Постановление Правительства Свердловской области от 24.12.2008 № 1373-ПП

+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Амисульприд           ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Галоперидол           ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1                  ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения масляный  ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капли для приема   ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦внутрь             ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Дроперидол            ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6      ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6      ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Зипрасидон            ¦лиофилизат         ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капсулы            ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Зуклопентиксол        ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения масляный  ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Кветиапин             ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦пленочной оболочкой¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Клозалин              ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Левомепромазин        ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор для инфузий¦   +    ¦                     ¦   +    ¦1                  ¦
¦                      ¦и внутримышечного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Лоразепам             ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Оланзапин             ¦порошок            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦диспергируемые     ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Палиперидон           ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦пролонгированного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦действия, покрытые ¦        ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Перициазин            ¦капсулы            ¦   +    ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приема внутрь  ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Перфеназин            ¦таблетки,          ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦покрытые оболочкой ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Пипотиазин            ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Рисперидон            ¦таблетки,          ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦покрытые оболочкой ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для рассасывания   ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приема внутрь  ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦порошок            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦суспензии          ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦пролонгированного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦действия           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Сертиндол             ¦таблетки,          ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦покрытые оболочкой ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Сульпирид             ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капсулы            ¦   +    ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Тиаприд               ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Тиоридазин            ¦таблетки,          ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦покрытые оболочкой ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦драже              ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Трифлуоперазин        ¦таблетки,          ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦покрытые оболочкой ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Флупентиксол          ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения масляный  ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Флуфеназин            ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Хлорпромазин          ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦драже              ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки,          ¦   +    ¦                     ¦   +    ¦1; 4; 5            ¦
¦                      ¦покрытые оболочкой ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Хлорпротиксен         ¦таблетки,          ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦покрытые оболочкой ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Антидепрессанты и средства                         ¦                     ¦        ¦                   ¦
¦нормотимического действия                          ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Амитриптилин          ¦капсулы            ¦   +    ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки,          ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦покрытые оболочкой ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Венлафаксин           ¦таблетки           ¦   +    ¦для                  ¦        ¦                   ¦
¦                      ¦                   ¦        ¦специализированных   ¦        ¦                   ¦
¦                      ¦                   ¦        ¦психиатрических      ¦        ¦                   ¦
¦                      ¦                   ¦        ¦учреждений и         ¦        ¦                   ¦
¦                      ¦                   ¦        ¦подразделений        ¦        ¦                   ¦
¦                      ¦                   ¦        ¦медицинских          ¦        ¦                   ¦
¦                      ¦                   ¦        ¦учреждений           ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Имипрамин             ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Кломипрамин           ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Лития карбонат        ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капсулы            ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Мапротилин            ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦пленочной оболочкой¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦концентрат         ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Милиаципран           ¦капсулы            ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Пароксетин            ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦пленочной оболочкой¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Пипофезин             ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Сертралин             ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦пленочной оболочкой¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Тианептин             ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Флувоксамин           ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Флуоксетин            ¦капсулы            ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Эсциталопрам          ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦        Средства для лечения нарушений сна         ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Золпидем              ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Зопиклон              ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦5                  ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Нитразепам            ¦таблетки           ¦   +    ¦                     ¦   +    ¦5                  ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦     Средства для лечения рассеянного склероза     ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Глатирамера ацетат    ¦лиофилизированный  ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦порошок            ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для подкожного     ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Интерферон бета-1a    ¦раствор            ¦   +    ¦МИБП                 ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦лиофилизат         ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Интерферон бета-1b    ¦лиофилизированный  ¦   +    ¦МИБП                 ¦        ¦                   ¦
