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Přehled hrazených LP - <strong>dle</strong> účinné látky A12 NÁHRADY MINERÁLNÍCH PRVKŮ stav k 1. 4. 2010 KOD NÁZEV DOPLNĚK DRZ IND1 LIM1/OME1 UHR ORC ZAP1 EKV_UHR A12BA01 p.o. Chlorid draselný 0017189 KALIUM CHLORATUM BIOMEDICA POR TBL FLM 100X500MG BCS / 33,32 43,68 0,00 2,00 0125599 KALNORMIN POR TBL PRO 30X1GM ICN / 17,64 17,64 0,00 1,76 0013715 KALNORMIN POR TBL PRO 30X1GM IDA / 17,64 17,64 0,00 1,76 A12CC02 parent. Síran hořečnatý 0000499 MAGNESIUM SULFURICUM BIOTIKA 20% 0000498 MAGNESIUM SULFURICUM BIOTIKA 10% A12CC06 p.o. Magnesium-laktát INJ SOL 5X10ML 20% BHP O / 84,83 107,37 0,00 8,48 INJ SOL 5X10ML 10% BHP O / 89,61 103,16 0,00 17,92 0096635 MAGNE B6 POR TBL OBD 50 SFK L / INT,NEU,PSY,GYN ,GER 25,29 128,00 4,83 10,58 0086393 MAGNESII LACTICI 0,5 TBL. MEDICAMENTA 0012754 TABULETTA MAGNESII LACTICI 0,5 CSC 0017992 MAGNESII LACTICI 0,5 TBL. MEDICAMENTA 0012755 TABULETTA MAGNESII LACTICI 0,5 CSC POR TBL NOB 50X0.5GM GMP L / INT,NEU,PSY,GYN ,GER 31,75 52,26 6,07 10,58 POR TBL NOB 50X500MG VAF L / INT,NEU,PSY,GYN ,GER 31,75 57,04 6,07 10,58 POR TBL NOB 100X0.5GM GMP L / INT,NEU,PSY,GYN ,GER 63,50 95,00 12,14 10,58 POR TBL NOB 100X500MG VAF L / INT,NEU,PSY,GYN ,GER 63,50 108,52 12,14 10,58 0088630 TBL.MAGNESII LACTICI 0.5 GLO POR TBL NOB 100X500MG GAO L / INT,NEU,PSY,GYN ,GER 63,50 83,48 12,14 10,58 0070535 MAGNESII LACTICI 0,5 TBL. MEDICAMENTA 0012757 TABULETTA MAGNESII LACTICI 0,5 CSC A12CC09 p.o. Magnesium-orotát POR TBL NOB 1000X0.5GM GMP L / INT,NEU,PSY,GYN ,GER 635,00 894,85 121,38 10,58 POR TBL NOB 1000X500MG VAF L / INT,NEU,PSY,GYN ,GER 635,00 756,38 121,38 10,58 0088037 MAGNEROT POR TBL NOB 20X500MG WGP L / INT,NEU,PSY,GYN ,GER 6,94 82,58 65,11 10,58 0032888 MAGNEROT POR TBL NOB 50X500MG WGP L / INT,NEU,PSY,GYN ,GER 17,35 206,82 162,78 10,58 0032889 MAGNEROT POR TBL NOB 100X500MG WGP L / INT,NEU,PSY,GYN ,GER 34,71 400,98 325,56 10,58 A12CC30 p.o. Hořčík (různé sole v kombinaci) 0066555 MAGNOSOLV POR GRA SOL 30SÁČ MPG L / INT,NEU,PSY,GYN ,GER 115,89 144,59 14,48 10,58 0137120 MAGNESIUM 250 MG PHARMAVIT POR TBL EFF 20 WAV L / INT,NEU,PSY,GYN ,GER 52,92 132,05 6,61 10,58 0018774 MAGNESIUM 250 MG PHARMAVIT POR TBL EFF 20 BMS L / INT,NEU,PSY,GYN ,GER 52,92 59,53 6,61 10,58 A12CX p.o. Jiné minerální