Постановление Правительства Свердловской области от 24.12.2008 № 1373-ПП

+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Клонидин              ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 2; 5; 6         ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капли глазные      ¦   +    ¦                     ¦   +    ¦5                  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Лаппаконитина         ¦таблетки           ¦        ¦                     ¦   +    ¦5                  ¦
¦гидробромид           ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Левосимендан          ¦концентрат         ¦   +    ¦                     ¦   +    ¦1; 2               ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Лозартан              ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Лозартан +            ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦5                  ¦
¦Гидрохлортиазид       ¦пленочной оболочкой¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Метилдопа             ¦таблетки           ¦   +    ¦                     ¦   +    ¦2; 4; 5            ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Метопролол            ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦пролонгированного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦действия, покрытые ¦        ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Моксонидин            ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦1; 5               ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Молсидомин            ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Морацизин             ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦5 (кардиология)    ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Нимодипин             ¦раствор для инфузий¦   +    ¦                     ¦   +    ¦1                  ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦пленочной оболочкой¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Нитроглицерин         ¦аэрозоль           ¦   +    ¦                     ¦   +    ¦1; 5; 6            ¦
¦                      ¦подъязычный        ¦        ¦                     ¦        ¦                   ¦
¦                      ¦дозированный       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦концентрат         ¦   +    ¦                     ¦   +    ¦1; 5               ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 5; 6            ¦
¦                      ¦подъязычные        ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦пролонгированного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦действия           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦пролонгированного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦действия, покрытые ¦        ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Нитропруссид натрия   ¦порошок            ¦   +    ¦                     ¦   +    ¦1; 2; 5            ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Нитрофенилдиэтиламино-¦концентрат         ¦   +    ¦                     ¦   +    ¦5 (кардиология)    ¦
¦пентилбензамид        ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Нифедипин             ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6      ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦1; 5               ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 5               ¦
¦                      ¦пролонгированного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦действия,          ¦        ¦                     ¦        ¦                   ¦
¦                      ¦покрытые оболочкой ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 5               ¦
¦                      ¦с модифицированным ¦        ¦                     ¦        ¦                   ¦
¦                      ¦высвобождением     ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦с контролируемым   ¦        ¦                     ¦        ¦                   ¦
¦                      ¦высвобождением,    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦покрытые пленочной ¦        ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 5               ¦
¦                      ¦с модифицированным ¦        ¦                     ¦        ¦                   ¦
¦                      ¦высвобождением,    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦покрытые оболочкой ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор для инфузий¦   +    ¦                     ¦   +    ¦1                  ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капсулы            ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Норэпинефрин          ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Пентоксифиллин        ¦концентрат         ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутриартериального¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦кишечнорастворимой ¦        ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦пролонгированного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦действия,          ¦        ¦                     ¦        ¦                   ¦
¦                      ¦покрытые оболочкой ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Прокаинамид           ¦таблетки           ¦   +    ¦                     ¦   +    ¦2; 4; 5            ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5;        ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦6 (обл. спец.      ¦
¦                      ¦                   ¦        ¦                     ¦        ¦центры)            ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5;        ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦6 (обл. спец.      ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦центры)            ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Пропафенон            ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦5 (кардиология)    ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 5 (кардиология) ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Пропранолол           ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 4; 5; 6; 3      ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5;        ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦6 (обл. спец.      ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦центры)            ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Рилменидин            ¦таблетки           ¦   +    ¦                     ¦   +    ¦5 (кардиология)    ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Симвастатин           ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦5 (кардиология)    ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Соталол               ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Строфантин К          ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Трифосаденин          ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Фенилэфрин            ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капли глазные      ¦   +    ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Фондапаринукс натрия  ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 5               ¦
¦                      ¦для подкожного     ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Хинидин               ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Циннаризин            ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Эналаприл             ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Эналаприл +           ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 5               ¦
¦Гидрохлоротиазид      ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Эналаприлат           ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 5               ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Эпинефрин             ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6; 3   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Эсмолол               ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 5               ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦                  Прочие средства                  ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Инозин                ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Фосфокреатин          ¦лиофилизированный  ¦   +    ¦для детских          ¦        ¦                   ¦
¦                      ¦порошок            ¦        ¦стационаров          ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦           XI. ДИАГНОСТИЧЕСКИЕ СРЕДСТВА            ¦                     ¦        ¦                   ¦
+---------------------------------------------------+---------------------+--------+-------------------+
¦           Рентгеноконтрастные средства            ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Бария сульфат         ¦порошок            ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦суспензии          ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для приема внутрь  ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Гадобутрол            ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 5 (МУ с МРТ);   ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦4 (МУ с МРТ)       ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Гадодиамид            ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 5 (МУ с МРТ);   ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦4 (МУ с МРТ)       ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Гадоксетовая кислота  ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Гадопентетовая кислота¦раствор            ¦   +    ¦                     ¦   +    ¦1; 5 (МУ с МРТ);   ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦4 (МУ с МРТ)       ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Йобитридол            ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Йогексол              ¦раствор            ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Йодиксанол            ¦раствор            ¦   +    ¦                     ¦   +    ¦4; 5; 3            ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Йопромид              ¦раствор            ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Натрия амидотризоат   ¦раствор для        ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      ¦внутрисосудистого  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Флуоресцеин натрия    ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 4; 5; 6 (обл.   ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦спец. центры)      ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦                     Аллергены                     ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Аллерген туберкулезный¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦очищенный жидкий      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦       XII. СРЕДСТВА ДЛЯ ЛЕЧЕНИЯ ЗАБОЛЕВАНИЙ       ¦                     ¦        ¦                   ¦
