Methodological approaches to the formation of an optimal application for the purchase of drugs for medical organizations: the experience of the Republic of Tatarstan

The Ministry of Health of the Republic of Tatarstan, with the methodological support of the Department of Organization of Drug Supply and Pharmacoeconomics of the Institute of Postgraduate Education of Sechenov University, conducted a comprehensive analysis of the rationality of the generated application for 2024 and an analysis of the effectiveness of spending money on the purchase of drugs at the level of medical organizations, followed by the development of an algorithm for generating an application for the purchase of drugs. The volume of the application in monetary terms exceeded 7 billion rubles. The analysis, with data on the initial and adjusted applications, showed that the use of a number of drugs not from the list of vital and essential drugs in the MO was due more to established algorithms and “work habits” of individual doctors. In this regard, a corresponding adjustment was made. As a result, based on the results of the work, corrections were made to 360 INNs for a total of 122.5 million rubles. The result of the work carried out was the development and approval of the Order of the Ministry of Health of the Republic of Tatarstan No. 2436 dated October 17, 2023 “On the optimization of the formation of applications of healthcare institutions”, according to which a working group was formed and a new application form was approved.