produkty 0014713 OSTEOGENON POR TBL FLM 40X800MG PFB / 15,62 191,64 176,02 1,10 A16AA01 parent. Levokarnitin 0007273 L-CARNITIN FRESENIUS 1 G INJ SOL 5X5ML/1GM FRK O / 668,34 668,34 0,00 267,34 A16AA02 p.o. Ademethionin 0012317 TRANSMETIL 500 MG TABLETY POR TBL ENT 10X500MG ABK P / 271,89 361,80 89,91 54,38 A16AB02 parent. Imigluceráza 0028020 CEREZYME INF PLV CSL 1X400UT GZE P O / 41 385,72 41 385,72 0,00 31 117,08 A16AB03 parent. Agalsidáza alfa 0027287 REPLAGAL INF CNC SOL 1X3.5MG SHY P O / 50 131,98 50 131,98 0,00 14 323,42 A16AB04 parent. Agalsidáza beta 0025483 FABRAZYME 35 MG INF PLV SOL 1X35MG GZE P O / 88 444,92 88 444,92 0,00 12 634,99 A16AB05 parent. Laronidáza 0026354 ALDURAZYME INF CNC SOL 1X5ML GZE P O / 18 360,22 18 360,22 0,00 36 720,44 A16AB07 parent. Alglukosidáza alfa 0026096 MYOZYME 50 MG INF PLV CSL 1X50MG/LAH GZE P O / 14 816,46 14 816,46 0,00 29 632,92 A16AB09 parent. Idursulfáza 0027982 ELAPRASE 2 MG/ML IVN INF CNC SOL 1X3ML SHY P ES / PED,INT 78 358,00 89 527,50 0,00 13 059,67 A16AX01 parent. Kyselina tioktová 0084378 THIOGAMMA 600 INJECT INJ SOL 5X20ML/600MG WGP O / 883,89 883,89 0,00 58,93 0055380 THIOGAMMA 600 INJECT INJ SOL 20X20ML/600MG WGP O / 3 665,37 3 665,37 0,00 61,09 0052225 THIOCTACID 600 T INJ SOL 5X24ML/600MG MHO O / 920,42 920,42 0,00 61,36 0084379 THIOGAMMA 600 INJECT INJ SOL 10X20ML/600MG WGP O / 1 936,50 1 936,50 0,00 64,55 A16AX03 p.o. Natrium-fenylbutyrát 0026271 AMMONAPS 940 MG/G POR GRA 1X266GM SWM P / 33 601,69 33 601,69 0,00 2 688,14 Vysvětlivky: UHR - úhrada pojišťovny základní, ZAP1 - započitatelný doplatek, EKV UHR - ekvivalent úhrady (úhrada za 1DDD), * - smluvní cena, § - zvýšená úhrada Strana 12
Přehled hrazených LP - <strong>dle</strong> účinné látky A16 JINÉ PŘÍPRAVKY OVLIV. TRÁVICÍ TRAKT A METABOLISMUS stav k 1. 4. 2010 KOD NÁZEV DOPLNĚK DRZ IND1 LIM1/OME1 UHR ORC ZAP1 EKV_UHR A16AX04 p.o. Nitisinon 0028409 ORFADIN 10 MG POR CPS DUR 60X10MG SWM P / 81 212,80 81 212,80 0,00 2 707,09 A16AX06 p.o. Miglustat 0027034 ZAVESCA 100 MG POR CPS DUR 84X100MG ACB P / 186 999,66 186 999,66 0,00 6 678,56 B01AA03 p.o. Warfarin 0119774 LAWARIN 2 POR TBL NOB 50X2MG PMP / 36,70 49,53 6,76 2,75 0058161 LAWARIN 2 POR TBL NOB 50X2MG PVL / 36,70 49,53 6,76 2,75 0119775 LAWARIN 2 POR TBL NOB 100X2MG PMP / 73,40 94,19 13,52 