¦                      ¦порошок            ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦инъекционного      ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Тетракозактид         ¦суспензия          ¦   +    ¦                     ¦   +    ¦4; 5; 3            ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦    Средства для лечения опиоидных наркоманий и    ¦                     ¦        ¦                   ¦
¦                    алкоголизма                    ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Дисульфирам           ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Дисульфирам + Аденин +¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
¦Никотинамид           ¦                   ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Лидевин               ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Метадоксин            ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Налоксон              ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Налтрексон            ¦капсулы            ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦            Прочие средства, влияющие              ¦                     ¦        ¦                   ¦
¦          на центральную нервную систему           ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Бетагистин            ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Валерианы трава       ¦настойка           ¦   +    ¦с ограничением       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦для ОГУЗ             ¦        ¦                   ¦
¦                      ¦                   ¦        ¦"Территориальный     ¦        ¦                   ¦
¦                      ¦                   ¦        ¦центр медицины       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦катастроф            ¦        ¦                   ¦
¦                      ¦                   ¦        ¦Свердловской области"¦        ¦                   ¦
¦                      ¦                   ¦        ¦для обеспечения      ¦        ¦                   ¦
¦                      ¦                   ¦        ¦трассовых пунктов    ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦с ограничением       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦для ОГУЗ             ¦        ¦                   ¦
¦                      ¦                   ¦        ¦"Территориальный     ¦        ¦                   ¦
¦                      ¦                   ¦        ¦центр медицины       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦катастроф            ¦        ¦                   ¦
¦                      ¦                   ¦        ¦Свердловской области"¦        ¦                   ¦
¦                      ¦                   ¦        ¦для обеспечения      ¦        ¦                   ¦
¦                      ¦                   ¦        ¦трассовых пунктов    ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Гопантеновая кислота  ¦таблетки           ¦   +    ¦                     ¦   +    ¦4; 3               ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Кофеин                ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 6; 3   ¦
¦                      ¦для подкожного     ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Левоментола раствор   ¦таблетки           ¦   +    ¦с ограничением       ¦        ¦                   ¦
¦в ментил изовалерате  +-------------------+--------+для ОГУЗ             +--------+-------------------+
¦                      ¦капсулы            ¦   +    ¦"Территориальный     ¦        ¦                   ¦
¦                      ¦                   ¦        ¦центр медицины       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦катастроф            ¦        ¦                   ¦
¦                      ¦                   ¦        ¦Свердловской области"¦        ¦                   ¦
¦                      ¦                   ¦        ¦для обеспечения      ¦        ¦                   ¦
¦                      ¦                   ¦        ¦трассовых пунктов    ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Мяты перечной масло + ¦капли для приема   ¦   +    ¦с ограничением       ¦        ¦                   ¦
¦Фенобарбитал шишек    ¦внутрь             ¦        ¦для ОГУЗ             ¦        ¦                   ¦
¦хмеля масло +         ¦                   ¦        ¦"Территориальный     ¦        ¦                   ¦
¦Этилбромизовалерианат ¦                   ¦        ¦центр медицины       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦катастроф            ¦        ¦                   ¦
¦                      ¦                   ¦        ¦Свердловской области"¦        ¦                   ¦
¦                      ¦                   ¦        ¦для обеспечения      ¦        ¦                   ¦
¦                      ¦                   ¦        ¦трассовых пунктов    ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Мяты перечной масло + ¦капли для приема   ¦   +    ¦с ограничением       ¦        ¦                   ¦
¦Фенобарбитал +        ¦внутрь             ¦        ¦для ОГУЗ             ¦        ¦                   ¦
¦Этилбромизовалерианат ¦                   ¦        ¦"Территориальный     ¦        ¦                   ¦
¦                      ¦                   ¦        ¦центр медицины       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦катастроф            ¦        ¦                   ¦
¦                      ¦                   ¦        ¦Свердловской области"¦        ¦                   ¦
¦                      ¦                   ¦        ¦для обеспечения      ¦        ¦                   ¦
¦                      ¦                   ¦        ¦трассовых пунктов    ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Никотиноил            ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦гамма-аминомасляная   ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦кислота               ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Пирацетам             ¦таблетки,          ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦покрытые оболочкой ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капсулы            ¦   +    ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦4; 5; 3            ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Пустырника трава      ¦настойка           ¦   +    ¦с ограничением       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦для ОГУЗ             ¦        ¦                   ¦
