Постановление Правительства Свердловской области от 24.12.2008 № 1373-ПП

¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Бетаметазон +         ¦крем для наружного ¦   +    ¦                     ¦        ¦                   ¦
¦Гентамицин            ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦мазь для наружного ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капли глазные и    ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦ушные              ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Бетаметазон +         ¦мазь для наружного ¦        ¦                     ¦   +    ¦4; 5               ¦
¦Гентамицин +          ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦Клотримазол           ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Бромокриптин          ¦таблетки           ¦   +    ¦                     ¦   +    ¦2; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Гидрокортизон         ¦суспензия          ¦   +    ¦                     ¦   +    ¦4; 5; 6; 3         ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦и внутрисуставного ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦лиофилизат         ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦лиофилизат         ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦мазь глазная       ¦   +    ¦                     ¦   +    ¦4; 5; 6            ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦мазь для наружного ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Гидрокортизон +       ¦мазь для наружного ¦   +    ¦                     ¦        ¦                   ¦
¦Окситетрациклина      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦гидрохлорид           ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Гонадотропин          ¦лиофилизат         ¦   +    ¦                     ¦   +    ¦2; 4; 5            ¦
¦хорионический         ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Дексаметазон          ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6; 3   ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6; 3   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦2; 4; 5            ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капли глазные      ¦   +    ¦                     ¦   +    ¦4; 5; 6; 3         ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Дексаметазон +        ¦капли глазные и    ¦        ¦                     ¦   +    ¦1; 4; 5; 6         ¦
¦Неомицин              ¦ушные              ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Десмопрессин          ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Каберголин            ¦таблетки           ¦        ¦                     ¦   +    ¦5 (эндокринология) ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Кортизон              ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Левотироксин натрия   ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Метилпреднизолон      ¦лиофилизат         ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Метилпреднизолона     ¦крем для наружного ¦   +    ¦                     ¦   +    ¦2; 4 (дети до года)¦
¦ацепонат              ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦мазь для наружного ¦   +    ¦                     ¦   +    ¦2; 4 (дети до года)¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦мазь жирная        ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для наружного      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦эмульсия           ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для наружного      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Метилтестостерон      ¦таблетки           ¦   +    ¦                     ¦        ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Мометазон             ¦крем для наружного ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦мазь для наружного ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для наружного      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Мометазон +           ¦мазь для наружного ¦   +    ¦                     ¦        ¦                   ¦
¦Салициловая кислота   ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Нандролон             ¦раствор            ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения масляный  ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Октреотид             ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 5               ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦(гастроэнтерология,¦
¦                      ¦подкожного введения¦        ¦                     ¦        ¦хирургия,          ¦
¦                      ¦                   ¦        ¦                     ¦        ¦эндокринология)    ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Преднизолон           ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦лиофилизат         ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6      ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6      ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦мазь для наружного ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капли глазные      ¦   +    ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Соматропин            ¦лиофилизированный  ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦порошок            ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Тиамазол              ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Триамцинолон          ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦суспензия          ¦   +    ¦                     ¦   +    ¦4; 5; 6 (обл. спец.¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦центры)            ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦мазь для наружного ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Флудрокортизон        ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5; 3            ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Флуоцинолона ацетонид ¦мазь для наружного ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦                     Андрогены                     ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Тестостерон           ¦раствор            ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения масляный  ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капсулы            ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Тестостерон           ¦раствор            ¦   +    ¦                     ¦   +    ¦5                  ¦
¦(смесь эфиров)        ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      ¦масляный           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦                     Эстрогены                     ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Этинилэстрадиол       ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Дезогестрел +         ¦таблетки           ¦        ¦                     ¦   +    ¦5 (гинекология)    ¦