2,75 0012848 LAWARIN 2 POR TBL NOB 100X2MG PVL / 73,40 94,19 13,52 2,75 0094113 WARFARIN ORION 3 MG POR TBL NOB 100X3MG ORN / 110,11 147,48 20,28 2,75 0094114 WARFARIN ORION 5 MG POR TBL NOB 100X5MG ORN / 180,03 225,37 33,80 2,70 0119776 LAWARIN 5 POR TBL NOB 50X5MG PMP / 91,75 123,82 16,90 2,75 0058162 LAWARIN 5 POR TBL NOB 50X5MG PVL / 91,75 123,82 16,90 2,75 0119777 LAWARIN 5 POR TBL NOB 100X5MG PMP / 183,52 217,32 33,80 2,75 0012849 LAWARIN 5 POR TBL NOB 100X5MG PVL / 183,52 217,32 33,80 2,75 B01AB01 parent. Heparin 0013319 HEPARIN SANDOZ 25 000 IU/5 ML INJ SOL 100X5ML/25KU SZK O / 2 816,58 3 054,32 0,00 11,27 0000477 HEPARIN FORTE LÉČIVA INJ SOL 5X1ML/25KU ZNP O / 141,47 207,90 0,00 11,32 0093746 HEPARIN LÉČIVA INJ SOL 1X10ML/50KU ZNP O / 56,59 83,16 0,00 11,32 0013318 HEPARIN SANDOZ 25 000 IU/5 ML INJ SOL 10X5ML/25KU SZK O / 282,95 897,56 0,00 11,32 B01AB02 parent. Antithrombin III 0137484 ANBINEX INJ PSO LQF 1X500UT GFO U / 3 789,35 3 789,35 0,00 15 788,96 0107927 ANBINEX INJ PSO LQF 1X500UT GFO U / 3 789,35 3 789,35 0,00 15 788,96 0119619 ANTITHROMBIN III GRIFOLS INJ PSO LQF 1X500UT GFO U / 3 789,35 3 789,35 0,00 15 788,96 0085771 KYBERNIN P INJ PSO LQF 1X500UT+SOL CGM U / 3 789,35 3 789,35 0,00 15 788,96 0093174 ANTITHROMBIN III IMMUNO INJ PSO LQF 1X1KU BXG U / 8 905,41 9 054,25 0,00 18 552,94 0093173 ANTITHROMBIN III IMMUNO INJ PSO LQF 1X500UT BXG U / 4 453,91 4 913,34 0,00 18 557,96 0137483 ANBINEX INJ PSO LQF 1X1000UT GFO U / 8 907,83 10 639,66 0,00 18 557,98 0107928 ANBINEX INJ PSO LQF 1X1000UT GFO U / 8 907,83 10 639,66 0,00 18 557,98 0119620 ANTITHROMBIN III GRIFOLS INJ PSO LQF 1X1000UT GFO U / 8 907,83 10 639,66 0,00 18 557,98 B01AB04 parent. Dalteparin 0122126 FRAGMIN 10000 M.J.(ANTI-XA)/0,4 ML INJ SOL 5X0.4ML/10KU PFX P / 751,28 970,27 81,40 37,56 0047694 FRAGMIN 10000 M.J.(ANTI-XA)/1ML INJ SOL 10X1ML/10KU PFX P / 1 502,56 1 730,69 162,80 37,56 0047695 FRAGMIN 2500M.J.(ANTI-XA)/ML INJ SOL 10X4ML/10KU PFX P / 1 502,56 1 730,69 162,80 37,56 0107736 FRAGMIN 7500 M.J.(ANTI-XA)/0,3 ML INJ SOL 10X0.3ML/7.5KU PFX P / 1 126,93 1 445,98 122,10 37,56 0107737 FRAGMIN 7500 M.J.(ANTI-XA)/0,3 ML INJ SOL 10X0.3ML/7.5KU PFX P / 1 126,93 1 249,03 122,10 37,56 0100016 FRAGMIN 25000M.J.(ANTI-XA)/ML INJ SOL 10X0.2ML/5KU PFX P / 975,56 1 204,23 81,40 48,78 0047692 FRAGMIN 25000M.J.