ANALYSIS OF THE STRUCTURE OF RESTRICTIVE LISTS OF MEDICINES RANGE USED FOR THE TREATMENT OF BLOOD AND BLOOD-FORMING ORGANS DISEASES AND CERTAIN DISORDERS INVOLVING THE IMMUNE MECHANISM
Objective. The objective of this article is the research of the structure of drugs assortment for the treatment of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism included in the restrictive lists of drugs. Methods. We used a complex of scientific methods such as systemic, logical, marketing, structural types of analysis in this research. The objects of the study are regulatory legal acts, statistical compilations of the Ministry of Health care of the Russian Federation, State register of medicines, lists of vital necessary and important medicines (VNIM) and minimum range of medicines for pharmacies (MRM), as well as the procedure for their formation; the range of medicines used for the treatment of Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism class diseases included in the restrictive lists of VNIM and MRM; analytical data on the main indicators of the development of pharmaceutical market; health care standards. Results. The total number of international nonproprietary names (INN) used in the treatment of CLASS III D50-D89 Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism included in the 2019 VNIM list is 113 INNs, 160 drug forms (DF). The total number of trade names (TN) is 797, the part of domestically produced drugs is 62%, imported drugs - 38%. The main dosage form of drugs used for the treatment of Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism class diseases is solutions for infusions (30%). It was found that drugs of group “B - Blood and blood flow” were not included in the minimum range of medicines (MRM) in 2019. Out of all 6 anatomical therapeutic chemical classification system (ATC) groups used in the treatment of Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism class diseases only 3 pharmacological groups contain drugs used in the treatment of these nosologies in MRM 2019, which are represented by 8 INNs. Conclusions. An analysis of the range of nosologies studied and the ATC classification groups showed that three to six ATC groups were used to treat this category of patients. The range of vital necessary and important medicines used in the treatment of the group of diseases under investigation was developed.