Постановление Правительства Свердловской области от 24.12.2008 № 1373-ПП

¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Золедроновая кислота  ¦концентрат         ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦лиофилизат         ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Интерлейкин 1b        ¦лиофилизированный  ¦   +    ¦МИБП                 ¦        ¦                   ¦
¦                      ¦порошок            ¦        ¦"Онкогематология"    ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Интерферон альфа-2    ¦лиофилизат         ¦   +    ¦МИБП                 ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦и местного введения¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦лиофилизированный  ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦порошок            ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Интерферон            ¦раствор            ¦   +    ¦МИБП                 ¦        ¦                   ¦
¦лейкоцитарный         ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦человеческий          ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Кальция фолиант       ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦лиофилизат         ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦лиофилизат         ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капсулы            ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Ленограстим           ¦лиофилизированный  ¦   +    ¦МИБП                 ¦        ¦                   ¦
¦                      ¦порошок            ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Месна                 ¦раствор для инфузий¦   +    ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦концентрат         ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Ондансетрон           ¦сироп              ¦   +    ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Пэгфилграстим         ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для подкожного     ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Трописетрон           ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капсулы            ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Филграстим            ¦раствор            ¦   +    ¦МИБП                 ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦подкожного введения¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦      VIII. СРЕДСТВА ДЛЯ ЛЕЧЕНИЯ ОСТЕОПОРОЗА       ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Альфакальцидол        ¦капли для приема   ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦внутрь (в масле)   ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капсулы            ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Дигидротахистерол     ¦раствор для приема ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦внутрь             ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Ибандроновая кислота  ¦концентрат         ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Кальцитонин           ¦раствор            ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦спрей назальный    ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Кальция глицерофосфат ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Колекальциферол       ¦раствор для приема ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦внутрь масляный    ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капсулы            ¦   +    ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Колекальциферол +     ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
¦Кальция карбонат      ¦жевательные        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦          IX. СРЕДСТВА, ВЛИЯЮЩИЕ НА КРОВЬ          ¦                     ¦        ¦                   ¦
+---------------------------------------------------+---------------------+--------+-------------------+
¦            Противоанемические средства            ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Железа (III) гидроксид¦таблетки           ¦   +    ¦                     ¦   +    ¦2; 4               ¦
¦полимальтозат         ¦жевательные        ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капли для приема   ¦   +    ¦                     ¦   +    ¦4                  ¦
¦                      ¦внутрь             ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦2; 4; 5; 3         ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Железа (III) гидроксид¦раствор            ¦   +    ¦                     ¦   +    ¦2; 4; 5            ¦
¦сахарозный комплекс   ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Железа сульфат        ¦капли для приема   ¦   +    ¦                     ¦   +    ¦4; 3               ¦
¦                      ¦внутрь             ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Железа сульфат +      ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦2; 4; 5            ¦
¦Аскорбиновая кислота  ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Железа фумарат +      ¦капсулы            ¦   +    ¦                     ¦   +    ¦2; 4; 5            ¦
¦Фолиевая кислота      ¦пролонгированного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦действия           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Фолиевая кислота      ¦таблетки           ¦   +    ¦                     ¦   +    ¦2; 4; 5; 3         ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Цианокобаламин        ¦раствор            ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Эпоэтин альфа         ¦раствор            ¦   +    ¦                     ¦   +    ¦4; 5 (кроме        ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦онкологии          ¦
¦                      ¦подкожного введения¦        ¦                     ¦        ¦и онкогематологии) ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦лиофилизат         ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦подкожного введения¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Эпоэтин бета          ¦раствор            ¦   +    ¦                     ¦   +    ¦4; 5; 3            ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦подкожного введения¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦лиофилизат         ¦   +    ¦                     ¦   +    ¦4; 5; 3            ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Эпоэтин бета          ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦(Метоксиполиэтилен-   ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦гликоль)              ¦подкожного введения¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦  Средства, влияющие на систему свертывания крови  ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Абциксимаб            ¦раствор            ¦        ¦                     ¦   +    ¦1; 5 (обл. спец.   ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦центры)            ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Алтеплаза             ¦лиофилизированный  ¦   +    ¦                     ¦   +    ¦1; 5 (кардиология) ¦
¦                      ¦порошок            ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Аминокапроновая       ¦раствор для инфузий¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦кислота               ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Аминометилбензойная   ¦раствор            ¦        ¦                     ¦   +    ¦4; 5               ¦
¦кислота               ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Борная кислота +      ¦губка              ¦   +    ¦                     ¦   +    ¦2; 4; 5; 6; 3      ¦
¦Нитрофурал +          ¦                   ¦        ¦                     ¦        ¦                   ¦
¦Коллаген              ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Варфарин              ¦таблетки           ¦   +    ¦                     ¦   +    ¦2; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Гепарин натрия        ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6 (обл.¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦спец. центры); 3   ¦
¦                      ¦подкожного введения¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦гель для наружного ¦   +    ¦                     ¦   +    ¦2; 4; 5            ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Далтепарин натрия     ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 5            ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦подкожного введения¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Клопидогрел           ¦таблетки           ¦   +    ¦                     ¦   +    ¦5 (кардиология)    ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Надропарин кальций    ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 5               ¦
¦                      ¦для подкожного     ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Натрия цитрат         ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦гемоконсерванта    ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Протамина сульфат     ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Проурокиназа          ¦лиофилизат         ¦   +    ¦                     ¦   +    ¦1; 5 (кардиология) ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Стрептокиназа         ¦лиофилизат         ¦   +    ¦                     ¦   +    ¦1; 5               ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦лиофилизат         ¦   +    ¦                     ¦   +    ¦1; 5               ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутриартериального¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Тахокомб              ¦губка              ¦   +    ¦МИБП                 ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Тенектеплаза          ¦лиофилизат         ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Тиклопидин            ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦1; 5               ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Транексамовая кислота ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦2; 5               ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Эноксапарин натрий    ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 5            ¦
