Фармацевтическая экспертиза требований накладных

Содержание

Таксировка рецепта (требования-накладной) Содержание рецепта (требования-накладной) Особенности оформления рецепта (требования-накладной) Расчет таксировки
Протаксировать рецепт (требование-накладную) Точно скопировать рецепт (требование-накладную) Описать и обосновать оформление рецепта по следующей схеме: 1)форма рецептурного бланка 2) обязательные и дополнительные реквизиты 3) срок действия рецепта (требования-накладной) 4) совместимость входящих ингредиентов 5) проверка высших разовых и суточных доз 6) соответствие выписанных в рецепте количеств ЛП предельно допустимым и рекомендованным количествам 7) оформление ЛП индивидуального изготовления соответствующей этикеткой 8) срок хранения рецепта (требования-накладной) Указать цену за единицу измерения (г, мл, шт.) и рассчитать стоимость прописанного количества по рецепту (требованию-накладной). Указать тариф за изготовление лекарственного препарата

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По данному разделу обучающийся должен научиться принимать рецепты (требования-накладные), осуществлять их фармацевтическую экспертизу, заполнять документы, используемые для регистрации рецептов (требований-накладных). Организация изготовления лекарственных препаратов в аптеке Состав и оснащение производственных и вспомогательных помещений аптечной организации, используемых для изготовления лекарственных препаратов, контроля качества и хранения изготовленных лекарственных препаратов и фармацевтических субстанций. Распределение обязанностей по изготовлению лекарственных препаратов. Организация и оснащение рабочих мест по изготовлению и контролю качества экстемпоральных лекарственных препаратов. Оформление приготовленных в аптеке лекарственных препаратов. Документальное оформление лабораторно-фасовочных работ, составление справки о дооценке и уценке по лабораторно-фасовочным работам, реализации работ и услуг, их отражение в товарном отчете. Организация отпуска лекарственных препаратов по рецептам и требованиям-накладным Организация, особенности отпуска и контроль при отпуске ЛП, изготовленных в аптеке. Организация отпуска готовых лекарственных препаратов промышленного производства по рецептам. Особенности отпуска ЛП, подлежащих ПКУ. Организация отпуска ЛП и медицинских изделий по требованиям-накладным в медицинские организации. Организация хранения и уничтожения рецептов (требований-накладных) на ЛП, подлежащие ПКУ. Организация лекарственного обеспечения граждан, имеющих право на государственную социальную помощь Правовые основания осуществления аптечной организацией отпуска лекарственных препаратов и медицинских изделий отдельным категориям граждан, имеющим право на государственную социальную помощь. Распределение обязанностей, организация и оснащение рабочих мест по льготному отпуску лекарственных препаратов и медицинских изделий. Программное обеспечение заказа товара, учета поступления и отпуска, формирования отчетности по льготному отпуску. Особенности оформления, приема и учета рецептов для льготного отпуска, порядок их хранения и уничтожения. Организация безрецептурного отпуска ЛП и других фармацевтических товаров. Правила продажи отдельных видов товаров. Фармацевтическая информация и консультирование по вопросам ответственного самолечения Организация работы, оснащение и оборудование рабочих мест специалистов, занятых безрецептурным отпуском ЛП и других товаров, разрешенных к отпуску из аптечных организаций. Оказание консультативной помощи населению по вопросам ответственного самолечения, совместимости и хранения ЛП, надлежащего использования других фармацевтических товаров. Фармацевтическая информация. Реклама лекарственных препаратов, медицинских изделий, БАД. Информационно-просветительская работа по пропаганде здорового образа жизни.