¦            ЖЕЛУДОЧНО-КИШЕЧНОГО ТРАКТА             ¦                     ¦        ¦                   ¦
+---------------------------------------------------+---------------------+--------+-------------------+
¦      Средства для лечения эрозивно-язвенных       ¦                     ¦        ¦                   ¦
¦                заболеваний желудка                ¦                     ¦        ¦                   ¦
¦            и двенадцатиперстной кишки             ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Алгелдрат +           ¦таблетки           ¦   +    ¦                     ¦   +    ¦2; 4: 5            ¦
¦Магния гидроксид      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦        ¦                     ¦   +    ¦2; 4; 5            ¦
¦                      ¦для рассасывания   ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦суспензия          ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      ¦для приема внутрь  ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Висмута трикалия      ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦дицитрат              ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Гидроталцит +         ¦таблетки           ¦        ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦Магния гидроксит      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦        ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      ¦для рассасывания   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Омепразол             ¦капсулы            ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦лиофилизат         ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦лиофилизат         ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Пантопразол           ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦кишечнорастворимой ¦        ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Ранитидин             ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Сукральфат            ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦гель для приема    ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      ¦внутрь             ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Фамотидин             ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦лиофилизат         ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦    Спазмолитические и прокинетические средства    ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Домперидон            ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для рассасывания   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Дротаверин            ¦таблетки           ¦   +    ¦                     ¦   +    ¦2; 4; 5            ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6; 3   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Мебеверин             ¦капсулы            ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦пролонгированного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦действия           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Метоклопрамид         ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5;        ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦6 (обл. спец.      ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦центры); 3         ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Папаверина гидрохлорид¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦(консилиум)!       ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦суппозитории       ¦   +    ¦                     ¦   +    ¦2                  ¦
¦                      ¦ректальные         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦порошок            ¦   +    ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Платифиллин           ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      ¦для подкожного     ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦              Панкреатические энзимы               ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Панкреатин            ¦капсулы            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦драже              ¦   +    ¦                     ¦        ¦1; 2; 4; 5         ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      ¦кишечнорастворимой ¦        ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Панкреатин + Желчи    ¦драже              ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦компоненты +          ¦кишечнорастворимые ¦        ¦                     ¦        ¦                   ¦
¦Гемицеллюлаза         ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Желчь + Порошок       ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦из pancreas и         ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦слизистой тонкой кишки¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦              Антидиарейные средства               ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Лоперамид             ¦капсулы            ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Смектит               ¦порошок            ¦   +    ¦                     ¦   +    ¦4; 3               ¦
¦диоктаэдрический      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦суспензии          ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для приема внутрь  ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦        Слабительные и ветрогонные средства        ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Бисакодил             ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦2; 4; 5            ¦
¦                      ¦кишечнорастворимой ¦        ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦суппозитории       ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      ¦ректальные         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Лактулоза             ¦сироп              ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Макрогол              ¦порошок            ¦        ¦                     ¦   +    ¦4                  ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора для приема¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутрь (для детей) ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Парафин жидкий        ¦масло для приема   ¦   +    ¦                     ¦   +    ¦2; 4; 5; 6; 3      ¦
¦                      ¦внутрь и наружного ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦масло для приема   ¦   +    ¦                     ¦   +    ¦2; 4; 5; 6         ¦
¦                      ¦внутрь             ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Сеннозиды А+В         ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Симетикон             ¦эмульсия для приема¦   +    ¦                     ¦   +    ¦4; 3               ¦
¦                      ¦внутрь             ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦  Средства, используемые для лечения заболеваний   ¦                     ¦        ¦                   ¦
¦           печени и желчевыводящих путей           ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Адеметионин           ¦лиофилизат         ¦   +    ¦                     ¦   +    ¦2                  ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦2                  ¦
¦                      ¦кишечнорастворимой ¦        ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Артишока листьев      ¦таблетки           ¦   +    ¦с ограничением       ¦        ¦                   ¦
¦экстракт              ¦                   ¦        ¦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        ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Орнитин               ¦гранулы            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора для приема¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутрь             ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦гранулы            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦суспензии          ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для приема внутрь  ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦концентрат         ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Урсодезоксихолевая    ¦капсулы            ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦кислота               ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦                   Антиферменты                    ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Апротинин             ¦раствор для инфузий¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦лиофилизат         ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦лиофилизат         ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦лиофилизат         ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения и         ¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутриполостного   ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦концентрат         ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦          Противовоспалительные средства           ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Месалазин             ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦кишечнорастворимой ¦        ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦суппозитории       ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦ректальные         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦суспензия          ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦ректальная         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦суспензия          ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приема внутрь  ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Сульфасалазин         ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦        XIII. ГОРМОНЫ И СРЕДСТВА, ВЛИЯЮЩИЕ         ¦                     ¦        ¦                   ¦
¦              НА ЭНДОКРИННУЮ СИСТЕМУ               ¦                     ¦        ¦                   ¦
+---------------------------------------------------+---------------------+--------+-------------------+
¦   Неполовые гормоны, синтетические субстанции и   ¦                     ¦        ¦                   ¦
¦                    антигормоны                    ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Бетаметазон           ¦суспензия          ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦мазь для наружного ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦крем для наружного ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капли глазные и    ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦ушные              ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Бетаметазон +         ¦мазь для наружного ¦   +    ¦                     ¦        ¦                   ¦
¦Салициловая кислота   ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦крем для наружного ¦   +    ¦                     ¦        ¦                   ¦