Постановление Правительства Свердловской области от 24.12.2008 № 1373-ПП

¦Этамбутол             ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Ломефлоксацин +       ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦Пиразинамид +         ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦Протионамид +         ¦                   ¦        ¦                     ¦        ¦                   ¦
¦Этамбутол +           ¦                   ¦        ¦                     ¦        ¦                   ¦
¦Пиридоксин            ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Метазид               ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Пиразинамид           ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Протионамид           ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Рифабутин             ¦капсулы            ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Рифампицин            ¦лиофилизат         ¦   +    ¦                     ¦   +    ¦1; 2               ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капсулы            ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Рифамицин             ¦капли ушные        ¦        ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Стрептомицин          ¦порошок            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Фтивазид              ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Циклосерин            ¦капсулы            ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Циклосерин +          ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦Пиридоксин            ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Этамбутол             ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Этионамид             ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦             Противовирусные средства              ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Абакавир              ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Атазанавир            ¦капсулы            ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Ацикловир             ¦таблетки           ¦   +    ¦                     ¦   +    ¦2; 4; 5            ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦лиофилизат         ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦мазь для наружного ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦крем для наружного ¦   +    ¦                     ¦   +    ¦2; 4; 5; 6         ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦(стоматология); 3  ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦мазь глазная       ¦   +    ¦                     ¦   +    ¦2; 4; 5; 6         ¦
¦                      ¦                   ¦        ¦                     ¦        ¦(стоматология); 3  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Валацикловир          ¦таблетки           ¦   +    ¦"Онкогематология"    ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Валганцикловир        ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Ганцикловир           ¦лиофилизат         ¦   +    ¦                     ¦   +    ¦4 и 5 (инфекция и  ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦офтальмология 5-й  ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦уровень, кроме     ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦онкогематологии,   ¦
¦                      ¦                   ¦        ¦                     ¦        ¦трансплантологии и ¦
¦                      ¦                   ¦        ¦                     ¦        ¦СПИД)              ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капсулы            ¦   +    ¦                     ¦   +    ¦4 и 5 (инфекция и  ¦
¦                      ¦                   ¦        ¦                     ¦        ¦офтальмология 5-й  ¦
¦                      ¦                   ¦        ¦                     ¦        ¦уровень, кроме     ¦
¦                      ¦                   ¦        ¦                     ¦        ¦онкогематологии,   ¦
¦                      ¦                   ¦        ¦                     ¦        ¦трансплантологии и ¦
¦                      ¦                   ¦        ¦                     ¦        ¦СПИД)              ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Дарунавир             ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦пленочной оболочкой¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Диданозин             ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦жевательные или    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦суспензии          ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для приема внутрь  ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦порошок            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для приема внутрь  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для детей          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капсулы            ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Зидовудин             ¦капсулы            ¦   +    ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор для приема ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦внутрь             ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор для инфузий¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Индинавир             ¦капсулы            ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Интерферон альфа-2а   ¦лиофилизат         ¦   +    ¦МИБП                 ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения и местного¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦и подкожного       ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Интерферон альфа-2b   ¦лиофилизированный  ¦   +    ¦МИБП                 ¦        ¦                   ¦
¦                      ¦порошок            ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦инъекционного      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Ламивудин             ¦раствор для приема ¦   +    ¦                     ¦   +    ¦5 (инфекция,       ¦
¦                      ¦внутрь             ¦        ¦                     ¦        ¦гастроэнтерология);¦
¦                      ¦                   ¦        ¦                     ¦        ¦4 (инфекция,       ¦
¦                      ¦                   ¦        ¦                     ¦        ¦гастроэнтерология) ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦5 (инфекция,       ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦гастроэнтерология);¦
¦                      ¦                   ¦        ¦                     ¦        ¦4 (инфекция,       ¦