¦Этинилэстрадиол       ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦                     Гестагены                     ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Дидрогестерон         ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦2; 5               ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Левоноргестрел        ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦драже              ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Норэтистерон          ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Прогестерон           ¦капсулы            ¦   +    ¦                     ¦   +    ¦2                  ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦2; 5               ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения масляный  ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦ Инсулин и средства для лечения сахарного диабета  ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Глибенкламид          ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Глибенкламид +        ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
¦Метформин             ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Гликвидон             ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Гликлазид             ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦с модифицированным ¦        ¦                     ¦        ¦                   ¦
¦                      ¦высвобождением     ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Глимепирид            ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Глюкагон              ¦лиофилизат         ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Инсулин растворимый   ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 3; 4; 5      ¦
¦(человеческий         ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦генноинженерный)      ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Инсулин аспарт        ¦раствор            ¦   +    ¦                     ¦   +    ¦5 (эндокринология, ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦б-м с ослабленным  ¦
¦                      ¦подкожного введения¦        ¦                     ¦        ¦зрением);          ¦
¦                      ¦                   ¦        ¦                     ¦        ¦4 (эндокринология) ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Инсулин гларгин       ¦раствор            ¦   +    ¦с ограничением       ¦   +    ¦5 (б-м             ¦
¦                      ¦для подкожного     ¦        ¦для детей и          ¦        ¦с ослабленным      ¦
¦                      ¦введения           ¦        ¦слабовидящих         ¦        ¦зрением,           ¦
¦                      ¦                   ¦        ¦                     ¦        ¦беременным);       ¦
¦                      ¦                   ¦        ¦                     ¦        ¦4 (эндокринология) ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Инсулин двухфазный    ¦суспензия          ¦   +    ¦                     ¦   +    ¦4 (эндокринология);¦
¦(человеческий         ¦для подкожного     ¦        ¦                     ¦        ¦5 (эндокринология) ¦
¦генноинженерный)      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Инсулин-изофан        ¦суспензия          ¦   +    ¦                     ¦   +    ¦2; 4               ¦
¦(человеческий         ¦для подкожного     ¦        ¦                     ¦        ¦(эндокринологии);  ¦
¦генноинженерный)      ¦введения           ¦        ¦                     ¦        ¦5 (эндокринология) ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Метформин             ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Репаглинид            ¦таблетки           ¦   +    ¦                     ¦   +    ¦5 (эндокринология) ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Росиглитазон          ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦5 (эндокринология) ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦пленочной оболочкой¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Тиоктовая кислота     ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦концентрат         ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦XIV. СРЕДСТВА, ИСПОЛЬЗУЕМЫЕ В УРОЛОГИИ И НЕФРОЛОГИИ¦                     ¦        ¦                   ¦
+---------------------------------------------------+---------------------+--------+-------------------+
¦  Средства терапии при почечной недостаточности и  ¦                     ¦        ¦                   ¦
¦                 пересадке органов                 ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Иммуноглобулин        ¦порошок            ¦   +    ¦МИБП                 ¦        ¦                   ¦
¦антитимоцитарный      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Микофенолата мофетил  ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦4 (ревматология);  ¦
¦                      ¦пленочной оболочкой¦        ¦                     ¦        ¦5 (ревматология)   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦4 (ревматология);  ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦5 (ревматология)   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капсулы            ¦   +    ¦                     ¦   +    ¦4 (ревматология);  ¦
¦                      ¦                   ¦        ¦                     ¦        ¦5 (ревматология)   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Микофеноловая кислота ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦5 (ревматология,   ¦
¦                      ¦кишечнорастворимой ¦        ¦                     ¦        ¦нефрология);       ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦4 (ревматология,   ¦
¦                      ¦                   ¦        ¦                     ¦        ¦нефрология)        ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Растворы              ¦упаковка           ¦   +    ¦                     ¦        ¦                   ¦
¦для перитонеального   ¦                   ¦        ¦                     ¦        ¦                   ¦
¦диализа               ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Такролимус            ¦капсулы            ¦   +    ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦концентрат         ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦  Средства лечения доброкачественной гиперплазии   ¦                     ¦        ¦                   ¦
¦       предстательной железы и нейрогенного        ¦                     ¦        ¦                   ¦
