Medicinal assistance at GVFMC and CSHI
Regulatory legal acts in the field of healthcare regulate that the population of the country in the presence of certain diseases can rely on medicines and medical products at the outpatient level at the expense of the guaranteed volume of medical care and compulsory medical insurance. You can get acquainted with the list of nosologies and available drugs approved by order of the Minister of Health of the Republic of Kazakhstan No. 666 dated August 29, 2017,
How does the whole process work? Medical organizations form applications for medicines, local health departments approve these needs within the budget, then SK-Pharmacia LLP - a single distributor - purchases the necessary drugs and medical products and ships them to medical organizations. Only after the patient receives the necessary drug or medical device, the Social Health Insurance Fund pays SK-Pharmacia LLP for drug provision.
It should be noted that this year the Fund for the first time, on the basis of the Decree of the President of the Republic of Kazakhstan dated March 16, 2020 No. 286 "On measures to ensure socio-economic stability", due to currency fluctuations and an unstable epidemiological situation, made 100% prepayment of the amount of concluded contracts SK-Pharmacy LLP. This allowed the Single Distributor to make an advance payment to suppliers and manufacturers of medicines that were supplied during 2020.
The transition to the social health insurance system made it possible to significantly expand the list of free medicines for adults and children under 18 years of age. In particular, the following nosologies were additionally included in the outpatient list:
- infectious and parasitic diseases (Lyme disease, chickenpox, mycoses, toxoplasmosis, etc.);
- digestive diseases (celiac disease, cholelithiasis, cholecystitis / cholangitis, etc.);
- endocrine disorders (amino acid transport disorders);
- diseases of the nervous system (Alzheimer's disease, migraine, trigeminal nerve damage, Duchenne muscular dystrophy, etc.);
- inflammatory and non-inflammatory diseases of the organs of vision (acute / chronic blepharitis, conjunctivitis, glaucoma, etc.);
- diseases of the circulatory system (primary pulmonary hypertension, infective endocarditis), etc.
- respiratory diseases (acute respiratory infections of the upper and lower respiratory tract, sinusitis, diseases of the tonsils and adenoids, vasomotor and allergic rhinitis).
In July 2020, coronavirus infection was added to this list of available free drugs. When available, patients can count on antipyretic and anti-clotting drugs.
To get free drugs on an outpatient basis, you need to go to the polyclinic at the place of attachment, where the doctor will assess the patient's condition and, if necessary, write a prescription for the drugs.
The volume of outpatient drug provision within the guaranteed volume of medical care and in the compulsory health insurance system for 11 months of 2020 amounted to 112.7 billion tenge.
Let us remind you that all medicines are provided free of charge when providing emergency, inpatient and inpatient care.