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Организация работы по обеспечению качества лекарственных средств и других товаров, разрешенных к отпуску из аптечных организаций. Организация работы по осуществлению приемочного контроля ЛС, порядок выявления ЛС, пришедших в негодность, с истекшим сроком годности, фальсифицированных и недоброкачественных, их изъятия и передачи для уничтожения в соответствии с действующим законодательством РФ. Мероприятия по обеспечению качества других товаров, разрешенных к отпуску их аптечных организаций. Документы, подтверждающие соответствие качества поступающих в аптечную организацию лекарственных средств и других товаров. Организация работы по обеспечению внутриаптечного контроля качества ЛП, изготовленных в аптеке, должностные обязанности, оборудование и оснащение рабочих мест провизора-аналитика и провизора-технолога по контролю качества лекарственных средств, распределение обязанностей между ними, документальное оформление результатов внутриаптечного контроля, предупредительные мероприятия. Маркетинговые мероприятия в аптечной организации. Методы стимулирования сбыта товаров в аптечной организации Изучение спроса и определение потребностей в лекарственных препаратах и других товарах. Размещение товаров безрецептурного отпуска в торговом зале, использование средств мерчендайзинга и методов стимулирования сбыта товаров аптечного ассортимента. УЧЕТ ФИНАНСОВО-ХОЗЯЙСТВЕННОЙ ДЕЯТЕЛЬНОСТИ АПТЕЧНЫХ ОРГАНИЗАЦИЙ В последние годы врачи нас не слишком балуют выпиской рецептов, и пациенты по большей части передают назначения специалистов так сказать «из уст в уста». Но, несмотря на это, закон никто не отменял.

Рецептурные препараты должны отпускаться только по рецептам. А все работники аптек просто обязаны знать, что такое фармацевтическая экспертиза рецептов, и в совершенстве ею владеть, чтобы не подводить себя и аптеку под штрафные санкции. Фармацевтическая экспертиза рецепта – это оценка соответствия поступивших в аптеку рецептов действующим регламентам по правилам выписывания рецептов и отпуску лекарств по ним. Процедура фармацевтической экспертизы рецептов включает в себя следующие основные этапы, во время которых аптечный работник определяет:

  • соответствие формы рецептурного бланка выписанному лекарственному средству;
  • наличие необходимых реквизитов (основных и дополнительных);
  • правомочность лица, выписавшего рецепт;
  • срок действия рецепта;
  • совместимость ингредиентов;
  • соответствие доз возрасту больного;
  • соответствие выписанных количеств лекарственных средств установленным нормам отпуска.
Правом выписать рецепт на лекарственное средство обладают врачи, фельдшеры, акушерки, стоматологи, которые имеют право назначать препараты только по профилю своей профессиональной деятельности. Все они несут дисциплинарную, административную и иные виды ответственности, предусмотренные законодательством, за необоснованное назначение лекарственных средств и назначение неправильной дозировки препарата.
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Алгоритм действий

1. Проверка соответствия формы рецептурного бланка лекарственной прописи.

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Рецепт должен содержать следующие обязательные и дополнительные реквизиты.
  • штамп ЛПУ, с указанием наименования ЛПУ, его адреса и телефона;
  • дата выписки рецепта;
  • Ф.И.О. больного и его возраст;
  • Ф.И.О. врача;
  • наименование и количество ЛС;
  • подробный способ применения ЛС;
  • подпись и печать врача.
Дополнительные зависят от состава лекарственного средства, формы рецептурного бланка. Рецепты выписываются на бланках, отпечатанных типографским способом по установленным МЗ РФ формам.* *В соответствии с приказом МЗ РФ №403Н от 11.07.2017 «Об утверждении правил отпуска лекарственных препаратов для медицинского применения, в том числе иммунобиологических лекарственных препаратов, аптечными организациями, индивидуальными предпринимателями, имеющими лицензию на фармацевтическую деятельность», приказом № 54н от 01.08. 2012 «Об утверждении формы бланков рецептов, содержащих назначение наркотических средств или психотропных веществ, порядка их изготовления, распределения, регистрации, учета и хранения,а также правил оформления».

2. Проверка правомочия лица, выписавшего рецепт.