¦                  мочевого пузыря                  ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Доксазозин            ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Оксибутинин           ¦таблетки           ¦   +    ¦                     ¦   +    ¦4                  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦                     Диуретики                     ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Аммония хлорид        ¦раствор            ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦для наружного      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦порошок            ¦   +    ¦                     ¦   +    ¦5                  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Ацетазоламид          ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5; 6; 3         ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Гидрохлоротиазид      ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Гидрохлоротиазид +    ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
¦Триамтерон            ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Маннитол              ¦раствор для инфузий¦   +    ¦                     ¦   +    ¦1; 2               ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2               ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Спиронолактон         ¦капсулы            ¦   +    ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦2; 4; 5            ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Фуросемид             ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 4; 5; 3         ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6; 3   ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦             XV. СРЕДСТВА ДЛЯ ЛЕЧЕНИЯ              ¦                     ¦        ¦                   ¦
¦          ОФТАЛЬМОЛОГИЧЕСКИХ ЗАБОЛЕВАНИЙ           ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Бензалкония хлорид +  ¦капли глазные      ¦        ¦                     ¦   +    ¦4 (офтальмология); ¦
¦Гипромеллоза          ¦                   ¦        ¦                     ¦        ¦5 (офтальмология)  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Бетаксалол            ¦капли глазные      ¦   +    ¦                     ¦   +    ¦5                  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Бринзоламид           ¦капли глазные      ¦   +    ¦                     ¦   +    ¦5; 6               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Бутиламиногидро-      ¦капли глазные      ¦   +    ¦                     ¦   +    ¦5                  ¦
¦ксипропокси-          ¦                   ¦        ¦                     ¦        ¦                   ¦
¦феноксиметил          ¦                   ¦        ¦                     ¦        ¦                   ¦
¦метилоксадиазол       ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Грамицидин с +        ¦капли глазные и    ¦   +    ¦                     ¦   +    ¦4; 5; 3            ¦
¦Дексаметазон +        ¦ушные              ¦        ¦                     ¦        ¦                   ¦
¦Фрамицетин            ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Дексаметазон +        ¦капли глазные      ¦        ¦                     ¦   +    ¦4 (офтальмология); ¦
¦Неомицин +            ¦                   ¦        ¦                     ¦        ¦5 (офтальмология)  ¦
¦Полимиксин В          ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Диметиламиноэтиловый  ¦капли глазные      ¦        ¦                     ¦   +    ¦1; 4; 5            ¦
¦эфир                  ¦                   ¦        ¦                     ¦        ¦                   ¦
¦n-бутиламинобензойной ¦                   ¦        ¦                     ¦        ¦                   ¦
¦кислоты гидрохлорид   ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Диэтиламинопропионил- ¦раствор            ¦        ¦                     ¦   +    ¦1; 5               ¦
¦этоксикарбониламино-  ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦фенотиазин            ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦        ¦                     ¦   +    ¦1; 5               ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Идоксуридин           ¦капли глазные      ¦   +    ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Карбомер              ¦гель глазной       ¦        ¦                     ¦   +    ¦5 (офтальмология); ¦
¦                      ¦                   ¦        ¦                     ¦        ¦4 (офтальмология); ¦
¦                      ¦                   ¦        ¦                     ¦        ¦6                  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Латанопрост           ¦капли глазные      ¦   +    ¦                     ¦   +    ¦5                  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Оксибупрокаин         ¦капли глазные      ¦   +    ¦                     ¦   +    ¦4; 5; 6            ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Пилокарпин            ¦капли глазные      ¦   +    ¦                     ¦   +    ¦1; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Сульфацетамид         ¦капли глазные      ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6; 3   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Тетракаин             ¦капли глазные      ¦   +    ¦                     ¦   +    ¦5; 6 (обл. спец.   ¦
¦                      ¦                   ¦        ¦                     ¦        ¦центры)            ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Тетрациклин           ¦мазь глазная       ¦   +    ¦                     ¦   +    ¦4; 5; 3            ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Тимолол               ¦капли глазные      ¦   +    ¦                     ¦   +    ¦5; 6               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Тобрамицин +          ¦капли глазные      ¦        ¦                     ¦   +    ¦4; 5               ¦
¦Дексаметазон          ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Травопрост            ¦капли глазные      ¦   +    ¦                     ¦   +    ¦5                  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Тропикамид            ¦капли глазные      ¦        ¦                     ¦   +    ¦5 (офтальмология); ¦
¦                      ¦                   ¦        ¦                     ¦        ¦4 (офтальмология); ¦
¦                      ¦                   ¦        ¦                     ¦        ¦6                  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Циклопентолат         ¦капли глазные      ¦   +    ¦                     ¦   +    ¦4; 5; 6            ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦   XVI. СРЕДСТВА, ВЛИЯЮЩИЕ НА МУСКУЛАТУРУ МАТКИ    ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Гексопреналин         ¦таблетки           ¦   +    ¦                     ¦   +    ¦2                  ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦2                  ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦концентрат         ¦   +    ¦                     ¦   +    ¦2                  ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Динопрост             ¦раствор            ¦   +    ¦                     ¦   +    ¦2                  ¦
