Постановление Правительства Свердловской области от 24.12.2008 № 1373-ПП

¦                      ¦для наружного      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капли глазные      ¦   +    ¦                     ¦   +    ¦4; 5; 6            ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Лидокаин +            ¦гель для наружного ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6      ¦
¦Хлоргексидин          ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦спрей для наружного¦   +    ¦                     ¦   +    ¦4; 5; 6            ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Прокаин               ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6; 3   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦суппозитории       ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦ректальные         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦мазь для наружного ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦порошок            ¦   +    ¦                     ¦   +    ¦для экстемпоральных¦
¦                      ¦                   ¦        ¦                     ¦        ¦форм               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Ропивакаин            ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Тримекаин             ¦раствор            ¦        ¦                     ¦   +    ¦6 (стоматология)   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦ II. МИОРЕЛАКСАНТЫ И АНТИХОЛИНЭСТЕРАЗНЫЕ СРЕДСТВА  ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Атракурия безилат     ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Баклофен              ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Ботулинический токсин ¦лиофилизат         ¦   +    ¦МИБП (неврология)    ¦        ¦                   ¦
¦типа А-гемаглютинин   ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦комплекс              ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+                     +--------+-------------------+
¦                      ¦лиофилизат         ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦и подкожного       ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Векурония бромид      ¦лиофилизат         ¦   +    ¦                     ¦   +    ¦1                  ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Галантамин            ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор для приема ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦внутрь             ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Дистигмина бромид     ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 5               ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 5               ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Ипидакрин             ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦и подкожного       ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Мивакурия хлорид      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Неостигмина           ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦метилсульфат          +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5;        ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦6 (обл. спец.      ¦
¦                      ¦                   ¦        ¦                     ¦        ¦центры); 3         ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5;        ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦6 (обл. спец.      ¦
¦                      ¦подкожного введения¦        ¦                     ¦        ¦центры); 3         ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Пипекурония бромид    ¦лиофилизат         ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Пиридостигмина бромид ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦драже              ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Рокурония бромид      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Суксаметония бромид   ¦порошок            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Суксаметония хлорид   ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Суксаметония йодид    ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Тизанидин             ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Толперизон            ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦4; 5; 3            ¦
¦                      ¦пленочной оболочкой¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Толперизон + Лидокаин ¦раствор            ¦   +    ¦                     ¦   +    ¦4; 5, 3            ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Цисатракурия безилат  ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦          III. АНАЛЬГЕТИКИ, НЕСТЕРОИДНЫЕ           ¦                     ¦        ¦                   ¦
¦    ПРОТИВОВОСПАЛИТЕЛЬНЫЕ ПРЕПАРАТЫ, СРЕДСТВА      ¦                     ¦        ¦                   ¦
¦  ДЛЯ ЛЕЧЕНИЯ РЕВМАТИЧЕСКИХ ЗАБОЛЕВАНИЙ И ПОДАГРЫ  ¦                     ¦        ¦                   ¦
+---------------------------------------------------+---------------------+--------+-------------------+
¦       Опиоидные анальгетики и анальгетики         ¦                     ¦        ¦                   ¦
¦                смешанного действия                ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Бупренорфин           ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 5               ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Морфин                ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦пролонгированного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦действия, покрытые ¦        ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 5; 6         ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Морфин + Наркотин +   ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦Папаверин + Кодеин +  ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦Тебаин                ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Налбуфин              ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Пропионилфенилэтокси- ¦таблетки защечные  ¦   +    ¦                     ¦   +    ¦1,5                ¦
¦этилпиперидин         +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 5               ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Трамадол              ¦капсулы            ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦пролонгированного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦действия, покрытые ¦        ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦суппозитории       ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦ректальные         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Буторфанол            ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 5            ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Тримеперидин          ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6 (обл.¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦спец. центры); 3   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Фентанил              ¦раствор            ¦   +    ¦                     ¦   +    ¦1, 2; 4; 5         ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦трансдермальная    ¦   +    ¦                     ¦   +    ¦1; 5 (обл. спец.   ¦
