Procedure for providing insulin patients with diabetes. Preferential medicines and medicines

Sugar diabetes for today is a very common disease that is diagnosed in patients around the world. In Russia, this disease ranks third in terms of mortality after cancer and cardiovascular pathologies.

The disease leads to the loss of disability, early disability, reducing the quality of life and early mortality. In order for diabetics to be fully treated, the Russian budget provides for annual cash payments. Also, the patient receives preferential insulin, saccharine drugs, test strips and syringes for injections.

Additionally, diabetic times a year can take advantage of a preferential ticket to a sanatorium-resort institution. In disabilities, a special pension from the state is appointed.

Where to apply for insulins and drugs

Since drugs for diabetics are considered vital, you should not ask if not to give insulin what will happen. According to the Federal Law "On Social Assistance" of July 17, 1999, 178-FZ and government decisions of July 30, 1999 No. 890, receive medications There may be not only residents of the country, but also people who have a residence permit in Russia.

In order to become a legitimate recipient of free insulin or other sugar drugs, it is required to consult an endocrinologist in a local clinic. After passing all the necessary analyzes, the doctor will make an individual treatment regimen and adds a recipe indicating the necessary dosage of the medication.

It is necessary to understand that the receipt of free insulin will need to receive a monthly one, while the endocrinologist is prohibited by law to discharge the dosage with exceeding monthly norm. The medical document is issued strictly personally in the hands of the patient, it will not be possible to receive it on the Internet.

This scheme allows you to control the spending of medicines and warn irrational spending. If any factors have changed and the insulin dosage has been increased, the doctor has the right to increase the amount of drugs discharged.

To get a recipe for a hormone insulin, the presence of a passport, insurance certificate, medical policy, a disabled certificate or other document confirming the right to use preferential drugs. You will also need a certificate issued by the Pension Fund, confirming the lack of refusing to receive public benefits.
Refuse to issue a recipe for vital medicines, even if there is no insulin, the doctor has no right. According to the law, the financing of preferential drugs comes from the state budget, so the doctor's statement that in the medical institution is not enough for this financial resource, illegally.
Receive preferential insulin in a pharmacy with which the medical institution concluded a contract. Get all the addresses of pharmacies can be at the doctor who discharges the recipe. If Diabetic did not have time to get to the reception and could not get a preferential recipe, insulin will have to buy for its own funds.

A medical document confirming the right to obtain preferential drugs is valid for 14-30 days, according to the period specified in the recipe.

If the recipe is issued in person in hand to the patient, then you can receive free drugs to relatives in the specified pharmacy.

If you do not give insulin

Sugar level

Unfortunately, such cases are not rare when diabetics give a refusal to obtain legal preferential drugs. Most often, the reason is the temporary absence of insulin in the pharmacy.

If this happened, the patient needs to be left in the social magazine from the pharmacist number of his recipe, which gives the right to acquire a free-based drug. For ten days, the pharmacy is obliged to provide insulin diabetics.

In the absence of insulin intake for any reason, representatives of pharmacy institutions are obliged to inform the patient and send it to another trading point.

If insulin in the pharmacy is available, but the pharmacist gives a refusal of his free receipt, the complaint should be sent to the Regional Department of the Compulsory Medical Insurance Fund. This organization is responsible for compliance with the rights of patients and legal reasons supports patients.
In the event of non-treatment of preferential drugs, it is necessary to require the administration of the pharmacy so that the refusal was issued in writing, the text should contain the cause of non-tech drugs, a date, signature and printing institution.
Similarly, to make a refusal document can only lead the management of the leadership, as it is required to print, but in the future this document will help to resolve the conflict to resolve, and the diabetics will get faster required medicines.
If a person has lost the previously written recipe on insulin, it is necessary to turn to the attending physician as soon as possible, which will write a new recipe and informs the document of the document into the pharmaceutical institution. If you refuse a doctor to write a recipe you need to demand clarification from the head doctor.

When the clinic refuses to issue a recipe for diabetics, it is also necessary to require the failure to be issued in writing. The statement of violation of the patient's rights is attributed to the Regional Office of the Medical Insurance Fund. Additionally, to understand the situation may authority social protection Population or Ministry of Health.

In case the response to appeal did not receive a patient within a month, the complaint is sent to the prosecutor's office.

The question to curb violations of the patient's rights diabetes Is engaged in the Commissioner for Human Rights.

Additional privileges for diabetics

In addition to the fact that the state is obliged to give diabetics free insulin and vital medications, a number of social services are also given to the patient. All disability diabetics have the right to receive free vouchers to a sanatorium institution.

In diabetes mellitus 1, diabetics most often has disability, in connection with this, additional benefits are provided. It is worth noting that there is a place to be.

Everything medicinal products Available for free upon presentation of a doctor's prescription, which indicates the permitted insulin dosage.

