From July 1, a new stage in the Reform " All pharmacies, regardless of ownership forms, are required to connect to the system of electronic recipes (e-receptors). This obliges them to make updated provisions of the resolution of Cabinet No.? 152 of February 10, 2023. If the pharmacy does not comply with these requirements, its license is canceled.
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What has changed.
Mandatory E-Reede for all pharmacies.
Now pharmacies are forced to connect to the EHEALTH system (even if they don't want to). One of the main changes in Decree No. 152 is to establish the principle of mandatory work of pharmacies with electronic recipes. If before participation in the “Accessi Liki” program was voluntary-that is, the pharmacies themselves decided whether to work under an agreement with the National Health Service of Ukraine (NSZU), now the state has accepted a clear requirement: not a single pharmacy, regardless of the form of ownership, has the right to refuse to serve the patient with e-receptor.
That is, a private network is obliged to serve the recipe, as well as a communal pharmacy. Even a small FOP-APTKE in the village should not be an exception. If it refuses, the state can simply close it.
“Pharmacy institutions that implement medicines in Ukraine are required to ensure the intake of an electronic prescription for the medicine that is included in reimburization, regardless of the concluded agreement with the NSZU”. That is, the patient is no longer interested in whether the pharmacy is in the program - in any case, she simply must release the medicine if it is included in the list.
Official consolidation of patient rights.
According to an updated resolution, not a single pharmacy has the right to ignore the patient with e-receptor. This means that even in the outback, where the quality of service often leaves much to be desired, a person must get his medicine.
The validity of the recipes.
Previously, the effect of e-receptor was limited to thirty days, which meant monthly visits to the doctor. Now the decision has added the ability to write recipes up to 90 days - provided that the disease is chronic (for example, hypertension, type II diabetes mellitus).
Paper alternative.
If the patient does not have a mobile phone, then the doctor is obliged to give out the paper version of the e-receptor. The decision clearly states that the refusal is a violation of the patient's rights, and the doctor must have a reasonable cause for this (in difficult cases, having fixed it in the medical card).
Responsibility of doctors and pharmacies.
In case of refusal to maintain, the patient has the right to demand a written explanation or contact the NSZU or to the Ombudsman. The decision determines that the refusal without explanation is the basis for the consideration of an administrative offense.
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How the system works? (step -by -step instruction).
An appeal to a doctor.
There is a declaration - an appeal to the family doctor whom the patient chose.
There is no declaration-in this case, the patient appeals to the nearest center of primary health care (CPMSP) or an outpatient basis. They shouldn't refuse there either. Because it is a violation.
Diagnosis and purpose.
The medic introduces a confirmed diagnosis to the EHEALTH system: for example, “hypertension”, “type II diabetes”, “bronchial asthma”, household, “epilepsy”. Without this, the platform will not generate the recipe.
Recipe generation.
If the patient has a smartphone compared with the phone number, the system sends SMS with six digits of the recipe code and number. If there is no phone, the doctor prints paper e-receptor, which the patient can bring to the pharmacy.
Pharmacy search.
The patient will find out which pharmacies work with the NSZU.
Obtaining a medicine.
In the pharmacy calls the code or presents a paper recipe.
If there is a drug, then it receives it (pensioners) for free or with a small surcharge - depends on the program.
If there is no drug, the pharmacist is obliged:.
offer an analogue of the same class from the same group;
inform where there is a drug (according to the list of other pharmacies).
The decree clearly spells out: "
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What drugs are included in the updated program?
In July 2025, the list includes more than 600 positions, among which:.
Hypotentine agents;
Antidiabetic drugs;
Astma preparations;
Funds for epilepsy, parkinsonism;
Antidepressants and antipsychotic;
limited list of painkillers (only for chronic pain);
oncomputs-exclusively by order of an oncologist.
Updated requirements for issuing a prescription by a doctor.
According to the changes, the doctor must enter the system:.
1) a confirmed diagnosis;
2) a clear dosage of the drug;
3) duration of the course of treatment;
4) data on the form of release (tablets, inhalers, injections, etc..
The new recipe template contains automatic validation: without one of the points, the system simply does not allow to prescribe a medicine. This should reduce abuse and errors, but at the same time complicates the process in hospitals where there is no electronic queue or there is not enough technology.
Since July 2025, the program includes new nosologies, which is why the list of diagnoses has been expanded.
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Without declarations it is also possible.
The decision stipulates that all primary medical care institutions, regardless of submission (communal, private, departmental), are required to accept patients without a declaration if we are talking about the extract of the recipe within the framework of “accessible LIKI”.
This is an important norm for pensioners who live in a village where there is no permanent doctor; changed their place of residence or did not have time to sign a new declaration after the death or dismissal of a doctor.
The resolution directly testifies: refusal is a violation of the conditions for the provision of a medical service that is funded from the NSZU budget.
Technical amendments: validity periods, repeatability, cancellation.
Recipe for 90 days: now officially allowed, even without a physical repeated visit to the doctor, provided that the patient is under supervision.
Re -vacation: a pharmacy can give the drug according to the same prescription - parts, subject to technical fixation in the system.
Advision of the recipe: the doctor has the right to withdraw the prescription if complications arise or a treatment regimen has changed. This is also necessarily entered into the register.
According to the resolution, since 2025, the public service of the Medicine Service has been integrated into the EHEALT system. This allows pharmacies to see which series of drugs are allowed to be implemented and which recall. That is, a pensioner will not receive an “delay” or marriage.
The Ministry of Health also transferred the authority to control the quality of the provision of services in the NSZU. If a pharmacy, doctor or medical institution violates new rules, the NSZU may terminate the contract unilaterally.
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***.
Unfortunately, many pensioners simply do not know that they have the right to a paper recipe if they do not have a smartphone. And some believe that no medicine will receive without a smartphone. Others are afraid to even ask about this so as not to disgrace. Among doctors there are also few who want to clarify. But use the possibility that the state provides, in any case, you need. In the end, there are other sources of information.
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