Лекарство должно быть назначено специалистом, который непосредственно ведет пациента. В случае оказания скорой и неотложной медицинской помощи лекарственные средства назначаются врачом выездной бригады скорой медицинской помощи или врачом отделения неотложной помощи амбулаторно-поликлинического учреждения. В ряде случаев, как уже упоминалось выше, препараты могут быть назначены фельдшером, акушеркой, зубным врачом.

3. Проверка правильности оформления прописи и способа применения ЛС.

  • состав лекарственного средства, обозначение лекарственной формы и обращение врача к аптечному работнику об изготовлении и (или) выдаче лекарственного препарата выписываются на латинском языке;
  • названия наркотических лекарственных средств, психотропных и ядовитых веществ, а также лекарственных средств списка А пишутся в начале рецепта;
  • способ применения лекарственного средства пишется на русском языке с указанием дозы, частоты, времени их употребления относительно приема пищи.
  • при необходимости экстренного отпуска лекарственного средства в верхней части рецептурного бланка проставляются обозначения cito или statum;
  • разрешаются только принятые правилами сокращения обозначений.*
*Приказ МЗ РФ от 12.02.2007 №110 « О порядке назначения и выписывания лекарственных препаратов, изделий медицинского назначения и специализированных продуктов лечебного питания».

4. Проверка совместимости ингредиентов в рецепте.

В рецепте, требующем индивидуального изготовления, проверяется совместимость ингредиентов. Вопрос изменения состава, количества действующих веществ или замены одной лекарственной формы на другую решается по согласованию с врачом, выписавшим рецепт.

5. Проверка высших разовых и суточных доз с учетом возраста больного.

Работник аптеки должен проверить высшие разовые (ВРД) и высшие суточные дозы (ВСД), основываясь на возрасте пациента.

6 Проверка соответствия количества выписанного лекарственного средства.

При поступлении экстемпорального рецепта в аптеку фармацевтический работник обязан отпустить лекарственное средство, находящееся на ПКУ, в половине высшей разовой, в том случае, если врач не соблюдал установленных правил оформления рецепта или превысил высшую однократную дозу. В некоторых случаях предусмотрено превышение установленных норм, что возможно при наличии указания врача на рецепте «По специальному назначению», заверенного подписью и печатью врача, а также печатью «Для рецептов». Инкурабельным онкологическим и гематологическим больным количество выписываемых в одном рецепте наркотических средств также может быть увеличено в 2 раза против установленных норм.* *Приказ МЗ РФ от 12.02.2007 №110 « О порядке назначения и выписывания лекарственных препаратов, изделий медицинского назначения и специализированных продуктов лечебного питания».

7. Проверка срока действия рецепта.

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Рецепты, выписанные на специальном рецептурном бланке на наркотическое средство и психотропное вещество, действительны – 5 дней со дня выписки, на рецептурном бланке №148–1/у-88 -10 дней. Рецепт, выписанный на рецептурном бланке №148–1/у – 88, действителен – 10 дней, 1 месяц. Срок действия указывается путем зачеркивания. Рецепт, выписанный на рецептурном бланке №107–1/у, действителен – 10 дней, 2 месяца, 1 год. Срок действия указывается путем зачеркивания. Рецепты на все остальные лекарственные средства действительны – 2 месяца со дня выписки. Рецепты, выписанные на рецептурных бланках формы №148–1/у -04 (л) и №148–1/у-06 (л), действительны – 1 месяц со дня выписки, за исключением лекарственных средств, находящихся на предметно-количественном учете. Рецепты на производные барбитуровой кислоты, эфедрин в чистом виде, псевдоэфедрин в чистом виде, эфедрин и псевдоэфедрин в смеси с другими веществами, анаболические стероиды, клозапин, тианептин для лечения больных с затяжными и хроническими заболеваниями могут выписываться на курс лечения до 1 месяца. При этом на рецепте должна быть надпись – «По специальному назначению», которая скрепляется подписью врача и печатью ЛПУ «Для рецептов». Рецепты, не отвечающие выше перечисленным требованиям, остаются в аптеке, погашаются штампом «Рецепт недействителен» и регистрируются в специальном журнале. * *Приказы №110 от 12 февраля 2007 г. и № 54н от 01.08.2012г. Министерства здравоохранения и социального развития РФ.