¦                      ¦                   ¦        ¦                     ¦        ¦гастроэнтерология) ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Меглумина             ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦акридонацетат         ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Невирапин             ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦суспензия          ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приема внутрь  ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Нелфинавир            ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦порошок для приема ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦внутрь             ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Осельтамивир          ¦капсулы            ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Рибавирин             ¦капсулы            ¦   +    ¦                     ¦   +    ¦5 (инфекция,       ¦
¦                      ¦                   ¦        ¦                     ¦        ¦гастроэнтерология) ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦концентрат         ¦   +    ¦                     ¦   +    ¦5 (инфекция,       ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦гастроэнтерология) ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦5 (инфекция,       ¦
¦                      ¦                   ¦        ¦                     ¦        ¦гастроэнтерология) ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Рибонуклеаза          ¦лиофилизат         ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций и     ¦        ¦                     ¦        ¦                   ¦
¦                      ¦местного применения¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Римантадин            ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦сироп              ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Ритоназир             ¦капсулы            ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Ставудин              ¦капсулы            ¦   +    ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦порошок            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора для приема¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутрь             ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Телбивудин            ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦пленочной оболочкой¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Фамцикловир           ¦таблетки, покрытые ¦   +    ¦"Онкогематология"    ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Энтекавир             ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦             Противогрибковые средства             ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Амфотерицин В         ¦лиофилизат         ¦   +    ¦                     ¦   +    ¦1; 2; послеродовое,¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦септическое;       ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦4; 5; 3            ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦концентрат         ¦   +    ¦                     ¦   +    ¦1; 2; послеродовое,¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦септическое;       ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦4; 5; 3            ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Амфотерицин В +       ¦таблетки           ¦   +    ¦                     ¦   +    ¦2 (послеродовое,   ¦
¦Меглюмин              ¦                   ¦        ¦                     ¦        ¦септическое); 4; 5 ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Вориконазол           ¦лиофилизат         ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Гризеофульвин +       ¦линимент           ¦   +    ¦                     ¦        ¦                   ¦
¦Салициловая кислота   ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Итраконазол           ¦капсулы            ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор для приема ¦   +    ¦                     ¦   +    ¦3                  ¦
¦                      ¦внутрь             ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Каспофунгин           ¦лиофилизат         ¦   +    ¦"Онкогематология"    ¦   +    ¦1                  ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Кетоконазол           ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Клотримазол           ¦таблетки           ¦   +    ¦                     ¦   +    ¦2; 5               ¦
¦                      ¦вагинальные        ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦крем для наружного ¦   +    ¦                     ¦   +    ¦2; 4; 5; 6         ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦(стоматология); 3  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Метронидазол +        ¦таблетки           ¦   +    ¦                     ¦   +    ¦2; 5               ¦
¦Миконазол             ¦вагинальные        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Миконазол             ¦крем для наружного ¦   +    ¦                     ¦   +    ¦2; 4; 5            ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Натамицин             ¦крем для наружного ¦   +    ¦                     ¦   +    ¦2; 3               ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦суппозитории       ¦   +    ¦                     ¦   +    ¦2                  ¦
¦                      ¦вагинальные        ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦2                  ¦
¦                      ¦кишечнорастворимой ¦        ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Нистатин              ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦2; 4; 5            ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦суппозитории       ¦   +    ¦                     ¦   +    ¦2; 4; 5; 6         ¦
¦                      ¦вагинальные        ¦        ¦                     ¦        ¦(стоматология)     ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦мазь для наружного ¦   +    ¦                     ¦   +    ¦2; 4; 5; 6         ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦(стоматология); 3  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Позаконазол           ¦суспензия          ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приема внутрь  ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Тербинафин            ¦таблетки           ¦   +    ¦                     ¦   +    ¦4 (дерматология)   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦крем для наружного ¦   +    ¦                     ¦   +    ¦4 (дерматология)   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Флуконазол            ¦капсулы            ¦   +    ¦                     ¦   +    ¦1; 2 (послеродовое,¦
¦                      ¦                   ¦        ¦                     ¦        ¦септическое);      ¦
¦                      ¦                   ¦        ¦                     ¦        ¦4; 5; 3            ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор для инфузий¦   +    ¦                     ¦   +    ¦1; 2 (послеродовое,¦
¦                      ¦                   ¦        ¦                     ¦        ¦септическое);      ¦
