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Přehled hrazených LP - <strong>dle</strong> účinné látky<br />

S01<br />

OFTALMOLOGIKA<br />

stav k 1. 4. 2010<br />

KOD NÁZEV<br />

DOPLNĚK DRZ IND1 LIM1/OME1 UHR ORC ZAP1 EKV_UHR<br />

S01XA20 lok. Umělé slzy a jiné indiferentní přípravky<br />

0016430 HYPOTEARS PLUS OPH GTT SOL 1X10ML NAI P /<br />

27,53 79,32 29,09 2,75<br />

0017982 HYPOTEARS PLUS OPH GTT SOL 3X10ML NAI P /<br />

82,58 208,51 87,28 2,75<br />

0016429 HYPOTEARS PLUS SDU OPH GTT SOL 20X0.4ML NAI P /<br />

22,02 170,90 23,27 2,75<br />

0015004 SICCAPROTECT OPH GTT SOL 3X10ML URS P /<br />

82,58 191,19 87,28 2,75<br />

0054092 SICCAPROTECT OPH GTT SOL 1X10ML URS P /<br />

27,53 74,29 29,09 2,75<br />

0049629 TEARS NATURALE II OPH GTT SOL 1X15ML ACU P /<br />

41,29 111,30 43,64 2,75<br />

0084325 VIDISIC OPH GEL 1X10GM MNN P /<br />

27,53 84,12 29,09 2,75<br />

0084785 VIDISIC OPH GEL 3X10GM MNN P /<br />

82,58 191,31 87,28 2,75<br />

S02BA lok. Kortikosteroidy<br />

0084700 OTOBACID N AUR GTT SOL 1X5ML TOI L / ORL<br />

104,16 124,41 20,25 20,83<br />

S02CA03 lok. Hydrokortison a antiinfektiva<br />

0006267 OTOSPORIN GTT OTO 1X5ML BWE L / ORL<br />

49,84 49,84 0,00 9,97<br />

0015547 OTOSPORIN AUR GTT SUS 1X5ML BWE L / ORL<br />

49,84 49,84 0,00 9,97<br />

S02DA30 lok. Analgetika a anestetika, kombinace<br />

0107143 OTIPAX AUR GTT SOL 1X16GM BGX /<br />

55,20 76,25 21,05 3,45<br />

S03AA07 lok. Ciprofloxacin<br />

0089831 CILOXAN OPH+AUR GTT SOL 1X5ML ACU L / OPH<br />

54,57 96,31 41,74 10,91<br />

0015646 CIPLOX OPH+AUR GTT SOL 5ML CIW L / OPH<br />

54,57 96,31 41,74 10,91<br />

S03CA06 lok. Betamethason a antiinfektiva<br />

0091712 GARASONE OPH+AUR GTT SOL 1X5ML SBS L / OPH,ORL<br />

54,54 66,35 11,81 10,91<br />

V01AA02 parent. Travní pyly, alergeny<br />

0010852 POLLINEX RYE INJ 3X0.5ML/2000SU ATG L / ALG<br />

961,57 2 182,41 317,44 5,25<br />

0010851 POLLINEX RYE INJ 300+800+2000SU ATG L / ALG<br />

1 114,27 1 851,53 25,35 1 114,27<br />

V01AA05 parent. Pyly stromů, alergeny<br />

0010854 POLLINEX TREE INJ 3X0.5ML/2000SU ATG L / ALG<br />

961,57 2 182,41 317,44 5,25<br />

0010853 POLLINEX TREE INJ 300+800+2000SU ATG L / ALG<br />

1 114,27 1 851,53 25,35 1 114,27<br />

V01AA07 parent. Hmyzí alergeny<br />

0050344 H-AL DEPOT(POLLENS-UDRŽ.LÉČBA) INJ SUS 10000JSK/5ML SVF L / ALG<br />

459,76 611,54 151,78 5,25<br />

0010281 ALUTARD SQ INJ SUS 2X5ML HMYZ ALH P /<br />

2 995,83 4 935,23 1 939,40 7,13<br />

0083557 H-AL DEPOT(MITES-INIC.LÉČBA) INJ SUS 1000PNU/1ML SVF L / ALG<br />

34,48 346,37 145,40 34,48<br />

0083556 H-AL DEPOT(MITES-INIC.LÉČBA) INJ SUS 100PNU/1ML SVF L / ALG<br />

34,48 179,88 145,40 34,48<br />