Get the drug in the pharmacy institution for one month, from the moment the doctor's prescription is discharged. If the recipe contains an urgency mark, insulin can issue in more early time. In this case, diabetics should receive a drug for up to 10 days.

With type 1 diabetes mechard in a package of social benefits included:

Obtaining free insulin and insulin syringes;
If necessary, hospitalization in medical institution;
Free production of glucometers and consumables at the rate of three test strips per day.

The drug of psychotropic action is also issued free of charge, for 14 days. However, the patient must update the recipe every five days.

People diagnosed with type 2 diabetes are eligible for the following types of benefits:

Freely obtaining sugar-based drugs upon presentation of a recipe with a dosage.
If the patient conducts insulin therapy, it is issued for free glucometter and consumables (three test strips per day).
In the absence of a glucometer should be purchased independently, but the state allocates funds for free issuing test strips. As an exclusion, the instruments for measuring blood sugar levels are issued on preferential conditions of visually impaired patients.

Children and pregnant women insulin and insulin syringes are issued free of charge. Also, they are also given the right to get a glucometer and consumables. Children laid a preferential ticket to the sanatorium, supporting parents, including the state.

If the patient does not want to undergo treatment in the sanatorium, it may refuse the social package, in this case it has financial compensation. However, it is necessary to understand that the amount paid will be much lower than the cost of staying in the medical institution. So, considering the cost of 2-week living in the sanatorium, the payment will be 15 times less than the ticket costs. The video in this article will help diabetics to reduce sugar.

Providing insulin patients with sugar diabetes insulin-dependent form is governed by the Federal Law of the Russian Federation on Diabetes, which regulates relations arising from the organization and the action of legal guarantees for medical and social service. In this legal act, the rights of patients with diabetes and state obligations to implement these rights in the territory of the Russian Federation are registered.

The procedure for issuing insulin in need of patients submitted to the Federal Law "On Social Assistance" applies to Russians, as well as citizens permanently residing in the Russian Federation (having a residence permit).

Article 10 of "The basic rights of persons patients with diabetes" of the Federal Law on Diabeet states that persons with a diagnosis established in a medical institution endocrine disease, government law is guaranteed, confirmed by the Russian Constitution, Federal law and other legal acts on the protection of the health of the patient. This concept includes the availability of diabetes treatment, including the right to free provision of insulin, the issuance of independent control of glucose levels, as well as insulin syringes, drugs for the treatment of concomitant diseases and disinfecting solutions.

Diabetics with disabilities receive free drugs in the order of additional drug provision, which was provided for by Federal Law No. 178 of 1999. according to the approved list of the Ministry of Health social Development Russia.

The procedure for issuing insulin to patients who are not included in the category of citizens taken into account in the federal register are governed by the Government Decree No. 890 of July 30, 1994 (revision 14.02.2002)

Providing insulin patients with diabetes

The issuance of recipes for the necessary drugs to insulin-dependent diabetics is made by an endocrinologist in a medical institution at the place of registration or actual accommodation (this is possible if the patient I wrote a statement, attached to the selected clinic on the basis of the right to choose a medical institution, which is provided to a citizen of the Russian Federation by State 1 -In once a year).

The procedure for issuing a recipe for free medicines is made according to the following scheme:

Reviews and comments

I have a type 2 type - insulin-dependent. The girlfriend advised to reduce blood sugar levels using the drug Diabenot. Ordered over the Internet. Begin reception. I comply with a non-strict diet, started every morning to go on foot 2-3 kilometers. For two recent weeks I notice a smooth reduction in the sugar on a glucometter in the morning to breakfast from 9.3 to 7.1, and yesterday even up to 6.1! I continue the preventive course. We will unsubscribe about success.

Margarita Pavlovna, I am also sitting in diabeen too. SD 2. I really do not have time for a diet and walks, but I do not abuse sweet and carbohydrates, I think he, but by virtue of the age, the sugar is still elevated. The results are not as good as yours, but for 7.0 sugar does not get out for a week. What is the glucometter measuring sugar? He has plasma on or by whole blood? I want to compare the results from the reception of the drug.

Gennady - 02 Sep 2017, 10:02

Is the invalid of the third group refused by social package, insulin for free?

Is it possible to disabled the third group that refused to make the social package eight years ago, to receive insulin for free? Diabetes first revealed a month ago?