8. Таксировка рецепта.

Рецепт, выписанный правильно, затем таксируется. Если рецепт оформлен неправильно, то он регистрируется в «Журнале учета неправильно выписанных рецептов», предварительно погашенный штампом «Рецепт недействителен». В зависимости от условий отпуска из аптеки все лекарственные препараты можно поделить на две большие группы. Первая группа – препараты, на которые не требуется рецепт. Это те лекарства, которые находятся в свободном доступе. Их покупатель привык видеть в рекламе, на аптечных витринах и может приобрести любой из них без рецепта врача.

Если у вас возникнут вопросы, можете бесплатно проконсультироваться в чате с юристом внизу экрана или позвонить по телефону 8 800 350-81-94 (консультация бесплатно), работаем круглосуточно.

Вторую группу представляют рецептурные препараты. Таких лекарств в свободном доступе не найти. Чтобы приобрести хотя бы один из них, пациенту необходимо обратиться к врачу или фельдшеру, который, если посчитает нужным, выпишет рецепт. После чего его необходимо предоставить в аптеку, где специалист с фармацевтическим образованием проведет экспертизу. В случае удовлетворительного результата аптечный работник отпустит пациенту необходимое лекарство. Поэтому мало получить рецепт у врача, необходимо, чтобы он еще был должным образом оформлен. В этом и заключается суть фармацевтической экспертизы рецепта.
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Чтобы разобраться в данной теме, необходимо иметь представление, что такое рецепт и каковы его основные функции.

Определение и функции рецепта

Рецепт представляет собой назначение врача в письменном виде, строго установленной формы. Рецепт может выписывать только тот медицинский или ветеринарный работник, который имеет на это право. Рецепт выполняет несколько функций:
  1. Медицинская.
  2. Технологическая.
  3. Финансово-хозяйственная.
  4. Экономически-статистическая.
  5. Юридическая.

Какими бывают рецептурные бланки?

Существует несколько форм бланков, на которых можно выписать рецепт. Выбор формы напрямую зависит от препарата, на который он выписывается.
  1. №107/у-НП – представляет собой особую форму рецепта, потому что его используют при необходимости назначения пациенту наркотика или психотропного вещества.
  2. №148-1/у-88 – данную форму применяют в случае, если выписываются такие лекарственные вещества, как:
  • ядовитые, сильнодействующие, психотропные вещества III списка;
  • субстанции апоморфина, атропина, гомотропина, дикаина, пахикарпина и серебра нитрата;
  • этиловый спирт;
  • анаболики;
  • комбинированные лекарства, содержащие наркотические или психотропные компоненты (например, кодеин) в небольшом количестве.
  1. №148-1/у-88 (04), №148-1/у-88 (06) – льготные бланки. Их используют в тех случаях, когда выписывается препарат для бесплатного отпуска препарата из аптеки или для отпуска его со скидкой. Это бывает в тех случаях, когда пациент относится к какой-либо льготной группе и имеет право на бесплатное (или со скидкой) лекарственное обеспечение.
  2. №107-1/у – на данной форме бланка выписываются те вещества, количество которых не учитываются в аптечной организации.
В каждой из этих форм обязательно наличие основных реквизитов, которые едины для всех. В то же время для каждой формы бланка характерны свои дополнительные реквизиты, и этим бланки отличаются друг от друга. Списки этих реквизитов представлены ниже.

