Decree of the Ministry of Health of the Czech Republic, Federal Ministry of Defence, Federal Ministry of Interior, Federal Ministry of Transport, Ministry of Interior of the Czech Republic, Ministry of Justice of the Czech Republic and Ministry of Agriculture of the Czech Republic No. 427 / 1992 Coll.
Decree of the Ministry of Health of the Czech Republic, Federal Ministry of Defence, Federal Ministry of Interior, Federal Ministry of Transport, Ministry of Interior of the Czech Republic, Ministry of Justice of the Czech Republic and Ministry of Agriculture of the Czech Republic, amending and supplementing Decree No. 61 / 1990 Coll., on the Management of Drugs and Medical Requirements
Valid
Effective from 31.08.1992
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427
DECLARATION
Ministry of Health of the Czech Republic, Federal Ministry of Defence, Federal Ministry of Interior, Federal Ministry of Transport, Ministry of Interior of the Czech Republic, Ministry of Justice of the Czech Republic and Ministry of Agriculture of the Czech Republic
of 29 July 1992
amending and supplementing Decree No. 61 / 1990 Coll., on the Management of Drugs and Medical Products
The Ministry of Health of the Czech Republic, the Federal Ministry of Defence, the Federal Ministry of Interior, the Ministry of Transport, the Ministry of Interior of the Czech Republic, the Ministry of Justice of the Czech Republic and the Ministry of Agriculture of the Czech Republic, pursuant to § 70 (1) (c) and § 80 (1), (4) and (5) of Act No. 20 / 1966 Coll., on the care of people, as amended by the Czech National Council Act No. 210 / 1990 Coll., Act No. 425 / 1990 Coll. and Act No. 548 / 1991 Coll. (full text with effect for the Czech Republic No. 86 / 1992 Coll.):
Decree No. 61 / 1990 Coll., on the Management of Drugs and Medical Requirements, is amended as follows:
1. The designation and the names of the parts of the Order shall be deleted.
2.
Prescription of medicinal products for human use (hereinafter referred to as "medicines') and medical devices (hereinafter referred to as" devices') in accordance with a special Regulation (17) for the account of the relevant health insurance undertaking (hereinafter referred to as "insurance undertaking ') 18) or for the insurance and sickness insurance undertaking or for the account of the patient shall be entitled:
(a) doctors providing first aid for the insurance undertaking's account;
(b) doctors providing health care
1. in medical establishments for the account of an insurance undertaking or an insurance undertaking and a sick or sick person;
2. in social care facilities for the account of the Insurance Company, both on the form and on the application form. "
footnote 17 is replaced by the following:
"17) Ordinance of the Government of the Czech Republic No. 216 / 1992 Coll., issuing the Health Regulations and implementing certain provisions of the Czech National Council Act No. 550 / 1991 Coll., on General Health Insurance."
footnote 18:
"18) § 12 of the Czech National Council Act No. 550 / 1991 Coll."
3.
(1) Physicians prescribe, on the basis of an examination of a sick drug that is included in a pharmacopoeia or the use of which is authorised by the Ministry of Health of the Czech Republic (hereinafter referred to as "the Ministry"). When prescribing medicines and devices, they are required to act effectively and when prescribing medicines and funds to the account of the Insurance Company in accordance with the principles set out in a separate regulation. 19)
(2) Prescription of medicines and devices including the number of packs and dosage must be recorded in the patient's medical documentation. Medicines are prescribed for patients on the receptor form; 20) if medicines containing group I narcotic substances are listed (21) and group II psychotropic substances (22) are prescribed for patients on a specific receptor form. 23) The funds are prescribed for the patient for the medical and orthopaedic form. 24)
(3) Physicians may prescribe medicines which are necessary for the performance of diagnostic, preventive and therapeutic activities as provided for in their workload and whose indications and effects they are familiar with. The funds paid in full by the Insurance Company can only be prescribed by doctors in a version that the insured persons fully meet and satisfy the conditions of the least economic difficulty.
(4) When providing first aid, only medicines necessary for the provision of such assistance and in the amount needed until the time of the visit to the doctor.