¦                      ¦                   ¦        ¦"Территориальный     ¦        ¦                   ¦
¦                      ¦                   ¦        ¦центр медицины       ¦        ¦                   ¦
¦                      ¦                   ¦        ¦катастроф            ¦        ¦                   ¦
¦                      ¦                   ¦        ¦Свердловской области"¦        ¦                   ¦
¦                      ¦                   ¦        ¦для обеспечения      ¦        ¦                   ¦
¦                      ¦                   ¦        ¦трассовых пунктов    ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Ривастигмин           ¦капсулы            ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Холина альфосцерат    ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦для инъекций       ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капсулы            ¦   +    ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Этилметилгидрокси-    ¦раствор            ¦   +    ¦                     ¦        ¦                   ¦
¦пиридина сукцинат     ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦ VI. СРЕДСТВА ДЛЯ ПРОФИЛАКТИКИ И ЛЕЧЕНИЯ ИНФЕКЦИЙ  ¦                     ¦        ¦                   ¦
+---------------------------------------------------+---------------------+--------+-------------------+
¦            Антибактериальные средства             ¦                     ¦        ¦                   ¦
+----------------------T-------------------T--------+---------------------+--------+-------------------+
¦Азитромицин           ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капсулы            ¦   +    ¦                     ¦   +    ¦4; 5               ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦лиофилизат         ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦порошок            ¦   +    ¦                     ¦   +    ¦4                  ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦суспензии          ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для приема внутрь  ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Амикацин              ¦лиофилизат         ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦раствор            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Амоксициллин          ¦порошок            ¦   +    ¦                     ¦   +    ¦2; 4; 5            ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦   +    ¦2; 4; 5            ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦порошок            ¦   +    ¦                     ¦   +    ¦4                  ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦суспензии          ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для приема внутрь  ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦капсулы            ¦   +    ¦                     ¦   +    ¦2; 4; 5            ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Амоксициллин +        ¦порошок            ¦   +    ¦                     ¦   +    ¦1; 4; 3            ¦
¦Клавулановая кислота  ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦суспензии          ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для приема внутрь  ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦порошок            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦2; 4; 5; 3         ¦
¦                      ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦2; 4; 5; 3         ¦
¦                      ¦пленочной оболочкой¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦таблетки           ¦   +    ¦                     ¦        ¦                   ¦
¦                      ¦диспергируемые     ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Амоксициллин +        ¦таблетки, покрытые ¦   +    ¦                     ¦   +    ¦2; 4; 5            ¦
¦Сульбактам            ¦оболочкой          ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦порошок            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦порошок            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 3         ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦суспензии          ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для приема внутрь  ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Ампициллин            ¦порошок            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦лиофилизат         ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦порошок            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Ампициллин +          ¦порошок            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦Сульбактам            ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦и внутривенного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦порошок            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5         ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦порошок            ¦   +    ¦                     ¦   +    ¦4                  ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦суспензии          ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для приема внутрь  ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Бацитрацин + Неомицин ¦мазь для наружного ¦        ¦                     ¦   +    ¦4; 3               ¦
¦                      ¦применения         ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Бензилпенициллин      ¦порошок            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦порошок            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Ванкомицин            ¦лиофилизат         ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для инфузий        ¦        ¦                     ¦        ¦                   ¦
+----------------------+-------------------+--------+---------------------+--------+-------------------+
¦Гентамицин            ¦раствор            ¦   +    ¦                     ¦        ¦1; 2; 4; 5; 3      ¦
¦                      ¦для внутривенного и¦        ¦                     ¦        ¦                   ¦
¦                      ¦внутримышечного    ¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦
¦                      +-------------------+--------+---------------------+--------+-------------------+
¦                      ¦порошок            ¦   +    ¦                     ¦   +    ¦1; 2; 4; 5; 3      ¦
¦                      ¦для приготовления  ¦        ¦                     ¦        ¦                   ¦
¦                      ¦раствора           ¦        ¦                     ¦        ¦                   ¦
¦                      ¦для внутримышечного¦        ¦                     ¦        ¦                   ¦
¦                      ¦введения           ¦        ¦                     ¦        ¦                   ¦