0099806 H-AL DEPOT(MITES-UDRŽ.LÉČBA) INJ SUS 10000PNU/1ML SVF L / ALG<br />

241,70 1 438,48 145,40 241,70<br />

0050341 H-AL DEPOT(POLLENS-INIC.LÉČBA) INJ SUS 100JSK/3ML SVF L / ALG<br />

348,42 373,77 25,35 348,42<br />

0050342 H-AL DEPOT(POLLENS-INIC.LÉČBA) INJ SUS 1000JSK/3ML SVF L / ALG<br />

425,27 454,09 25,35 425,27<br />

0050343 H-AL DEPOT(POLLENS-INIC.LÉČBA) INJ SUS 10000JSK/5ML SVF L / ALG<br />

580,61 611,54 25,35 580,61<br />

0010283 ALUTARD SQ INJ SUS 4X5ML HMYZ ALH P /<br />

3 062,97 4 412,43 1 349,46 3 062,97<br />

V01AA20 p.o. Různé alergeny<br />

0010731 STALORAL ORM SOL SLG 2X10ML-IC SLG P /<br />

1 083,26 1 469,92 258,12 23,21<br />

0056796 STALORAL ORM SOL SLG 2X10ML-IR SLG P /<br />

1 083,26 1 469,92 258,12 23,21<br />

0013972 STALORAL 300 ORM SOL SLG 2X10ML SLG P /<br />

1 354,09 1 676,74 322,65 23,21<br />

0098467 H-AL PER OS POR GTT SOL 6X9ML-PNU<br />

(MIT,MYC<br />

0047393 H-AL PER OS POR GTT SOL 6X9ML-JSK<br />

POLLENS<br />

SVF L / ALG<br />

482,39 749,98 267,59 80,40<br />

SVF L / ALG<br />

1 251,27 1 251,27 0,00 208,54<br />

0020648 H-AL POLLENS PER OS POR GTT SOL 3X9ML-JSK SVF L / ALG<br />

782,54 813,89 0,00 260,85<br />

0005864 PANGRAMIN-SLIT POR GTT SOL 5X5ML AAO P /<br />

1 382,58 3 213,59 454,81 276,52<br />

0010730 STALORAL ORM SOL SLG 4X10ML-IC SLG P /<br />

1 106,07 1 469,92 363,85 276,52<br />

0056795 STALORAL ORM SOL SLG 4X10ML-IR SLG P /<br />

1 106,07 1 469,92 363,85 276,52<br />

0098417 H-AL PER OS POR GTT SOL 1X9ML-PNU<br />

(MIT,MYC<br />

0047407 H-AL PER OS POR GTT SOL 1X9ML-PNU<br />

(MIT,MYC<br />

0047402 H-AL PER OS POR GTT SOL 1X9ML-PNU<br />

INSECTS<br />

0047391 H-AL PER OS POR GTT SOL 1X9ML-JSK<br />

POLLENS<br />

0054543 H-AL PER OS POR GTT SOL 1X9ML-JSK<br />

POLLENS<br />

SVF L / ALG<br />

377,62 595,14 84,47 377,62<br />

SVF L / ALG<br />

377,62 462,09 84,47 377,62<br />

SVF L / ALG<br />

377,62 557,01 84,47 377,62<br />

SVF L / ALG<br />

452,77 603,29 150,52 452,77<br />

SVF L / ALG<br />

452,77 603,29 150,52 452,77<br />

0020255 STALORAL 300 ORM SOL SLG 3X10ML SLG P /<br />

1 113,78 1 676,74 562,96 1 113,78<br />

0005865 PANGRAMIN-SLIT POR GTT SOL 2X5ML AAO P /<br />

2 642,32 4 586,29 629,60 23,21<br />

V01AA20 parent. Různé alergeny<br />

0042046 ALUTARD SQ INJ SUS 2X5ML ALH L / ALG<br />

2 206,83 4 935,23 728,53 5,25<br />

0010757 PHOSTAL INJ SUS 1X5ML- IC SLG L / ALG<br />

919,54 1 254,46 303,56 5,25<br />

0044191 PHOSTAL INJ SUS 1X5ML- IR SLG L / ALG<br />

919,54 1 254,46 303,56 5,25<br />

Vysvětlivky: UHR - úhrada pojišťovny základní, ZAP1 - započitatelný doplatek, EKV UHR - ekvivalent úhrady (úhrada za 1DDD), * - smluvní cena, § - zvýšená úhrada<br />

Strana 134

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