In the son of type 1 diabetes. Sick in 18 years. He is not a disabled. Each time in the clinic, they say that the disabled is inserting insulin from the federal budget, so it is for them. It turns out that the country needs only people with disabilities, and others are not people. Maybe to give insulin to everyone who needs it, and disabilities only for medical testimony?

anonymous, man, 25 years old

Hello! I will have several questions at once: 1. Type 1 diabetes is already 8-9 years old. How often do you need to be examined with the hospital (lying there)? Everything required analyzes I pass it periodically once a month / three (blood, urine, glycated hemoglobin, etc.), once in half a year, I swell supporting drugs according to the results of Biohim. Blood analysis. I do not see the meaning of 2 weeks in the hospital. When I lay there for the second time, I was discharged after a week, saying that I myself normally cope with the maintenance of blood sugar levels. 2. In the clinic reluctantly issue a "short" insulin, which is written in the discharge. In that town, where I live, I get it alone, everyone else gets cheaper. At that time, when I was prescribed him, at the very beginning, they said that this insulin (Novorad) is discharged and give out only young and to whom it is very difficult to keep their sugars. Now 2 times in a row I get insulin of extended action, but a short one that I need, "no, and it will not be known." They offer to go to "the one that is" (for example, an actrapide), but I never used it, and I will not work for me - I cannot interfere with my work, I can not constantly snack, how to do with such insulins (they have a longer act). Who to contact and where to write with a similar problem? 3. What you need to do to attach to another hospital / clinic in another area so that insulin gives me there, without having constant registration (in the regional center I think I'm not alone I will receive it). I just work I'm not in the city where I have a registration. Thank you, I will wait for your answers!

Hello. 1. The order (and frequency) of examination and treatment of the patient determines the attending physician. 2. Providing citizens with free drugs is made in accordance with the list in which the drugs are indicated in accordance with the INN - international non-specific name, while the trade name of the drug can be any. If, as a state of health, you need a drug in a specific trade NameThis should be the decision of the VC. You can contact these issues to the attending doctor, the administration of the medical institution, to the health authority. Perhaps the consultative assistance will be able to provide an insurance medical organization, whose OMS policy, using its expert department (although social security issues, strictly speaking, is not its competence). 3) To attach to another medical organization (MO) at the place of actual stay, you can submit an established form once a year in the name of the chief physician of the chosen MO. However, it is not a fact that there you will be given the same benefits in terms of medicinal support. If you are in the register of federal beneficiaries, then you will need to go to the register of another region. If insulin is provided to you on regional legislation from the budget of the region, it is necessary to know if there is in the region where you work, the same benefit, and what is needed to receive it.

Procedure for issuing, providing insulin

Providing insulin patients with diabetes insulin-dependent formulates by the Federal Law of the Russian Federation on Diabetes, which regulates relations arising from the organization and the action of legal guarantees for medical and social services. In this legal act, the rights of patients with diabetes and state obligations to implement these rights in the territory of the Russian Federation are registered.

Article 10 of "Basic Rights of Patients with Diabetes Sugar Diabetes" of the Federal Law on Diabeet states that persons with a diagnosis of endocrine disease established in a medical institution are guaranteed by public law confirmed by the Constitution of the Russian Federation, federal law and other legal acts to protect the health of the patient. This concept includes the availability of diabetes treatment, including the right to free provision of insulin, the issuance of independent control of glucose levels, as well as insulin syringes, drugs for the treatment of concomitant diseases and disinfecting solutions.

You must write recipes for free medicines if they are in the spirits of free Lek-B if a group of disability is associated with a disease of diabetes and you have not abandoned social package.

Benefits with type 2 diabetes

By the way, the glucometters and the components of them, by benefit, can obtain patients with 1 and 2 types that need insulin. Consumables for glucometers are calculated so that they can provide analysis three times a day.

If type 2 diabetes patients do not need insulin, they should receive test strips. Their state provides in the amount of one thing per day. By the way, among the beneficiaries that do not need insulin support, there are exceptions. The visually impaired can count on the glucometer and the consumable material once a day to it from the budget of the country.

Diabetics with disabilities receive free drugs in the order of additional drug provision, which was provided for by Federal Law No. 178 of 1999. According to the approved list of the Ministry of Health of the Social Development of Russia.

Providing insulin patients with diabetes

The procedure for issuing a recipe for free medicines is made according to the following scheme:

The recipe for the patient's provision of insulin is written out by an endocrinologist on a monthly reception, after it is inspected and in accordance with medical indications by the course of the disease.
The doctor does not have the right to write down the recipe form as a few months ahead and a relative of diabetics. Such an order of issuing drugs allows constant monitoring over the course of insulin therapy, regulating quantities and doses appointed by the patient.
Monthly expenses provided by the Program hormonal drugs Diabetics is not limited, but controlled with the help of the SMO and an authorized pharmaceutical company, which, with the help of an individual personal account, take into account all issued drugs. This procedure for issuing insulin will be able to prevent the irrational costs of medicines.
The doctor does not have the right to refuse an insulin-dependent patient in a prescription form that provides it with insulin, arguing its actions by the lack of funding for the medical institution. All financial expenses for drug provision of diabetes are not a clinic, but a federal or local budget.
If arose controversial issue, and the doctor refused the discharge of the recipe for the issuance of a medicine that you consider it necessary to ensure your recovery, then to resolve the situation, you can contact the administration of therapeutic institution, as well as the SMO and TFOMS - in organizations that control the validity and accuracy of the recipes discharged;
The issuance of insulin is produced in pharmacies whose addresses will indicate the attending physician upon presentation of the recipe form.