(ANTI-XA)/ML INJ SOL 10X0.2ML/5KU PFX P / 975,56 1 204,23 81,40 48,78 0107735 FRAGMIN 5000 M.J.(ANTI-XA)/0,2 ML INJ SOL 10X0.2ML/5KU PFX P / 975,56 1 204,23 81,40 48,78 0107734 FRAGMIN 5000 M.J.(ANTI-XA)/0,2 ML INJ SOL 10X0.2ML/5KU PFX P / 975,56 1 185,62 81,40 48,78 0047691 FRAGMIN 12500M.J.(ANTI-XA)/ML INJ SOL 10X0.2ML/2.5KU PFX P / 488,17 691,95 40,70 48,82 0107732 FRAGMIN 2500 M.J.(ANTI-XA)/0,2 ML INJ SOL 10X0.2ML/2.5KU PFX P / 488,17 623,57 40,70 48,82 B01AB05 parent. Enoxaparin 0103035 CLEXANE INJ SOL 2X1ML/10KU LVN P / 300,51 470,54 56,84 30,05 0011143 CLEXANE INJ SOL 2X1ML/10KU LVN P / 300,51 470,54 56,84 30,05 0115404 CLEXANE INJ SOL 10X1ML/10KU SFK P / 1 615,65 2 287,58 284,20 32,31 0115409 CLEXANE INJ SOL 2X1ML/10KU SFK P / 323,13 461,12 56,84 32,31 0115401 CLEXANE INJ SOL 10X0.4ML/4KU SFK P / 675,80 1 053,37 113,68 33,79 0115406 CLEXANE INJ SOL 2X0.4ML/4KU SFK P / 135,16 262,91 22,74 33,79 0103034 CLEXANE INJ SOL 2X0.8ML/8KU LVN P / 289,56 416,40 45,47 36,20 0103033 CLEXANE INJ SOL 2X0.6ML/6KU LVN P / 217,17 329,75 34,10 36,20 0011146 CLEXANE INJ SOL 10X0.6ML/6KU LVN P / 1 085,87 1 709,00 170,52 36,20 0011141 CLEXANE INJ SOL 2X0.6ML/6KU LVN P / 217,17 329,75 34,10 36,20 0011142 CLEXANE INJ SOL 2X0.8ML/8KU LVN P / 289,56 416,40 45,47 36,20 0115402 CLEXANE INJ SOL 10X0.6ML/6KU SFK P / 1 104,00 1 441,84 170,52 36,80 0115403 CLEXANE INJ SOL 10X0.8ML/8KU SFK P / 1 472,00 1 858,09 227,36 36,80 0115408 CLEXANE INJ SOL 2X0.8ML/8KU SFK P / 294,40 454,39 45,47 36,80 0115407 CLEXANE INJ SOL 2X0.6ML/6KU SFK P / 220,80 343,56 34,10 36,80 0011140 CLEXANE INJ SOL 2X0.4ML/4KU LVN P / 156,08 259,95 22,74 39,02 0011145 CLEXANE INJ SOL 10X0.4ML/4KU LVN P / 780,45 1 013,91 113,68 39,02 0052242 CLEXANE INJ SOL 2X0.4ML/4KU LVN P / 156,08 259,95 22,74 39,02 0011139 CLEXANE INJ SOL 2X0.2ML/2KU LVN P / 78,10 133,71 11,37 39,05 0052241 CLEXANE INJ SOL 2X0.2ML/2KU LVN P / 78,10 133,71 11,37 39,05 0115405 CLEXANE INJ SOL 2X0.2ML/2KU SFK P / 83,98 135,40 11,37 41,99 0115400 CLEXANE INJ SOL 10X0.2ML/2KU SFK P / 419,90 476,74 56,84 41,99 Vysvětlivky: UHR - úhrada pojišťovny základní, ZAP1 - započitatelný doplatek, EKV UHR - ekvivalent úhrady (úhrada za 1DDD), * - smluvní cena, § - zvýšená úhrada Strana 13
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