Этапы работы с рецептом в аптеке

После того, как рецепт попадает в аптеку, он проходит несколько этапов обращения с ним:
  1. Фармацевтическая экспертиза рецепта.
  2. Таксировка рецепта – это определение розничной стоимости препарата.
  3. Регистрация рецепта в соответствующих документах аптечной организации.
Таким образом, фармацевтическая экспертиза рецепта – только один из необходимых этапов обращения с бланком в аптеке.

Понятие фармацевтической экспертизы

Данная экспертиза представляет собой процесс установки аптечным работником соответствия выписанного препарата форме рецептурного бланка, проверки правильного оформления основных и дополнительных реквизитов, правильности выписанной дозы и совместимости ингредиентов. Основные задачи фармацевтической экспертизы рецепта заключаются в следующем:
  1. Проверка правильности оформления рецептурного бланка.
  2. Выяснение, имеет ли лицо, выписавшее рецепт, право на данную манипуляцию.
  3. Предотвращение возможных врачебных ошибок (превышение дозировки, наличие несовместимых компонентов в одной прописи и т. п.). Конечно, такие ситуации возникают крайне редко, но в силу человеческого фактора они возможны.

Кто ответственен за проведение фармацевтической экспертизы рецепта?

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Процесс проверки бланков и отпуск рецептурных препаратов – очень ответственная работа, требующая огромного багажа специальных знаний и внимания. Поэтому для того, чтобы заниматься этим, необходимо наличие специального образования. Фармацевтическую экспертизу рецепта проводит аптечный работник (провизор – человек, имеющий высшее фармацевтическое образование, или фармацевт – человек, имеющий среднее фармацевтическое образование). В любом случае для того, чтобы проводить такую ответственную работу, как экспертиза рецептурных бланков, работник аптеки обязательно должен иметь законченное фармацевтическое образование.

Алгоритм действий аптечного работника

Можно провести фармацевтическую экспертизу рецепта по алгоритму, представленному ниже. I. В первую очередь проверяется правильность выбранной формы рецептурного бланка. II. В случае, если форма бланка представлена верно, провизор должен проверить присутствие всех реквизитов, которые относятся к основным:
  1. Штамп лечебно-профилактического учреждения. Он должен находиться в левом верхнем углу и содержать следующую информацию: подробное название медицинской организации, а также ее местоположение и номер телефона.
  2. Дата, когда рецепт был выписан врачом.
  3. Фамилия, имя, отчество больного.
  4. Также на всех формах рецепта, кроме льготных, должна быть указана возрастная категория больного (взрослый или детский) и количество лет. В льготных бланках вместо этого должна быть указана дата рождения пациента.
  5. Фамилия, имя, отчество врача. Они должны быть прописаны полностью, без использования инициалов.
  6. Подпись врача, а также его личная печать. В случае если рецепт выписан фельдшером, также должны быть указаны его полное имя и подпись.
III. Тот, кто проводит фармацевтическую экспертизу рецепта, должен проверить графу Rp. Rp – сокращение латинского слова recipe, что означает "приготовь". В данной графе на латыни должны быть указаны названия лекарственных средств, причем обязательно соблюдение определенных правил:
  1. Название лекарственных препаратов, которые подлежат в аптечной организации учету, должны быть написаны первыми.
  2. Количество жидких субстанций должно быть указано в мл, каплях или граммах.
  3. Бывает так, что в списке значится вещество, подлежащее учету, и его указанная доза превышает одноразовый прием. В таких случаях врач обязан указать требуемую дозировку прописью и поставить восклицательный знак рядом с указанным количеством. Если этого не сделано, провизор (фармацевт) обязан связаться с врачом для уточнения дозы. В случае если это сделать невозможно, необходимо выдать пациенту такое количество лекарства, которое будет равно половине высшей разовой дозы.
  4. Фармацевтическая экспертиза рецепта при отпуске лекарственных средств включает в себя проверку фармакологической совместимости ингредиентов.
  5. В случае если один из прописанных компонентов относится к ядовитым или сильнодействующим, фармацевтический работник должен проверить, не превышены ли высшая суточная и разовая дозы.
  6. Также необходимо убедиться, что не превышено количество лекарственных веществ для единовременного отпуска.

