The state supports families with children and pregnant women, therefore free medications for pregnant women are provided. To receive medications, you must be registered with the antenatal clinic.
Who is eligible for free medications during pregnancy?
In 2019, all pregnant women can receive free medications, subject to registration at the antenatal clinic. Yu.
Vitamins and medications are prescribed to women after the 30th week of pregnancy (if the pregnancy is multiple - after the 28th week). For payment, funds included in the birth certificate are used, which will be given to the expectant mother in labor at the antenatal clinic.
If the cost of drugs does not exceed 990 rubles, then they are provided free of charge. If the cost is higher - with a 50% discount.
Attention! The drugs are prescribed once by an obstetrician-gynecologist.
Most social support measures are targeted. This means that especially needy citizens can receive them. But Medicines are prescribed to all pregnant women without exception, as well as to young children.
Important! Benefits are given with the goal that the expectant mother can improve her health, and in the future the health of the baby.
Legislative framework
Not all women know that they are entitled to free prenatal vitamins and medications. Lists of medications are not always posted in clinics and antenatal clinics.
The Moscow Health Department clarified that a list of medications should be available in all hospitals (letter No. 48-12-2932 dated August 2008).
2 legal acts on the provision of medicines:
- Government Decree No. 987;
- Order of the Ministry of Social Development No. 72 n dated 02/01/2011.
There is a “Health” project in our country. According to this project, expectant mothers receive birth certificates. Thus, the focus is on improving service in medical institutions.
Attention! The basis for receiving medications is a certificate from an obstetrician.
Here are excerpts from the approved list:
- Vitamin E,
- Vitrum Prenatal,
- Iron (III) hydroxide polymaltosate,
- Iron fumarate with folic acid,
- Intensive,
- Multi-tabs Classic,
- Multi-tabs Perinatal,
- Complex,
- Ferretab complex,
- Ferrovit,
- Ferrovit forte,
- Elevit Prenatal.
It is important to remember your rights and apply for benefits, because raising and having children will require large expenses.
Nuance! There are medications that you have to pay for. These include Hyper-swarm SD, Fraxiparine. The order was adopted by the capital's Department of Health.
Paid services exist in hospitals along with free services. However, paid services cannot replace what is provided for free by law.
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What medications are free for pregnant women?
Local authorities are adjusting the list of drugs. This is due to the fact that each Russian region has its own characteristic diseases. For example, residents of the Tver region experience iodine deficiency. Pregnant women in Moscow are often diagnosed with fetal hypoxia.
Vitamins occupy most of the list of medications. After all, they are the ones that are absolutely necessary to preserve women’s health and give birth to healthy offspring.
List of medicines in 2019:
In addition to medications, expectant mothers have the right to other free assistance:
- service from a gynecologist;
- appointment with other doctors in the direction of a gynecologist;
- medical procedures and physiotherapy.
How to stock up on free medications during pregnancy
- You must register with the consultation no later than three months of pregnancy.
- Wait until the receptionist issues a medical card.
- Visit your doctor and get a prescription. Please ensure that all fields of the form are filled out correctly.
- You can get medications at the institution with which the clinic has signed an agreement on servicing beneficiaries.
Prescriptions for vitamins and medicines can be obtained either from a public hospital or a private clinic.
What to do if your doctor refuses to write a prescription for free medications
It’s not for nothing that they say: forewarned is forearmed. Some expectant mothers receive a doctor's prescription and go to the pharmacy to buy vitamins at their own expense. In fact, there is no need to do this.
Last updated April 2019
Many couples put off having children because of the family's financial situation. During pregnancy, childbirth, and the postpartum period, additional costs arise for medical care, medications, and doctor services. Not everyone knows what pregnant women are entitled to for free, and in general, that you can undergo some kind of examination and receive some medications for free.
Normative base
In connection with the decrease in life expectancy and a significant decrease in the birth rate, the all-Russian project “Health” was launched in 2006. An innovation was the introduction of birth certificates, which stimulate improvement in the quality of medical care in antenatal clinics and maternity hospitals.
Articles Art. 41 of the Constitution of the Russian Federation and Art. 20 Fundamentals of the legislation of the Russian Federation on health protection stipulate that all medical care in state and municipal medical institutions should be provided free of charge. Any by-laws must comply with the Constitution of the Russian Federation.
The issue of providing medicines is regulated by orders of the Ministry of Health and regulatory documents of the constituent entities of the federation. The main document is Order No. 748 of October 6, 2008 “On the provision of medicines to pregnant women,” which allows you to receive a number of medications absolutely free or with a 50 percent discount.
Paid services in medical institutions are not prohibited by law, but they should not be provided in exchange for free medical care provided to pregnant women.
It should be
The “Health” project involves a certain sequence of receiving medical care, medications and vitamins for pregnant women free of charge. For this purpose, each future woman in labor is given a birth certificate, which is financed from the local budgets of the constituent entities of the federation.
