .

Minister V.I. Skvortsova

Registration No. 38379

Changes,
which are included in the annexes to the order of the Ministry of Health of the Russian Federation dated December 20, 2012 No. 1175n “On approval of the procedure for prescribing and prescribing medications, as well as forms of prescription forms for medications, the procedure for processing these forms, their recording and storage”

1. In Appendix No. 1 “Procedure for prescribing and prescribing medications” to the order:

1) in paragraph 3, delete the words “and indicating your position”;

2) add clause 3.1. the following content:

"3.1. Prescription and prescription of medications when providing medical care in inpatient settings is carried out according to the international nonproprietary, group or trade name.”

3) in paragraph 5, footnote 2 should be stated as follows:

“(2) In relation to the person specified in part 2 of Article 20 of the Federal Law of November 21, 2011 No. 323-FZ “On the fundamentals of protecting the health of citizens in the Russian Federation” (Collected Legislation of the Russian Federation, 2011, No. 48, Art. 6724 ; 2012, art. 3446; 27, art. 3477; no. 4883; ; 2014, No. 2930; 2015, No. 4247, 4257; No. 10, Art. 1403, 1425; No. 27, Art. 3951 (Part I), Art.

4) clause 6.2 should be stated as follows:

"6.2. individual entrepreneurs carrying out medical activities for narcotic drugs and psychotropic substances included in lists II and III of the List (hereinafter referred to as narcotic and psychotropic drugs of lists II and III of the List).”;

5) in paragraph 8, the words “List II of the List” should be replaced with the words “List II of the List (hereinafter referred to as narcotic and psychotropic drugs of List II of the List), with the exception of drugs in the form of transdermal therapeutic systems,”;

6) in paragraph 9:

“1) narcotic and psychotropic drugs of List II of the List in the form of transdermal therapeutic systems, psychotropic substances included in List III of the List, registered in the prescribed manner as medicinal products (hereinafter referred to as psychotropic drugs of List III of the List);”;

subparagraph 2 after the words “subject-quantitative accounting” should be supplemented with the words “(except for over-the-counter drugs)”;

subparagraph 3 after the words “anabolic activity” is added with the words “(in accordance with the main pharmacological action)”;

7) in paragraph 13:

in paragraph one, replace the words “in paragraph 15” with the words “in paragraphs 15 and 23”;

in paragraph two, replace the words “in paragraphs 15 and 23” with the words “in paragraphs 15, 22 and 23”;

8) in paragraph 15:

the words “when providing palliative care to patients” should be replaced with the words “when providing primary health care and palliative care to patients in need of long-term treatment”;

add paragraph two with the following content:

“In the cases provided for in the first paragraph of this paragraph, the inscription “For special purposes” is written on the prescriptions, separately signed by the medical worker and the seal of the medical organization “For prescriptions.”;

9) paragraph 20 should be stated as follows:

"20. Prescriptions written out on the prescription form form No. 148-1/u-88 are valid for 15 days from the date of prescription.”;

10) in paragraph 21:

in paragraph one, replace the words “one month” with the words “30 days”;

in paragraph two, replace the words “three months” with the words “90 days”;

in paragraph three, replace the words “up to three months” with the words “up to 90 days”;

11) in paragraph 22, replace the words “two months” with the words “60 days”;

12) paragraph one of paragraph 23 should be stated as follows:

"23. Prescriptions for barbituric acid derivatives, combination drugs containing codeine (its salts), other combination drugs subject to subject-quantitative recording, drugs with anabolic activity in accordance with the main pharmacological action, for the treatment of patients with chronic diseases can be prescribed to course of treatment up to 60 days.”;

13) in the first paragraph of clause 25, replace the words “and also with a clinical pharmacologist” with the words “and also, if available, with a clinical pharmacologist”;

14) in paragraph 26, replace the words “in paragraph 25” with the words “in paragraphs 25 and 27”;

