Постановление Правительства Свердловской области от 24.12.2008 № 1373-ПП

¦                      ¦для ингаляций      ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦пролонгированного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦действия, покрытые ¦        ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Теофиллин             ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦пролонгированного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦действия           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капсулы            ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦пролонгированного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦действия           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Фенотерол             ¦аэрозоль           ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      ¦для ингаляций      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦дозированный       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      ¦для ингаляций      ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Флутиказон            ¦аэрозоль           ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для ингаляций      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦дозированный       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Формотерол            ¦аэрозоль           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦для ингаляций      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦дозированный       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦порошок            ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦для ингаляций      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦дозированный       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капсулы с порошком ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦для ингаляций      ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Формотерол +          ¦порошок            ¦   +    ¦                     ¦        ¦                   ¦
¦Будесонид             ¦для ингаляций      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦дозированный       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦  Прочие средства для лечения заболеваний органов  ¦                     ¦        ¦                   ¦
¦                      дыхания                      ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Амброксол             ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор для приема ¦   +    ¦                     ¦   +    ¦1; 4               ¦
¦                      ¦внутрь и ингаляций ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦сироп              ¦   +    ¦                     ¦   +    ¦1; 4               ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капсулы            ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦пролонгированного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦действия           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Ацетилцистеин         ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      ¦для инъекций и     ¦        ¦                     ¦        ¦                   ¦
¦                      ¦ингаляций          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки шипучие   ¦   +    ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Бромгексин            ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦сироп              ¦   +    ¦                     ¦   +    ¦4                  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Кодеин +              ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦Натрия гидрокарбонат +¦                   ¦        ¦                     ¦        ¦                   ¦
¦Солодки корни +       ¦                   ¦        ¦                     ¦        ¦                   ¦
¦Термопсиса трава      ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Порактант альфа       ¦суспензия для      ¦        ¦                     ¦   +    ¦1; 2; 3            ¦
¦                      ¦эндотрахеального   ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Преноксдиазин         ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Сурфактант-HL         ¦лиофилизат         ¦   +    ¦                     ¦   +    ¦1; 2; 3            ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦эмульсии для       ¦        ¦                     ¦        ¦                   ¦
¦                      ¦эндотрахеального   ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Сурфактант-БЛ         ¦лиофилизат         ¦   +    ¦                     ¦   +    ¦1; 2; 3            ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦эмульсии для       ¦        ¦                     ¦        ¦                   ¦
¦                      ¦эндотрахеального   ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Термопсиса ланцетного ¦таблетки           ¦   +    ¦                     ¦   +    ¦4                  ¦
¦трава +               ¦                   ¦        ¦                     ¦        ¦                   ¦
¦Натрия гидрокарбонат  ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Эфедрин               ¦раствор            ¦   +    ¦                     ¦   +    ¦1                  ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦ XVIII. РАСТВОРЫ, ЭЛЕКТРОЛИТЫ, СРЕДСТВА КОРРЕКЦИИ  ¦                     ¦        ¦                   ¦
¦               КИСЛОТНОГО РАВНОВЕСИЯ               ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Комбинация различных  ¦эмульсия           ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦электролитов          ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Калия хлорид          ¦концентрат         ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦порошок            ¦   +    ¦                     ¦   +    ¦для экстемпоральных¦
¦                      ¦                   ¦        ¦                     ¦        ¦форм               ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Кальция глюконат      ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Кальция хлорид        ¦раствор для инфузий¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Натрия гидрокарбонат  ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор для инфузий¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦порошок            ¦   +    ¦                     ¦   +    ¦для экстемпоральных¦
¦                      ¦                   ¦        ¦                     ¦        ¦форм               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Натрия хлорид         ¦раствор для инфузий¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦порошок            ¦   +    ¦                     ¦   +    ¦для экстемпоральных¦