¦                      ¦для инфузий и      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦интраамниотического¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Динопростон           ¦гель               ¦   +    ¦                     ¦   +    ¦2                  ¦
¦                      ¦интрацервикальный  ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦концентрат         ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Магния сульфат        ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6; 3   ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦порошок            ¦   +    ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Метилэргометрин       ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 5            ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Мизопростол           ¦таблетки           ¦   +    ¦                     ¦   +    ¦5 (гинекология)    ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Мифепристон           ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Экситоцин             ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 5            ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Эргометрин            ¦таблетки           ¦   +    ¦                     ¦   +    ¦2; 5               ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦    XVII. СРЕДСТВА, ВЛИЯЮЩИЕ НА ОРГАНЫ ДЫХАНИЯ     ¦                     ¦        ¦                   ¦
+---------------------------------------------------+---------------------+--------+-------------------+
¦           Противоастматические средства           ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Аминофиллин           ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6; 3   ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Беклометазон          ¦аэрозоль           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦для ингаляций      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦дозированный       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капсулы с порошком ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦для ингаляций      ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦спрей дозированный ¦        ¦                     ¦   +    ¦4                  ¦
¦                      ¦назальный          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Булесонид             ¦порошок            ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦для ингаляций      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦дозированный       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      ¦для ингаляций      ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦суспензия          ¦   +    ¦                     ¦   +    ¦4                  ¦
¦                      ¦для ингаляций      ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦аэрозоль           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦для ингаляций      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦дозированный       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Дорназа альфа         ¦раствор            ¦   +    ¦МИБП для             ¦        ¦                   ¦
¦                      ¦для ингаляций      ¦        ¦специализированных   ¦        ¦                   ¦
¦                      ¦                   ¦        ¦отделений областных  ¦        ¦                   ¦
¦                      ¦                   ¦        ¦медицинских          ¦        ¦                   ¦
¦                      ¦                   ¦        ¦учреждений           ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Ипратропия бромид     ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      ¦для ингаляций      ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦аэрозоль           ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      ¦для ингаляций      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦дозированный       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капсулы с порошком ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦для ингаляций      ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Ипратропия бромид +   ¦аэрозоль           ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦Фенотерол             ¦для ингаляций      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦дозированный       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 4; 5; 6 (обл.   ¦
¦                      ¦для ингаляций      ¦        ¦                     ¦        ¦спец. центры); 3   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Кромоглициевая кислота¦спрей назальный    ¦   +    ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капли глазные      ¦        ¦                     ¦   +    ¦4; 5               ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦аэрозоль           ¦   +    ¦                     ¦   +    ¦4                  ¦
¦                      ¦для ингаляций      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦дозированный       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Нафазолин             ¦капли назальные    ¦   +    ¦                     ¦   +    ¦4; 5; 6            ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Недокромил            ¦аэрозоль           ¦   +    ¦                     ¦   +    ¦4                  ¦
¦                      ¦для ингаляций      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦дозированный       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Салметерол            ¦аэрозоль           ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для ингаляций      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦дозированный       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Салметерол +          ¦порошок            ¦   +    ¦                     ¦        ¦                   ¦
¦Флутиказон            ¦для ингаляций      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦дозированный       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦аэрозоль           ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для ингаляций      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦дозированный       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Сальбутамол           ¦аэрозоль           ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      ¦для ингаляций      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦дозированный       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦порошок            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6      ¦
¦                      ¦для ингаляций      ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 4; 5; 6         ¦