(5) A maximum of two types of mass-produced medicinal products may be prescribed for one receptor form, except as provided in Section 13 (3), or only one type of medicinal product produced individually. If only one type of medicine is prescribed, the prescriber must cross the remaining empty space.
(6) When prescribing multiple original drug packages or multiple doses individually (magistraliter), the prescribing physician shall indicate the number of packages or doses in Roman numerals and in words.
(7) Physician completed
(a) the recipe form (hereinafter referred to as "the recipe"),
(b) the form of the voucher for the medical and orthopaedic aid (hereinafter referred to as the voucher) shall be accompanied by the following particulars:
1. name, surname, birth number, address of the sick person;
2. the prescription of the medicinal product; the intended excess of the highest dose of the medicine must be marked with the symbol ("!") and written in words. If the doctor insists on the prescribed medicine or device, he shall mark it with the symbol "R ';
3. only pharmaceutical names and abbreviations may be used when prescribing individually prepared medicines, for mass-produced medicines of their registered names (trade marks); when prescribing medicinal products with an international non-generic (generic) name, the physician is required to refer to the active substance concentration recipe;
4. instructions for use of the medicinal product (device);
5. the signature of the prescriber and the date of issue of the prescription (voucher);
6. the stamp of the medical establishment bearing the stamp of the prescribing doctor; for first aid doctors, only a stamp with his nametag and address.
(8) Recipes (vouchers) containing prescribed medicinal products (devices)
(a) marked with the letter "Z" in the list of medicinal products and medical devices annexed to the specific Regulation, 19)
(b) in excess of the maximum fixed remuneration, the insurance undertaking shall have the particulars referred to in the preceding paragraph and shall bear the stamp of the competent medical examiner, his signature and the date on which he did so.
(9) If the prescriber prescribes a medicine or a device in which he is involved in payment under a special regulation (19), he shall notify the patient accordingly. '
footnote 19:
"19) Decree of the Ministry of Health of the Czech Republic on the reimbursement of pharmaceuticals and medical devices No. 426 / 1992 Coll."
footnote 1 is replaced by the following:
"1) § 20 (2) of Act No. 20 / 1966 Coll., on the care of the health of the people. Decree of the Ministry of Health of the Czech Socialist Republic No. 43 / 1987 Coll., on the registration of mass-produced medicinal products and the reimbursement of the costs associated with it."
Note 20 to the footnote reads:
"20) SEVT stock No 14 282 0 (mutation issued by medical devices). '.
footnote 21:
"21) The list is annexed to Decree No. 3 of the Government of the Czech Socialist Republic No. 192 / 1988 Coll., on poisons and certain other harmful health substances, as amended by Decree No. 182 / 1990 of the Government of the Czech Republic Coll. and Decree No. 33 / 1992 Coll."
footnote 22 is replaced by the following:
"22) The list is annexed to the Order No. 4 of the Government of the Czech Socialist Republic No. 192 / 1988 Coll., as amended."
footnote 23 is replaced by the following:
"23) SEVT stock No 26 283 0. '.
footnote 24:
"24) SEVT track No 14 280 0. SEVT track No 14 281 0. '
4. § 3 is deleted.
5.
(1) For medical devices, medicines are ordered for requests25) (order forms); medicines containing group I narcotic substances and group II psychotropic substances are ordered for requests22). 26) Medicines can also be ordered by computer.
(2) The documents referred to in paragraph 1 shall bear the stamp of the department, the namesake and the signature of the prescriber and signed by the head of the department or his representative. ';
footnote 25:
"25) SEVT stock No 14 284 0. SEVT stock No 14 284 1. SEVT stock No 14 284 2."
footnote 26 is replaced by the following:
"26) SEVT track No 26 285 0. SEVT track No 26 285 1. '
6. Article 5 (2) reads as follows:
"(2) Medicinal products and means for the account of the patient are prescribed in accordance with the principles set out in Sections 1 and 2."
Section 7, Section 6 is deleted.
