Cabinet of Ministers Regulations No. 255 in 2015 (26 May. No 26 30) amendments to the Cabinet of Ministers on 31 October 2006, regulations No 899 "Outpatient treatments and medicines for the purchase of medical equipment for the refund order" Issued in accordance with article 5 of the law on Pharmacy's paragraph 20 1. make a Cabinet of 31 October 2006, regulations No 899 "Outpatient treatments and medicines for the purchase of medical equipment for the refund order" (Latvian journal, 2006, nr. 180.; 2007, 2008 54. no; , 53, 150. no; 2009, 22, 138, 155. no; 2010, 18, 94.172.206.,, no; 2011, 35, 51, 205.170, no; 2012, 79, 101, 120, 165. no; 13, 179., nr. 251.; 2014, 217. No.) the following amendments: 1. make 2 second sentence by the following: "compensation procedures the compensation measures within the framework of the funds assigned to provide medicines and medical devices to the widest possible range of patients, as well as getting the countervailable and medical equipment for the lowest possible price and savings funds obtained as a result of shifting patient health improvement and treatment objectives."; 1.2. make 3.6 3. subparagraph by the following: "3. the refund 3.6 restrictions laid down this rule 6.2.2 of annex 1, and in paragraph 8.16.16.1.;" 1.3. make 16.3 point as follows: "in the application of medicine or 16.3 medical equipment compensation base price reduction for a certain period of time the applicant indicate a medicine or medical device name, registration number, medicine and general name, strength, pharmaceutical form, package sizes, base price, compensation for the time the reduced compensation base price and the period during which the reduced refund will be applied to the base price. The application shall be submitted to the October 15, January 15, April 15, July 15. (A) the list of medicinal products and medical devices for a set period at a reduced price of base compensation may not be less than the amount of the medicinal product in the list, if the reference price fixed, or equal to, or lower than under the provisions of this paragraph the 38.7 lowest price tendered or equal to it. The reduced base price of the refund application is not less than three months. " 1.4. Express 29.1 points as follows: "in the list of medicinal products Eligible 29.1 included medicines and medical devices under the compensation procedures pharmacies distributed only on the national health service in the pharmacy price, subject to the procedures laid down in these rules."; 1.5. to supplement the rules by 30.1 points as follows: "parallel and distributed 30.1 parallel imported medicinal product price is lower than the price of the medicinal product, the amount in respect of which the distribution is made in parallel or parallel imports. The rest of the countervailable and eligible to be included in the list of medicinal products medicinal products distributed by parallel or parallel imported medicinal product prices compared. "; 1.6. to delete the third sentence of paragraph 35; 1.7. to supplement the rules by 36.1 points as follows: "36.1 one reference group reference price can be determined several medicinal products or medical devices. '; 1.8. replacing the symbol and the number in point 44.1 "30%" with the number and the symbol of "20%"; 1.2. make and 38.7 38.6 points to 62.1, as follows: "changes to the eligible medicines 62.1 (drugs and medical equipment and the conditions for compensation of deletion review, as well as the compensation base prices and pharmacies price list (B) and (C) medicinal products and medical devices) national health service carried out no less than four times per year. Compensation base prices and pharmacies price list A medicines and medical devices, the national health service carried out four times a year, on 1 January, 1 April, 1 July and 1 October, except for the provisions set out in article 62.5. 62.2 To refund the base price review by the applicant, the application for compensation shall be submitted to the review of the base price up to September 30 (if the changes expected with January 1), until December 30 (if the changes expected by the April 1) until 31 March (if the changes expected by July 1) and to 30 June (if the changes expected by 1 October). The national health service received information within three working days of the insert in the website section "compensatible medication". 38.7 the applicant respectively to 15 October, 15 January, 15 April and 15 July to submit to the national health service of the application on (A) the list of medicinal products and medical devices of the compensation base price reductions and lower the price offered to become the reference medicinal product or medical device reference. "; 1.10. supplement with 62.5 points as follows: "62.5 national health service, on the basis of the applicant's submissions, on the first date of each month to update the parallel of distributed and parallel imported medicinal product. '; 1.11. replace 64.2 points, the number and the word "30 days" with a number and the word "15 days"; 1.12. supplement with 64.3 points by the following: "64.3 national health service 15 days prior to the discounted amount of countervailable medicine list insert the date of entry into force of the new eligible Web site the list of medicinal products with an indication of the date of its entry into force, without indicating in accordance with this provision 16.3 point to determine the time reduced the compensation base prices."; 1.13. supplement with 67.2 points as follows: "If the decision reached 67.2 medicinal products or medical devices into the C list the prescribed number of patients, but corresponds to the case set out in the said decision drug or medical device in a discharged condition and this provision in paragraph 67 of these requirements, the national health service act on administrative procedures in accordance with the procedure laid down in the decision on extending the C list of medicines or medical devices deadline for receipt of the refund until When will the decision about the medicine and medical equipment into the C list in the number of patients. " 1.14. delete paragraph 88, the words and figures "on January 1 and July 1 of the '; 1.15. in paragraph 89 of the following expression: ' 89. If a doctor prescribing medication, used the eligible drug generic name, pharmacies are obliged to issue the cheapest for this name, pharmaceutical form and strength corresponding to the eligible medicines, but if the list of medicinal products is compensated by two or more medicines with cheaper price of base compensation, pharmacist offers patient choose any of them. If the doctor when the eligible medical device, take it to the General name, pharmacies are obliged to issue the cheapest for this name and use the appropriate eligible medical device, but if the eligible medical device list contains two or more of the medical device with the cheapest base price of compensation, pharmacist offers patient choose any of them. If the Pharmacy has provided health inspection this provision the information referred to in paragraph 91 of the reference drug and medical devices or cheapest generic name within the eligible medicines and medical devices are not available, the pharmacist can give the patient the next cheapest drugs or medical devices. '; 1.16. supplement with 132 and 133 of this.: "132. If specific provisions of this annex 1 1.2 and 2.1. diagnosis, referred to 30 June 2015 for the compensation for children under 3 years of age. 133. If the provisions of annex 1, 9.2.1 and 9.2.2 6.3.1. diagnosis, referred to 30 June 2015 for the refund of 50%. "; 1.17. Replace annex 1 to 1.2 and 2.1) (column "restrictions" of compensation "for children up to 3 years" with "children under 18 (g). '; 1.18. Replace annex 1.6.3.1. point in the column "amount of compensation (%)" the number "50" with the number "75"; 1.19. Replace annex 1 7.1, 7.2, 7.3, 7.4, 7.5, 7.6, 7.7, 7.8, 7.9 and 7.10. subparagraph. ' compensation restrictions "text" children up to 3 g. "with" children under 18 (g). '; 1.20. Replace annex 1 9.2.1 and 9.2.2.) (column "the amount of compensation (%)" the number "50" with the number "75". 2. the rules shall enter into force on 1 June 2015. The Prime Minister is the Rapidity of the Newsletters Health Minister Guntis Belēvič in