¦                      ¦для подкожного     ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Этамзилат             ¦таблетки           ¦   +    ¦                     ¦   +    ¦2; 4; 5            ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6      ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦            Растворы и плазмозаменители            ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Аминокислоты          ¦раствор для инфузий¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦для парентерального   ¦                   ¦        ¦                     ¦        ¦                   ¦
¦питания               ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Жировые эмульсии      ¦раствор для инфузий¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Гидроксиэтилкрахмал   ¦раствор для инфузий¦   +    ¦                     ¦   +    ¦1; 2               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Декстран средняя      ¦раствор для инфузий¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦молекулярная масса    ¦                   ¦        ¦                     ¦        ¦                   ¦
¦30000 - 40000         ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Декстран средняя      ¦раствор для инфузий¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦молекулярная масса    ¦                   ¦        ¦                     ¦        ¦                   ¦
¦50000 - 70000         ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Декстроза             ¦раствор для инфузий¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Желатин               ¦раствор для инфузий¦   +    ¦                     ¦   +    ¦1; 2               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Комбинированные       ¦эмульсия           ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦препараты             ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
¦для парентерального   ¦                   ¦        ¦                     ¦        ¦                   ¦
¦питания периферический¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Комбинированные       ¦эмульсия           ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦препараты             ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
¦для парентерального   ¦                   ¦        ¦                     ¦        ¦                   ¦
¦питания центральный   ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦        Препараты для энтерального питания         ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Средства энтерального ¦раствор для приема ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦питания               ¦внутрь             ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦порошок            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦                  Препараты крови                  ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Альбумин              ¦раствор для инфузий¦   +    ¦МИБП                 ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Кровь цельная         ¦литр               ¦   +    ¦МИБП                 ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Плазма                ¦литр               ¦   +    ¦МИБП                 ¦        ¦                   ¦
¦свежезамороженная     ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Тромбоцитарная масса  ¦литр               ¦   +    ¦МИБП                 ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Фактор свертывания    ¦лиофилизированный  ¦   +    ¦МИБП                 ¦        ¦                   ¦
¦крови IX              ¦порошок            ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Фактор свертывания    ¦лиофилизированный  ¦   +    ¦МИБП                 ¦        ¦                   ¦
¦крови VIII            ¦порошок            ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор для инфузий¦   +    ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦лиофилизированный  ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦порошок            ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦лиофилизированный  ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦порошок            ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Эптаког альфа         ¦порошок            ¦   +    ¦МИБП                 ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦"Онкогематология"    ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Эритроцитарная масса  ¦литр               ¦   +    ¦МИБП                 ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦              X. СРЕДСТВА, ВЛИЯЮЩИЕ                ¦                     ¦        ¦                   ¦
¦          НА СЕРДЕЧНО-СОСУДИСТУЮ СИСТЕМУ           ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Азаметония бромид     ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 5            ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Алпростадил           ¦концентрат         ¦   +    ¦                     ¦   +    ¦1; 5; 3            ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Амиодарон             ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 5; 6 (обл. спец.¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦центры)            ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Амлодипин             ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капсулы            ¦   +    ¦                     ¦   +    ¦5                  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Атенолол              ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Аторвастатин          ¦таблетки, покрытые ¦   +    ¦кардиология          ¦   +    ¦5                  ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦кардиология          ¦   +    ¦5                  ¦
¦                      ¦пленочной оболочкой¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Атропин               ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6; 3   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капли глазные      ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦порошок            ¦   +    ¦                     ¦   +    ¦для экстемпоральных¦
¦                      ¦                   ¦        ¦                     ¦        ¦форм               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Бендазол              ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6      ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Бетаксолол            ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Бисопролол            ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      ¦пленочной оболочкой¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Верапамил             ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6 (обл.¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦спец. центры)      ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦2; 4; 5            ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦пролонгированного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦действия, покрытые ¦        ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Винпоцетин            ¦концентрат         ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Дипиридамол           ¦драже              ¦   +    ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦2; 4; 5            ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Дигоксин              ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 5               ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки для детей ¦   +    ¦                     ¦   +    ¦4                  ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Дилтиазем             ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦пленочной оболочкой¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦пролонгированного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦действия, покрытые ¦        ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦пролонгированного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦действия, покрытые ¦        ¦                     ¦        ¦                   ¦
¦                      ¦пленочной оболочкой¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Диэтиламинопропионил- ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦1; 5               ¦
¦этоксикарбониламино-  ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦фенотиазин            +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 5               ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Добутамин             ¦лиофилизат         ¦   +    ¦                     ¦   +    ¦1; 2; 3            ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Допамин               ¦концентрат         ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Изосорбида динитрат   ¦концентрат         ¦   +    ¦                     ¦   +    ¦1; 5               ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 5               ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 5               ¦
¦                      ¦пролонгированного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦действия           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦спрей подъязычный  ¦   +    ¦                     ¦   +    ¦1; 5               ¦
¦                      ¦дозированный       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Изосорбида мононитрат ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 5               ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 5               ¦
¦                      ¦пролонгированного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦действия           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капсулы            ¦   +    ¦                     ¦   +    ¦1; 5               ¦
¦                      ¦пролонгированного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦действия           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Индапамид             ¦капсулы            ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦с контролируемым   ¦        ¦                     ¦        ¦                   ¦
¦                      ¦высвобождением,    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦покрытые оболочкой ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Каптоприл             ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5; 6            ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Карведилол            ¦таблетки           ¦   +    ¦                     ¦   +    ¦5 (кардиология)    ¦