¦                      ¦терапевтическая    ¦        ¦                     ¦        ¦центры)            ¦
¦                      ¦система            ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦    Ненаркотические анальгетики и нестероидные     ¦                                                  ¦
¦          противовоспалительные средства           ¦                                                  ¦
+----------------------T-------------------T--------+---------------------T--------T-------------------+
¦Ацетилсалициловая     ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6      ¦
¦кислота               +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      ¦кишечнорастворимой ¦        ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Диклофенак            ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦кишечнорастворимой ¦        ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦пролонгированного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦действия           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капли глазные      ¦   +    ¦                     ¦   +    ¦4; 5; 6 (обл. спец.¦
¦                      ¦                   ¦        ¦                     ¦        ¦центры)            ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦суппозитории       ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦ректальные         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Ибупрофен             ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦суспензия          ¦   +    ¦                     ¦   +    ¦1; 4; 3            ¦
¦                      ¦для приема внутрь  ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦крем для наружного ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капсулы            ¦   +    ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦гель для наружного ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Индометацин           ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦2; 5               ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капсулы            ¦   +    ¦                     ¦   +    ¦2; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Кетопрофен            ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦пролонгированного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦действия           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капсулы            ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦суппозитории       ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦ректальные         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Кеторолак             ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2 (п/род.       ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦септ. отд-я);      ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦5, 6               ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦(обл. спец. центры)¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2 (п/род.       ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦септ. отд-я); 5; 6 ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦(обл. спец. центры)¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Лорноксинкам          ¦лиофилизированный  ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦порошок            ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Мелоксикам            ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦4 (ревматологии);  ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦5 (ревматология)   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Метамизол натрий      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6; 3   ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Нимесулид             ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Парацетамол           ¦раствор для инфузий¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦сироп              ¦   +    ¦                     ¦        ¦2; 4; 3            ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦2; 4; 5            ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦суппозитории       ¦   +    ¦                     ¦   +    ¦2; 4; 5            ¦
¦                      ¦ректальные         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Флупиртин             ¦капсулы            ¦        ¦                     ¦   +    ¦1; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦           Средства для лечения подагры            ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Аллопуринол           ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Колхицин              ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦       Прочие противовоспалительные средства       ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Лефлуномид            ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦5 (ревматология)   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Пеницилламин          ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦4 (ревматология),  ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦5 (ревматология)   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капсулы            ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Пимекролимус          ¦крем для наружного ¦   +    ¦                     ¦   +    ¦4 (дерматология)   ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦  IV. СРЕДСТВА ДЛЯ ЛЕЧЕНИЯ АЛЛЕРГИЧЕСКИХ РЕАКЦИЙ   ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Дезлоратадин          ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Дифенгидрамин         ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦2; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Клемастин             ¦таблетки           ¦   +    ¦                     ¦   +    ¦2; 4; 5            ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦2; 4; 5; 6; 3      ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Лоратадин             ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5; 6            ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦сироп              ¦   +    ¦                     ¦   +    ¦4                  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Прометазин            ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Хлоропирамин          ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 4; 5; 6         ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Цетиразин             ¦капли для приема   ¦   +    ¦                     ¦   +    ¦4                  ¦
¦                      ¦внутрь             ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦сироп              ¦   +    ¦                     ¦   +    ¦4                  ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦              V. СРЕДСТВА, ВЛИЯЮЩИЕ                ¦                     ¦        ¦                   ¦
¦          НА ЦЕНТРАЛЬНУЮ НЕРВНУЮ СИСТЕМУ           ¦                     ¦        ¦                   ¦
+---------------------------------------------------+---------------------+--------+-------------------+