15) in paragraph 29, after the words “lists II and III of the List”, add the words “potent drugs”;

16) subclause 3 of clause 31 should be stated as follows:

“3) the initial prescription of narcotic and psychotropic medications to a patient on lists II and III of the List (if the head of the medical organization makes a decision on the need to coordinate the prescription of such medications with a medical commission)”;

17) paragraph 32 should be stated as follows:

"32. The prescription and prescription of narcotic and psychotropic drugs of lists II and III of the List is carried out to patients with severe pain syndrome of any origin, as well as to patients with sleep disorders, convulsive conditions, anxiety disorders, phobias, psychomotor agitation independently by a medical worker or by a medical worker by decision of a medical commission ( if the head of a medical organization decides on the need to coordinate the primary prescription of such medications with a medical commission).”;

18) in paragraph 34:

subparagraph 1 should be stated as follows:

“1) certain categories of citizens entitled to receive state social assistance in the form of a set of social services, in accordance with the list of medicines for medical use, including medicines for medical use prescribed by decision of medical commissions of medical organizations (6); ";

add footnote 6 with the following content:

“(6) Order of the Government of the Russian Federation dated December 30, 2014 No. 2782-r “On approval of the list of vital and essential medicines for 2015, as well as lists of medicines for medical use and the minimum range of medicines necessary for the provision of medical assistance" (Collected Legislation of the Russian Federation 2015, No. 3, Art. 597)";

in subparagraph 3 the words “dated July 30, 1994 No. 890.” replace with the words “dated July 30, 1994 No. 890;”;

add subparagraph 4 with the following content:

“4) citizens suffering from life-threatening and chronic progressive rare (orphan) diseases leading to a reduction in the life expectancy of citizens and their disability (8)”;

add footnote 8 with the following content:

“(8) Decree of the Government of the Russian Federation of April 26, 2012 No. 403 “On the procedure for maintaining the Federal Register of persons suffering from life-threatening and chronic progressive rare (orphan) diseases leading to a reduction in the life expectancy of citizens and their disability, and its regional segment” (Collected Legislation of the Russian Federation, 2012, No. 19, Art. 2428; No. 37, Art. 5002)”;

19) paragraph 38 should be stated as follows:

"38. On the prescription form of form No. 148-1/u-04(l) and form No. 148-1/u-06(l), the prescription is written by a medical professional in two copies, with one copy of which the patient applies to the pharmacy. The second copy of the prescription is attached to the patient’s medical record.”;

20) in paragraphs 39 and 40, replace the words “in 3 copies” with the words “in duplicate”;

21) in Appendix No. 1 “Maximum permissible quantity of certain narcotic and psychotropic drugs for prescribing per prescription” to the Procedure for prescribing and prescribing drugs, approved by Order of the Ministry of Health of the Russian Federation dated December 20, 2012 No. 1175n:

position 5 should be stated as follows:

positions 7, 8, 9 should be stated as follows:

position 11 should be stated as follows:

add position 18 with the following content:

22) in Appendix No. 2 “Recommended quantity of individual medications for prescribing per prescription” to the Procedure for prescribing and prescribing medications, approved by Order of the Ministry of Health of the Russian Federation dated December 20, 2012 No. 1175n, position 11 is declared invalid.

2. In Appendix No. 2 “Forms of prescription forms” to the order:

1) in the prescription form “Form No. 148-1/у-88”:

the words “medical record number of an outpatient patient__________ (history of the child’s development)” should be replaced with the words “medical record number of a patient receiving medical care on an outpatient basis”;

the words “10 days” should be replaced with the words “15 days”;

2) in the prescription form “Form No. 107-1/u”, replace the words “2 months” with the words “60 days”;

3) in the prescription form “Form No. 148-1/u-04(l)”:

the words “Address or medical record number of an outpatient patient__________ (history of the child’s development)” should be replaced with the words “Medical record number of a patient receiving medical care on an outpatient basis”;

the words “10 days, 1 month, 3 months” should be replaced with the words “, 15 days, 30 days, 90 days”;

4) in the prescription form “Form No. 148-1/u-06(l)”:

the words “10 days, 1 month, 3 months” should be replaced with the words “15 days, 30 days, 90 days”;

the words “Medical card number of an outpatient patient (child development history)” should be replaced with the words “Medical card number of a patient receiving medical care on an outpatient basis.”