¦                      ¦                   ¦        ¦                     ¦        ¦форм               ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6; 3   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦растворитель       ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6; 3   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦лекарственных форм ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦             XIX. ВИТАМИНЫ И МИНЕРАЛЫ              ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Аддамель H            ¦концентрат         ¦   +    ¦                     ¦   +    ¦3                  ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Алвитил               ¦таблетки           ¦   +    ¦с ограничением       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦для ОГУЗ             ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦сироп              ¦   +    ¦"Свердловская        ¦        ¦                   ¦
¦                      ¦                   ¦        ¦областная            ¦        ¦                   ¦
¦                      ¦                   ¦        ¦специализированная   ¦        ¦                   ¦
¦                      ¦                   ¦        ¦детская больница     ¦        ¦                   ¦
¦                      ¦                   ¦        ¦восстановительного   ¦        ¦                   ¦
¦                      ¦                   ¦        ¦лечения "НПЦ детской ¦        ¦                   ¦
¦                      ¦                   ¦        ¦дерматологии и       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦аллергологии"        ¦        ¦                   ¦
¦                      ¦                   ¦        ¦для лечения детей    ¦        ¦                   ¦
¦                      ¦                   ¦        ¦с аллергическими     ¦        ¦                   ¦
¦                      ¦                   ¦        ¦заболеваниями,       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦проживающих          ¦        ¦                   ¦
¦                      ¦                   ¦        ¦на территориях       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦с техническими       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦загрязнениями        ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Аскорбиновая кислота  ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Витамин Е             ¦капсулы            ¦   +    ¦                     ¦   +    ¦2                  ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор для приема ¦   +    ¦                     ¦   +    ¦2                  ¦
¦                      ¦внутрь (масляный)  ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦2; 3               ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения (масляный)¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Калия и магния        ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦аспарагинат           ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Калия йодид           ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦порошок            ¦   +    ¦                     ¦   +    ¦для экстемпоральных¦
¦                      ¦                   ¦        ¦                     ¦        ¦форм               ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор для приема ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦внутрь             ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Левокарнитин          ¦концентрат         ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор для приема ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦внутрь             ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦3                  ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦3                  ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Менадион натрия       ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦бисульфит             ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Натрия селенит        ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Нейромультивит        ¦таблетки, покрытые ¦   +    ¦для детских          ¦        ¦                   ¦
¦                      ¦пленочной оболочкой¦        ¦стационаров          ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Никотиновая кислота   ¦раствор            ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Пиридоксин            ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Поливитамины          ¦эмульсия           ¦   +    ¦                     ¦   +    ¦1; 3               ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капли для приема   ¦   +    ¦                     ¦   +    ¦1; 3               ¦
¦                      ¦внутрь             ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦лиофилизат         ¦   +    ¦                     ¦   +    ¦1; 3               ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Ретинол               ¦раствор для приема ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦внутрь масляный    ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Тиамин                ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Эргокальциферол       ¦драже              ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капли для приема   ¦   +    ¦                     ¦   +    ¦4; 3               ¦
¦                      ¦внутрь (в масле)   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦           XX. ЛЕКАРСТВЕННЫЕ СРЕДСТВА,             ¦                     ¦        ¦                   ¦
¦            ПРИМЕНЯЕМЫЕ В ДЕРМАТОЛОГИИ             ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Амми большой плодов   ¦раствор            ¦        ¦                     ¦   +    ¦4; 5               ¦
¦фурокумарины          ¦для наружного      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦        ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦АСД фракция 3         ¦жидкость           ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Бензилбензоат         ¦мазь для наружного ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Дапсон                ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Деготь березовый      ¦раствор            ¦   +    ¦                     ¦   +    ¦5 (дерматология);  ¦