The general procedure is as follows:
- You should try to register with your local antenatal clinic in the first 12 weeks of pregnancy. For early registration, incentive payments are provided in the amount of 500-1000 rub.. (depending on the region of the Russian Federation, residents of the North are given a premium depending on the category of the region);
- Regularly undergo examinations and tests prescribed by your gynecologist;
- At the 30th week (in the case of a multiple pregnancy - at the 28th week), the pregnant woman is given a birth certificate, which is used to pay for medications, childbirth, as well as pediatrician services for examining the baby in the first year of his life.
How much can you get for early registration?
According to the Procedure for the appointment and payment of state benefits to citizens with children, every woman who registers with the local antenatal clinic in the first 12 weeks. pregnancy, receives a lump sum benefit. This is done to encourage women to start visiting a doctor as early as possible, which will allow them to identify abnormalities in the development of the fetus in the early stages of its development and take the necessary measures.
To receive benefits, you need not only to register on time, but also:
- be a student paid for by the state;
- be employed, then the employer makes payments to the Social Insurance Fund
- contribute funds independently to your social insurance policy.
Thus, you either need to have an official job, or be a student at an educational institution, or be a woman entrepreneur. Also eligible for payment are women who were fired for good reasons (moving, caring for a seriously ill family member, illness, etc.) no more than a month ago.
- The certificate can be obtained at the antenatal clinic registry at the place where the pregnant woman is registered.
- Then the certificate must be provided to the employer at the place of study or go to the Social Insurance Fund at the place of registration to draw up a social contract.
- The payment will be made simultaneously with the payment of maternity benefits.
The procedure for receiving incentive payments is regulated by the Law “On State Benefits for Citizens with Children” dated May 19, 1995 and the Order of the Ministry of Health and Social Development of Russia “On Approval of the Procedure and Conditions for the Appointment and Payment of State Benefits to Citizens with Children” dated December 23, 2009
Why do you need a birth certificate?
The birth certificate was created with the aim of improving the quality of medical care in maternity hospitals and antenatal clinics, since the money is received directly by the medical institutions to which the woman turns.
The certificate consists of three separate coupons for certain amounts:
- 3000 rubles – to pay for services in the antenatal clinic;
- 6,000 rubles – to pay for services in maternity hospitals and perinatal centers;
- 2000 rubles - to pay for the services of a children's clinic for examination and monitoring of a child until he reaches one year.
A woman can spend 20-35% of the total amount on medications prescribed by a doctor.
What free services are available to pregnant women in 2016?
Doctors' services
- First of all, pregnant women are guaranteed to receive full medical support from the supervising gynecologist.
- In addition, free services are provided by other specialists, including a therapist, otolaryngologist, ophthalmologist and dentist. Referrals to doctors of other specializations are issued by a gynecologist.
- It is also stipulated that all medical or physiotherapeutic procedures are provided free of charge.
- A woman can receive free care in a hospital regardless of the method of treatment: independently, by referral from a doctor, or by being delivered by ambulance.
General studies
Maternity clinics provide free examinations:
- Ultrasound three times during the entire period of pregnancy (10-14 weeks, 20-24 weeks, 32-34 weeks) or more often in the direction of a gynecologist;
- fluorography for all relatives of a pregnant woman living with her.
You do not have to pay not only for the study itself, but also for consumables used during work (for example, alcohol, syringes, cotton wool).
Laboratory research
Orders of the Ministry of Health and other regulations provide for free tests for pregnant women, including:
- General clinical tests: flora smear, general blood and urine test, Nechiporenko and Zimnitsky tests, coagulogram (bleeding duration, platelets, blood clotting time).
- Biochemical: bilirubin, fibrinogen, total protein, urea, blood sugar, creatinine, prothrombin index.
- Serological: blood group, blood test for syphilis, hepatitis, Rh factor, determination of antibody titer if Rh is negative.
- Antibody titer to infections affecting fetal development
- Cytological: oncocytology
- Additional (according to indications): bacteriological studies, colpocytology, serum iron, external hysterography, cardiotachography, etc.
Manipulations and physiotherapy
- Physiotherapy (according to indications): electrosleep, electrophoresis and others
- Manipulations (as prescribed by the doctor: intravenous injections, intramuscular injections and others.
Free some medicines and vitamins
The list of medications provided to pregnant women free of charge is provided for by Order No. 748 of October 6, 2008 “On drug provision for pregnant women.” It contains a small list of medications and multivitamin complexes that will help a woman bear and give birth to a healthy baby (taken according to indications).
To receive a free medicine or purchase it with a 50% discount, you must:
- Register with your local antenatal clinic;
- After the examination, obtain a prescription from your doctor and a list of pharmacies where you can purchase it.
The list includes only vitamins, drugs for anemia and iodine deficiency with a list of trade names of drugs:
- Multivitamins (revit, gendevit, complivit, vitrum Prenatal, zithrum Centuri, Megadin Pronatal, multi-tabs, supradin, teravit, ferravit, elevit prenthal);
- Iron supplements(maltover, fenyuls, ferretab complex) - with low hemoglobin;
- Folic acid(folacin) - in the first 3 months of pregnancy;
- Vitamin E (vitrum, zithrum vitamin E, tocopherocaps, alpha-tocopherol acetate);
- Potassium iodide (iodomarin, iodine balance, potassium iodide, microiodide).