IV. Проведение фармацевтической экспертизы рецепта также включает в себя проверку правильности оформления сигнатуры – раздела, где указывается способ применения препарата. Сигнатура должна быть написана на русском языке. Если это специальный бланк, она должна быть выписана и на русском, и на языке республики. Способ применения препарата должен быть подробно расписан с указанием времени приема, необходимой дозировки, а также частоты, с которой необходимо употреблять лекарство, и продолжительности лечебного курса. Запрещено писать кратко – "Внутрь", "По схеме" и т. п. V. У любого рецепта имеется свой срок, когда он является действительным. Поэтому фармацевтическая экспертиза рецепта заключается еще и в проверке того, чтобы у рецепта не вышел срок действия.

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VI. В случае, когда препарат требуется незамедлительно, в верхней части рецепта пишут cito (в течение двух рабочих дней) или statim (в течение одного рабочего дня). В эти сроки аптечная организация обязана предоставить пациенту необходимое лекарство. На это тоже следует обратить внимание.

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При проведении фармацевтической экспертизы рецепта провизор (или фармацевт) также должен помнить, что в рецепте допустимы сокращения, предусмотренные приложением к приказу 1175н. VII. Если все основные реквизиты присутствуют и оформлены должным образом, необходимо проверить правильность оформления дополнительных. VIII. Также следует проверить правомочность лица, который выписал рецепт. После проведения фармацевтической экспертизы необходимо произвести отпуск лекарственного препарата. Затем рецепт отдается больному обратно (форма бланка №107-1/у) или остается храниться в аптеке (все остальные формы бланков). Во втором случае фармацевтический работник должен определиться, сколько будет храниться рецепт в аптечной организации (это зависит от его формы).

Список дополнительных реквизитов у различных форм рецептурных бланков

Фармацевтическая экспертиза при отпуске лекарственных средств, являющихся наркотическими или психотропными веществами, предусматривает такой пункт, как проверка дополнительных реквизитов специальной формы, а именно:
  1. Номер полиса обязательного медицинского страхования, а также его серия.
  2. Номер медицинской карты больного, который проходит лечение амбулаторно.
  3. Подпись руководителя медицинской организации или его заместителя.
  4. Также обязательно присутствие круглой печати больницы.
  1. Номер бланка, серия бланка.
  2. Адрес, по которому проживает пациент, или номер его медицинской карты.
  3. Печать "для рецептов", которая должна быть в каждой медицинской организации.
  4. На оборотной стороне должны присутствовать графы "приготовил", "проверил", "отпустил", которые заполняются в аптеке.
Льготный бланк №148-1/у-04(л):
  1. Номер бланка и его серия.
  2. Код категории людей, которые имеют право на бесплатное обеспечение лекарственными средствами.
  3. Код медицинской организации.
  4. Код нозологической формы по МКБ.
  5. Отметка об источнике финансирования (федеральный, региональный, муниципальный).
  6. Указание, на каких условиях лекарство приобретается пациентом (бесплатно или со скидкой 50 %).
  7. Номер СНИЛСа и полиса ОМС.
  8. Код лечащего врача или фельдшера, который выписал рецепт.
  9. На каждом бланке данной формы внизу имеется часть, которая должна быть заполнена работником аптеки при отпуске лекарства. Одна ее половина остается в аптеке, другая отдается пациенту на руки.
Реквизиты рецептурной формы №148-1/у-06(л) аналогичные. Но в данной форме еще имеется штрих-код, который предназначен для автоматического считывания информации в аптечной организации. У формы №107-1/у дополнительные реквизиты отсутствуют.

А если рецепт оформлен неверно?