¦                      ¦                   ¦        ¦                     ¦        ¦4; 5; 3            ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦сироп              ¦   +    ¦                     ¦   +    ¦1; 4; 3            ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Эконазол              ¦крем для наружного ¦   +    ¦                     ¦   +    ¦2; 4; 5            ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦  Противопротозойные и противомалярийные средства  ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Гидроксихлорохин      ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Мебендазол            ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Метронидазол          ¦таблетки           ¦   +    ¦                     ¦   +    ¦2; 4; 5            ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦суппозитории       ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦вагинальные        ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦2; 5               ¦
¦                      ¦вагинальные        ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор для инфузий¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Метронидазол +        ¦гель               ¦   +    ¦                     ¦   +    ¦6 (стоматология)   ¦
¦Хлоргексидин          ¦стоматологический  ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Пирантел              ¦суспензия          ¦   +    ¦                     ¦   +    ¦4                  ¦
¦                      ¦для приема внутрь  ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Пириметамин           ¦таблетки           ¦        ¦                     ¦   +    ¦5 (инфекция);      ¦
¦                      ¦                   ¦        ¦                     ¦        ¦4 (инфекция)       ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Празиквантел          ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Тинидазол             ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Хинин                 ¦раствор            ¦        ¦                     ¦   +    ¦2                  ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦подкожного введения¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦        ¦                     ¦   +    ¦2                  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Хлорохин              ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦                    Антисептики                    ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Аммиак                ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6      ¦
¦                      ¦для наружного      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения и       ¦        ¦                     ¦        ¦                   ¦
¦                      ¦ингаляций          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Бриллиантовый зеленый ¦раствор            ¦   +    ¦                     ¦   +    ¦2; 4; 5; 6; 3      ¦
¦                      ¦для наружного      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      ¦спиртовой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Борная кислота        ¦раствор            ¦   +    ¦                     ¦   +    ¦4; 5; 6            ¦
¦                      ¦для наружного      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      ¦спиртовой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Водорода пероксид     ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6; 3   ¦
¦                      ¦для местного и     ¦        ¦                     ¦        ¦                   ¦
¦                      ¦наружного          ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Деквалиния хлорид     ¦мазь для наружного ¦        ¦                     ¦   +    ¦6 (стоматология)   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Гидроксиметил-        ¦мазь для наружного ¦   +    ¦                     ¦   +    ¦4; 5; 6            ¦
¦хиноксилиндиоксид +   ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦Диоксометилтетра-     ¦                   ¦        ¦                     ¦        ¦                   ¦
¦гидропиримидин +      ¦                   ¦        ¦                     ¦        ¦                   ¦
¦Тримекаин             ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Драполен              ¦крем для наружного ¦   +    ¦                     ¦   +    ¦4; 3               ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Йод                   ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      ¦для наружного      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      ¦спиртовой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Йод + Калия йодид +   ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6      ¦
¦Этанол                ¦для наружного      ¦        ¦                     ¦        ¦(стоматология)     ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      ¦спиртовой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Йод + Калия йодид +   ¦раствор            ¦   +    ¦                     ¦   +    ¦4; 5; 6            ¦
¦Глицерол              ¦для местного       ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Калия перманганат     ¦порошок            ¦   +    ¦                     ¦   +    ¦2; 6 (стоматология)¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для наружного      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Камфора               ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      ¦для наружного      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      ¦спиртовой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Колларгол             ¦порошок            ¦        ¦                     ¦   +    ¦4; 5; 6            ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Метилтиониния хлорид  ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для наружного      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Нитрофурал            ¦мазь для наружного ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6; 3   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6; 3   ¦
¦                      ¦для наружного      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6      ¦
¦                      ¦для наружного      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      ¦спиртовой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Повидон-йод           ¦раствор            ¦   +    ¦                     ¦   +    ¦2; 5               ¦
¦                      ¦для местного и     ¦        ¦                     ¦        ¦                   ¦
¦                      ¦наружного          ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦суппозитории       ¦   +    ¦                     ¦   +    ¦2; 5               ¦
¦                      ¦вагинальные        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Повидон-йод +         ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦Калия йодид           ¦для наружного      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Полигексанид          ¦концентрат         ¦   +    ¦"Онкогематология"    ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для наружного      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Хлоргексидин          ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6; 3   ¦