¦                      ¦для наружного      ¦        ¦                     ¦        ¦4 (дерматология)   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Декспантенол          ¦мазь для наружного ¦   +    ¦                     ¦   +    ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦крем для наружного ¦   +    ¦                     ¦   +    ¦4; 3               ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦аэрозоль           ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Дерматол              ¦порошок            ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Диметилсульфоксид     ¦концентрат         ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для наружного      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Димоцифон             ¦порошок            ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Диуцифон              ¦порошок            ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Ихтаммол              ¦мазь для наружного ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦суппозитории       ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦ректальные         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Мочевина              ¦порошок            ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Нафталанская нефть    ¦линимент           ¦   +    ¦                     ¦   +    ¦5 (дерматология);  ¦
¦                      ¦                   ¦        ¦                     ¦        ¦4 (дерматология);  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Перметрин             ¦концентрат         ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦эмульсии           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для наружного      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Салициловая кислота   ¦мазь для наружного ¦   +    ¦                     ¦   +    ¦5 (дерматология);  ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦4 (дерматология)   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Цинка гиалуронат      ¦гель для наружного ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для наружного      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Цинка оксид           ¦мазь для наружного ¦   +    ¦                     ¦   +    ¦4; 5; 6; 3         ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦паста для наружного¦   +    ¦                     ¦   +    ¦4; 5; 6;           ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦суспензия          ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для наружного      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦           XXI. ЛЕКАРСТВЕННЫЕ СРЕДСТВА,            ¦                     ¦        ¦                   ¦
¦            ПРИМЕНЯЕМЫЕ В ТОКСИКОЛОГИИ             ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Активированный уголь  ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Кремния диоксид       ¦порошок            ¦   +    ¦                     ¦        ¦                   ¦
¦коллоидный            ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦суспензии          ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для приема внутрь  ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Лигнин гидролизный    ¦порошок            ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦суспензии          ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для приема внутрь  ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦порошок для приема ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦внутрь             ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Деферазирокс          ¦таблетки           ¦        ¦                     ¦   +    ¦5 (токсикология,   ¦
¦                      ¦диспергируемые     ¦        ¦                     ¦        ¦обл. спец. центры);¦
¦                      ¦                   ¦        ¦                     ¦        ¦4 (токсикология,   ¦
¦                      ¦                   ¦        ¦                     ¦        ¦обл. спец. центры) ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Дефероксамин          ¦лиофилизат         ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инъекции       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Димеркаптопропан-     ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦сульфонат натрия      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦и подкожного       ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Кальция альгинат      ¦порошок            ¦   +    ¦с ограничением       ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦для ОГУЗ             ¦        ¦                   ¦
¦                      ¦суспензии          ¦        ¦"Свердловская        ¦        ¦                   ¦
¦                      ¦для приема внутрь  ¦        ¦областная            ¦        ¦                   ¦
¦                      ¦                   ¦        ¦специализированная   ¦        ¦                   ¦
¦                      ¦                   ¦        ¦детская больница     ¦        ¦                   ¦
¦                      ¦                   ¦        ¦восстановительного   ¦        ¦                   ¦
¦                      ¦                   ¦        ¦лечения "НПЦ детской ¦        ¦                   ¦
¦                      ¦                   ¦        ¦дерматологии и       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦аллергологии"        ¦        ¦                   ¦
¦                      ¦                   ¦        ¦для лечения детей    ¦        ¦                   ¦
¦                      ¦                   ¦        ¦с аллергическими     ¦        ¦                   ¦
¦                      ¦                   ¦        ¦заболеваниями,       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦проживающих          ¦        ¦                   ¦
¦                      ¦                   ¦        ¦на территориях       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦с техническими       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦загрязнениями        ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Карбоксим             ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Меглумина натрия      ¦раствор для инфузий¦   +    ¦с ограничением       ¦        ¦                   ¦
¦сукцинат              ¦                   ¦        ¦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        ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Натрия гипохлорит     ¦концентрат         ¦   +    ¦                     ¦   +    ¦1                  ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Натрия тиосульфат     ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Полиметилсилоксана    ¦паста для приема   ¦   +    ¦с ограничением       ¦        ¦                   ¦
¦полигидрат            ¦внутрь             ¦        ¦для ОГУЗ             ¦        ¦                   ¦
¦                      +-------------------+--------+"Свердловская        +--------+-------------------+
¦                      ¦гель для приема    ¦   +    ¦областная            ¦        ¦                   ¦
¦                      ¦внутрь             ¦        ¦специализированная   ¦        ¦                   ¦
¦                      ¦                   ¦        ¦детская больница     ¦        ¦                   ¦
¦                      ¦                   ¦        ¦восстановительного   ¦        ¦                   ¦
¦                      ¦                   ¦        ¦лечения "НПЦ детской ¦        ¦                   ¦