8. In Paragraph 7 (2), the following sentence is added at the end: "The loss of an empty recipe form or a request form shall be reported to the head of the relevant medical establishment without delay to the local competent department of the Police of the Czech Republic and to the health report of the District Office."
9. Paragraph 7 repeals paragraph 4 and paragraph 5, which is referred to as paragraph 4, at the end, the word "working 'is deleted.
10.
(1) Medicinal products.6) In places where there is no pharmacy, the dispensation of veterinary medicines and veterinary equipment is provided by the auxiliary equipment set up by the veterinarian, who issues medicinal products from the basic stock for payment. The veterinarian shall take the basic supply from the pharmacy.
(2) Some medicines may be given to patients without a prescription. The list of these medicines is set out in the Annex to this Decree.
(3) A fee is usually levied at the pharmacy when dispensing medicines prescribed for the prescription. 7)
(4) If the prescription prescribing physician does not indicate the package size, the smallest packaging included in the list of medicinal products and medical devices annexed to the specific regulation shall be issued. 19) Similarly, unless the concentration of the medicinal product intended for a particular age group is indicated, action shall be taken.
(5) If the prescription lacks the required requirements and cannot be verified for serious reasons, medicinal products should not be issued.
(6) If two types of medicines and devices are prescribed on the recipe and if one of them is not available and cannot be readily procured, the pharmacist shall issue a prescription extract (voucher) bearing the name "Extract 'on the missing medicine or device. The extract must contain all the original recipe (voucher). The original recipe (voucher) shall bear the note" Extract received. "The provisions on the duration of the prescription (voucher) shall apply to the extract and shall be calculated from the date of the extract.
(7) If prescribed medicinal products are not available at the pharmacy, they shall be replaced by another pharmacist, which shall be the same as the content or concentration of the active substances. If the drug differs in the content or concentration of the active substances, the pharmacist, after consulting the prescriber, shall adjust the dosage to the extent prescribed. Exceptionally, the missing drug may be replaced in accordance with the contents of the sentence, first and second, by another medicine, the reimbursement of which is more financially costly for the sick. The pharmacist will alert the patient to the change of medicine and mark it on the recipe. If the prescribed pack size differs from that of the original package, the pharmacy shall issue the nearest package corresponding to the recipe and the pharmacist shall indicate this on it.
(8) Individually prepared medicinal products that have not been collected at the time of the hospital are only kept in the pharmacy for the duration of the prescription (extract). This is indicated by the pharmacist on the recipe (extract).
(9) The lead pharmacist shall inform the local district insurance company of the situation in the supply of the medicinal products.
(10) The recipe (voucher) for which the medicinal product has been issued shall be stamped by the pharmacy, indicating the price of the medicinal product issued and the date of its issue. "
footnote 6:
"6) § 37 paragraph 1 of Act No. 20 / 1966 Coll., on the Care of People's Health, as amended by Act No. 548 / 1991 Coll."
Note 7 below is as follows:
"7) Directive No 3 / 1987. MZ ČSR on payments for health services that are not necessary in medical care facilities and in cosmetic institutions and on handling fee for the issue of prescription, registered in the amount of 17 / 1987 Coll. '
11. In Paragraph 9 (2), the first sentence is: "On the issue of the ordered medicines and the means, they must be confirmed on the original and the receipt of the request by their signature by the authorised staff of the department of health care."
12. Article 10 (1) reads as follows:
"(1) The collectors referred to in Sections 25 to 31 may be given medicines and special order products in pharmacies. Where medicinal products subject to medical prescription are required, the special order must be signed by the doctor and stamped with a medical device. Products subject to the veterinary prescription may also be issued to an order from a breeding organisation certified by the competent veterinarian, provided that the order contains the particulars specified in the specific regulation. 15)."
13. Paragraph 11, including the title, shall be deleted.
14. In Section 12, the title and the first sentence of paragraph 1 are replaced by the word "verification 'and the abbreviation" CSSR' is replaced by "Czech and Slovak Federal Republic '.