3. In Appendix No. 3 “Procedure for registration of prescription forms, their recording and storage” to the order:

1) paragraph 4 should be stated as follows:

"4. The following formats are allowed:

1) all details of prescription forms, form No. 107-1/u, having a number and (or) series, a place for applying a barcode, and form No. 148-1/u-06(l) using computer technology;

2) all details (except for the details “Signature of the attending physician”) of prescription forms of form No. 148-1/u-88 and form No. 107-1/u (not having a number and (or) series, place for applying a barcode) using printing devices.";

2) in paragraph 8, after the word “(SNILS)”, add the words “(if available)”;

3) point 9:

stated as follows:

"9. In prescription forms of form No. 148-1/u-88, in the column “Address or medical card number of a patient receiving medical care on an outpatient basis,” the full postal address of the patient’s place of residence (place of stay or place of actual residence) and the patient’s medical card number are indicated, receiving medical care on an outpatient basis(2).

In the prescription forms of form No. 148-1/u-04(l) and form No. 148-1/u-06(l) in the column “Medical card number of the patient receiving medical care in an outpatient setting” indicate the medical card number of the patient receiving medical care on an outpatient basis.”;

add footnote 2 with the following content:

“(2) Order of the Ministry of Health of the Russian Federation dated December 15, 2014 No. 834n “On approval of unified forms of medical documentation used in medical organizations providing medical care in outpatient settings, and procedures for filling them out” (registered by the Ministry of Justice of the Russian Federation on 20 January 2015, registration No. 36160)";

4) in paragraph 10, after the word “patronymic”, add the words “(if any)”;

5) in paragraph 16:

the words “2 months” and “1 month, 3 months” are replaced by the words “60 days” and “30 days, 90 days”, respectively;

replace the words “(10 days)” with the words “(15 days)”;

6) in paragraph 18, the words “forms No. 148-1/u-04(l) and forms No. 148-1/u-06(l)” should be replaced with the words “forms No. 107-1/u, forms No. 148-1/ u-88, forms No. 148-1/u-04(l) and forms No. 148-1/u-06(l).”

Document overview

Changes in the procedure for prescribing and prescribing drugs are aimed primarily at increasing the availability of narcotic drugs for patients.

Transdermal therapeutic systems of narcotic and psychotropic drugs are allowed to be prescribed not on special forms, but on prescription forms of form N 148-1/u-88. This will make it easier for patients to receive pain relief therapy.

From January 1, 2016, the validity period of prescriptions issued on prescription form Form N 148-1/у-88 increases from 10 to 15 days.

The maximum permissible quantity of certain narcotic and psychotropic drugs for prescribing per prescription has been clarified.

It is allowed to double the number of prescribed narcotic, psychotropic and other drugs that are subject to subject-quantitative accounting, not only for palliative patients, but also for patients in need of long-term treatment who are provided with primary health care.

Upon discharge from the hospital, a patient sent to continue treatment on an outpatient basis may be prescribed or given not only narcotic and psychotropic drugs, but also potent ones.

To speed up the procedure for issuing a repeat prescription, a rule is being introduced on the possibility of agreeing with the medical commission only on the primary prescription of narcotic drugs and psychotropic substances.

The general requirements for prescribing medications have been adjusted. Thus, it is stipulated that when providing medical care in a hospital, medications are prescribed and prescribed by international non-proprietary, generic or trade name.

The number of copies of prescriptions issued to privileged categories of citizens has been reduced from 3 to 2.

The requirements for preparing prescription forms for various accounting forms have been clarified.

MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION

ABOUT MAKING CHANGES

IN THE ORDER OF DETERMINING THE INITIAL (MAXIMUM) PRICE

CONTRACT, PRICE OF THE CONTRACT CONCLUDED WITH THE ONLY

BY THE SUPPLIER (CONTRACTOR, PERFORMER), WHEN IMPLEMENTING

PROCUREMENT OF MEDICINES FOR MEDICAL

APPLICATIONS APPROVED BY ORDER OF THE MINISTRY

HEALTH CARE OF THE RUSSIAN FEDERATION

I order:

Approve the attached changes that are made to the Procedure for determining the initial (maximum) price of a contract, the price of a contract concluded with a single supplier (contractor, performer) when purchasing medicines for medical use, approved by order of the Ministry of Health of the Russian Federation dated October 26, 2017. N 871н (registered by the Ministry of Justice of the Russian Federation on November 27, 2017, registration N 49016).

V.I.SKVORTSOVA

Approved

by order of the Ministry of Health

Russian Federation

CHANGES,

WHICH ARE INTRODUCED IN THE ORDER OF DETERMINING THE INITIAL

(MAXIMUM) PRICE OF THE CONTRACT, PRICE OF THE CONTRACT CONCLUDED

WITH A SINGLE SUPPLIER (CONTRACTOR, PERFORMER),

WHEN PURCHASING MEDICINES

FOR MEDICAL USE, APPROVED BY ORDER

MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION

1. In paragraph 2 footnote< 1 >invalidate.

2. Add clause 2.1 with the following content:

"2.1. When calculating the NMCC, wholesale markups, the amount of which should not exceed the maximum amounts of wholesale markups established by the executive authorities of the constituent entities of the Russian Federation (Article 63 of the Federal Law of April 12, 2010 N 61-FZ “On the Circulation of Medicines” (Collected Legislation Russian Federation, 2010, N 16, Art. 1815; 2015, N 29, Art. 4367), are used when purchasing medicines that are included in the list of vital and essential medicines (except for cases of purchase from the manufacturer of medicines) :

a) to meet federal needs, if the NMCC does not exceed ten million rubles, and also if the NMCC exceeds ten million rubles, provided that the price of a unit of a medicinal product planned for purchase does not exceed the price of such a medicinal product contained in the state register of maximum selling prices of manufacturers for medicinal products drugs included in the list of vital and essential drugs;

b) to meet the needs of a constituent entity of the Russian Federation, municipal needs, if the NMCC does not exceed the amount established by the highest executive body of state power of the constituent entity of the Russian Federation and is no more than ten million rubles, and also if the NMCC exceeds that established by the supreme executive body of state power of the constituent entity of the Russian Federation size or more than ten million rubles, provided that the price of a unit of a medicinal product planned for purchase does not exceed the price of such a medicinal product contained in the state register of maximum selling prices of manufacturers for medicinal products included in the list of vital and essential medicinal products."

3. In paragraph 3:

a) in subparagraph "b" the word "prisoners" is replaced with the word "executed";

b) in subparagraph "c" in the footnote< 3 >the words “July 1, 2018” are replaced with the words “January 1, 2019”.

4. In paragraph four of paragraph 4:

a) replace the word “calculation” with the word “calculation”< 4.1 > ";

b) add a footnote< 4.1 >the following content:

" < 4.1 >Until July 1, 2019, data from concluded contracts excluding VAT are taken into account when calculating the price per unit of a medicinal product; after this date, data from executed contracts excluding VAT and wholesale markup are taken into account."

5. Clause 5 should be stated as follows:

"5. For the price of a unit of a medicinal product planned for purchase, the customer accepts the minimum price value from the prices calculated by him while simultaneously using the methods provided for in paragraph 3 of this Procedure."

6. In paragraph 9, the words “the maximum price provided” should be replaced with the words “the price is not higher than the maximum price provided.”

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