¦                      ¦                   ¦        ¦дерматологии и       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦аллергологии"        ¦        ¦                   ¦
¦                      ¦                   ¦        ¦для лечения детей    ¦        ¦                   ¦
¦                      ¦                   ¦        ¦с аллергическими     ¦        ¦                   ¦
¦                      ¦                   ¦        ¦заболеваниями,       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦проживающих          ¦        ¦                   ¦
¦                      ¦                   ¦        ¦на территориях       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦с техническими       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦загрязнениями        ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Флумазенил            ¦раствор            ¦   +    ¦                     ¦   +    ¦1                  ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Янтарная кислота      ¦таблетки           ¦   +    ¦с ограничением       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦для ОГУЗ             ¦        ¦                   ¦
¦                      ¦                   ¦        ¦"Свердловская        ¦        ¦                   ¦
¦                      ¦                   ¦        ¦областная            ¦        ¦                   ¦
¦                      ¦                   ¦        ¦специализированная   ¦        ¦                   ¦
¦                      ¦                   ¦        ¦детская больница     ¦        ¦                   ¦
¦                      ¦                   ¦        ¦восстановительного   ¦        ¦                   ¦
¦                      ¦                   ¦        ¦лечения "НПЦ детской ¦        ¦                   ¦
¦                      ¦                   ¦        ¦дерматологии и       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦аллергологии"        ¦        ¦                   ¦
¦                      ¦                   ¦        ¦для лечения детей    ¦        ¦                   ¦
¦                      ¦                   ¦        ¦с аллергическими     ¦        ¦                   ¦
¦                      ¦                   ¦        ¦заболеваниями,       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦проживающих          ¦        ¦                   ¦
¦                      ¦                   ¦        ¦на территориях       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦с техническими       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦загрязнениями        ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦        XXII. ПРОЧИЕ ЛЕКАРСТВЕННЫЕ СРЕДСТВА        ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Азоксимера бромид     ¦лиофилизат         ¦   +    ¦с ограничением       ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦для ОГУЗ             ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦"Свердловская        ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦областная            ¦        ¦                   ¦
¦                      +-------------------+--------+специализированная   +--------+-------------------+
¦                      ¦суппозитории       ¦   +    ¦детская больница     ¦        ¦                   ¦
¦                      ¦ректальные         ¦        ¦восстановительного   ¦        ¦                   ¦
¦                      ¦                   ¦        ¦лечения "НПЦ детской ¦        ¦                   ¦
¦                      ¦                   ¦        ¦дерматологии и       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦аллергологии"        ¦        ¦                   ¦
¦                      ¦                   ¦        ¦для лечения детей    ¦        ¦                   ¦
¦                      ¦                   ¦        ¦с аллергическими     ¦        ¦                   ¦
¦                      ¦                   ¦        ¦заболеваниями,       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦проживающих          ¦        ¦                   ¦
¦                      ¦                   ¦        ¦на территориях       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦с техническими       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦загрязнениями        ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦лиофилизат         ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Белладонны листьев    ¦суппозитории       ¦   +    ¦                     ¦   +    ¦2; 4; 5            ¦
¦экстракт +            ¦ректальные         ¦        ¦                     ¦        ¦                   ¦
¦Трибромфенолят        ¦                   ¦        ¦                     ¦        ¦                   ¦
¦висмута +             ¦                   ¦        ¦                     ¦        ¦                   ¦
¦Цинка сульфат         ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Вазелин               ¦мазь для наружного ¦   +    ¦                     ¦   +    ¦4; 5; 6            ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Вода                  ¦растворитель       ¦        ¦                     ¦   +    ¦1; 2; 4; 5; 6; 3   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦лекарственных форм ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Глицерол              ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6      ¦
¦                      ¦для наружного      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Глюкозаминил          ¦таблетки           ¦   +    ¦с ограничением       ¦        ¦                   ¦
¦мурамилдипептид       ¦                   ¦        ¦для ОГУЗ             ¦        ¦                   ¦
¦                      ¦                   ¦        ¦"Свердловская        ¦        ¦                   ¦
¦                      ¦                   ¦        ¦областная            ¦        ¦                   ¦
¦                      ¦                   ¦        ¦специализированная   ¦        ¦                   ¦
¦                      ¦                   ¦        ¦детская больница     ¦        ¦                   ¦
¦                      ¦                   ¦        ¦восстановительного   ¦        ¦                   ¦
¦                      ¦                   ¦        ¦лечения (НПЦ детской ¦        ¦                   ¦
¦                      ¦                   ¦        ¦дерматологии и       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦аллергологии"        ¦        ¦                   ¦
¦                      ¦                   ¦        ¦для лечения детей    ¦        ¦                   ¦
¦                      ¦                   ¦        ¦с аллергическими     ¦        ¦                   ¦
¦                      ¦                   ¦        ¦заболеваниями,       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦проживающих          ¦        ¦                   ¦