It is impossible to get medicine on preferential terms at the first pharmacy you come across, since for this, health authorities must enter into an appropriate agreement with the pharmacy. Check with your gynecologist where exactly you can take advantage of the benefit.
Is it possible to get benefits when being seen in a private clinic?
The draft stipulates that a woman can receive benefits only if she is registered with a state/municipal antenatal clinic. But some women are observed and give birth in private clinics. However, a birth certificate and free medications are issued only if you register with a government agency.
In this case, in order for a woman to receive the necessary medications and vitamins absolutely free of charge or at a minimal cost, she should simply be observed simultaneously both at the state antenatal clinic at her place of residence and at a private doctor.
Benefits at work
In addition to medical benefits, pregnant women are also entitled to benefits at work. Many of them are known to most workers:
- prohibition of dismissal of a pregnant woman at the initiative of the owner (Article 261 of the Labor Code of the Russian Federation);
- reduction of production standards (Article 254 of the Labor Code of the Russian Federation);
- prohibition of overtime, night work, business trips (Article 259 of the Labor Code of the Russian Federation);
- prohibition of working with harmful factors with the obligatory preservation of previous earnings (Article 254 of the Labor Code of the Russian Federation);
- availability of paid leave for pregnancy and childbirth (Article 255 of the Labor Code of the Russian Federation);
- leave until the child reaches three years of age (Article 256 of the Labor Code of the Russian Federation);
- the ability to establish a part-time or weekly work schedule (Article 93 of the Labor Code of the Russian Federation).
But there are a number of benefits that not all pregnant women know about. For example, a pregnant employee has the right to use her annual leave at a time convenient for herself (even violating the vacation schedule) or tying it to the beginning or end of maternity leave (Article 260 of the Labor Code of the Russian Federation). Also, an employee can use vacation before six months of work at the enterprise in the first working year (Article 122 of the Labor Code of the Russian Federation).
And one more rule can greatly help pregnant women. According to Part 3 of Art. 254 of the Labor Code of the Russian Federation, pregnant women retain their average salary during outpatient examinations. This means that, firstly, the boss cannot prohibit going to the antenatal clinic during working hours, and secondly, he is obliged to pay for the examination time in the amount of the average salary. You just need to remember to take a certificate that you really were in a medical institution
Requirements for working conditions for women during pregnancy
According to SanPiN 2.2.0.555-96
How to exercise your rights
So, the legislation provides some benefits for pregnant women; you just need to know your rights and insist on providing benefits. If your rights are violated, do not hesitate to argue and write complaints to various authorities.
- As a rule, immediately after the threat to write a statement to the Department of Health, the Labor Inspectorate or the prosecutor's office, the whole problem instantly disappears, and the issue is resolved very quickly.
- First, you should go to the head doctor or the head of the antenatal clinic. It is quite possible that the conflict will be settled fairly quickly.
- If you cannot resolve the issue, then you should write a complaint to the regional health department, the Social Insurance Fund, the Ministry of Health, or the prosecutor's office.
- You can also call the hotline or send an email request through the online form.
It is advisable to indicate all recipients in the request. This reduces the chances of unsubscribing, since the authority’s management sees that the request was sent not only to them. As a rule, after such requests, the attitude towards the patient instantly changes, and everyone suddenly “remembers” the benefits provided.
If you have questions about the topic of the article, please do not hesitate to ask them in the comments. We will definitely answer all your questions within a few days. However, carefully read all the questions and answers to the article; if there is a detailed answer to such a question, then your question will not be published.
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For several years now, Russia has been implementing a number of measures to support expectant mothers and their young children. This year the situation will not change - the state will continue to provide women with a relaxing maternity leave, financing, in particular, various payments at the birth of a child and one-time benefits women officially employed and registered within a period of up to 12 weeks. As well as free provision of medicines to expectant mothers.
In many respects, all of the above measures are carried out within the framework of the federal legislation of the Russian Federation ( Federal Law of the Russian Federation) and the national project “Health”.
It is important to understand that the article describes the most basic situations and does not take into account a number of technical issues. To solve your particular problem, get legal advice by calling the hotlines:
Who is eligible for free medications during pregnancy?
In 2017, every pregnant woman will be able to receive free medications during pregnancy, provided that she is registered at the antenatal clinic.
Prescriptions for medications and vitamin complexes are issued at the onset of the 30th week of pregnancy (if the pregnancy is multiple, then from the 28th week) and occurs for the funds that are included in the. The latter is issued at the antenatal clinic along with a completed certificate of incapacity for work.
In general, if you start from, then a pregnant woman can count on receiving free medicines worth up to 990 rubles at a time. If the medications are too expensive, then a woman can get them at a 50% discount.