¦            Противосудорожные средства             ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Бензобарбитал         ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Вальпроевая кислота   ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      ¦кишечнорастворимой ¦        ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      ¦пролонгированного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦действия, покрытые ¦        ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6 (обл.¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦спец. центры); 3   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦сироп              ¦   +    ¦                     ¦   +    ¦1; 2; 4; 3         ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капли для приема   ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦внутрь             ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Габалентин            ¦капсулы            ¦   +    ¦для областных        ¦   +    ¦4 (обл. спец. МУ); ¦
¦                      ¦                   ¦        ¦специализированных   ¦        ¦5 (обл. спец. МУ)  ¦
¦                      ¦                   ¦        ¦медицинских          ¦        ¦                   ¦
¦                      ¦                   ¦        ¦учреждений           ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки,          ¦   +    ¦для областных        ¦   +    ¦4 (обл. спец. МУ); ¦
¦                      ¦покрытые оболочкой ¦        ¦специализированных   ¦        ¦5 (обл. спец. МУ)  ¦
¦                      ¦                   ¦        ¦медицинских          ¦        ¦                   ¦
¦                      ¦                   ¦        ¦учреждений           ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Карбамазепин          ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦пролонгированного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦действия           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦сироп              ¦   +    ¦                     ¦   +    ¦4; 3               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Клоназепам            ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введении           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Ламотриджин           ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Леветирацетам         ¦таблетки,          ¦   +    ¦                     ¦   +    ¦4 (неврология);    ¦
¦                      ¦покрытые пленочной ¦        ¦                     ¦        ¦5 (неврология)     ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Окскарбазепин         ¦таблетки,          ¦   +    ¦                     ¦   +    ¦4 (неврология);    ¦
¦                      ¦покрытые оболочкой ¦        ¦                     ¦        ¦5 (неврология)     ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Топирамат             ¦капсулы            ¦   +    ¦                     ¦   +    ¦4 (неврология);    ¦
¦                      ¦                   ¦        ¦                     ¦        ¦5 (неврология)     ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки,          ¦   +    ¦                     ¦   +    ¦4 (неврология);    ¦
¦                      ¦покрытые оболочкой ¦        ¦                     ¦        ¦5 (неврология)     ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Фенитоин              ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5; 3            ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦порошок            ¦   +    ¦                     ¦   +    ¦4                  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Фенобарбитал          ¦таблетки           ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦порошок            ¦   +    ¦                     ¦   +    ¦1; 4; 3            ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Этосуксимид           ¦капсулы            ¦   +    ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦        Средства для лечения паркинсонизма         ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Амантадин             ¦таблетки,          ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦покрытые оболочкой ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки,          ¦        ¦                     ¦   +    ¦5                  ¦
¦                      ¦покрытые пленочной ¦        ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Бипериден             ¦раствор            ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦и внутривенного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Леводопа +            ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
¦Бенсеразид            +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦диспергируемые     ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капсулы            ¦   +    ¦                     ¦   +    ¦5                  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Леводола + Карбидопа  ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Мемантин              ¦таблетки,          ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦покрытые оболочкой ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки,          ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦покрытые пленочной ¦        ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Пирибедил             ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦с контролируемым   ¦        ¦                     ¦        ¦                   ¦
¦                      ¦высвобождением,    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦покрытые оболочкой ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Прамипексол           ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Селегилин             ¦таблетки           ¦        ¦                     ¦   +    ¦5                  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Тригексифенидил       ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦          Анксиолитики (транквилизаторы)           ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Бромдигидрохлорфенил- ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
¦бензод                ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Иазепин               ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 5               ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Гидроксизин           ¦раствор            ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Диазепам              ¦таблетки           ¦   +    ¦                     ¦   +    ¦2; 4; 5            ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6; 3   ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Медазепам             ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦гранулы            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦суспензии          ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для приема внутрь  ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Мидазолам             ¦раствор            ¦   +    ¦                     ¦   +    ¦1                  ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Оксазепам             ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 5               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Тофизопам             ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦            Антипсихотические средства             ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Алпразолам            ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