15. in Article 13 (3), the words "narcotic drugs, psychotropic substances" are replaced by the words "group I narcotic substances or group II psychotropic substances";
16. In Paragraph 13 (5), the word "require 'is replaced by" prescribe'.
17. the words "and abuse" shall be deleted in Paragraph 13 (7).
18.
Preparation, supply and storage of narcotic drugs, psychotropic substances, drugs containing narcotic substances, medicines containing psychotropic substances and medicines at increased risk of dependence on drugs
(1) Narcotic substances, psychotropic substances, medicinal products containing narcotic substances and medicinal products containing psychotropic substances ("addicts"), and medicinal products with an increased risk of dependence on them (27) may only be taken over, prepared, stored and issued in pharmacies.
(2) It is not permitted to prepare in pharmacies drugs containing group I narcotic substances (21) or psychotropic substances listed in group II (22), with the exception of medicines that cannot be provided by a supplier.
(3) Medicines containing narcotic substances listed in Group I of the List, 21) psychotropic substances listed in Group II of the List (22) and medicinal products at increased risk of dependence on them (27) may only be issued for recipes or requisites exhibited by:
(a) doctors providing health care under the provisions of Section 1;
(b) veterinary surgeons providing veterinary care.
(4) If a pharmacist finds out or suspects the prescription has been forged, he will not issue the medicine and is obliged to report such a case without delay to the authorities of the Czech Police.
(5) The destruction of defective or unfit addictive substances and medicinal products with an increased risk of dependence on them (27) is carried out by the lead pharmacist in the presence of a person designated for this purpose by the competent county authority. The lead pharmacist shall draw up a protocol on the destruction of those medicinal products, which shall include details of the time, place, quantity of specific medicinal products and the reason for their destruction. The protocol shall be signed by the lead pharmacist and the person in whose presence the medicinal products have been destroyed; the lead pharmacist is obliged to keep the protocol in the pharmacy for five years. For medical facilities under the jurisdiction of the Ministry of Justice of the Czech Republic, the Ministry of Agriculture of the Czech Republic, the Ministry of Interior of the Czech Republic, the Federal Ministry of Defence, the Federal Ministry of Interior and the Federal Ministry of Transport, the pharmacist responsible for this activity is responsible for the relevant department regulations.
(6) Medicinal products containing group I of the list, 21) codeine, ethyl morphine and mono-component medicinal products such substances containing and containing psychotropic substances of group II of the list 22) and ephedrine must be stored in pharmacies in metal lockable lockers separate from other medicinal products. "
footnote 27:
"27) Aponeuron, Beforal, Sydnocarb and Triphenidyl. '
19. Article 15 (1) reads as follows:
"(1) In physical or sporting events, medicinal products and devices shall be provided by a medical institution chosen by the organiser who is obliged to pay the medicines and devices provided to the healthcare establishment. ';
20. Paragraph 15 (2) reads as follows:
"(2) The mountain services rescue stations shall equip medical devices and medical devices designated by the competent district authorities in whose districts the mountain services stations are located. These health establishments also provide for the reimbursement of these medicines and devices. Their equipment shall be agreed by the Head of the Mountain Service to the Head of the designated medical establishment, as required. ';
21. Paragraph 15 (3) shall be deleted.
22. in Paragraph 15 (4), "national health" is replaced by "sport medicine."
23. Paragraph 16 is deleted.
24. Paragraph 18, including the title, is deleted.
25. Paragraph 19, including the title, reads:
Provision of appropriations
(1) The funds are prescribed by doctors providing medical care in accordance with the provisions of Section 1 in accordance with Part 2 of the list of medicinal products and medical devices annexed to the Special Regulation (19).
(a) patients with vouchers, 24)
(b) medical devices for applications.
Only one type of means can be prescribed for one voucher (24).
(2) Notes 24) must contain the particulars referred to in § 2 (7), the means must be clearly marked. For borrowed funds, the period of their intended use shall be indicated. The voucher shall be signed under the heading "Approved 'by the treating physician, unless the approval is reserved for the head of the department of the health care establishment or for the medical examiner of the insurance undertaking or, where appropriate, for his authorised physician.