Проведение фармацевтической экспертизы при отпуске ЛС предусматривает действия в ситуациях, когда при оформлении бланка допущены какие-либо ошибки. Рецепт, в котором отсутствует или неправильно оформлен какой-либо из реквизитов, в котором превышены дозировки или имеется несовместимость ингредиентов и т. п., не будет удовлетворять требованиям. Рецепт, не отвечающий требованиям, считается недействительным. В таком случае провизор или фармацевт не имеет права отпустить пациенту требуемый лекарственный препарат. Работник аптеки обязан поставить на таком бланке штамп "рецепт недействителен" и зарегистрировать его в специальном журнале, где отмечаются все неправильно оформленные бланки. Информация о таких бланках должна доноситься до руководителя поликлиники, в которой был выписан рецепт, не реже, чем один раз в месяц (приказ Министерства здравоохранения № 785).

Фармацевтическая экспертиза рецептов. Примеры

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Ниже представлен один из примеров экспертизы рецепта: Пациенту, ветерану ВОВ, страдающему от болей при онкологии, врач выписал рецепт, в котором прописано: Recipe: Solutionis morphini hydrochlorici 1%-1ml сорок ампул. Signa: водить внутримышечно по 1 мл 3 раза в день.
  1. В первую очередь проверяем форму бланка. Морфин является наркотическим препаратом, поэтому должен выписываться на бланке №107/у-НП. Этот бланк розового цвета размером 10 × 15 см, на нем должны присутствовать водяные знаки. Кроме того, такой рецепт должен заполняться врачом письменно, без использования печатных устройств. Также требуемое количество должно быть указано прописью, без цифр.
Один бланк предназначен для выписывания на нем только одного препарата, наличие двух и более наименований лекарств ни в коем случае недопустимо.
  1. Затем проверяется наличие основных реквизитов, а также срок действия рецепта, который равен пяти дням.
  2. После этого проверяются дополнительные реквизиты, которые должны присутствовать на форме 107/у-НП.
  3. Проверяется количество выписанного препарата. В данном случае врач указывает сорок ампул морфина, но нормы отпуска морфина составляют двадцать ампул. Пациент является онкологически больным, поэтому ему можно отпускать препарат в количестве, превышающем нормы отпуска в два раза.
  4. Проведение фармацевтической экспертизы рецептов при отпуске ЛС закончено. В случае, если все оформлено верно, провизор должен предоставить нужное лекарство пациенту, предварительно спросив у него паспорт.
  5. После чего провизор или фармацевт должен сделать отметку о том, что препарат отпущен. Обязательно нужно указать фамилию, имя и отчество отпустившего лекарство и поставить подпись. Также необходимо поставить круглую печать аптеки и штамп "лекарство отпущено".
  6. Рецепт в обязательном порядке остается на хранение в аптеке, а больному на руки выдается сигнатура, где должно быть прописано, как правильно принимать препарат.
  7. После этого рецепт таксируется и регистрируется в определенных журналах.
  8. Хранится такой рецепт в аптеке 10 лет.
В данном случае требуется еще и проведение фармацевтической экспертизы льготного рецепта. Дело в том, что пациент является онкологически больным и ветераном ВОВ, поэтому ему положен рецепт формы №148-1/у-04(л) или №148-1/у-06(л). Фармацевтическая экспертиза льготного рецепта не отличается от таковой при проверке всех остальных форм бланков, за исключением проверки дополнительных реквизитов.

Заключение

Порядок фармацевтической экспертизы рецепта состоит из множества этапов и требует большого количества знаний по таким дисциплинам, как фармакология, фармакотерапия и управление экономикой фармации. Такая ответственная работа требует от ее исполнителя много внимания и собранности, потому заниматься экспертизой могут только обученные люди, имеющие специальное образование. Фармацевтическая экспертиза – важный этап в процессе получения пациентом необходимого лекарства и является необходимым при отпуске любого рецептурного препарата.

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