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Order of December 23, 2021 No. 3781-r


Order of December 23, 2021 No. 3781-r

Starting from 2022, the list of vital and essential medicines (VED) will be supplemented with 22 new names. This order was signed by Prime Minister Mikhail Mishustin.

In total, the updated list contains 808 medicines. Among the new names are drugs for the treatment of spinal muscular atrophy (risdiplam), breast cancer (talazoparib), cystic fibrosis (ivacaftor + lumacaftor), multiple sclerosis (cladribine, syponimod). Also among the new ones are drugs for the treatment of multiple myeloma (isatuximab, pomalidomide), chronic hepatitis B (bulevirtide), pulmonary tuberculosis (delamanid), nosocomial infections (polymyxin B) and HIV infection (bictegravir + tenofovir alafenamide + emtravirinitabine + tenofovir).

In addition, additional dosage forms have been added for five drugs previously included in the list. This applies to pancreatin, morphine, carbetocin, phosphazide, triptorelin.

Prices for medicines from the VED list are regulated by the state. Such drugs are used in the treatment of patients in hospitals within the framework of the program of state guarantees for the provision of free medical care to citizens. In addition, drugs from the VED list are provided free of charge to beneficiaries on the prescription of the attending physician. Therefore, the sooner a medicine appears on this list, the more affordable it is for citizens.

A comment

From the opening remarks by Mikhail Mishustin at the Government meeting, December 24, 2021

The same decree expanded the list of drugs for the treatment of high-cost nosologies. It includes four new drugs needed for patients with multiple sclerosis (cladribine), multiple myeloma (pomalidomide, ixazomib), and hemophilia (efmoroctocog alpha).

Medicines from this list are centrally procured by the Ministry of Health and are given to patients free of charge. The costs of their purchase are financed from the federal budget.

The issue was discussed at meeting of the Government on December 24.

The signed document changes the Government decree of October 12, 2019 No. 2406-r.

EDITOR’S NOTE: This article is a translation. Apologies should the grammar and or sentence structure not be perfect.

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