(3) Unless otherwise specified by the physician, the voucher is for one month. The device shall be withdrawn within a month of the date on which its manufacture or issue has been determined. An extract may be issued from the voucher in a similar manner to that of the recipe; for the extract, the voucher form shall be used for the medical and orthopaedic aid. 24)
(4) The patient is obliged to treat the device properly; in the event of intentional damage, destruction or loss of the device he is obliged to pay the medical institution the damage caused.
(5) The device may be prescribed after the period of use specified in the list of medicinal products and medical devices annexed to the specific Regulation; 19) Insurance undertakings may change the useful time of the device. Carriages and lifters for immobile persons may be re-prescribed only on the basis of an elimination protocol issued by the relevant service organisation. "
26. § 20 is released.
27.
For disabled railway workers are prescribed to the account of Insurance
(a) therapeutic and orthopaedic prosthetics;
(b) other means only as part of the necessary health care which cannot be provided to them by railway health institutions. "
28.
Prescription and delivery of funds for the sick
If a person expressly wishes to purchase a device at his own expense, the prescriber shall mark the voucher with the note "Castle sick." '
29.
Records of appropriations
(1) Medical facilities report in the medical documentation of the patient
(a) glasses of all kinds, including the replacement of more expensive frames and glasses, contact lenses, sliding loops for reading, occlusion and binoculars; the documentation is kept by the expert eye doctor who carried out the examination or treatment;
(b) prosthesis, epitosis and orthopaedic footwear; the documentation is kept by the competent prosthetic physician,
(c) other means, with the exception of carriages and hoists for immobile persons and hearing aids; the documentation shall be kept by the relevant departments.
(2) Medical establishments register on listing28)
(a) means, with the exception of carriages and hoists for immobile persons and hearing aids, in each of the relevant departments;
(b) carriages and hoists for immobile persons and baby carriages for disabled children in the relevant professional departments;
(c) hearing aids in the phonographic departments.
(3) Health care establishments shall carry out the inventory of the devices referred to in paragraph 2 on 31 December each time. "
Note 28 below:
"28) SEVT stock No 14 015 0. '.
30. The following Section 23a is inserted after Section 23:
Funding
(1) Serum-manufactured and individually manufactured medical and orthopaedic prosthetics are covered by a medical device which has been provided by the device or for which a voucher has been prescribed under a special Regulation (19).
(2) Paragraphs 21 and 29 (4) are not affected by the provisions of paragraph 1. "
31. Paragraph 24, including the title, shall be deleted.
32. In Section 25, the introductory sentence reads: "Military services, institutes and facilities of the Czechoslovak army may be used for domestic and imported medicines and certain resources from pharmacies."
33. The first sentence of Paragraph 26 (2) reads: "The requirements of the recipe and the voucher are laid down in Paragraph 2 (7)."
34. in Paragraph 26 (3), the words "the Director of the Medical Service" shall be replaced by the words "the Head of the Medical Service."
35. Paragraph 26 shall be added to paragraph 6:
"(6) No fee shall be levied for the supply of pharmaceutical orders from the Federal Ministry of Defence and its reception29) marked" For the infirmary. "
footnote 29 is replaced by the following:
"(29) Stock form No NV 118 / Z. Stock form No NV 119 / Z. '
36.
(1) Prescription of medicines and devices in the Czech Correctional Education Corps is governed by the provisions of this Order and by the regulations of the Ministry of Justice of the Czech Republic.
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Regulation Information
| Citation | Decree of the Ministry of Health of the Czech Republic, Federal Ministry of Defence, Federal Ministry of Interior, Federal Ministry of Transport, Ministry of Interior of the Czech Republic, Ministry of Justice of the Czech Republic and Ministry of Agriculture of the Czech Republic No. 427 / 1992 Coll., amending and supplementing Decree No. 61 / 1990 Coll., on the Management of Drugs and Medical Requirements |
|---|---|
| Regulation Type | - |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 31.08.1992 |
|---|---|
| Effective from | 31.08.1992 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
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