¦                      ¦для наружного      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6      ¦
¦                      ¦для наружного      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      ¦спиртовой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦суппозитории       ¦   +    ¦                     ¦   +    ¦2; 5               ¦
¦                      ¦вагинальные        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Серебра нитрат        ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 4; 5; 6         ¦
¦                      ¦для наружного      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Серебра протеинат     ¦порошок            ¦        ¦                     ¦   +    ¦4; 5; 6            ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Холина салицилат      ¦капли ушные        ¦        ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Фукорцин              ¦раствор            ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦для наружного      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Этанол                ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6; 3   ¦
¦                      ¦для наружного      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      ¦спиртовой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Прочие средства для профилактики и лечения инфекций¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Бифидобактерии бифидум¦порошок для приема ¦   +    ¦МИБП                 ¦        ¦                   ¦
¦                      ¦внутрь             ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Лизатов бактерий смесь¦капсулы            ¦   +    ¦МИБП с ограничением  ¦        ¦                   ¦
¦                      ¦                   ¦        ¦для ОГУЗ             ¦        ¦                   ¦
¦                      ¦                   ¦        ¦"Свердловская        ¦        ¦                   ¦
¦                      ¦                   ¦        ¦областная            ¦        ¦                   ¦
¦                      ¦                   ¦        ¦специализированная   ¦        ¦                   ¦
¦                      ¦                   ¦        ¦детская больница     ¦        ¦                   ¦
¦                      ¦                   ¦        ¦восстановительного   ¦        ¦                   ¦
¦                      ¦                   ¦        ¦лечения "НПЦ детской ¦        ¦                   ¦
¦                      ¦                   ¦        ¦дерматологии и       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦аллергологии"        ¦        ¦                   ¦
¦                      ¦                   ¦        ¦для лечения детей    ¦        ¦                   ¦
¦                      ¦                   ¦        ¦с аллергическими     ¦        ¦                   ¦
¦                      ¦                   ¦        ¦заболеваниями,       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦проживающих          ¦        ¦                   ¦
¦                      ¦                   ¦        ¦на территориях       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦с техническими       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦загрязнениями        ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦                  Иммуноглобулины                  ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Иммуноглобулин        ¦раствор            ¦   +    ¦МИБП                 ¦        ¦                   ¦
¦человека антирезус    ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦Rho (D)               ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Иммуноглобулин        ¦раствор            ¦   +    ¦МИБП                 ¦        ¦                   ¦
¦человека              ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦антицитомегаловирусный¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Иммуноглобулин        ¦раствор для инфузий¦   +    ¦МИБП                 ¦        ¦                   ¦
¦человека нормальный   +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦лиофилизат         ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Иммуноглобулин        ¦раствор для инфузий¦   +    ¦МИБП                 ¦        ¦                   ¦
¦человека нормальный   ¦                   ¦        ¦                     ¦        ¦                   ¦
¦IgG + IgA + IgM       ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Иммуноглобулин против ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦клещевого энцефалита  ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦                     Сыворотки                     ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Сыворотки и другие    ¦                   ¦   +    ¦МИБП                 ¦        ¦                   ¦
¦иммунобиологические   ¦                   ¦        ¦                     ¦        ¦                   ¦
¦препараты, тест       ¦                   ¦        ¦                     ¦        ¦                   ¦
¦системы               ¦                   ¦        ¦                     ¦        ¦                   ¦
¦для диагностики СПИД  ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Сыворотка             ¦                   ¦   +    ¦МИБП                 ¦        ¦                   ¦
¦противогангренозная   ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Сыворотка             ¦                   ¦   +    ¦МИБП                 ¦        ¦                   ¦
¦противодифтерийная    ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Сыворотка             ¦                   ¦   +    ¦МИБП                 ¦        ¦                   ¦
¦противостолбнячная    ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Сыворотка             ¦                   ¦   +    ¦МИБП                 ¦        ¦                   ¦
¦противоботулиническая ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦   VII. ПРОТИВООПУХОЛЕВЫЕ, ИММУНОДЕПРЕССИВНЫЕ И    ¦                     ¦        ¦                   ¦
¦              СОПУТСТВУЮЩИЕ СРЕДСТВА               ¦                     ¦        ¦                   ¦
+---------------------------------------------------+---------------------+--------+-------------------+
¦             Цитостатические средства              ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Адалимумаб            ¦раствор            ¦   +    ¦МИБП                 ¦        ¦                   ¦
¦                      ¦для подкожного     ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Азатиоприн            ¦таблетки           ¦   +    ¦                     ¦   +    ¦4 (ревматология,   ¦
¦                      ¦                   ¦        ¦                     ¦        ¦нефрология);       ¦